EMDR Therapy AIP-Informed Case Conceptualization 
          Adapted from EMDR Institute Training Manual by Cheryl Kenn, LCSW © 2018 Francine Shapiro, Ph. D. & Deany Laliotis, LICSW 
                                                                     
        1. Presenting Problems and Issues:  Identify and prioritize issues & symptoms in order of urgency and importance. Distinguish between 
        symptoms versus problems. Consider timing of initiating treatment, motivation and readiness; appropriateness for EMDR therapy. 
          Recent         
          Event(s)       
                         
           
          Symptoms 
           
                         
          Self-esteem    
                         
                         
          Relationship   
          issues         
          Affect         
          regulation 
         
        2. Treatment Goals:  Identify overall treatment goals in context of care and length of treatment. Inquire: Visualize a future beyond the 
        absence of their symptoms. If they were successful in achieving their goals, how would their life be different?  
                                 Short Term                                                  Long Term 
                                                                    
          
          
          
         
                               3. Clinical Themes of Responsibility, Safety and Power:  Identify clinical themes in the client’s presentation 
              Responsibility   and what is most prominent while attending to the client’s narrative. What are the clinical priorities? 
                                
                               __ Responsibility: _______________________________________________________________________ 
           Safety    Power      
                               __ Safety: _____________________________________________________________________________ 
                                
                               __ Power: _____________________________________________________________________________ 
                                
        4: PAST/ PRESENT/ FUTURE: AIP-informed case conceptualization evaluates entire clinical picture; treatment plan identifies relevant 
                                
        memories to be processed. Order of priority is determined by client readiness, needed symptom relief to increase stability, and 
        imminent life challenges. Adult-onset trauma vs. childhood trauma? Focused Processing vs. Full Standard Protocol?  
         
                           Past                                Present Triggers                        Future Goals 
          Adult Onset                                                                                         
           
           
           
           
          Relevant childhood experiences: 
                                                                     
                                                                     
                                                    EMDR Therapy AIP-Informed Case Conceptualization 
            Adapted from EMDR Institute Training Manual by Cheryl Kenn, LCSW © 2018 Francine Shapiro, Ph.D. & Deany Laliotis, LICSW 
           
          5. Existing Resources: Internal/External Identify available resources the client has, to be utilized throughout the course of treatment. 
          Identified in History-Taking; developed and strengthened in Preparation Phase as appropriate. 
                                 Existing Internal Resources                                             Existing External Resources 
                                                                                                                        
                                                                                                                        
                                                                                                                        
                                                                                                                        
                                                                                                                        
           
          6. Needed Resources: Preparation Focus/Stabilization Needs: Identify needed resources to develop and/or strengthen in the 
          preparation phase tailoring to the specific needs of the client, not determined solely by their history.  
           
                                Needed Internal Resources                                               Needed External Resources 
                                                                                                                       
                                                                                                                       
                                                                                                                       
                                                                                                                       
                                                                                                                       
                                                                                                                       
           
          7. Symptom Reduction/Comprehensive Treatment Plan: Priorities and Considerations  
               ▪    Case conceptualization informs treatment plan based on relevant client and clinical factors. 
               ▪    Prioritize Target Memory selection:  Where do you begin?  Assess need for symptom reduction and increased 
                    stability.  Consider time limitations, motivation and readiness for change, need for additional interventions (e.g., 
                    medication, medical treatment, other modalities, self-help meetings, etc.). 
               ▪    What are the long-standing issues stemming from the client’s history of developmental trauma?  
               ▪    Evaluate entire clinical picture, including attachment history, identifying developmental deficits and needed skills 
                    that may need to be addressed with a more comprehensive treatment plan, involving both individual and 
                    relational domains, to include previous treatment experiences. 
               ▪    Assess client’s awareness and understanding of the impact of their childhood experiences, as well as their 
                    emotional readiness to approach.  What is the work before the work? 
               ▪    Therapeutic relationship becomes more central; mutual trust, safety, truth telling, etc.  
               ▪    Assess for most appropriate clinical intervention(s) based on the above variables, including therapist readiness, 
                    clinical skills and goodness of fit between therapist and client, as well as relevant client and clinical factors. 
                                                •  RDI Resource Development & Installation 
                                                •  EMD (Eye Movement Desensitization) 
                                                •  REP (Recent Event Protocol) 
                                                •  Modified Standard Protocol:  Adult onset Target Memory 
                                                •  Full Standard Protocol 
                                        
                                      Treatment Plan                                                               Notes