In the three decades of EMDR’s history, there has been an unfolding of awareness that the standard protocol of EMDR must be modified for safe and effective use with complex trauma and dissociation. There have been a number of modifications suggested to accomplish that end, involving the integration of several therapeutic approaches as needed. The challenge for clinicians is how, and by what decision process these other methods might be integrated with fidelity to adaptive information processing theory and therapy. The N.E.S.T. approach guides the process of assessment, case formulation and treatment planning for time efficient treatment. The acronym stands for Neuroaffective Embodied Self-system Therapy. “N” for Neuroaffective refers to leading edge applications from neuroscience, “E” for Embodiment using somatic therapeutic maneuvers, “S” for Self-System enlistment and deconflictualizing through ego state work, and “T” for Therapies integrated within the eight phases of EMDR and AIP. Although not a cookie cutter because of the unique nature of each complex case, NEST goes a considerable distance to systematizing the process of case formulation and treatment. The workshop uses lecture, PowerPoint, video and role playing to convey the methods taught.