So many clients come to therapy having lived long lives filled with adverse experiences and trauma. They often have complex histories and struggle with intense and disruptive ongoing symptoms. 

During history taking, the task of creating a target list for these individuals may feel daunting to both therapist and client alike. Not only might it take a lot of time to document all of the disturbing experiences over the client’s lifetime, you may also have a strong sense that the work of creating such an extensive target list will prove overwhelming to the client. 

While we don’t want target list creation to feel like cruel and unusual punishment, we do want to work in an organized and thorough manner — especially with our more complex clients. The more organized and thorough we are in this work, the greater the symptom relief they will experience.

One way to navigate this situation is to practice a technique I call ‘rolling out the red carpet’. I use it with clients who:1) meet readiness criteria for reprocessing and 2) would benefit from starting EMDR reprocessing sooner than later. 

Rolling out the red carpet

Imagine a runway carpet that represents the client’s target list, but all rolled up and not yet fully revealed. Rather than rolling the entire red carpet out — which, in this metaphor, would involve writing out the entire target list — we roll out the carpet in sections. 

Walking the red carpet

Once the first section of the carpet is rolled out, you can begin walking the red carpet, which is code for reprocessing the memories on the rolled out (documented) portion of the target list.

To use the rolling out the red carpet technique follow these steps: 

1 – Take a thorough history of the client. 

2 – Integrate preparation phase activities into the initial sessions.

3 – Identify the memory network to address in reprocessing. If the client has more than one memory network, collaborate with them to decide which one to work with first.

4 – Begin rolling out the red carpet by creating the initial section of the target list, pausing at the first natural stopping point. 

    • The first section includes the earliest memories on the client’s target list. How much you and client decide to roll out depends on the natural transition points in the client’s history.
    • We all have natural transitions in our lives, and you can use these as pausing points when creating the red carpet target list with your client.
    • Examples of natural transition points include: childhood and adolescence while living in the family home; experiences in country of origin before immigrating at age 6; childhood memories while parents were still married; early events prior to the start of the sexual abuse; early childhood memories while living in Alaska.

5 – Begin walking the red carpet by reprocessing, in chronological order, all of the disturbing memories in this first section of the target list.

6 – Repeat the process of rolling out sections of the carpet and walking to the end until you have successfully reprocessed all disturbing memories on the client’s target list. In many cases, you won’t have to reprocess all memories on the list, as later occurring events may become less distressing when earlier traumas are resolved with EMDR. 

    A few words of advice

    Before using this technique, first consider if it’s truly necessary. Just because a client has a complex trauma history, doesn’t automatically imply that they cannot tolerate the work of collaborating with you to create a complete target list.

    Another important consideration is readiness for reprocessing. Only use the red carpet technique if the client meets readiness criteria and would benefit from reprocessing their earliest memories sooner than later. Sometimes this is, indeed, the case. Other times, our complex clients benefit from an extended process of slow-and-steady history taking, combined with preparation phase activities to build readiness.

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