EMDR is a late-stage component of a comprehensive trauma treatment approach. Earlier steps include evaluation, psychoeducation, treatment contracting, interventions to support safety, self-control, symptom management, and affect tolerance. Only then is it time to do trauma-focused EMDR. With some high-functioning clients, these earlier phases of treatment may be done (or checked for need) so quickly that it doesn't look like much has happened. With others, the earlier phases of treatment may take quite a while, and be a more overt focus. DBT is a package of interventions comprising a system or method for accomplishing many of these early-phase elements of trauma treatment. For those who need this type of preparation for trauma-focused EMDR, it would be inappropriate *not* to offer it. If the EMDR therapist doesn't know how to do the earlier phases of trauma treatment, s/he should either learn, or work as an adjunct therapist with someone who knows what to do.
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