How much trauma detail should appear in EMDR notes?

Document enough for continuity and medical necessity — phase, target label, measures, response, closure — without graphic sensory narrative. Use professional summary language (e.g., 'motor vehicle collision 2021' rather than detailed trauma content).

What are SUD and VOC in EMDR documentation?

Subjective Units of Distress (SUD, typically 0–10) and Validity of Cognition (VOC, typically 1–7) are clinician-guided ratings used during reprocessing. Document when clinically used, including pre/post values when relevant.

When should I defer EMDR processing in notes?

Document clearly when processing was not conducted due to insufficient stabilization, elevated dissociation, acute crisis, or client choice — and what stabilization or preparation work occurred instead.

Do I document all eight phases in every session?

No. Note the current phase and session-specific activities within it. Preparation and closure work across multiple sessions is normal.

EMDR Progress Note Essentials — EMDR

Waypoint