EMDR Targeting Sequence Plan Worksheet: Past, Present, & Future Targets

This professional clinical worksheet operationalizes the Three-Pronged Protocol, a core requirement for high-fidelity Eye Movement Desensitization and Reprocessing (EMDR) therapy. The layout provides a structured framework for Phase 1 (History Taking) and Phase 3 (Assessment), allowing clinicians to map the chronological and thematic sequence of trauma processing. By requiring the forensic identification of Past Targets (foundational memories), Present Triggers (current stimuli causing distress), and Future Templates (desired adaptive behaviors), the worksheet ensures that no aspect of the client’s maladaptive memory network is overlooked. This systematic approach is essential for moving beyond simple symptom relief toward the permanent integration of traumatic information.

The structured layout is designed to support the Adaptive Information Processing (AIP) model by identifying the “feeder” memories that sustain current dysfunction. Research in EMDR suggests that treatment efficacy is significantly enhanced when clinicians address the “Targeting Sequence” in its entirety, starting with the earliest Touchstone events. This tool facilitates precise clinical formulation by providing dedicated sections to rank targets by their Subjective Units of Disturbance (SUD). By externalizing the targeting plan, clinicians can maintain a clear longitudinal view of the treatment arc, ensuring that the transition from desensitization to the installation of future-oriented resilience is seamless and data-driven.

This clinical resource draws significant inspiration from the standard targeting sequence established by Francine Shapiro and the specialized case conceptualization forms refined by Marilyn Luber and Andrew Leeds. By operationalizing the 8-phase protocol into a clear, three-pronged plan, the worksheet assists practitioners in maintaining professional oversight of complex trauma cases. This process is foundational for a comprehensive treatment journey, ensuring that the therapeutic work leads to a life characterized by emotional stability, cognitive flexibility, and the successful implementation of new, adaptive behaviors in future high-stakes situations.

How This Worksheet Can Be Used

Comprehensive Case Formulation:
Therapists use the targeting sequence plan during the assessment phase to build a “Trauma Roadmap.” It helps the clinician and client see the direct line between childhood events and modern-day relational or professional triggers.

Sequencing the Processing Flow:
This tool serves as the primary guide for Phase 4 (Desensitization). Clinicians utilize the worksheet to decide whether to process targets chronologically, by theme, or by current level of disturbance, ensuring the work remains within the client’s window of tolerance.

Future Template Development:
The “Future” section of the worksheet is used in the later stages of therapy to design specific behavioral scripts. It allows the clinician to prepare the client for upcoming challenges by identifying the positive actions and cognitions needed to handle them skillfully.

Benefits of the EMDR Targeting Sequence Plan Worksheet

• Ensures high-fidelity adherence to the Three-Pronged Protocol (Past, Present, Future).
• Supports the AIP model by mapping the architectural origins of current symptoms.
• Identifies the “Touchstone Memories” required for root-cause trauma resolution.
• Provides a structured framework for prioritizing targets based on SUD ratings.
• Facilitates professional case management and prevents treatment gaps or “clinical drift.”
• Encourages a proactive approach to building future resilience and adaptive coping skills.

References

• Shapiro, F. (2017). Eye Movement Desensitization and Reprocessing (EMDR) Therapy: Basic Principles, Protocols, and Procedures (3rd ed.). Guilford Press.
• Luber, M. (2009). Eye Movement Desensitization and Reprocessing (EMDR) Therapy Scripted Protocols. Springer Publishing Company.
• Leeds, A. M. (2016). A Guide to the Standard EMDR Therapy Protocols for Clinicians, Supervisors, and Consultants. Springer Publishing Company.
• Maxfield, L. (2007). EMDR and the Three-Pronged Protocol. Journal of EMDR Practice and Research. (Context on the necessity of addressing past, present, and future).