> ## Documentation Index
> Fetch the complete documentation index at: https://docs.getrivet.ca/llms.txt
> Use this file to discover all available pages before exploring further.

# Dual-task prompts

> The working-memory prompts across five categories that distinguish EMDR 2.0 from the Shapiro standard — and the research that put them there.

Dual-task prompts are the verbal exercises you read aloud during a BLS set
to load working memory in parallel with the bilateral stimulation. They're
the defining feature of **EMDR 2.0** versus the Shapiro standard protocol.

When you're in EMDR 2.0 mode and the Workspace is running, a panel
surfaces one prompt per set. You read it, the client engages, and the BLS
runs in parallel. The combination — BLS + active working memory task —
is what the de Jongh / Matthijssen research describes as
"working-memory taxation."

## The research

The dual-task prompt methodology comes from the working-memory taxation
research program led by **Ad de Jongh** and colleagues, and the EMDR 2.0
protocol formalized by **Suzy Matthijssen**:

> de Jongh, A., et al. (2019, 2021). Working memory taxation and EMDR
> research programme. Multiple papers establish the dual-task
> working-memory rationale.

> Matthijssen, S. J. M. A., et al. (2021). "The current status of EMDR
> therapy, specific target areas, and goals for the future." *Journal of
> EMDR Practice and Research,* 15(3): 105–130.

The clinical claim is **equivalent outcomes with fewer sets** — not "better
than EMDR." See [The research behind EMDR](/emdr/the-research-behind-emdr).

## The prompts

The prompts sit in five categories. Cycle through the prompts within a
category, or switch categories at any point — including mid-set.

### Backward counting

1. Count backward from 100 by 7s — "While following the butterfly, count
   backward from 100 by 7s. Say each number out loud. 100, 93, 86 — keep
   going at your own pace."
2. Count backward from 50 by 3s — "Count backward from 50 by 3s while
   tracking the butterfly. Say each number out loud. Take your time."

### Reverse spelling

1. Spell 'world' backward — "Spell the word 'world' backward, letter by
   letter, out loud. Try again with another word: 'window'. Then 'kitchen'."
2. Spell 'calendar' backward — "Spell 'calendar' backward, letter by letter,
   while tracking the butterfly. Then try 'envelope'. Take your time."

### Category naming

1. Name 10 fruits — "Name 10 fruits out loud, one at a time. After each,
   take a breath before the next. Track the butterfly throughout."
2. Name 10 animals starting with B — "Name 10 animals whose name starts with
   the letter B. Out loud, one at a time. Track the butterfly between each."

### Opposites

1. Opposites — temperature and size — "I say a word, you say the opposite.
   Hot. Cold. Big. Small. Bright. Dark. Loud. Quiet. Track the butterfly
   between each."
2. Opposites — direction and feeling — "I say a word, you say the opposite.
   Up. Down. North. South. Happy. Sad. Calm. Anxious. Take your time."

### Mental math

1. Add 13 + 17, then keep adding 13 — "Start at 30 (13 + 17). Now add 13 to
   each result, out loud. 43, 56, 69, 82… keep going at your own pace."
2. Double each number — start at 2 — "Double the number each time, out loud.
   2, 4, 8, 16, 32, 64, 128… as far as you can. Track the butterfly between
   each."

## How the panel works

The dual-task prompt panel is on **your screen only**. The client never
sees the prompt text — they hear it from you, the way they'd hear any other
in-session instruction.

The panel shows:

* The current prompt's **title** (a short label)
* The full **body** to read aloud (the verbatim prompt)
* The **category pills** so you can switch categories with one tap

Default category when you first run a session is **Backward counting**. The
Workspace remembers your category preference across sessions.

## When to use which category

This is clinical judgment territory, not a Rivet rule. A few orienting notes
from how the prompts shake out:

* **Backward counting** — broadly safe, doesn't require literacy or
  language fluency in English. Good first-set default.
* **Reverse spelling** — requires solid English literacy. Skip with
  clients for whom English is a second language.
* **Category naming** — opens space for warmer affect than counting. Useful
  when a client's distress is high and pure numeracy feels punishing.
* **Opposites** — fast cognitive switching, light feel. Useful late in a
  set or for clients who report cognitive fatigue on counting.
* **Mental math** — heavier cognitive load. Reach for it when earlier
  prompts feel too easy and the client's distress isn't lifting.

## Switching mid-set

Tap a different category pill any time, including while a set is
running — the panel swaps to a prompt from that category right away, no
need to wait for the set to end. A **Next prompt** button cycles within
the active category if you want a fresh prompt from the same category
without switching. This is the titration move EMDR 2.0 depends on: if a
client's affect spikes on backward counting, switch to category naming
mid-set and keep going. The Workspace remembers your category choice for
next time.

## Turning the panel off

Two ways:

1. **In the Configure modal** — toggle the **Dual-task prompts** switch
   off. Classic mode has this off by default.
2. **Mid-session** — open Configure again, toggle off, hit **Apply changes**.
   The panel disappears for the next set.

## What dual-task prompts are not

* **Not a script the client follows.** The client hears the prompt from you
  and engages in conversation; they don't read it. The panel is your
  reference.
* **Not a transcript.** Nothing the client says in response is captured by
  Rivet. Nothing is recorded and nothing transcribes the session.
* **Not a substitute for EMDR training.** The prompts are usable because
  you're trained in EMDR and know how to introduce, pace, and respond to
  them. Rivet supplies the prompt; you supply the clinical work around it.

## Related articles

<CardGroup cols={2}>
  <Card title="The research behind EMDR" icon="book-open" href="/emdr/the-research-behind-emdr">
    Shapiro's original protocol, the EMDR 2.0 variant, and where the
    dual-task methodology comes from.
  </Card>

  <Card title="Practitioner controls" icon="hand" href="/emdr/practitioner-controls">
    Spacebar start and stop, speed changes mid-set, and how mid-session
    reconfigure works.
  </Card>

  <Card title="Best practices for virtual EMDR" icon="laptop" href="/emdr/best-practices-for-virtual-emdr">
    Choosing modalities, dual-task category, and pace for a given client.
  </Card>
</CardGroup>
