EMDR Protocol Reference

Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based psychotherapy for trauma and PTSD. This guide covers the standard 8-phase protocol.

Print Full Protocol Package (All phases & resources)

Quick Reference

The 8 phases follow a three-pronged approach:

  1. Past memories that set the foundation
  2. Present triggers that activate distress
  3. Future templates for adaptive behavior

The 8 Phases

1

History and Treatment Planning

Comprehensive history-taking and treatment planning

2

Preparation

Teaching stabilization and resource development

3

Assessment

Activating target memory and establishing baselines

4

Desensitization

Processing with bilateral stimulation

5

Installation

Strengthening the positive cognition

6

Body Scan

Checking for residual physical disturbance

7

Closure

Ensuring stability at session end

8

Reevaluation

Evaluating treatment progress

Core Components

  • NC: Negative Cognition — irrational self-belief
  • PC: Positive Cognition — desired self-belief
  • VOC: Validity of Cognition — how true PC feels (1-7)
  • SUD: Subjective Units of Disturbance (0-10)
  • BLS: Bilateral Stimulation — eye movements, taps, or tones

Session Flow

  1. Open with reevaluation (Phase 8)
  2. Continue previous target or select new one
  3. Assessment if new target (Phase 3)
  4. Desensitization until SUD = 0 (Phase 4)
  5. Installation until VOC = 7 (Phase 5)
  6. Body scan until clear (Phase 6)
  7. Closure (Phase 7)

Training Resources

This reference guide is not a substitute for formal EMDR training. For certification and training:

  • EMDRIA: EMDR International Association — emdria.org
  • EMDR Institute: Founded by Francine Shapiro — emdr.com