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History Taking and Treatment Planning

History Taking and Treatment Planning
💡 Clarification 🧠 Cognition

The first phase of EMDR — a full history, identifying the key traumatic events and current triggers, assessing the client's resources and stability. The therapist defines the focus of the work: which specific event lies at the root of the present symptoms, and whether the client is ready for reprocessing. Without this stage it is impossible to build a correct treatment plan and choose a target event.

Step-by-step guide

  1. Take the history: when the problem began, what the key events were
  2. Identify specific traumatic moments and their impact on life now
  3. Assess current triggers: what activates the symptoms
  4. Assess resources: what helps the client cope with stress
  5. Assess stability: is the client ready for reprocessing (no active psychosis, no suicidal plans)
  6. Inform about the EMDR model and the process of the work
  7. Define the primary target event

When to use

  • The first EMDR meeting with the client
  • Defining the entry point into therapy
  • When the direction of work changes — re-evaluation of focus

Key phrases

When did the problem start? Which specific event do you connect with how you feel right now?

Follow-up questions

How does it affect your life now?
Which moments or situations cause the most distress?
What helps you cope with stress?
Do you feel stable enough to work with these experiences?

Alternative phrasings

If we had to pick one event from which it all began — what would that be?
Which moment from the past comes to mind most often?

Warnings

  • ⚠️ Do not move to reprocessing without assessing stability and resources
  • ⚠️ Do not rush the choice of target event — specificity matters

Source: Shapiro, 2001, 2018

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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.