Breaking Down the Differences Between ART and EMDR Therapy
When it comes to processing trauma and reducing the emotional distress tied to difficult memories, two therapy approaches are smart options: accelerated resolution therapy (ART) and eye movement desensitization and reprocessing (EMDR). Both are evidence-based, both use eye movements, and both can lead to a life free from the negative effects of trauma.
But despite their similarities, ART and EMDR are distinct in their structure, goals, and how they guide you through the process. Let’s break them down so you can better understand which fits better for your needs.
What Is Eye Movement Desensitization and Reprocessing (EMDR)?
Developed in the late 1980s by Dr. Francine Shapiro, EMDR helps people reprocess traumatic or distressing memories so they no longer cause emotional distress. The method uses bilateral stimulation (typically through side-to-side eye movements, taps, or tones) while the client recalls a distressing event. The brain is guided to reprocess the memory in a way that reduces its emotional charge and allows it to be better integrated.
What Is Accelerated Resolution Therapy (ART)
ART is a newer approach, developed in the mid-2000s by Laney Rosenzweig. Like EMDR, it uses eye movements to process distressing memories. However, ART tends to be more directive and focuses not just on reprocessing, but also on replacing distressing images with more positive or neutral ones. This is sometimes called “voluntary image replacement.”
Sessions are highly structured, and ART often leads to noticeable relief in fewer sessions compared to some other trauma-focused methods.
The Similarities
At first glance, ART and EMDR look almost like twins:
Bilateral eye movements: Both approaches use rhythmic, left-right eye movements to engage the brain’s natural processing systems.
Focus on distressing memories: Both target specific memories or triggers that are causing ongoing emotional distress.
Mind-body connection: Clients often notice changes not only in how they think about the memory, but also in how they feel physically when recalling it.
Evidence-based roots: Research supports the effectiveness of both approaches for trauma, anxiety, phobias, and related concerns.
The Key Differences
Structure of the Process
EMDR follows an eight-phase schedule that allows for deep exploration of a memory and its related thoughts, emotions, and body sensations. Despite its structure, therapy does leave space for the client’s mind to wander and process related memories that arise.
ART is more linear and directive. The therapist guides the client step-by-step through specific visualizations and eye movement sets, with less open-ended exploration. The aim is to move through the process efficiently and directly resolve the targeted memory.
Imagery Replacement
EMDR helps you reprocess a memory until it feels less disturbing. The memory itself remains the same in its factual content, but it becomes less emotionally intense.
ART goes further by encouraging clients to replace distressing images in their mind with more positive, calming, or neutral ones. This doesn’t mean “forgetting” the event; it means that when you recall it, your mind no longer replays the most painful mental pictures.
Time Frame for Results
EMDR clients may require multiple sessions to see significant changes, especially if they’re processing complex trauma.
ART is designed for faster resolution. Many clients notice marked relief in just one to three sessions, though the number of sessions still depends on the complexity of the issue.
Emotional Intensity During Processing
In EMDR, you may spend more time directly engaging with the distressing memory, which can sometimes feel emotionally intense before the relief comes.
ART uses techniques to limit prolonged distress during the session, often “pausing” or redirecting the imagery before the client becomes too overwhelmed.
Which Approach Is Right for You?
Both ART and EMDR can be life-changing. Choosing between them often comes down to your personal preferences, needs, and the style you feel most comfortable with. Schedule a consultation with me today to find out which trauma therapy approach is best for your situation.
