Nothing changing in an EMDR session?


Hey there,

Picture this:

You're in session with a client whose processing isn’t going very far.

You've been trusting their inner healer for several sets now, you’ve adjusted the mechanics of bilateral stimulation, but still nothing is changing (and your client is getting visibly frustrated).

What now?

If you're like many EMDR therapists, this scenario probably feels all too familiar. You’ve probably had those moments where, despite your best efforts, your client's processing hits a wall.

And it's in these important junctures that can make or break the session, and possibly to an even greater degree, your rapport with your client..

If you’ve been doing EMDR awhile, you know the next step is to use some cognitive interweaves. But many therapists struggle with confidence in their cognitive interweaves.

How do you know when you should introduce an interweave, and what kind of interweave will effectively address the processing blocks?

That's what we're going to explore in today's email.

The Three Cardinal Signs of an Interweave-Ready Moment

There are some subtle cues that can signal your client's processing is primed for a cognitive interweave intervention:

  • Verbal markers: Comments like "I'm stuck," "I don't know what to do with this," or "It's not changing" can be invitations for an interweave.
  • Nonverbal shifts: A sudden change in body language, eye movements, or vocal tone can hint at a processing issue that needs your help to overcome.
  • Intuitive hits: Sometimes, you just get a gut feeling that your client needs a little extra support to take the next step. Learn to trust those clinical instincts!

Following these subtle cues, you'll be better prepared to offer interweaves that meet your client's processing right where it is (and help facilitate the breakthrough they need).


The “Strategic Pause”

Once you've clocked an interweave opportunity, it can be tempting to jump right in with a brilliant reframe or zinger of a question.

But often, the interweaves that make the biggest impact are preceded by a moment of silence.

Think of it like a “strategic pause”:

A beat or two where you simply hold space and allow your client's processing to unfold without interference.

This pause serves a few key functions:

  • It gives your client's system a chance to self-correct and find its own way forward (which is always preferable to an external intervention!)
  • It allows you to fully absorb what's happening in the moment, so your interweave can be maximally attuned and resonant
  • It builds a sense of safety and trust, conveying to your client that you're not going to rush in to "fix" them, but rather walk alongside them at their own pace

Of course, discerning the difference between a strategic pause and an awkward silence is a bit of an art.

But with practice, you'll start to develop a feel for that sweet spot, and the power it has to deepen the impact of your interweaves.


Tailoring Your Interweaves to Your Client's Processing Language

One of the biggest mistakes I see EMDR therapists make with interweaves is using generic, one-size-fits-all language.

The truth is, the most effective interweaves are the ones that feel custom-crafted for your client's unique processing style and internal landscape.

That means getting curious about:

  • The specific words, phrases, and metaphors your client uses to describe their experience (and mirroring those back in your interweaves)
  • The sensory modalities that seem to be most active for your client in the moment (visual, auditory, kinesthetic, etc.) and targeting your interweaves accordingly
  • The developmental age, or "part", or “ego-state”, that seems to be most online during the processing, and adapting your language to resonate with that part's needs and capacities

For example, if your client is using a lot of vivid visual language to describe a childhood trauma ("It's like I'm watching it happen through a foggy window"), an interweave like: "What would happen if you could open that window and see certain aspects more clearly?" is likely to land much more powerfully than a generic "What do you need right now?"

The more you can tailor your interweaves to your client's unique processing fingerprint, the more precise and potent your interventions will be.

Using Your Other Frameworks

Another option for cognitive interweaves is to lean on your other clinical modality frameworks. I love this because it is an art that’s informed by evidence-based practices.

For example:

  • a therapist trained in cognitive processing therapy (CPT) may be prone to using a bit of socratic questioning in their interweaves
  • a somatic processing therapist may lean more toward exploring the client’s somatic experience as an interweave
  • an internal family systems (IFS) informed therapist may go deeper into parts work for their cognitive interweaves

The options are really only limited to the amount of training and experience you have in various treatment modalities.

This is one reason I often say, “all EMDR therapists can incorporate other treatment modalities in their work with clients, but not all therapists can do EMDR”. As an EMDR clinician, you have the ultimate Swiss-army knife that can utilize whichever therapeutic tool is needed to meet the client where they’re at and help them progress toward healing.


Putting It All Together

Ultimately, mastering the interweave is about cultivating your capacity to pivot:

  1. To meet your client's processing right where it is
  2. Attune to what's needed in the moment
  3. Or use a pre-existing modality framework to catalyze the next wave of healing.

It's a dance that takes practice, and a willingness to trust the wisdom of the process (both your client's and your own).

But with the right tools, frameworks, and support, it's a dance that can improve your clients’ lives exponentially.

When done well, our strategic pause, followed by an interweave tailored to the client and rooted in clinical expertise, can be just the trick to help a client continue beyond stuck processing.

Until next time,

Chris



Thanks for reading Helicon's EMDR Therapist Weekly, where we aim to provide a weekly dose of insights, tools, and opportunities for EMDR therapists; designed to support your growth, sharpen your practice, and connect you with what's next.


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EMDR Therapist Weekly

A weekly dose of insights, tools, and opportunities for EMDR therapists; designed to support your growth, sharpen your practice, and connect you with what's next.

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