Advanced Specialty Application Workshop

EMDR Therapy Protocols for Early Intervention & Ongoing Traumatic Stress

Intended for mental health therapists, such as psychologists, licensed clinical social workers, and LMFTs trained in EMDR Basic Training.

EMDR Therapy Protocols for Early Intervention
& Ongoing Traumatic Stress

A substantial portion of individuals experiencing recent traumatic events suffer from acute traumatic distress, with symptoms of intrusion, avoidance and hyper-arousal, associated with significant impairment in daily functioning. Many will recover spontaneously, but some will go on to develop post-traumatic stress disorder (PTSD), a mood disorder, or other psychological and physical disorders, with associated functional impairments. Research suggests the possibility that early intervention, which reduces or eliminates acute distress, may prevent the development of subsequent disorders. As we know, a successful trauma treatment produces significant economic, social and cultural benefits for individuals, families and communities (White Paper, EMDR Early Intervention and Crisis Response Summit Conference, Boston, MA, April 20-22, 2018). 

Expand your clinical and research horizons

Designed for EMDR-trained therapists, this training will expand your clinical and research horizons as you learn and practice EMDR protocols (EMDR-IGTP and EMDR-PRECI) and  AIP-informed Psychophysiological Algorithmic Procedures (ASSYST for Individuals and Groups)*, that can be provided in-person or online,  with the most research in the EMDR Early Intervention and Ongoing Traumatic Stress field with nearly 50 articles. Click here to view the published research articles (references).

With these procedures and protocols, clinicians will be able to provide in-person or online, rapid responses or early interventions, conduct fieldwork, and treat individuals or large and small (e.g., families) groups living recent, present or past prolonged adverse experiences! 

*The training portions that include the ASSYST protocols are not available for CE to psychologists.


Participants who complete the workshop and sign up for The Hive will receive a link with access to over 40 related articles, protocols and instruments in English and Spanish for their clinical work. Click here to learn more about the Hive!

This workshop will give EMDR clinicians the tools to treat patients who have been through recent, present or past prolonged traumatic events or adverse experiences. These include:


  • Survivors of natural or man-made disasters

  • Survivors of external or domestic terrorist attacks

  • Victims of constant violence  (e.g., sexual abuse, severe interpersonal violence, criminal violence);

  • At-risk personnel (e.g., agency and NGO staff dealing with natural disasters, violent conflicts, rape and domestic violence; first responders/emergency response personnel, military on duty);

  • People undergoing life-changing experiences with ongoing traumatic stress or extreme stressors (e.g., refugees, internally displaced persons, long term disasters, ongoing war, prolonged violent conflicts, terrorism, geopolitical crisis);

  • People with diverse ongoing trauma histories with similar circumstance in common (e.g., chronic or severe illness; individuals, couples and families with ongoing domestic violence situations that have not been resolved and are still unsafe to some degree) 

  • People living in continuous traumatic situations (e.g., this related to living in ongoing situations of political violence and national security threats with perpetual exposure to war and terror attacks)

Additionally, the National Institute for Health and Care Excellence (NICE) and the International Society for Traumatic Stress Studies (ISTSS) recent 2018 Guidelines established that the EMDR-PRECI studies contribute to their recommendation of EMDR Therapy for Early Treatment (within the first 3-months post-trauma) to prevent and treat PTSD symptoms. 

Click here to read the Full Agenda description and total number of course hours.

Workshop Itinerary

What you'll learn

over the course of our advanced

EMDR training


Training Objectives

Details on

the protocols and procedures you'll learn and practice during the training


Register for our

on-demand or in-person training (live streaming available in select locations)

Details and

Pricing for our

training workshops,

CEU's, and

requirements to participate

Workshop Itinerary
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Acute Stress Syndrome Stabilization Procedure for Individuals (ASSYST-I) and Groups (ASSYST-G)*

*The ASSYST-I & ASSYST-G sections of the training do not include CEs for Psychologists.

Participants will be familiarized with Jarero & Artigas (2018) acute trauma and ongoing traumatic stress case conceptualization based on Dr. Francine Shapiro Adaptive Information Processing (AIP; 2001, 2018) model that could serve as a working hypothesis to expand the clinical and research horizons of the EMDR interventions for individuals and groups.

Participants will also learn about Rapid Response, Early Psychological Interventions, Recent Trauma Clinical Presentations, Prevention of PTSD, EMDR based Early Interventions and two AIP-informed procedures for Acute Stress Syndrome Stabilization © (ASSYST).   

The Acute Stress Syndrome Stabilization (ASSYST) © procedures, in both a group and individual formats, are Adaptive Information Processing (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 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.


Intrusion symptoms are a core ASD and PTSD dimensions. Traumatic re-experiencing can lead to extreme fear, horror, and fear of losing control when reliving the trauma. Therefore, focusing on this domain could identify targets uniquely related to trauma. Also, reducing intrusive symptoms may have a useful downstream effect since these symptoms are hypothesized to be a mediator of other PTSD symptom clusters. 


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).


The objective of these procedures is focused on the client's nervous system 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, TF-CBT) after a critical incident or adverse experience when the person shows severe symptoms of psychological distress, physiological reactivity, and/or deterioration in current functioning.  

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.

These 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. 

  • Shortly after the June 24, 2021 most powerful Tornado in the Czech Republic (Hodonin, South Moravia).

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Pictured above: Kids doing the EMDR-IGTP for the first time in history, Acapulco, Mexico 1998

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Pictured above: Orphans experiencing the EMDR-IGTP in Zambia, Africa in 2018. 

EMDR Protocol for Recent Critical Incidents and Ongoing Traumatic Stress (EMDR-PRECI) & EMDR Integrative Group Treatment Protocol for Ongoing Traumatic Stress (EMDR-IGTP-OTS)

Participants will learn and practice the EMDR-Protocol for Recent Critical Incidents and Ongoing Traumatic Stress (EMDR-PRECI) and the EMDR Integrative Group Treatment Protocol Adapted for Ongoing Traumatic Stress (EMDR-IGTP-OTS).​

EMDR-PRECI was developed in the field to treat recent (even hours after a trauma) or prolonged adverse experiences where related stressful events continue for an extended time and where there is no post-trauma safety period for the traumatic memory consolidation. Consistent with the AIP model, this evidence-based protocol treats acute trauma and ongoing traumatic stress to reduce or eradicate the potential for traumatic memory consolidation and resulting symptoms of PTSD. Dr.  Francine Shapiro (2018) recommends the EMDR-PRECI, “for an extended post-disaster period to address situations in which there is ongoing trauma and therefore no subsequent period of safety” (p. 397). 

The EMDR Integrative Group Treatment Protocol (EMDR-IGTP) for early intervention (Artigas et al., 2014), was the first EMDR group intervention in the world. In this protocol, the group setting allows for a group administration of individual EMDR treatment, ensuring that many individuals can be treated simultaneously.  This is highly valuable in settings where resources are limited. Jarero et al., (2015) adapted the standard EMDR-IGTP for early intervention to treat populations living with ongoing traumatic stress with no post-trauma safety period (EMDR-IGTP-OTS). Both protocols have robust research evidence from numerous places and populations around the world:​

  • ​With children and adults after natural or man-made disasters.

  • With children during ongoing war trauma.

  • With war refugee children.

  • With adults during ongoing geopolitical crisis.

  • With children victims of severe interpersonal violence.

  • With cancer-related PTSD, anxiety and depression symptoms in female adult patients.

  • With cancer-related PTSD, anxiety and depression symptoms in adolescents and young adults.

  • With rape victims.

  • With caregivers of patients with dementia.

  • With female patients to deal with the trauma from divorce.

  • With survivors of a 50 year-long internal armed conflict in Colombia.

Training Objectives

1.    Explain the AIP-theoretical model and the relationship between this model and the human nervous system.

2.    Describe what clinician should do during critical care, rapid response or early intervention and the neurophysiological reasons.

3.    Explain the relationship between the Polivagal theory and the co-regulation, and how clinicians can keep a physiological non-anxious presence to help the clients co-regulate.

4.    Describe our AIP-informed treatment procedures and protocols in the context of local and international disaster response.

5.    Explain the ASSYST procedures definition, references, objectives, and the rationale for their specific design to address Acute Stress Disorder (ASD), and Posttraumatic Stress Disorder (PTSD) intrusion symptoms.

6.    Explain the ASSYST treatment procedures from the AIP-perspective.

7.    Utilize the ASSYST-Individual procedure in a practice scenario with a partner to prepare for using with real clients after the training or by observing a demonstration (if taking the course on demand).

8.    Use the ASSYST-Group procedure in a practice scenario with a partner to prepare for using with real clients after the training or by observing a demonstration (if taking the course on demand).

9.    Define Early Psychological Interventions, the three types of PTSD diagnosis prevention, how can we identified those at risk to develop PTSD, Early and Ongoing Traumatic Stress (prolonged adverse experiences) clinical presentations.

10. Describe the Adaptive Information Processing (AIP) Model based Acute Trauma and Ongoing Traumatic Stress Theoretical and Case Conceptualization (Jarero & Artigas, Sixth Edition, 2022).

11. Utilize the EMDR-PRECI in a practice scenario with a partner to prepare for using with real clients after the training or by observing a demonstration (if taking the course on demand).

12. Utilize the EMDR-IGTP-OTS in a practice scenario with a partner to prepare for using with real clients after the training or by observing a demonstration (if taking the course on demand).

Interested but not ready to sign up? 

Join our mailing list and get updates on our trainings!


This workshop is offered online, on-demand for self-paced learning or in-person (with live streaming available in select locations). You will learn a total of 4 protocols and procedures. See training options below:

Image by Nick Morrison

Join Us In-Person

2-Day Live Event Schedule

Dr. Jarero is resuming in-person two-day trainings (with live streaming available in select locations). In order to keep it as safe as possible, until further notice, Dr. Jarero requires all in-person trainees to be fully vaccinated for COVID-19.

Image by Christin Hume


Join Us Online

Register in the dropdown below!

You will receive all four modules just moments after you register! There will be no live Q&A sessions, but you will be able to watch recordings of previously recorded Q&A's inside of our training Hub. 

Choose your registration type in the dropdown below:



  • $350 USD - In-Person (or Online Streaming when available), Nonprofit/Government Agency Worker & Student Early Bird* Registration ($380 USD - Standard Price)

  • $380 USD - In-Person (or Online Streaming when available), Standard Early Bird* Registration ($410 USD - Standard Price)

  • $100 USD - Auditors: People who have previously attended Dr. Jarero's training (limited spots available).

* Early Bird Registration = sign up 30 days or more before training begins.


  • $297 USD - Standard Registration Price (90-day access)

  • $327 USD - Standard Registration Price with continuing education credits (90-day access)

  • $40 USD / month - Extended Access: People who have previously taken Dr. Jarero's on demand training.

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Optional Add-On: EMDR-IGTP-OTS-Remote Training

After completing this training, you will have the option to purchase an online, on-demand training to learn how to conduct the EMDR-IGTP-OTS-Remote!


After months of conducting high-quality research that will be published in a prestigious open access-peer review Journal with an Impact Factor, Dr. Jarero and his team adapted for remote (online) use and tested the EMDR-IGTP-OTS  during a Multisite Randomized Controlled Trial on the Provision of the EMDR-IGTP-OTS-REMOTE to Health Professionals Working in 10 Hospitals During the Covid-19 Pandemic to bring you this evidence-based, informative, and timely training.  


1. List the 8 phases of the EMDR-IGTP-OTS Remote protocol.

2. Identify proper administration of the EMDR-IGTP-OTS Remote protocol through observation of a demonstration.


Already completed Dr. Jarero's two-day advanced training? Click here to request a registration link.

Workshop Details

(Note: This is a Commercial Workshop)


  • Skill Level: Advanced

  • Our intended audience are therapists who have completed an EMDRIA or EMDR Iberoamerica-Approved Basic Training. People only trained in EMDR by PESI are not eligible for the training.



  • ON DEMAND TRAINING: The online training is non-refundable.

  • LIVE TRAININGS: Participants can cancel 30 days or more before the live event and receive a refund (minus a $100 administration fee). If cancellation occurs less than 30 days before the event, then no refund is offered. In this case, participants have two options: 1) they may transfer their registration to a future in-person or live, online streaming registration (if available); or 2) they may transfer their registration to the online, on demand training.


  • You will receive a login and password (by email) for our online training portal (Scaling Up Hub) on the day your course starts (or on the day you purchase the course, if on-demand or if the course has already began).

  • You will have access to all course materials 90 days after the last Q&A session is scheduled (or 90 days after purchase for the on-demand only training). After 90 days, you will be given the option to continue to receive access to the course materials for $40 per month. 


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.

Continuing Education (CE) Credits


This training provides a certificate for 14 CEU’s. These CEU’s will be provided by the EMDR International Association (EMDRIA) and EMDR México. It is necessary to participate in 100% of the training to receive the credits of Continuing Education. A certificate for these CEU's is included in the price of the training. 


Licensure renewal CEs are available for a $30 fee. Scaling Up offers 10 CEs for Psychologists through the American Psychological Association (APA) and 15 NBCC 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.

American Psychological Association (APA): Scaling Up, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. Scaling Up, LLC maintains responsibility for this program and its content.



I recently completed Dr. Jarero's 4 module training on the ASSYST and PRECI-OTS. Let me just say that the PRECI-OTS protocol has changed my practice dramatically in just 3 weeks. My clients are shifting like never before.

I can't tell you how valuable this resource has quickly become to me.       - Melissa Spaulding

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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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This workshop is held in facilities which are in compliance with the Americans Disabilities Act. Please contact the Scaling Up Team at if special accommodations are required.

Scaling Up maintains responsibility for this program and its content in accordance with EMDRIA requirements.

Audio/Video/Photo Disclosure: Some of the trainings will be audio and/or video recorded. Additionally, photos may be taken and used for website and other promotional materials. By registering for this training you are consenting that you are in agreement of and aware of this disclosure agreement.

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