For trained EMDR clinicians. This tool supports documentation and continuity; it does not replace EMDR training or clinical judgment. If someone is in crisis, contact the 988 Suicide & Crisis Lifeline.

Free EMDR tool

Free EMDR SUD/VOC Tracker

Track SUD and VOC ratings during EMDR sessions, chart movement across BLS sets, and export a clean session summary. Browser-based, no signup required.

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Track SUD and VOC During EMDR Sessions

This free SUD/VOC tracker is designed for trained EMDR clinicians who want a lightweight way to record baseline, between-set, installation, closure, and reevaluation ratings. Keep entries de-identified, copy the summary, then paste it into your clinical note or EHR.

Example SUD/VOC tracking pattern

A clean session summary should show ratings over time, not just a final score.

Baseline
SUD 8 VOC 2
Set 1
SUD 6 VOC 3
Set 2
SUD 4 VOC 4
Set 3
SUD 3 VOC 5
Install
SUD 2 VOC 6
Closure
SUD 1 VOC 6
Example only. Ratings remain clinical data points interpreted by the therapist, not automated treatment recommendations.

What Are SUD and VOC in EMDR?

SUD, often written SUDS, stands for Subjective Units of Disturbance. In EMDR sessions, it is commonly rated from 0 to 10 to capture present-moment distress while focusing on target material. VOC stands for Validity of Cognition and is commonly rated from 1 to 7 to capture how true the positive cognition feels.

How to Use the Tracker During BLS Sets

  1. 1. Enter the target setup - Add a de-identified target label, negative cognition, and positive cognition.
  2. 2. Capture baseline - Record the starting SUD and VOC before processing begins.
  3. 3. Add rows between sets - After each BLS set, record SUD, VOC, client report, and body sensation.
  4. 4. Mark closure status - Note whether the target was complete, incomplete, contained, or needs follow-up.
  5. 5. Export the summary - Copy or download a clean text summary for your documentation workflow.

Therapist Guide to SUD and VOC Tracking

For a deeper walkthrough of when to capture baseline ratings, between-set changes, installation VOC, closure status, and reevaluation data, read the SUD and VOC tracking guide for EMDR therapists. It includes examples for documenting incomplete targets without overclaiming clinical resolution.

Documentation Example

Therapist used EMDR SUD/VOC tracking during processing of a de-identified target. Client reported baseline SUD 8/10 and VOC 2/7. Across BLS sets, client reported reduced disturbance to SUD 3/10 with shifting body sensation. Target remained incomplete at closure; therapist completed containment and grounding, with reevaluation planned next session.

Related EMDR Tools

EMDR Target Sequence Planner

Organize past, present, and future targets before or between sessions.

EMDR Bilateral Stimulation Tool

Run visual and auditory BLS in the browser.

Therapy Session Tools

Open the full set of free clinical and in-session tools.

Frequently Asked Questions

Is this SUD/VOC tracker free? +

Yes. The SUD/VOC tracker is free to use in the browser. The email prompt is soft and can be skipped.

Does the tracker store client data? +

No. The public tracker is local-only unless you copy or export the summary. Use de-identified labels and avoid entering names or PHI.

Who should use SUD and VOC ratings? +

SUD and VOC ratings are intended for trained EMDR clinicians using appropriate EMDR protocols, consultation, and clinical judgment.

Can I export the session summary? +

Yes. You can copy or download a plain-text summary for your documentation workflow.

Next step

See the EMDR workflow we are building

Use the free tracker now. The next step is the EMDR therapist bridge page, where tools connect to the broader EHR workflow.

EHR for EMDR therapists