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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:
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:
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:
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:
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:
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 |
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.
The EMDR Therapist Weekly aims 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. To achieve this, we occasionally invite subject matter experts as guest writers. So this week, I'm excited to introduce another guest writer, Gail Neves, LMHC. Gail is a fierce advocate for psychedelic ethics and social justice. They have been practicing trauma focused therapy for 20 years...
Hey there, Here's a question I get asked fairly often: "Can EMDR help with addiction?" The short answer is yes, but probably not in the way most therapists assume. A lot of therapists think addiction treatment with EMDR means processing the underlying trauma (the childhood abuse, the attachment wounds, the adverse experiences that led to substance use). Then the client stays sober because you've resolved the root cause. And sure, that's part of it. Most clients with substance use disorders do...
Hey there, Imagine this scenario: You're in session with a client who's stuck. They can't access the target memory clearly, as everything feels vague and distant. You've already performed five rounds of bilateral stimulation, nothing is happening, they're getting frustrated, and you're mentally cycling through every EMDR technique you know. And now you're stuck. So after the session, you post in a Facebook group, "Client stuck after multiple attempts at BLS and no movement. Any suggestions?"...