Getting Ready for EMDR: Preparation Guide
A client preparation worksheet for EMDR listing practised skills, a helpful metaphor, worries, preferred bilateral stimulation, aftercare support and notes for the therapist.
1-page fillable PDF · US Letter (prints on A4) · EMDR · Preparation
- Approach / concern
- EMDR
- Technique
- EMDR · Preparation
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Advanced plan
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Getting Ready for EMDR: Preparation Guide?
EMDR’s preparation phase builds trust, explains the process, teaches self-regulation skills and establishes a stop signal and helpful metaphors before reprocessing.
Why it works
Preparation is integral to EMDR’s eight phases (Shapiro, 2018). A meta-analysis found eye movements add to the processing of emotional memories (Lee & Cuijpers, 2013).
When to use it
- EMDR Phase 2
- Anxious or hesitant clients
- After the readiness checklist
- Re-preparation after a break
How to use it in session
- Practise each skill in session.
- Choose a metaphor.
- Discuss worries.
- Agree BLS preference.
- Plan aftercare.
Clinician tips
- Practise skills until they’re easily accessible.
- Address fears of losing control.
- Plan sessions with time to settle.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
How long does preparation take?
It varies from one to several sessions, longer for complex trauma.
Can I choose taps instead of eye movements?
Yes. Many clinicians offer eye movements, taps or sounds.
References
Shapiro, F. (2018). Eye movement desensitization and reprocessing (EMDR) therapy: Basic principles, protocols, and procedures (3rd ed.). Guilford Press.
Lee, C. W., & Cuijpers, P. (2013). A meta-analysis of the contribution of eye movements in processing emotional memories. Journal of Behavior Therapy and Experimental Psychiatry, 44(2), 231-239.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
