Acute Stress Syndrome Stabilization (ASSYST)©
Procedure Online Training

Developed for all Mental Health Clinicians

(Licensed: Professional Counselors, Clinical Social Workers, Marriage & Family Therapists, Psychotherapists, Psychologists, and graduate students under supervision).


The ASSYST-Remote can be used with children (over the age of 4 years old), adolescents and adults. Inside the training, we share documents and a 1-hour webinar on creative approaches to working with kids online utilizing the

ASSYST-Remote procedure.

Acute Stress Syndrome Stabilization (ASSYST)
Procedure Online Training

In a world experiencing an increased number of mental disorders, mental health conditions, or prolonged adverse experiences (e.g, ongoing or prolonged traumatic stress), the one-to-one in-office traditional mental care is not enough to meet the actual mental health needs of the worldwide population. Therefore, mental health professionals need to be able to respond to those quickly and confidently in their community and abroad. This on-demand training will give licensed mental health professionals a powerful tool to provide a rapid response to those in need. 

The Acute Stress Syndrome Stabilization (ASSYST)© procedures in a group, individual, and Web-based formats, are AIP-informed, carefully field-tested, refined, and user-friendly psychophysiological, algorithmic, symptom-focused approaches whose references are the EMDR Integrative Group Treatment Protocol for Ongoing Traumatic Stress (EMDR-IGTP-OTS)© and the EMDR Protocol for Recent Critical Incidents and Ongoing Traumatic Stress (EMDR-PRECI)©.


These treatment procedures are specifically designed to provide in-person or online support to clients who present Acute Stress Disorder (ASD) or Posttraumatic Stress Disorder (PTSD) intense psychological distress and/or physiological/somatic reactivity caused by the disorder’s intrusion symptoms associated with the traumatic event(s) or adverse experience(s) memories.


For example, recurrent memories of the adverse experience(s) that includes one or more of the following components:

  • Sensory (e.g., images, smells, sounds, touch or be touched, taste).

  • Emotional (physical sensations associated with affective states).

  • Physiological (visceral sensations: vomit sensation, sense of heat for a burn victim, shortness of breath for a near-drowning experience survivor).


The ASSYST© procedures are Low-Intensity-Interventions (LII) that give us the possibility of direct, non-intrusive, physiological engagement with the client's distressing/ pathogenic memories and their original components causing the nervous system hyperactivation (e.g., sensory, emotional, and physiological encoded information).

Low-Intensity- Interventions (LII) are treatments with low usage of a specialized therapist’s time or brief versions of evidence-based approaches (max 6 sessions). LII are less resource-intensive, less expensive, less complex, shorter, effective, efficient, and more accessible than high-intensity treatments (face-to-face psychotherapy provided  by a mental health specialist over extended periods of time). 

Click here to read the ASSYST procedures extended explanation and references.

Listen to Dr. Jarero's detailed description of how the ASSYST works & expected results with clients

The ASSYST© procedures can be administered within the first hours (Critical Care), days (Rapid Response) or first three months (Early Intervention), after an adverse experience, or as an early intervention to approach ongoing traumatic stress situations, when the person shows severe symptoms of psychological distress, physiological reactivity, and/or deterioration in current functioning, using a Health Insurance Portability and Accountability Act (HIPAA) compliant video program.

During the standard EMDR protocol preparation phase, the ASSYST Individual could increase the prevention of dissociative reactions (e.g., numb/disconnected, shutdown, collapse, fainting) while reprocessing pathogenic memories by reducing the nervous system sympathetic branch hyperactivation, produced by a specific memory component (e.g., freeze response when remembering the worst image, the screams of the people, or the smell of the aggressor), keeping the patients inside their window of tolerance.


The objective of these procedures is focused on the client’s nervous system sympathetic branch hyperactivation regulation through the reduction or removal of the activation produced by the sensory, emotional, or physiological components of the distressing/ pathogenic memories of the adverse experience(s) to achieve optimal levels of nervous system activation; thus, facilitating the AIP system the subsequent adaptive processing of the information


The ASSYST© procedures fill the gap between Psychological First Aid (PFA) and High-Intensity Intervention psychotherapy (e.g., EMDR) after a critical incident or adverse experience when the person shows severe symptoms of psychological distress, physiological reactivity, and/or deterioration in current functioning.  

These procedures must be administered within a Stepped Care Context to help the person achieve a state of adaptive functioning or, via screening, to facilitate access to High-Intensity Intervention psychotherapy when necessary.

The ASSYST procedures have been successfully used:

  • Three days after the September 19, 2017 earthquake in Mexico;

  • 13 days after the August 3, 2019, mass shooting in El Paso, Texas;

  • Shortly after the September 1st, 2019 hurricane Dorian in the Bahamas; 

  • Immediately after the October 2019 riots in Chile to provide support to hospitalized civilians that were injured during the protests; 

  • Immediately after the November, 2019 riots and wave of terror in Bolivia to provide support to civilians that were injured during the protests; 

  • With immigrants in the United States three days after they escaped from 21 days of organized crime captivity; 

  • With first responders (firefighters and medical personnel) and civilians who survived the January 23, 2019 gas explosion in Villa El Salvador, Peru; and

  • One day after the February 21, 2020 landslide in Cochabamba, Bolivia that affected 188 families. 

  • During the COVID-19 pandemic.

Join trauma expert, Dr. Ignacio (Nacho) Jarero, a world pioneer in EMDR Therapy Humanitarian Trauma Recovery and Research Programs, for an insightful 8-hour on-demand training that will expand your clinical knowledge base and powerful tool that can be used right after completing the training. 

Click here to see Full Agenda and total number of hours in the course.

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Optional Add-On:
The ASSYST-Remote for GROUPS

Wonder how to utilize the ASSYST-Remote online in a group setting for people who are all experiencing the same distressing situation (such as the COVID pandemic, systemic violence, natural disasters and more)? You can purchase an "add-on" to your ASSYST-Remote Individual Training to learn how to conduct the ASSYST-Remote for Groups (ASSYST-RG). In this training, Dr. Jarero shares with you the ASSYST-RG script, patient instructions, a detailed explanation and also a live demonstration.


1. List the eight phases for the Procedure for the Acute Stress Syndrome Stabilization Remote for Groups

(ASSYST-RG) administration.

2. Assess and observe the ASSYST-RG procedure demonstration for enhanced learning and understanding of appropriate administration.

Dr. Francine Shapiro posits that all human beings have an innate physical information processing system in the brain naturally geared toward health. When an experience is successfully processed, it is adaptively stored in the brain with other similar experiences. However, disruptions to this processing system due to high arousal states from critical incidents or adverse life experiences result in memories that are inadequately processed and maladaptively stored in the brain. These pathogenic memories are triggered by similar stimuli/information from the present and the person reacts to the present as if it were the same situation as the past. In other words, the past is present for these persons.

Adaptive Information Processing (AIP) Theoretical Model

Training Objectives

1.  Describe the AIP-model based Acute Trauma and Ongoing Traumatic Stress Theoretical Conceptualization (Jarero & Artigas, 2018).
2.  Define Early Psychological Interventions and Recent Trauma Clinical Presentations.
3.  Describe the working memory theory in the desensitization and stabilization process.
4.  Assess how to prepare and work in worst case scenarios.
5.  With the previous knowledge participants will be able to apply in their professional practice the conceptualization of the working memory theory in stabilizing clients.

6. Apply creative ways to work with children in an online format.

7. Identify pathogenic memories from the Adaptive Information Processing (AIP) theoretic model.

8. Explain the relationship between the Polyvagal theory and the co-regulation.

9. Describe nervous system activation and regulation processes.

10. Explain initial steps for rapid response to a crisis. 



Included in the training is access to the ASSYST-Remote procedural script and patient instructions in English, Spanish and French.

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Got Questions?

Click below to find answers to our Frequently Asked Questions

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Details and Fees

The cost for the ASSYST-Remote Individual training is $90. (Total value = $200)

Included in the cost of the ASSYST-Remote training is a total of 8-hours of teachings:

  • A 3-hour teaching by Dr. Jarero

  • An online demonstration of the ASSYST-Remote

  • 3 recorded Q&As to answer all the common questions

  • A 1-hour recorded webinar for online strategies of using the ASSYST-Remote for treating children


For participants who may need financial assistance, Scaling Up has created an Accessibility Plan to try to help mitigate financial stress. To learn more about the Accessibility Plan, click here.

The bundle price for both the ASSYST-Remote Individual AND the ASSYST-Remote Group is $130. 

Note: You must purchase the ASSYST-R Individual to purchase the ASSYST-R Group!

Included in the cost of the ASSYST-Remote Group training is a total of 2-hours of teachings:

  • An explanation of the ASSYST-RG 

  • An online demonstration of the ASSYST-RG 

  • A live Q&A session 

A portion of the ASSYST-Remote Online Training will go to the AMAMECRISIS Foundation (Non-profit Mexican Organization Founded in 1998) for its Humanitarian and Research Projects.   


Everyone who registers will receive access to the training recording to watch at their convenience for 90-days following their purchase.


  • Skill Level: Advanced

  • Our intended audience are: 1) Licensed Therapists or 2) Pre-licensed therapists who have graduated with their master's degree, who are working toward their clinical licensure and are under supervision, and 3) Master's Level Graduate Students pursuing a career in mental health counseling.



  • Because the online course is emailed to the recipient immediately after purchase, no refunds are available.


  • The ASSYST-Remote Individual is eligible for 7 CEUs from EMDR México. The ASSYST-Remote for Groups is eligible for 1 CEU from EMDR México. 


Licensure renewal CEs are available for a $30 fee. Scaling Up offers 8.5 CEs for NBCC clock hours and NASW clock hours. It is the responsibility of the therapist to check with their licensure board for CE eligibility.

National Board for Certified Counselors (NBCC): Scaling Up, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7065. Programs that do not qualify for NBCC credit are clearly identified. Scaling Up, LLC is solely responsible for all aspects of the programs. (8.5 CEs for the On Demand ASSYST-R Individual).

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Dr. Ignacio "Nacho" Jarero

Ignacio (Nacho) Jarero, Ph.D., Ed.D, is the world pioneer in the provision of EMDR therapy in a group format, in-person and online, AIP-informed Advance Psychosocial Interventions for trauma-exposed populations, and AIP-informed Remote Assistance. He is an Expert Certified TeleMental Health Clinician. For his humanitarian services around the world with nearly 200 deployments since 1998, he has received the Francine Shapiro Award, the International Crisis Response Leadership Award, and the Psychotrauma Trajectory Award. For his research work with EMDR therapy, he received the EMDRIA Outstanding Research Award. Dr. Jarero is EMDR Institute Senior Trainer of Trainers and Advance Specialty Trainer and has conducted seminars and workshops around the world with participants of 67 different countries.

Kelly Smyth-Dent, LCSW
(Sponsor & Facilitator) 

Kelly is a Licensed Clinical Social Worker (LCSW) and the CEO of Scaling Up. She has conducted trainings on the EMDR-PRECI, EMDR-IGTP and the ASSYST in France, Ethiopia, Bangladesh, India and throughout the United States. She is a published researcher and a member of Dr. Jarero's research team in Mexico. In her role as a humanitarian worker, she has partnered with organizations, such as Action Against Hunger, Fortify Rights, and Innovative Humanitarian Solutions, to provide EMDR therapy and advanced trainings to their staff and clients. Kelly was a member of the team that provided rapid response interventions within days after the August 3, 2019 domestic terrorist attack in El Paso, Texas. Her specialty area is populations living with ongoing traumatic stress. When Kelly is not traveling, she sees clients in her private practice in Reno, Nevada.

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International regulations and state-to-state licensure board regulations within the United States vary greatly. It is the sole responsibility of each individual therapist/licensed clinician to understand and abide by their state licensure board regulations and international policies regarding any type of in-person therapy or online tele-therapy. It is also the sole responsibility of the therapist/licensed clinician to use HIPAA compliant video programs, if required by their state licensure board. If the therapist is uncertain about any of these state-to-state or international policies or regulations, then they should reach out to their state’s licensure board or the country’s embassy directly to get questions answered.


This workshop is held online and to the best of our abilities is in compliance with the Americans Disabilities Act. Please contact the Scaling Up Team at if special accommodations are required.

There are no known conflict of interests for this workshop. All grievances must be in writing to, and will be replied to within 5 - 10 business days.