[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-352669-105":53,"doc-detail-352669-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","emdr-treatment-plan-template-a-structured-three-pronged-emdr-treatment-plan","EMDR Treatment Plan Template - A structured three-pronged EMDR treatment plan","","EMDR ASSIST provides a fillable, section-by-section EMDR treatment plan template designed for clinicians after Phase 1. It supports completion and revision across the episode of care, covering presenting problem and history, case conceptualisation (AIP), readiness and stabilisation, a three-pronged target sequence (past/present/future), outcome measures and a review schedule. The document includes a fully worked clinical example and a readiness checklist with measures such as PCL-5, PHQ-9, GAD-7, SUD and VoC.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/emdr-treatment-plan-template-a-structured-three-pronged-emdr-treatment-plan/352669/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/emdr-treatment-plan-template-a-structured-three-pronged-emdr-treatment-plan/352669.png","ImageObject",442,249,{"name":88,"@type":89},"Mia  ","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-09-22",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",9,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What sections are included in the EMDR Treatment Plan Template?","Question",{"text":109,"@type":110},"The template includes client and episode details, presenting problem and history, case conceptualisation (AIP), a readiness and stabilisation checklist, a three-pronged target sequence, outcome measures and review points, plus a fully worked example plan.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How should the three-pronged (past/present/future) targets be sequenced and recorded?",{"text":114,"@type":110},"Targets should be sequenced past → present → future within each cluster. Baseline SUD and VoC are recorded when the target is assessed in Phase 3, not at planning.",{"name":116,"@type":107,"acceptedAnswer":117},"How often should the plan be reviewed and what changes require updates?",{"text":118,"@type":110},"The plan should be reviewed every 6–8 sessions or after any significant change in presentation. Targets should be re-sequenced when new material emerges in Phase 4 or between sessions, with the rationale documented whenever the sequence changes.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},352669,1791188154,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":79,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":73},687207024478,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","EMDR ASSIST Clinical Resource  \nEMDR ASSIST  \nEMDR Treatment Plan Template  \nA fillable three-pronged treatment plan with a worked clinical example  \nA structured EMDR treatment plan you can complete after Phase 1 and revise across the episode of care—presenting problem, case conceptualisation, readiness, three-pronged target sequence, measures, and review points.  \nInside this document  \n• Section-by-section fillable plan  \n• Three-pronged (past / present / future) target sequence grid  \n• Readiness and stabilisation checklist  \n• Outcome measures and review schedule  \n• A fully worked example plan  \nReviewed by EMDR-trained clinicians  \nClinical use notice. Educational reference material for clinicians who have completed  \nEMDRIA-approved Basic Training. It does not replace training, consultation, supervision, or clinical judgement, and it is not medical advice.  \n1. Client and episode details  \nField Entry  \n\n| Client identifier (no PHI) |  |\n| --- | --- |\n| Episode start date |  |\n| Referral source / presenting\u003Cbr>concern |  |\n| Diagnosis (ICD-10 / DSM-5-TR) |  |\n| Session format and frequency |  |\n| 2. Presenting problem and history\u003Cbr>• Presenting symptoms with frequency, intensity and duration.\u003Cbr>• Trauma and adversity history (single-incident, complex, developmental) .\u003Cbr>• Current stressors, supports, and resources.\u003Cbr>• Risk: suicidality, self-harm, substance use, current danger.\u003Cbr>• Dissociation screen result (e.g. DES-II) and clinical interpretation.\u003Cbr>3. Case conceptualisation (AIP)\u003Cbr>State the maladaptively stored memories believed to drive the current presentation, the negative cognitions they encode, and the adaptive resolution you and the client are working toward (Shapiro, 2018) . |  |\n| Element | Entry |\n| Touchstone / earliest related\u003Cbr>memory |  |\n| Core negative cognition |  |\n| Desired positive cognition |  |\n\n\n| Element |  | Entry |\n| --- | --- | --- |\n| Present triggers belief | maintaining the |  |\n| Future goals blocked by the belief |  |  |\n\n4. Readiness and stabilisation checklist  \n• Informed consent for EMDR given and documented.  \n• Affect tolerance demonstrated (calm place, container, grounding) .  \n• Dual attention maintained during BLS trial.  \n• Dissociation and risk addressed; safety plan in place if indicated.  \n• Sufficient session length and post-session support for reprocessing.  \n5. Three-pronged target sequence  \nSequence targets past → present → future within each cluster. Record baseline SUD and VoC when the target is assessed in Phase 3, not at planning.  \n\\# Prong Target (image / event) NC → PC SUD VoC Status  \n\n| 1 Past |  |  |  |\n| --- | --- | --- | --- |\n| 2 Past |  |  |  |\n| 3 Present |  |  |  |\n| 4 Present |  |  |  |\n| 5 Future |  |  |  |\n| 6. Outcome measures and review |  |  |  |\n| Measure | Baseline | Mid-point | Discharge |\n| PCL-5 |  |  |  |\n| PHQ-9 |  |  |  |\n| GAD-7 |  |  |  |\n| Target SUD (current focus) |  |  |  |\n\n• Review the plan every 6–8 sessions or after any significant change in presentation.  \n• Re-sequence targets when new material emerges in Phase 4 or between sessions.  \n• Document rationale whenever the sequence changes.  \n7. Worked example  \nPresentation. Adult client, single-vehicle collision 14 months ago; intrusive images, avoidance of driving, hypervigilance at intersections. PCL-5 = 46. DES-II = 11 (non-elevated) . No current risk.  \nConceptualisation. Collision memory stored with the negative cognition \"I'm not safe,\" reinforced by an earlier childhood memory of a parent's unpredictable driving. Present triggers: merging traffic, brake sounds. Future goal: drive the client's child to school without avoidance.  \n\n| \\# | Prong | Target | NC → PC | SUD | VoC |\n| --- | --- | --- | --- | --- | --- |\n| 1 | Past | Parent's near-miss, age 8 | I'm not safe → I'm safe now | 6 | 3 |\n| 2 | Past | Moment of impact, collision | I'm not safe → I'm safe now | 9 | 2 |\n| 3 | Past | Waking in the ambulance | I'm helpless → I can cope | 7 | 3 |\n| 4 | Present | Me","cbCailiUvKAM6k4q","https://ap.wps.com/l/cbCailiUvKAM6k4q","pdf",57468,"English","# EMDR Treatment Plan Template\n## Client and episode details\n## Presenting problem and history\n## Case conceptualisation (AIP)\n## Readiness and stabilisation checklist\n## Three-pronged target sequence\n## Outcome measures and review\n## Worked example","[{\"question\":\"What sections are included in the EMDR Treatment Plan Template?\",\"answer\":\"The template includes client and episode details, presenting problem and history, case conceptualisation (AIP), a readiness and stabilisation checklist, a three-pronged target sequence, outcome measures and review points, plus a fully worked example plan.\"},{\"question\":\"How should the three-pronged (past/present/future) targets be sequenced and recorded?\",\"answer\":\"Targets should be sequenced past → present → future within each cluster. Baseline SUD and VoC are recorded when the target is assessed in Phase 3, not at planning.\"},{\"question\":\"How often should the plan be reviewed and what changes require updates?\",\"answer\":\"The plan should be reviewed every 6–8 sessions or after any significant change in presentation. Targets should be re-sequenced when new material emerges in Phase 4 or between sessions, with the rationale documented whenever the sequence changes.\"}]","EMDR Treatment Plan Template - A structured three-pronged EMDR treatment plan | PDF",1790100714]