|
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.
Hey there, I want to talk about something that's come up a lot in consultation. Here’s the situation: You're working with a client who's been depressed for years. They've tried SSRIs, SNRIs, even ketamine. They've done solid CBT work. And yet they're still waking up every morning with that same crushing sense of hopelessness. You ask about trauma history, and they say: "I mean, nothing bad happened to me. I just... I've always felt this way." So the question is… do you reach for EMDR, or do...
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 like to invite subject matter experts as guest writers. This week I'm honored to introduce again, our first returning guest writer: Carol Miles, MSW, LCSW. Having served a term as President of EMDRIA, Carol remains an EMDRIA certified Therapist, Consultant, and Basic and...
Hey there, I've got a bone to pick with the state of mental healthcare these days. As EMDR therapists, we've seen the power of depth and attunement in therapy. We know that healing happens when we tailor our approach to each client's needs and build genuine therapeutic alliances. But let's be real: That's not the reality for far too many clinicians and clients today. Instead, what we're seeing is the steady creep of “-tion’s”: corporatization, commodification, medicalization, and...