The 8 Phases of EMDR Therapy: A Clinician’s Guide

by Tim Cassidy, MBA, MA, LPC | Jul 7, 2025 | Educational

Most therapists learn about EMDR in bits and pieces, maybe during grad school or through a colleague’s quick explanation. But when it comes time to actually use it with clients, that patchy knowledge can leave you second-guessing yourself.

EMDR isn’t just a technique, it’s a full treatment framework. And the eight phases aren’t just boxes to check off. They’re practical steps designed to keep therapy safe, focused, and grounded in the present moment. For many clients, this structure is what allows them to finally process what felt impossible for years.

8 Phases of EMDR Therapy

The eight phases of EMDR therapy give structure to trauma treatment. They help the therapist understand where the client is in the healing process and ensure that therapy progresses safely and effectively.

Each phase has a purpose, from getting to know your client’s history to supporting them in reducing distress tied to past events.

Here’s how it works.

Phase 1: History-Taking & Treatment Planning

This phase is all about getting the full picture. The therapist gathers a detailed history to understand what the client has been through and what symptoms are showing up today.

The therapist also identifies possible target memories for reprocessing. These might include traumatic events, specific triggers, or recurring beliefs that keep the client stuck. This is where the work begins, and the treatment plan starts to take shape.

Target selection can look different in specialized applications. In the DeTUR EMDR protocol, for example, treatment commonly begins with present triggers and urge states associated with addictive or dysfunctional behaviors.

Phase 2: Preparation

Now it’s time to build trust and make sure the client feels ready. In this phase, the therapist explains how EMDR works and introduces calming strategies the client can use throughout the process.

Clients might practice breathing exercises or create a mental “safe place” they can return to if they feel overwhelmed. The goal is to ensure the client can stay inside their window of tolerance as they begin to explore difficult material.

Phase 3: Assessment

In the assessment phase, the therapist and client choose one specific memory to focus on. Together, they identify:

• A clear image that represents the memory
• A negative belief tied to it
• A positive belief the client would rather believe
• Emotions and body sensations that come up when recalling the memory

The client then rates the memory using two simple tools: the SUDS scale (to rate distress) and the VOC scale (to rate how believable the positive belief feels). These tools help measure change over time.

Phase 4: Desensitization (Most Recognizable Phase)

This is the phase many people associate with EMDR. While focusing on the target memory, the client follows the therapist’s hand with their eyes or uses another form of bilateral stimulation, like tapping or tones.

The memory starts to shift. Clients often report new insights or emotions. Sometimes, the original image loses its emotional charge. The therapist guides the process gently, helping the client stay grounded and present.

Phase 5: Installation

Once the distress has gone down, the therapist helps the client focus on the positive belief they chose earlier, something like “I am safe now” or “It wasn’t my fault.”

Through more bilateral stimulation, this belief is strengthened. It becomes more than just a thought, it starts to feel real.

Phase 6: Body Scan

Even if the distress feels lower, trauma can still leave a mark on the body. During the body scan, the therapist asks the client to notice any remaining tension, discomfort, or sensations related to the memory.

If anything comes up, the therapist helps the client process it using the same EMDR techniques until the body feels calm.

Read more: EMDR vs Talk Therapy

Phase 7: Closure

Each session ends with closure, even if the memory wasn’t fully processed. The therapist helps the client return to the present moment using grounding techniques.

This phase also includes reviewing coping tools, encouraging journaling, or talking through what to expect between sessions. It’s a chance to check in and support the client’s emotional safety.

Phase 8: Reevaluation

At the start of the next session, the therapist and client revisit the previous memory to see how it feels now.

If the client still feels distressed, the therapist may return to earlier phases. If not, they may move on to another target. This phase helps track long-term progress and adjust the treatment plan as needed.

Read more: compare EMDR with Prolonged Exposure therapy

8 Phases of EMDR Therapy (INFOGRAPHIC)

Why Choose Online CE Credits EMDR Courses?

At Online CE Credits, EMDR training is grounded in real clinical practice, not just theory. We offer two practical certification programs designed to help licensed mental health professionals build EMDR skills confidently and affordably.

Our EMDR courses include:

• Structured training in all 8 phases of EMDR therapy
• Lifetime access to materials so you can review any time
• Four hours of included consultation to help apply what you learn
• No ongoing fees or “renewals” required

We believe that clinicians should feel equipped to use EMDR without jumping through expensive or confusing hoops. Our programs are independent, flexible, and built for working professionals.

Looking to deepen your skills in trauma treatment?

Explore our Foundational EMDR Therapy Certificate (EMDRPT-I) and Advanced EMDR Therapy Certificate (EMDRPT-II) programs today—and start building confidence with the 8 phases of EMDR in your own clinical work.

Read more: Is EMDR Worth It?

FAQ

Why Is There a Controversy With EMDR?

Some debate around EMDR stems from its use of bilateral stimulation, which is different from other therapies. While the exact mechanism is still being studied, decades of research have shown EMDR can lead to significant symptom reduction in clients with PTSD and trauma histories.

What Not To Do After EMDR?

After EMDR, clients should avoid high-stress situations when possible. Some clients feel emotionally tired or experience vivid dreams. Encourage clients to practice grounding techniques and get rest.

Do Patients Cry During EMDR?

Yes, it’s common. EMDR often brings up strong emotions. Crying is a natural part of releasing trauma and doesn’t mean something has gone wrong, it can actually signal movement and healing.

How Does EMDR Rewire the Brain?

EMDR may support changes in how the brain stores and processes traumatic memories. As clients reprocess memories while staying present, those memories can shift from being emotionally charged to feeling more distant and neutral.

How Long EMDR Takes: Single-Event vs Complex Trauma Timelines

by Jennifer Sweeton, PsyD, JD, MS, MA | Oct 1, 2025 | Educational

Most clinicians working with trauma have heard the same questions: How long does EMDR take to work? When will I feel better? Is it going to be months or years?

These are fair questions. When someone carries traumatic memories that have shaped their sense of self, time matters. So does relief.

Eye Movement Desensitization and Reprocessing (EMDR) is a structured, evidence-based therapy designed to help people process traumatic memories without needing to relive every detail. But while EMDR can create meaningful change quickly, timelines vary. The path looks different for single-event trauma versus complex trauma, and many factors influence the pace.

Here, you will learn what clinicians and clients can expect from the EMDR therapy process, session counts, progress timelines, and what affects the speed of results.

For an overview of the treatment flow, see our guide to the 8 phases of EMDR.

Quick Answer – How Long Does EMDR Take to Work?

Most clients with single-event trauma notice improvement within 3 to 6 EMDR sessions. For those with complex trauma, it often takes 8 to 12+ sessions, sometimes over the course of months.

Sessions typically run 60 to 90 minutes, once or twice a week. Some clients feel emotional shifts after just a few sessions. Others may need a longer foundation of stabilization before the desensitization phase begins.

Progress is rarely linear. It builds in waves, and sometimes, one breakthrough can change everything. Even in early sessions, many clients experience cognitive and emotional shifts that reflect what Shapiro called “accelerated information processing” in the EMDR framework.

EMDR Timeline at a Glance

Here’s a side-by-side look at typical scenarios and how long EMDR therapy may take:

Many PTSD protocols are weekly, up to 90 minutes, over ~3 months; shorter or longer courses are possible. Intensives/twice-weekly formats may accelerate progress when suitable.

Read more: EMDR vs Prolonged Exposure

What “Work” Means in EMDR

When clients or clinicians ask how long EMDR takes to work, they are often referring to noticeable relief, not just symptom resolution. In clinical terms, EMDR is “working” when emotional intensity tied to distressing memories begins to reduce, and adaptive functioning increases.

Signs may include:

• Lower SUDS (Subjective Units of Disturbance) ratings between or within sessions
• Fewer trauma triggers, nightmares, or flashbacks
• Improved sleep, concentration, or relational boundaries
• Shifts from negative beliefs (e.g., “I am helpless”) to positive beliefs (e.g., “I can cope”)

Studies show many clients experience some level of relief within the first 3-4 EMDR sessions.

Full post traumatic stress disorder remission may take longer, but early functional gains are often clear.

What Affects How Fast EMDR Works

The speed of EMDR depends on the story behind the symptoms. No two timelines look the same.

Trauma Profile & Load

The nature of trauma matters. A single car accident, for example, usually processes faster than chronic childhood abuse.

Clients with multiple or developmental traumas may have dozens of memory “targets,” each needing attention. Dissociation, age at trauma, and current safety all shape the pace of EMDR therapy.

Preparation & Stabilization

Phases 1 and 2 of EMDR involve treatment planning, gathering history, and building internal resources. In complex cases, this preparation may take weeks, but skipping it risks flooding, shutdown, or premature dropout.

According to a study published in Frontiers in Technology, effective resourcing protects clients and often leads to smoother, more efficient processing later on.

Session Length & Frequency

Most EMDR sessions last 60 to 90 minutes. Weekly pacing is common, though twice-weekly sessions or intensive EMDR formats (half-day or multi-day blocks) may speed results for appropriate clients.

That said, faster is not always better. Some nervous systems benefit from a slower pace with time to integrate between sessions.

Co-Occurring Conditions & Lifestyle Factors

Sleep disturbances, depression, substance use, and high stress can slow EMDR’s progress. Addressing these factors, either through coordinated care or brief pauses, can improve therapy outcomes.

For instance, a client actively navigating a toxic home environment may need safety planning before trauma processing begins.

Therapist Expertise & Protocol Fidelity

A well-trained EMDR therapist who follows protocol, especially with complex trauma, can make a noticeable difference. Familiarity with adaptations, dissociation flags, and pacing needs improves both safety and results.

The 8 Phases – Super Brief Overview

The full EMDR therapy process unfolds over eight phases, from history-taking to reevaluation. Each step matters, but not every client will move through them at the same speed.

• History-Taking
• Preparation
• Assessment
• Desensitization
• Installation
• Body Scan
• Closure
• Reevaluation

For a detailed guide, visit our 8 Phases of EMDR Therapy.

Signs EMDR Is Working

Progress in EMDR therapy does not always feel linear, but it is often measurable. Relief may come in quiet, functional shifts before major breakthroughs happen.

Many clients begin to notice changes after just a few sessions, even if full resolution takes longer.

Here are common early signs that the EMDR therapy process is helping:

• Emotional triggers that once felt overwhelming now feel blunted or easier to manage
• Nightmares or flashbacks become less frequent or lose their emotional intensity
• Physical tension (jaw, shoulders, stomach) decreases during or after sessions
• Strong emotions surface, but clients stay present, rather than dissociating or shutting down
• Startle responses ease; daily routines feel less effortful or guarded
• Clients begin to describe themselves with more self-compassion or agency
• The original memory still exists, but no longer hijacks their day

For deeper insight, here are paraphrased reflections from clients who have shared their EMDR timelines anonymously on Reddit:

“I was in EMDR for C-PTSD. It took about 20 months, weekly. After reprocessing my earliest trauma, I finally felt like I could get through the rest. Each new memory was its own mountain, but every session helped me feel lighter.”

“After my very first session, something shifted. But I have layers of trauma. Some sessions were devastating, others gave me peace. The process feels more like learning to live fully than ‘getting fixed.’”

“I have had around eight EMDR sessions so far. I still get flooded sometimes and need breaks, but I know we are moving forward. My system holds a lot, and that is okay. My therapist goes slow, and it is working.”

These lived experiences reflect what many clinicians already know: healing from complex trauma is rarely fast, but the signs of growth are real, and they often begin quietly.

When Progress Stalls

Sometimes clients plateau or regress mid-process. Here is what clinicians can do:

• Revisit grounding skills and resourcing
• Reassess targets, some may be too large or layered
• Slow the cadence or break memories into smaller parts
• Address medical or sleep needs first
• Consider adjunct supports or consult on dissociation

Progress in EMDR is flexible. Stalling does not mean failure. It usually means something important is asking for attention.

How Long Do Results Last?

When EMDR works, results can be long-lasting. Clients often report durable symptom relief and new coping capacity.

But life changes, new stressors, or trauma anniversaries may trigger old material.

Occasional booster sessions or check-ins can support long-term resilience.

Cost, Access & Finding a Provider

EMDR session costs vary, but for many clients, a full course runs from $700 to $2,400+, depending on geography, session count, and format. Insurance coverage also varies.

Clients should look for clinicians who are EMDR-trained or certified. To learn what those credentials mean, see our guide on EMDR-trained vs. certified therapists.

Many therapists now offer EMDR intensives or telehealth EMDR, broadening access for busy professionals or rural clients.

For EMDR Practitioners: CE You Can Use on Monday

For licensed therapists offering EMDR or ready to get trained, Online CE Credits offers flexible, accredited education that fits your schedule.

✅ Certificate in EMDR Therapy Skills

✅ Certificate in Advanced EMDR Therapy Skills

✅ Full EMDR course library

Every course is written by clinicians, for clinicians. Earn CE hours while learning real tools you can use right away.

FAQs

Can EMDR be done online or as an intensive?

Yes. Many therapists offer EMDR via telehealth or in intensive formats. Research supports both when adapted properly, though fit depends on client needs, stability, and trauma history.

How many sessions per memory?

Typically, one memory takes 1-3 sessions to process fully. However, memories linked to early trauma or deep core beliefs may take longer due to emotional layering or dissociation.

How many EMDR sessions are needed for a single trauma?

For a single-event trauma, most clients need between 3-6 processing sessions. Including preparation and closure, the full course often spans 4-10 sessions total.

How many sessions for complex trauma/C-PTSD?

Clients with complex trauma often need 8-20+ sessions. This includes time for stabilization, processing multiple targets, and integration. Timelines vary based on history, pace, and nervous system readiness.

How long are EMDR sessions, and how often should I go?

Sessions usually last 60-90 minutes and occur weekly or twice weekly. Frequency depends on treatment goals, emotional readiness, and therapist availability.

Can EMDR work after one session?

Some clients report noticeable shifts after just one session. However, lasting change often builds gradually through repeated sessions and full processing of core memories.

What if I feel worse after EMDR?

It is common to feel unsettled after sessions. Emotional material may surface between visits. Grounding, self-care, and therapist support help manage these normal, temporary reactions.

Can I combine EMDR with CBT or somatic work?

Yes, many therapists blend EMDR with CBT techniques or somatic practices. It depends on the client’s goals and what helps them stay present, regulated, and supported.

How do I know EMDR is working?

You might notice fewer triggers, better sleep, or less emotional reactivity. Small shifts in beliefs or behaviour usually show up before bigger breakthroughs happen.

CEs vs CEUs vs Contact Hours: What’s the Difference?

by Tim Cassidy, MBA, MA, LPC | Jan 10, 2020 | Educational

Ask ten licensed professionals how many CEUs they need, and you might get ten different answers. That’s because terms like “CEs,” “CEUs,” and “contact hours” are often used interchangeably. But they don’t always mean the same thing.

If you’re a therapist, social worker, nurse, or mental health professional, this guide clears up what each one actually means, how licensing boards define them, and how to make sure your continuing education credits count where it matters.

Quick Answer – What’s the Difference Between CEs, CEUs, and Contact Hours?

In simple terms:

• CEUs (Continuing Education Units) are a formal measurement system.
• CEs (Continuing Education Credits) refer more generally to educational hours.
• Contact Hours are time-based: one hour of learning equals one credit.

Still, these terms overlap depending on your profession and state.

Read more: Live vs on-demand CEUS

What Are CEUs (Continuing Education Units)?

The CEU system began with IACET (the International Accreditors for Continuing Education and Training), which defined 1 CEU as 10 contact hours of structured participation. It was developed to standardize adult education across healthcare, education, and business training.

You’ll see CEUs used most frequently in nursing, continuing medical education, or academic settings. However, CEUs are not always interchangeable with CEs, especially in behavioral health.

Unless a provider is IACET-accredited, CEUs used casually may simply refer to contact hours. That is why understanding the source of the training is just as important as the unit used.

What Are CEs (Continuing Education Credits)?

“CEs” is the most common term in mental health professions. Most state licensing boards (including NBCC, ASWB, APA, and NAADAC affiliates) approve continuing education using contact hours as the unit, and refer to them as “CE credits” or simply “CEs.”

Here’s how they typically work:

• 1 hour of approved content = 1 CE credit
• Providers must hold board-approved status
• Professionals must submit certificates showing hours earned

At Online CE Credits, licensed professionals can earn CEs online, through live CE webinars, or via self-paced learning. Each activity clearly states credit hours and board approvals, removing the guesswork.

What Are Contact Hours?

Contact hours are exactly what they sound like: one hour of instructional time equals one contact hour. This format is especially common in:

• Nursing
• Education
• Social work
• Substance use counseling

While contact hours and CEs often match 1:1, not all states treat them the same. Some boards require that contact hours come from an approved provider. Others use them synonymously with CEs. Still others convert them into CEUs using a 10:1 ratio.

If your board lists requirements in contact hours, be sure to verify how they define credit and whether the provider lists the same format on your certificate.

CE vs CEU vs Contact Hour – Are They Interchangeable?

Sometimes. But not always.

The most important factor is how your board defines credit, not what the provider calls it.

How Licensing Boards Interpret Each Term

• Psychology Boards typically accept CEs from APA-approved providers.
• Nursing Boards often use CEUs or contact hours, but prefer ANCC-accredited activities.
• Counseling Boards vary by state; many align with NBCC or state-specific CEU terms.

A CE credit from one provider might not translate across professions or states. Always verify what format your license board accepts.

How to Know What/How Many CEs Your License Requires

Every state and profession defines requirements a little differently.

Some boards list requirements as:

• “30 CEUs every 2 years”
• “40 contact hours”
• “20 CE credits, including ethics and supervision”

While the language may vary, what matters is whether the provider is approved and the certificate includes the correct language.

You can search by profession and state using our license requirement lookup tool. Whether you’re in Florida, Texas, or California, this saves time and ensures compliance.

For Professionals – What to Look for Before Buying a CE / CEU Course

Before signing up for a course, check these essentials:

✅ Accreditation: Make sure the provider is approved by your board (e.g., NBCC, ASWB, APA, NAADAC)

✅ Credit Format: Does it clearly state CE credits, CEUs, or contact hours?

✅ Certificate Wording: Your board may reject certificates missing format or a provider number.

✅ Provider Number: Look for NBCC ACEP or state license approval listed.

You can view full CE approvals for all Online CE Credits courses.

Conclusion

While CEs, CEUs, and contact hours are often used interchangeably, their definitions and acceptance can differ depending on your profession and licensing board. Understanding these distinctions helps ensure that your continuing education efforts meet licensure requirements.

The most reliable approach is to choose accredited providers that clearly state how credit is awarded and which boards approve the course.

OnlineCECredits offers self-paced, board-approved courses that specify credit format and compatibility, making it easier to meet your continuing education goals with confidence.

FAQ

How many hours is 1 CEU worth?

One CEU equals 10 contact hours of participation in a structured continuing education program, typically led by a qualified instructor and accredited by an approved body.

How many credits is equal to 1 CEU?

Most licensing boards treat 1 CEU as 10 CE credits, since one CE credit usually represents one contact hour of approved educational activity.

Are online courses eligible for Continuing Education Units (CEUs)?

Yes, if the course is offered by an approved provider and clearly states the number of CEUs, CE credits, or contact hours awarded upon completion.

Are CEUs the same as credits?

Not exactly. CEUs measure 10 hours, while CE credits typically equal 1 hour each. Boards may accept either, depending on the language used in the regulations.

Why are Continuing Education Units important?

CEUs help professionals maintain competence, fulfill licensure requirements, and stay updated on ethical practices, clinical skills, and research-backed treatment strategies across specialties.

What are CEU credits good for?

CEU credits are used to renew licenses, expand clinical knowledge, and support career advancement in fields like counseling, psychology, social work, and healthcare.

Are CEUs worth it?

Yes. Earning CEUs shows a commitment to lifelong learning, helps meet state-mandated continuing education requirements, and strengthens professional development and public trust.

EMDR vs Brainspotting Therapy

by Jennifer Sweeton, PsyD, JD, MS, MA | Oct 6, 2025 | Educational

Some clients walk in asking, “Is EMDR right for me?” or “Have you heard of Brainspotting?” Others just know that traditional talk therapy has not helped them fully heal.

Both EMDR and Brainspotting move beyond words, tapping into the body and nervous system to process trauma, but they work in different ways.

Here, we will compare Brainspotting vs. EMDR: how they differ, what the research says, and how clinicians can decide which approach best fits each client’s needs.

Quick Answer – What’s the Difference Between EMDR and Brainspotting?

EMDR uses bilateral stimulation and a structured eight‑phase protocol to reprocess traumatic memories.

Brainspotting suggests that holding gaze at a “brainspot” taps into somatic and subcortical processing.

One is highly protocolized; the other is more flexible and emergent.

Here is a better representation:

What Is EMDR Therapy?

EMDR therapy (Eye Movement Desensitization and Reprocessing) was developed in the late 1980s by Dr. Francine Shapiro.

It operates on the Adaptive Information Processing (AIP) model, which posits that traumatic memories persist because they are not adequately processed and are stored in maladaptively linked networks.

Through alternating bilateral stimulation (eyes, taps, tones) while accessing a memory, the brain is assisted to reprocess that traumatic content adaptively.

EMDR sessions follow a structured eight‑phase protocol: history, preparation, assessment, desensitization, installation, body scan, closure, and reevaluation.

Therapists require training and supervision to maintain fidelity to the model. Many trauma guidelines (e.g., WHO, VA) list EMDR as a first‑line option, especially for PTSD.

For those interested in developing their skills, Online CE Credits offers both foundational and advanced options, including:

• Certificate in EMDR Therapy Skills
• Advanced EMDR Certification
• And an entire catalogue of EMDR-focused CE courses.

What Is Brainspotting Therapy?

Brainspotting (BSP) was introduced by Dr. David Grand around 2003.

The name comes from the hypothesis that “where you look affects how you feel.” In practice, a therapist helps a client find a visual spot (brainspot) that corresponds to a bodily or emotional activation tied to trauma.

The client maintains their gaze there, noticing sensations, images, or internal shifts, with minimal narrative instruction.

The idea is that gaze links to subcortical and somatic circuits, allowing for deeper implicit processing. BSP is sometimes described as “bottom‑up first” and is considered a more somatic, emergent form of therapy.

According to Brainspotting’s own site, the Hildebrand / Grand / Stemmler comparative study found both EMDR and BSP led to symptom reduction over several sessions. Still, the evidence is nascent.

EMDR vs Brainspotting – Key Differences Explained

Although both therapies aim at trauma resolution, their paths diverge in important ways.

Structure vs Flexibility

EMDR relies on a fixed protocol. The phases guide the clinician and client step by step. The structure offers predictability, which many clients appreciate.

Brainspotting, by contrast, is looser. There is no fixed set of eye movements or strict phases. The therapist responds to what emerges in the client moment by moment.

Cognitive Processing vs Somatic Access

EMDR tends to incorporate cognitive elements, including identifying negative and positive beliefs, rating distress, and encouraging insight.

Brainspotting favors somatic access: the focus often is on what the body is saying. Rather than trying to reframe or challenge beliefs, BSP suggests working through bodily activation, allowing implicit emotional processing to unfold.

Client Comfort & Emotional Intensity

Brainspotting’s gentler style can feel safer emotionally, especially for clients with high sensitivity or those prone to dissociation.

A 2022 study in the International Journal of Environmental Research and Public Health compared Brainspotting to EMDR and found both to be effective in reducing distress linked to traumatic memories, offering promising evidence for BSP’s clinical value.

However, because BSP gives less structure, some clients may feel adrift or overwhelmed by internal signals that emerge.

Which Is More Effective? What Research Says

Both practices have clinical promise. However, the evidence base is much stronger for EMDR at present.

Evidence for EMDR

EMDR is supported by dozens of randomized controlled trials, meta-analyses, and practice guidelines (WHO, VA, APA, in some cases). Its efficacy for post traumatic stress disorder is well documented.

It has consistent evidence for reducing intrusive memories, negative beliefs, and avoidance symptoms in trauma populations.

Emerging Studies on Brainspotting

Brainspotting’s evidence is preliminary. The Hildebrand et al. comparative study (76 clients) found that three 60‑minute sessions of EMDR or BSP both produced significant PTSD symptom reduction at posttreatment and six‑month follow-up.

A preliminary white paper in residential trauma populations showed symptom improvements with BSP in co‑occurring trauma and substance use settings. Others caution that many BSP studies are authored by its creators and that independent replication is limited.

No Clear “Winner” – Matching Therapy to Client Needs

Given current evidence, it’s premature to claim that Brainspotting is superior or equivalent to EMDR in all cases. Instead, the clinician’s task is to match therapy to the client’s nervous system, trauma history, and preferences. Some clients may respond faster with EMDR’s structure; others may benefit from BSP’s somatic slant.

Cost & Accessibility – EMDR vs Brainspotting

EMDR is widely taught, and many clinicians are already trained in it. Insurance reimbursement is more established in many regions. Remote EMDR and intensives are increasingly common.

Brainspotting, by contrast, has fewer certified providers and less widespread insurance acceptance. Remote BSP is possible, but not as well researched.

Clients may have to travel farther or pay out of pocket. For many therapists, BSP is added as a complement once EMDR or foundational trauma work is already in place.

Bottom line: EMDR is easier to access, more likely to be covered by insurance, and already integrated into many clinical settings.
Brainspotting is growing but still niche — often used as a private-pay specialty or add-on modality.

Clients’ Experience from Forums

Below are anonymized client reflections to highlight the lived realities of brainspotting vs EMDR:

“I’m trained in both! EMDR is unapologetically a protocol. Brainspotting is a more open and creative model. They’re both great, but very different in feel.”

“The whole idea behind Brainspotting makes no logical sense to me, it feels mystical. EMDR at least gives me steps I can follow. But sometimes, BSP hits places that EMDR never could.”

These voices reflect how clients perceive protocol, inner access, and emotional safety in real practice.

Is EMDR or Brainspotting Therapy Right for You?

Choosing between EMDR and Brainspotting is not about which therapy is better, but what fits. Each person brings a different nervous system, trauma history, and tolerance for emotion into the room.

EMDR might be more appropriate for clients with well-defined traumatic memories, such as accidents, combat, or specific incidents of abuse. It also tends to suit those who feel comfortable with structured steps and cognitive insight.

Brainspotting may be ideal for clients who struggle to explain their experiences verbally. It is often used with complex trauma, attachment wounds, and chronic pain where the body seems to “remember” more than the mind can say.

Of course, both models can support healing from trauma, emotional distress, and unresolved trauma, they simply take different roads to get there.

For Therapists – Should You Train in EMDR or Brainspotting First?

For most clinicians, EMDR training is the more logical first step. It is globally recognised, widely reimbursed by insurance, and often requested by clients or referring providers. EMDR certification also supports billing, supervision, and inclusion in trauma networks.

At Online CE Credits, clinicians can pursue both foundational and advanced skill development with our Certificate in EMDR Therapy Skills and Certificate in Advanced EMDR Therapy Skills programs. These offerings meet licensure requirements and equip therapists to deliver ethical, evidence-based EMDR.

Brainspotting, while powerful, is often an excellent add-on modality. It is less insurance-recognised but deeply valued in integrative and private-pay settings. Many EMDR-trained therapists later add Brainspotting to deepen body-based trauma resolution or to support clients who do not respond well to cognitive processing alone.

For Therapists – Can You Combine EMDR and Brainspotting?

Yes, and many clinicians do. A common integrated approach starts with Brainspotting to help stabilize the client’s nervous system and increase somatic awareness. Once the client is more regulated, EMDR may be introduced to reprocess traumatic memories with greater safety and structure.

An increasing number of trauma-informed therapists are now dual-trained. They switch between models flexibly, or even weave BSP principles into EMDR phases.

Final Recommendation

Choosing between EMDR and Brainspotting is less about picking a winner and more about understanding what each client truly needs.

Some may benefit from EMDR’s structure and pacing. Others may feel safer starting with Brainspotting’s slower, body-led exploration.

And for many, the best work happens when both tools are used in thoughtful sequence. What matters most is offering clients a safe and supportive environment, and trusting their system to lead the way.

FAQ

Is Brainspotting more effective than EMDR?

There is no evidence showing Brainspotting is more effective overall. EMDR has stronger research, but outcomes vary by client and therapist fit.

What is the controversy with EMDR therapy?

Some critics question EMDR’s bilateral stimulation mechanism, but clinical outcomes are widely supported in treating trauma and PTSD.

What are the downsides/risks of Brainspotting?

Limited research and lack of structure may overwhelm some clients. Therapist skill and attunement are critical to maintaining safety.

Can you close your eyes during Brainspotting?

Yes, some clients process more easily with closed eyes. Others find fixed gaze helpful. Therapists adapt to individual comfort levels.

Can I do EMDR and Brainspotting online?

Yes. Both therapies can be delivered remotely, though not all clients respond equally to virtual formats.

Is Brainspotting the same as EMDR?

No. EMDR uses bilateral stimulation and structured reprocessing. Brainspotting uses eye gaze and somatic tracking without a fixed protocol.

Is Brainspotting legitimate?

Yes, Brainspotting is a valid therapeutic model. While research is still growing, many clinicians report positive results in practice.

Empower Your Therapy Techniques with Essential Autism Training

by Tim Cassidy, MBA, MA, LPC | Aug 20, 2024 | Educational

Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition that affects communication, behavior, and social interaction. There’s an increasing prevalence of autism, as current estimates suggest that about 1 in 36 children in the United States are diagnosed with the disorder. As a result, there is a growing demand for mental health professionals with relevant skills to work with this population.

As a therapist, expanding your expertise in autism through continuing education can enhance your therapeutic techniques and improve outcomes for your clients.

In this detailed blog, we’ll explore the importance of specialized autism training and key focus areas for therapists. Also, the post shows how continuing education empowers you to provide the best possible care for autistic individuals.

The Growing Need for Autism Expertise in Therapy

The Rising Prevalence of Autism

The prevalence of autism has been on the rise for several decades. This increase highlights the need for more professionals who can provide effective support to individuals on the spectrum.

Autism is not a one-size-fits-all diagnosis; it encompasses a wide range of symptoms and severity levels. For this reason, therapists should be well-versed in the nuances of the condition.

Why Specialized Training Matters

While many therapists receive general training in developmental disorders, autism requires a specialized approach. The unique characteristics of ASD, such as difficulties with social communication, repetitive behaviors, and sensory sensitivities, require targeted strategies that go beyond traditional therapy methods. Specialized autism training provides therapists with the tools and knowledge to develop individualized treatment plans to address each client’s specific needs.

Key Areas of Focus in Autism Training

Autism training for therapists covers a broad spectrum of topics, from understanding the neurobiological underpinnings of the disorder to implementing evidence-based interventions. Here are some vital aspects of effective autism therapy:

Understanding the Autism Spectrum

Autism is often referred to as a “spectrum” because it presents differently in each individual. Understanding the diversity within the spectrum is essential for providing personalized care. Training programs typically cover the following aspects:

Core Symptoms:

Learning to identify the core symptoms of autism, such as challenges in communication and social interaction, as well as restricted and repetitive behaviors

Subtypes and Comorbidities:

Understanding the different subtypes of autism (e.g., Asperger’s Syndrome, PDD-NOS) and how comorbid conditions like ADHD, anxiety, or intellectual disabilities can impact treatment

Developmental and Behavioral Approaches

Autism training often emphasizes developmental and behavioral approaches, which are among the most effective strategies for working with individuals on the spectrum. They include:

Applied Behavior Analysis (ABA):

ABA is one of the most widely used interventions for autism. Training in ABA helps therapists use reinforcement strategies to encourage positive behaviors and reduce challenging ones.

Developmental, Individual-Difference, Relationship-Based (DIR/Floortime):

This approach focuses on building relationships and encouraging emotional and social development by meeting the child at their developmental level and promoting interaction naturally.

Social Skills Training:

Many individuals with autism struggle with social interactions. Training in social skills interventions can help therapists teach clients how to interpret social cues, engage in conversation, and develop meaningful relationships.

Sensory Integration Therapy

Many individuals with autism experience sensory processing issues, making it difficult for them to cope with certain sounds, textures, lights, or other sensory stimuli. Sensory Integration Therapy (SIT) aims to help individuals with autism manage sensory input in a more organized and effective way. Autism training provides therapists with the knowledge to:

Identify Sensory Processing Disorders:

Recognize signs of sensory processing challenges in clients and assess how these difficulties impact daily functioning.

Implement Sensory-Based Interventions:

Use specific techniques and activities that can help clients regulate their sensory experiences, such as swinging, deep pressure, or tactile play.

Communication Strategies

Communication difficulties are a hallmark of autism. Effective therapy often involves teaching alternative communication methods, especially for nonverbal clients. Autism training equips therapists to:

Use Augmentative and Alternative Communication (AAC):

Learn to implement tools such as picture exchange communication systems (PECS), speech-generating devices, or sign language to facilitate communication.

Enhance Verbal Communication:

For clients with limited speech, therapists can learn strategies to expand vocabulary, improve sentence structure, and encourage spontaneous verbal communication.

Family Involvement and Support

Therapy for autism is most effective when it involves the family. Parents and caregivers play a crucial role in the generalization of skills learned in therapy to the home environment. Autism training programs often cover:

Parent Training and Education:

Equipping parents with strategies to support their child’s development at home, including behavior management techniques and communication strategies.

Family-Centered Care:

Understanding the emotional impact of an autism diagnosis on the family and providing counseling and support to address these challenges.

Ethical and Cultural Considerations

Working with individuals with autism requires sensitivity to ethical and cultural issues. Autism training often includes:

Ethical Guidelines:

Understanding the ethical considerations in autism therapy, such as respecting client autonomy, maintaining confidentiality, and obtaining informed consent.

Cultural Competence:

Recognizing how cultural background can influence the presentation of autism and the family’s approach to treatment. Training helps therapists develop culturally responsive interventions.

Dominate Your Autism Therapy Practice with Online CE

Seeking to deepen your understanding of autism spectrum disorders? You can’t go wrong with Online CE. Our comprehensive courses provide the latest evidence-based techniques and strategies.

Key Features:

• Experienced Instructors: Get expert advice on autism therapy from seasoned, passionate professionals.
• Approved and Accredited Programs: Ensure your continuing education credits meet industry standards.
• Affordable Packages: Access high-quality courses without breaking the bank.

Join our community of dedicated therapists and take your practice to new heights. Enroll today in the courses below and discover the transformative power of online CE.

• Psychosocial Interventions for Anxiety in Kids with Autism
• Autism Treatment from a Trauma Perspective
• Solution-Focused Therapy Skills for Depression and Other Mood Disorders
• Treatment of ADHD in Children and Adolescents
• ADHD: Evidence-Informed Treatment Approaches for Adults and Children

The Benefits of Continuing Education in Autism

Continuing education in autism is not just beneficial. It’s essential for staying current with the latest research and interventions.

Here’s how ongoing training can enhance your therapy techniques:

Staying Updated with Evidence-Based Practices

The field of autism research is constantly evolving, with new studies and interventions being developed regularly. Continuing education ensures you’re up-to-date with the latest evidence-based practices, allowing you to offer the most effective therapies to your clients.

Expanding Your Skill Set

Autism training lets you expand your therapeutic toolkit. Continuing education enables you to grow as a professional and offers a broader range of services to your clients. You can learn a new intervention technique or gain a deeper understanding of a specific area, such as sensory processing.

Enhancing Client Outcomes

Clients benefit most when their therapist is knowledgeable and skilled in the latest autism interventions. With continuous training, you can improve your client’s communication, social skills, behavior management, and overall quality of life.

Building Professional Credibility

Specialized training in autism upgrades your skills and boosts your professional credibility. It demonstrates your commitment to providing the highest level of care to autism patients to potential clients, employers, and colleagues. This can open up new career opportunities and increase your reputation as an expert in the field.

Meeting Licensing and Certification Requirements

Many licensing boards and professional organizations require continuing education in specific areas, including autism. You can meet these requirements and maintain your professional credentials by staying current with your training.

Choosing the Right Autism Training Program

When selecting an autism training program, consider several factors to ensure the course meets your professional needs and goals:

Accreditation and Certification

Choose a program that is accredited by a recognized professional organization, such as the Behavior Analyst Certification Board (BACB), for ABA training. Accreditation ensures that the training meets high standards of quality and rigor.

Read more: is adhd certification worth it?

Course Content and Focus

Look for programs that offer comprehensive coverage of the topics that are most relevant to your practice. No matter what type of course you’re looking for, make sure it aligns with your learning goals.

Instructor Expertise

The instructor’s expertise influences the quality of the training. So choose programs from experienced professionals with a strong background in autism research and therapy.

Flexibility and Accessibility

Consider programs with flexible learning options, such as online courses or workshops, to accommodate your schedule. Accessibility to resources, such as course materials and peer support, is also crucial for a successful learning experience.

Take Advantage of Autism-Specialized Training

Empowering your therapy techniques with essential autism training is a vital step in providing the best possible care for individuals with Autism Spectrum Disorder. As the prevalence of autism continues to rise, the demand for skilled therapists who understand the condition’s complexities will only increase.

Investing in specialized training makes a profound difference in your client’s life and their families and advances your professional development.

Let Online CE Jumpstart Your Autism Therapy

Continuing education in autism equips you with the knowledge, skills, and confidence to address autism therapy’s unique challenges. Whether you’re just beginning your journey working with individuals on the spectrum or looking to deepen your expertise, there’s always more to learn. Choose the right training program, stay committed to your professional growth, and watch as your therapeutic techniques, and your clients’ outcomes, reach new heights. Expand your autism therapy knowledge. Explore our courses now.

CEU for Psychology Professionals: 13 Tips to Take Online Continuing Education Courses

by Tim Cassidy, MBA, MA, LPC | Jan 10, 2020 | Educational

So you, a psychologist, counselor, or other clinical mental health provider, have enrolled in an online continuing education course. Below are some suggestions as to what you should do next.  

Be sure you understand that online continuing education credits require as much attention as one taken in a brick-and-mortar setting.

True, you are not sitting in a classroom, complete with other students, an instructor and a blackboard, but your online course will be no less demanding. 

Be sure to ask your school or CE credit provider about the technologies required for the course.

You will probably need: a fairly new computer (not more than 2-3 years old, the right operating system (at least XP), suitable software (minimally a good office suite, maybe Adobe Reader, Adobe Flash, Java – these last two, updated versions), updated anti-virus software, a secure browser, Internet access (high-speed is a must, preferably with secure WI-FI and a VPN if working in a public space), accessories (e.g., earbuds, flash drive, or web cam), a video card and monitor with good resolution, a sound card with speakers, a printer and a personal email account. Be sure to back up your materials to reliable storage (e.g. a memory stick, an external disk, or a second computer), and print out a hard copy of your work so that if you lose your electronic version, you can create another copy – a good online CE provider will digitally host your certificates and learning materials for your 24/7 access. Having a laptop is a good idea if you wish to be mobile. If you feel that you are going to require technical support, find out where to get it (usually via the contact us page); if you’re worried about what to do if your computer freezes or locks up, IT assistance should only be a message away. Your CE provider should also have IT assistance available for technical issues with course functionality.

Be sure to familiarize yourself with the tools and websites involved in the CEU courses.

In order to avoid any potential problems navigating your course, be certain your instructions are clear for setting up the online account, downloading or accessing materials, and installing the software and/or apps required for taking the course. A good online CE provider’s learning platform should be intuitive and user-friendly for a seamless learning experience.

Create a study space.

Set aside a room, or segment of a room (e.g., at home, in an office, library or a coffee shop) that will provide the peace and quiet required for studying and taking exams.

Eliminate distractions.

Limit TV viewing and web surfing, temporarily deactivate Facebook and Twitter, turn off your cell phone.

Think ahead.

Be sure to read the syllabus or course description and decide on timelines for completing assignments and preparing for quizzes/post-tests. Allocate consistent segments of time per week to coursework and stick to it. Use a study calendar and save it online or on a mobile device, and create weekly to-do lists.

Start early.

The sooner you begin working on an assignment or preparing for a quiz/post-test, the greater the likelihood that you will do well.

Take notes.

Just as with a brick-and-mortar class, taking notes can help you to remember the information required for preparing for quizzes/post-tests, so preserve them all in one place via a regular Word document and click on the “Ctrl” & “F” key to find them.

Don’t multi-task.

Attend to one matter at a time, be it the course material or a quiz/post-test. Focus on the most important and demanding tasks.

Login to your CEU courses daily.

Although CEs for your licensure renewal may not be due for a bit, it’s a good idea to check your student dashboard (a good online CE provider will have one for you) regularly to remind yourself of any impending work to be done or simply to see if anything new has been added to your course materials.

Join a CE credits study group.

This is an excellent way to prepare for a quiz or to simply make sense of confusing material. 

Periodically quiz yourself.

Use flashcards, or formulate possible test questions as a study aid. If your CE provider gives you access to digital materials, you might even use the quiz/post-test itself as a study guide if you’re allowed to take your quiz/post-test more than once.

Remember why you are taking the CEU course.

Always bear in mind why doing well in the course is important – it can help you enhance your skills, get a better job, get credentialed, learn evidence-based techniques for practice, or simply teach you more about something you’re interested in.

 Good luck with your course!