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Today
Select a client to use the EMDR tools.
▶ Start bilateral
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20
5
50
Target assessment
SUDs & VoC tracker
SUDS — distress (0 calm → 10 highest)
VOC — how true the PC feels (1 false → 7 fully true)
SUDS (down = desensitising)VOC (up = installing)
Cognitive interweaves
When processing loops, blocks, or won't move — a prompt to get things going again.
Responsibility “it wasn’t your fault”
- “Whose responsibility was that?”
- “You were a child then — could you have stopped it?”
- “Who should have kept you safe?”
Safety “it’s over now”
- “Are you safe now, in this room?”
- “Where is that person / that danger now?”
- “That was then — what’s true today?”
Choice & control “you have choices now”
- “What choices do you have now that you didn’t have then?”
- “What would you do differently today?”
- “What does that younger part of you need to hear?”
More techniques when stuck
- Socratic: “What’s the worst part of that?”
- “I’m confused…” — invite them to explain it to you.
- New information / brief psychoeducation.
- Bring in a figure — nurturing, protective, or wise.
- Sort then vs now: “How old do you feel? How old are you really?”
- “Imagine…” — rehearse a different response.
- Use a metaphor or analogy.
- Return to target / check the body.
My interweaves
Closure & incomplete session
Last logged — SUDS: — · VOC: —
Reminder: bring the client back to the present and run a container or calm-place exercise before ending an incomplete session.
Select a client to use the CBT tools.
Thought record
Distortions & Socratic prompts
Saved records
Select a client to use the ACT tools.
ACT matrix
Toward moves
Away moves
Unwanted inner experiences
Who / what matters
Values
Select a client to use the DBT tools.
Diary card
Skills deck
Mindfulness
- Wise Mind — balance reason and emotion.
- What skills: observe, describe, participate.
- How skills: non-judgementally, one-mindfully, effectively.
Distress tolerance
- TIPP — temperature, intense exercise, paced breathing, paired relaxation.
- ACCEPTS — distract.
- Self-soothe — the five senses.
- IMPROVE the moment · radical acceptance.
Emotion regulation
- PLEASE — care for the body.
- Opposite action to the emotion urge.
- Check the facts · build mastery · accumulate positives.
Interpersonal effectiveness
- DEAR MAN — ask / say no effectively.
- GIVE — keep the relationship.
- FAST — keep self-respect.
Chain analysis
Tier 1: you draw, your client watches. Turn on “Show on client’s screen”, then draw — they see it live. Clear wipes both screens.
Select a client to use the genogram.
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