ART vs EMDR: Which Treatment Modality Is Right for Me?
At Thrive for Life Counseling, a common question we receive is in regard to trauma recovery and which modalities are most effective. With this question in mind, it is helpful to look more fully into Eye Movement Desensitization and Reprocessing (EMDR) and Accelerated Resolution Therapy (ART). Both evidence-based approaches used to address trauma and other psychological issues, but they differ in methodology, structure, and goals. Here are the main differences:
1. Origins and Theoretical Basis
EMDR: Developed by Francine Shapiro in the late 1980s, it is based on the Adaptive Information Processing (AIP) model. EMDR assumes that traumatic memories are stored maladaptively, and processing these memories can help reduce symptoms and create healthier associations.
ART: Developed by Laney Rosenzweig in 2008, ART incorporates techniques from various therapies, including cognitive-behavioral therapy (CBT), but focuses on using visualization and eye movements to "rewrite" traumatic memories in a more positive way.
2. Core Techniques
EMDR: Utilizes a structured eight-phase protocol that includes history-taking, preparation, assessment, desensitization, and reprocessing of distressing memories. Bilateral stimulation (BLS), such as eye movements, taps, or auditory tones, is used during the reprocessing phase to facilitate adaptive changes.
ART: Involves fewer steps and emphasizes guided visualization. Clients are encouraged to "rewrite" distressing memories while following the therapist's hand movements for rapid eye movements. The focus is on altering the imagery associated with trauma rather than reprocessing the entire memory.
3. Client Experience
EMDR: The client is encouraged to recall the distressing memory in detail, including emotions, body sensations, and negative beliefs, while processing it. This can evoke intense emotions during the session.
ART: Clients may not have to share the details of their traumatic experiences with the therapist. The goal is to reduce distress by replacing painful images with neutral or positive ones, often resulting in a faster reduction in symptoms.
4. Length of Treatment
EMDR: Treatment often involves multiple sessions to address a single traumatic memory or event, as the protocol is comprehensive and aims for complete resolution.
ART: ART sessions are typically shorter in duration (1-5 sessions for many issues) and are designed to provide quicker relief by focusing on symptom reduction rather than deep processing.
5. Goals and Focus
EMDR: Aims for long-term healing by fully processing and integrating traumatic memories into adaptive memory networks.
ART: Focuses on symptom relief and changing the way distressing memories are experienced or visualized, without necessarily processing the deeper meaning of the trauma.
6. Level of Structure
EMDR: Highly structured and follows a detailed eight-phase protocol that must be adhered to for effective outcomes.
ART: More flexible and allows therapists to adjust the approach based on the client’s needs, focusing primarily on the visual and emotional aspects of distress.
7. Scientific Evidence
Both therapies are evidence-based and supported by research. EMDR has a longer history of studies, including endorsements from the World Health Organization (WHO) and the Department of Veterans Affairs for PTSD. ART is newer but has growing evidence supporting its effectiveness for trauma, anxiety, depression, and other conditions.
Which One to Choose?
The choice between EMDR and ART often depends on the client’s preferences, therapeutic goals, and specific issues. EMDR may be better for clients who want to deeply process and integrate their traumatic experiences, while ART may be ideal for clients seeking quick symptom relief with less emotional intensity during sessions.
Currently, Thrive for Life Counseling does not have anyone on our team that is trained in EMDR or ART. We happily refer clients out to trained professionals for these services. Here are some reliable resources where clients can find EMDR and ART therapists near them:
For EMDR Therapists
EMDR International Association (EMDRIA) Therapist Directory
EMDRIA is the leading organization for EMDR therapy. Their directory allows you to search for certified EMDR therapists by location.
Psychology Today - EMDR Therapists
Search for therapists who specialize in EMDR therapy by filtering for your area and specific issues, such as anxiety, PTSD, or trauma.
For ART Therapists
Accelerated Resolution Therapy (ART) International Therapist Directory
ART International provides a comprehensive directory of trained ART practitioners. You can search by location to find a therapist near you.
Psychology Today - ART Therapists
Use the filters on Psychology Today's site to find therapists specializing in Accelerated Resolution Therapy (ART) in your area.