The basic frame of treatment planning in EMDR: one problem is processed across three temporal layers. Past — the original traumatic event or the series of formative incidents that created the present symptoms. Present — the current triggers and situations that activate the same memory network. Future — a positive image of how the client will cope in similar situations. Each layer is processed as a separate target image.
Step-by-step guide
- PAST: identify the original traumatic event, work until SUD = 0
- PRESENT: "What in your life now reminds you of this?" — process each trigger
- FUTURE: "Suppose something similar happens again. How will you handle it?" — build a coping image
- Process the future image with BLS, PC: "I can cope"
- VoC of the future image = 6–7 — the work is complete
When to use
- Treatment planning for most traumas and PTSD
- The standard frame of EMDR work with any problem
Key phrases
First we will process the event itself, then what triggers you now, and finally — how you want to cope in the future.
Follow-up questions
Now that we have processed the event itself, is there anything in your life now that reminds you of it or evokes a similar reaction?
Picture yourself in the future — the situation is similar but you are coping. What do you see?
Alternative phrasings
If the client does not know the original event — start from the present triggers
Warnings
- ⚠️ Do not move to the present or the future before the SUD of the past event has dropped
- ⚠️ There may be many present-day triggers — process them in sequence, starting with the most charged
Source: Shapiro, 2001, 2018
Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.