EMDR 2.0 Titration Worksheet (Free PDF)
A set-by-set clinical log for tracking image vividness, SUD, dual-task load, and dissociation cues — with decision rules for raising, holding, or dropping the load.
Free PDF for EMDR clinicians. Get it by email.
What the worksheet captures
One row per BLS set. Columns for dual task used, load level (1–8), image vividness (0–10), SUD, dissociation cues, and next-set decision (raise / hold / drop). Decision rules print on the header so you don't have to remember them mid-session.
Why titrate at all
The working-memory taxation curve is inverted-U. Under-taxed sets barely move SUD; over-taxed sets collapse the image or open dissociation. The sweet spot — vividness dropping while the client stays present — is where EMDR 2.0 does its work. The worksheet keeps you in the sweet spot.
Related on the EMDR guide
Frequently asked questions
One worksheet per session or per target?
Per target. If you finish a target and start another mid-session, start a new sheet.
Do I score vividness or does the client?
The client scores vividness (0 = no image, 10 = as vivid as the event). Your job is to ask, not judge.
References
- Matthijssen, S. J. M. A., Lee, C. W., de Roos, C., et al. (2020). The current status of EMDR therapy, specific target areas, and goals for the future. Journal of EMDR Practice and Research, 14(4), 241–284.
- Matthijssen, S. J. M. A., Brouwers, T., van Roozendaal, C., Vuister, T., & de Jongh, A. (2021). The effect of EMDR versus EMDR 2.0 on emotionality and vividness of aversive memories in a non-clinical sample. European Journal of Psychotraumatology, 12(1), 1956793.
- Knipe, J. (2015). EMDR Toolbox: Theory and Treatment of Complex PTSD and Dissociation. Springer.