Considerations when determining pacing:
Every client is unique. There are general guidelines to follow but the most important consideration is to stay responsive to the client in front of us.
Readiness checklist - you would have received this in your basic training. If you did not receive this in your training you can find it online. Kathleen Martin, a well known trainer has made this available. Thank you Kathleen. She has a normal version and a version for Complex trauma. 
Therapeutic allianceAttachment challenges Personality Diagnosis - we are going to do a whole separate episode on EMDR with attachment issues and personality diagnosis.

Babette Rothschild - The Body RemembersShe shared about different types of trauma and how to treatment plan for each type.Type I Type II -Preparation phase is about increasing resilience and readiness but also about assessing readiness and strength of therapeutic bond. Building the adaptive network for clients who have a weak adaptive network - how strong is it and does it exist at all? We may have to spend more time creating it.

Consider if the following are present: Affect tolerance Dissociation Emotional awareness and regulation skills Do they have vocabulary for their emotions and feelings? Do they have awareness of physical sensation and the ability   to verbalize it?

When readiness is determined:
Options:Exploratory EMDR - target recent or future events in order to assess readiness and observe tolerance for the process.This is not core trauma relief but it does give them increased regulation and increase their readiness for the deeper work.
Concept of "test balloon" targets - see how they handle these smaller targets.
Perpetual resourcing - we don't to start processing we go back to resource whenever we need more. 
Case conceptualization - being adaptive and responsive to what's happening with the client.

In part two of pacing we are going to discuss the specifics of pacing a session of reprocessing.