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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 Advanced Trainer. Owner of Three Rivers Training Center, she also leads other EMDRIA Approved Trainers in supporting the next generation of EMDR clinicians. Her contributions to the field of EMDR have been recognized through the Outstanding Contribution Award in 2023. In addition to her professional endeavors, Carol's passion for education led her to serve as an adjunct professor at the Tulane School of Social Work for two decades, nurturing future generations of mental health professionals. As a retiring co-chair of the South Louisiana EMDR Network and a former member of the EMDRIA Board of Directors, Carol's legacy continues to inspire and shape the landscape of mental health care. Carol writes: As EMDR continues to grow and evolve, therapists are navigating new ethical territory. In my recent trainings through Three Rivers Training Center, I’ve invited clinicians, consultants, and trainers to take a fresh look at how ethics shows up in our work — not as a checklist, but as a living process rooted in reflection, curiosity, and care. What Ethics Really Means in EMDR Ethics isn’t about personal values or opinions. Ethics are the structure that can protect clients and keep our work credible. EMDRIA’s ethical principles align with the broader mental health field:
Practicing ethically means staying curious about how our own identities, power, and privilege affect the therapy space... and being willing to examine those dynamics as they arise. Competence in a Changing Field Competence is an ethical responsibility, not an achievement. It grows through continuing education, consultation, and supervision. This is especially important as we integrate telehealth, virtual platforms, or AI-based tools. Before adopting new methods, we should pause to ask: Am I trained to use this well? Is client privacy fully protected? Does it align with professional standards? Knowing our limits, and seeking help when needed, is vital to ethical care. The Human Side of Ethical Decisions Ethical decision-making models help us slow down and think clearly when situations are complex. They remind us to identify the dilemma, review the codes, explore our options, act with integrity, and reflect afterward. This often requires us to face tough dilemmas head-on and consult with colleagues. Working toward the best option possible. The goal isn’t perfection... it’s accountability and thoughtful care. Culture, Systems, and Real Life Ethics can’t be separated from culture or context. “Colorblind” or one-size-fits-all practice misses the mark. Ethical EMDR means staying humble, learning from our clients, and recognizing systemic barriers that affect access to care. Many ethical dilemmas actually come from outside the therapy room. Whether it be limited resources, agency policies, or inequities in who receives EMDR. Ethical work involves balancing advocacy with boundaries, and compassion with practicality. Moving Forward Ethical EMDR practice is dynamic. It grows when we:
Ethics is more a mindset than a set of rules. It’s about staying grounded in integrity, humanity, and a lifelong commitment to learning. Carol Miles, MSW, LCSW EMDRIA Certified Therapist, Approved Consultant, and Basic and Advanced Trainer Connect with Carol here. 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. |
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'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...
What do you do when your go-to EMDR tools just aren't enough? Maybe you have a client with complex developmental trauma, whose sense of self feels shattered into a thousand pieces Or a client whose inner critic is so loud and relentless, it's hard for them to access the adaptive information needed for reprocessing. In these moments, what should you do? How can you help your clients break through the barriers keeping them stuck? Enter Internal Family Systems (IFS) therapy. If you’re not...
Hey there, If you’re like most EMDR clinicians I know, you came into this field because you believe in the power of healing. You’ve seen EMDR help people process trauma, rebuild lives, and uncover strengths they didn’t know they had. That’s the beauty of our work: we see transformation in real time. But here’s the challenge (forgive me as I hop on my soap box for a minute): as powerful as EMDR can be one-on-one, the system we work in isn’t built to sustain that transformation. Too often,...