If you've been looking into trauma therapy, you've probably come across both EMDR and ART. They share some features, but they differ in structure and pace. Here is a fair side-by-side so you can ask the right questions.
In short: EMDR (Eye Movement Desensitization and Reprocessing) and ART (Accelerated Resolution Therapy) both use eye movements while you focus on a distressing memory. EMDR is the older, more extensively researched approach; ART is a newer, brief, structured approach that works with imagery. Neither is right for everyone, and the best fit depends on you.
What they have in common
- Both use guided eye movements while you hold a memory or image in mind.
- Both are used for trauma and PTSD, and for related anxiety and depression.
- Both are delivered by a trained clinician and can be done by telehealth.
- Both focus on changing how a memory is stored and felt, rather than only talking about it.
How they differ
| EMDR | ART | |
|---|---|---|
| Origin | Developed in the late 1980s; one of the most widely used trauma therapies. | A newer approach, developed in the 2000s. |
| Structure | A multi-phase protocol that includes history-taking, preparation, reprocessing and review. | A brief, structured protocol built around guided eye movements and reshaping imagery. |
| Typical length | Varies; often several sessions to many, depending on the history involved. | Designed to be brief; some people notice change within a few sessions. |
| Talking about the event | Some sharing about the memory is generally part of the process. | Designed so you don't have to describe every detail out loud. |
| Research base | Extensive; recommended by major clinical guidelines for PTSD. | Growing, but smaller; early studies are encouraging. |
Which one should I choose?
There isn't a universal answer. Some questions that can help:
- Do you want the treatment with the longest track record and the largest research base?
- Would a brief, focused approach suit your situation and schedule?
- How comfortable are you describing a memory out loud?
- Is what you're dealing with a single event, or a long, complex history?
Complex or long-standing trauma often benefits from a slower, more preparatory approach, and some people do best with a combination of methods. A consultation with a licensed clinician is the best way to match the approach to you.
I offer Accelerated Resolution Therapy by telehealth in Florida, Pennsylvania, and California. If you're not sure ART is the right fit, we can talk through it on a free 15-minute call, and I'll tell you honestly if another approach, or another provider, may serve you better.
This article is general information, not medical advice or a recommendation for any one treatment. If you are in crisis, call or text 988 or call 911.