Templates / EMDR

EMDR Session Note Template

Follows the structure of an EMDR reprocessing session: target and activation, processing, installation and body scan, closure and next target.

EMDR sessions have a defined sequence, and notes that mirror it are faster to write and far easier to pick up from next time. The numbers matter here: SUD and VoC ratings before and after are your progress record.

This template covers a reprocessing session (phases 3–8). For history-taking and preparation sessions, the Intake template is usually a better fit.

The template

Copy these headings into your notes app, or use them built-in in AfterSession.

When to use it

Use it for any EMDR reprocessing session. Pair with the Intake template for phases 1–2 and with a standard progress note for sessions that are not reprocessing-focused.

Section-by-section guide with example

Target & Activation

The target memory or trigger, the image, negative and positive cognitions, emotions, body sensations, and starting SUD and VoC.

Example Target: the car accident (age 24), image of the windshield. NC: "I'm powerless." PC: "I can handle what happens." VoC 2/7. Emotion: fear. SUD 8/10. Body: chest tightness.

Processing Notes

Brief notes on sets, shifts in content, blocks, and any interweaves used. Not a transcript.

Example ~14 sets of bilateral stimulation. Content moved from the crash to the hospital to feelings about being dependent on family afterwards. Looping at set 9 on "I should have reacted faster"; cognitive interweave ("what would you tell a friend?") unblocked it. SUD 8 → 5 → 3 → 1.

Installation & Body Scan

Final SUD, VoC after installation, and body scan findings.

Example Final SUD 1/10 (client: "it's in the past"). Installation of PC: VoC 2 → 6/7. Body scan: residual tension in shoulders, cleared after two additional sets.

Closure & Next Target

How the session was closed, the client's state leaving, and what you plan to target next.

Example Closed with safe-place exercise; client calm, oriented. Reminded of possible processing between sessions and the log. Next: complete installation to VoC 7 and re-check target; then move to second target (the follow-up medical appointment).

Follow-Ups

Between-session items.

Example Client to keep the TICES log. Review log at the start of next session.

The example is a fictional composite written for illustration. It does not describe a real person.

Common mistakes

Frequently asked questions

How detailed should EMDR processing notes be?

Brief. Most EMDR therapists record the number of sets, major shifts in content, any blocks and how they were handled, and the SUD trajectory. Detailed content belongs to the client.

Do I need a separate note for the safe-place or preparation work?

Use a standard progress note for preparation sessions. Reserve this template for sessions where reprocessing happens.

Use the EMDR template on your iPhone

AfterSession has this template built in. Your notes stay on your device — no cloud, no account, no tracking. Free for up to 3 clients.

Download AfterSession

iPhone and iPad · iOS 26 or later

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