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Clinical ToolsPhase 3

EMDR Belief List

Negative and positive cognitions from the EMDR protocol

The reference list every EMDR therapist needs for Phase 3 (Assessment). 38 cognition pairs organized into 4 categories, based on Shapiro's standard. Select your patient's cognitions, record VoC, and print or download as PDF.

ToolInteractiveDownloadable

Tap a row to select

CN:I don't deserve love.
CP:I deserve love; I can have love.
CN:I am a bad person.
CP:I am a good (loving) person.
CN:I am terrible.
CP:I am fine as I am.
CN:I am worthless (inadequate).
CP:I am worthy; I am worthwhile.
CN:I am shameful.
CP:I am honorable.
CN:I am not lovable.
CP:I am lovable.
CN:I am not good enough.
CP:I am deserving (fine/okay).
CN:I deserve only bad things.
CP:I deserve good things.
CN:I am permanently damaged.
CP:I am (can be) healthy.
CN:I am ugly (my body is hateful).
CP:I am fine (attractive/lovable).
CN:I do not deserve . . .
CP:I can have (deserve) . . .
CN:I am stupid (not smart enough).
CP:I am intelligent (able to learn).
CN:I am insignificant (unimportant).
CP:I am significant (important).
CN:I am a disappointment.
CP:I am okay just the way I am.
CN:I deserve to die.
CP:I deserve to live.
CN:I deserve to be miserable.
CP:I deserve to be happy.
CN:I am different (don't belong).
CP:I am okay as I am.
CN:I should have done something.
CP:I did the best I could.
CN:I did something wrong.
CP:I learned (can learn) from it.
CN:I should have known better.
CP:I do the best I can (I can learn).
CN:I cannot be trusted.
CP:I can be trusted.
CN:I cannot trust myself.
CP:I can (learn to) trust myself.
CN:I cannot trust my judgment.
CP:I can trust my judgment.
CN:I cannot trust anyone.
CP:I can choose whom to trust.
CN:I cannot protect myself.
CP:I can (learn to) take care of myself.
CN:I am in danger.
CP:It's over; I am safe now.
CN:It's not okay to feel (show) my emotions.
CP:I can safely feel (show) my emotions.
CN:I cannot stand up for myself.
CP:I can make my needs known.
CN:I cannot let it out.
CP:I can choose to let it out.
CN:I am not in control.
CP:I am now in control.
CN:I am powerless (helpless).
CP:I now have choices.
CN:I am weak.
CP:I am strong.
CN:I cannot get what I want.
CP:I can get what I want.
CN:I am a failure (will fail).
CP:I can succeed.
CN:I cannot succeed.
CP:I can succeed.
CN:I have to be perfect (please everyone).
CP:I can be myself (make mistakes).
CN:I cannot stand it.
CP:I can handle it.
CN:I am inadequate.
CP:I am capable.

VoC - Validity of Cognition (1-7)

1= Completely false·····7= Completely true

"When you think of the incident, how true does this statement feel to you now?"


Select: Tap any row to mark identified cognitions. Record the VoC for each one.

Download PDF: Download the full list as a printable reference sheet.

Print selection: When you have cognitions selected, prints only the selection as a session worksheet.

Save: Your selection is saved automatically in this browser for 24 hours.

What are cognitions in EMDR?

In EMDR, cognitions are self-referential beliefs that the patient holds about themselves in relation to a traumatic event. They are divided into two types: negative cognitions (NC), reflecting the current irrational belief ("I am not good enough"), and positive cognitions (PC), representing the desired adaptive belief ("I am good enough").

Francine Shapiro organized these cognitions into three main domains: Responsibility (beliefs about personal defectiveness and guilt), Safety (beliefs about vulnerability and trust), and Control (beliefs about power and capability). This classification remains the international standard used in EMDR training.

The belief list is a reference tool for Phase 3 (Assessment) of the EMDR protocol. The therapist uses it to help the patient identify and articulate the negative cognition associated with the processing target and the positive cognition they would like to install.

This list contains 38 cognition pairs based on Shapiro's standard (2018), organized into 4 categories. You can select the cognitions relevant to your patient, record the VoC (Validity of Cognition) score, and print or download the selection.

When to use it

The belief list is a versatile tool used at various points in the therapeutic process:

  • Phase 3 (Assessment): its primary use. Helps identify negative and positive cognitions associated with the processing target.
  • Treatment planning: allows mapping the patient's cognitive patterns across different targets and sessions, starting from the first EMDR session.
  • Supervision and training: serves as a quick reference for supervisors and trainees during case discussion.
  • Case formulation: helps visualize the patient's predominant belief clusters (responsibility, safety, control).

Evidence and references

Frequently asked questions

This resource is a complementary tool and does not replace therapy with a qualified professional. If you experience significant distress, contact your therapist.

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