There can be a number of complex but common reasons which can help to explain why CBT has not worked for an individual. Here are our top 3.
There is a good body of evidence around treating traumatic events with EMDR. In comparison to T-CBT (trauma focused CBT), EMDR is a better option to go for.
T-CBT requires cognitive discussion about trauma with a therapist. This can often cause heightened levels of stress or shame.
The main principle in T-CBT is to mark the ‘hotspots’ that cause the most stress. Reliving is then carried out, where the client goes through talking to the therapist about what they experience and think.
In EMDR, the ‘hotspots’ are agreed, and the emotion is only rated by intensity. The therapist will then prepare the client by explaining the process and then supporting the client throughout their journey.
With EMDR for trauma, the client does not have to tell the therapist what they are working on, but they are asked to spend some time thinking about it. This guarantees that the trauma is tackled rather than avoided, due to shame or fear of being judged.
The therapist will then support the client in sessions by encouraging and helping them to manage the emotional affect throughout, in both therapies.