Are Biweekly EMDR Sessions Still Effective for C-PTSD Healing?

When it comes to treating Complex Post-Traumatic Stress Disorder (C-PTSD), the effectiveness of a specific therapy can be highly debated. While some believe that EMDR (Eye Movement Desensitization and Reprocessing) is not entirely suitable for those suffering from complex trauma, there is still a view that biweekly sessions can be effective. This discussion delves into the effectiveness of biweekly EMDR sessions for individuals dealing with C-PTSD, providing insights based on both theoretical perspectives and practical experiences.

Theoretical Underpinnings of EMDR for C-PTSD

EMDR is a widely recognized therapeutic approach for treating trauma, but its effectiveness can be questioned for those with complex trauma.

Based on my limited experience with EMDR, this therapy is typically predicated on characteristics that are often not present in individuals with complex trauma. Complex trauma, characterized by prolonged and severe experiences of violence or extreme events, tends to change an individual at the core. This deep-seated alteration makes it challenging for EMDR to achieve the same level of effectiveness as it would for less extreme trauma.

EMDR expects to bypass certain revelations and self-knowledge in favor of immediate healing. However, for complex violent or extreme trauma, such an approach is profoundly unproductive. It adds to the list of perceived failures when EMDR fails to noticeably change or improve conditions that it is inherently unable to address.

Impact of Extreme Trauma

Extreme trauma, such as prolonged captivity, can significantly alter an individual. It can change the core aspects of one’s safety and protection mechanisms. For instance, if someone is held captive or immobilized for even a brief period, it can forever alter their perception of security and safety.

In such cases, individuals may adopt survival methods that are both good and bad in the long term. The expectation with EMDR is that it can facilitate healing beyond merely bypassing self-knowledge. This approach is less effective for complex trauma, as it cannot provide the deep transformation needed for healing.

Frequency of EMDR Sessions for C-PTSD

While the ideal frequency for EMDR sessions is typically once or twice a week, it is not always feasible due to logistic or financial constraints. In such cases, biweekly sessions are still worth considering.

My EMDR therapist often advises against biweekly sessions due to their intensity. One session, especially a 6-hour round trip, can leave the individual fatigued and unable to engage in normal activities the following day. However, if biweekly sessions are the only option, they can still be effective but at a slower pace.

One must carefully navigate the balance between the intensity of the sessions and the need for frequency to ensure progress. Sessions that are too infrequent may not provide the necessary continuity and intensity needed for healing.

Client Testimonials

According to my EMDR therapist, biweekly sessions can be a preferred option, especially for those with significant transportation or scheduling challenges. I, for instance, could only afford weekly sessions due to a long 6-hour round trip to the therapy center. It is crucial to choose the frequency that allows you to maintain your mental and physical strength, as EMDR sessions can exhaust both.

Additionally, I have had several clients with C-PTSD benefit from EMDR through biweekly sessions. I encourage my clients to come at least once every two weeks to ensure they receive the necessary support and continuity in their healing journey.

Conclusion

The effectiveness of biweekly EMDR sessions for C-PTSD is a subjective matter. While traditional recommendations suggest weekly or bi-weekly sessions, biweekly sessions can still be effective, albeit slower. The key is to find a balanced approach that suits the individual’s needs and circumstances, ensuring that each session is maximally productive and that the process of healing is maintained over time.