Designed for: EMDR-trained clinicians, consultees, and supervisors working with clients who experience dissociation or fluctuating states of awareness during therapy.
Use this tool to: Track dissociative symptoms, identify triggers or situational patterns, and monitor stabilization progress over time.
About Cannon Psychology, Inc.: APA-approved sponsor providing evidence-based EMDR continuing education, treatment planning tools, and clinician resources.
About the Dissociation Pattern Tracker
This clinician worksheet provides a structured way to observe and document dissociative responses that may emerge during therapy sessions or between sessions. It allows therapists to record patterns such as spacing out, memory gaps, emotional numbing, sudden shifts in affect, or changes in present-moment awareness. By documenting when and how these experiences occur, clinicians can better differentiate normal attentional shifts from clinically significant dissociation that may influence EMDR readiness and pacing. The tool can support treatment planning, consultation discussions, and ongoing monitoring of stabilization capacity as therapy progresses. This resource is intended for educational and informational purposes for licensed mental health professionals. It is not a substitute for formal EMDR training, clinical supervision, consultation, or independent clinical judgment. Clinicians are responsible for determining the appropriateness of all interventions based on each client’s individual needs and circumstances.