An EMDR Therapist in Seattle Explains The Difference Between EMDR and Traditional Talk Therapy

Photo courtesy of Cottonbro Studio

As a trauma therapist in Seattle, I frequently encounter clients who are unsure about the best therapeutic approach for their mental health needs.

One of the most common questions I get is about the difference between EMDR therapy (Eye Movement Desensitization and Reprocessing) and traditional talk therapy. Understanding the differences between these methods can help you decide which approach might be right for you, whether you’re dealing with trauma, anxiety, depression, or other life challenges.

In this blog, I’ll break down the differences between EMDR and traditional talk therapy, offering insights into how each modality works and when each might be most effective for your journey of healing and self-discovery.

What is Traditional Talk Therapy?

Traditional talk therapy refers to a range of psychotherapy methods that involve open conversation between the therapist and the client. The goal of talk therapy is to help folks gain a better understanding of their emotions, behaviors, and thought patterns. These methods include Cognitive Behavioral Therapy (CBT), psychodynamic therapy, humanistic approaches, and others.

How Talk Therapy Works

These types of sessions are primarily focused on conversation. You and your therapist discuss your thoughts, feelings, past experiences, and current challenges.  The focus is often on exploring the underlying causes of emotional struggles. Therapists help clients gain insight, develop coping strategies, and reframe unhelpful thinking patterns. Traditional therapy often aims for long-term mental health improvement and self-awareness.

Issues commonly addressed in talk therapy are anxiety and depression, relationship problems, stress management, and self-esteem issues.

In essence, traditional talk therapy is like sitting down with a compassionate guide who helps you navigate the complexities of your thoughts and feelings over time.

What is EMDR Therapy in Seattle?

In the late 1980s, psychologist Francine Shapiro developed a revolutionary therapy now widely used for treating trauma-related conditions: EMDR, or Eye Movement Desensitization and Reprocessing. Since then, EMDR has gained a lot of recognition for its unique approach and its effectiveness, particularly for individuals struggling with Post-Traumatic Stress Disorder (PTSD) and/or complex trauma.

So, what exactly makes EMDR different from traditional talk therapy—and how does it work?

Photo by Photo by Вячеслав Немченко

How EMDR Therapy in Seattle Works

EMDR is structured around eight phases, starting with history-taking, then moving to preparation, assessment, and reprocessing the memory.  This protocol ensures each session is goal-directed.  The effectiveness of EMDR relies on the use of bilateral stimulation (BLS), which involves a right-left, right-left movement by moving the eyes or tapping on the shoulders.  BLS stimulates the brain’s natural healing process to heal traumatic or distressing memories. 

Common Issues Treated with EMDR typically are PTSD (caused by single or complex trauma), anxiety, depression, phobias, childhood trauma, abuse, and/or neglect, and traumatic grief.  Because of EMDR’s effectiveness, this modality is also helpful for OCD, eating disorders, and addiction. 

EMDR’s highly specific technique distinguishes it from more conversational therapies, offering an alternative path for those who have not found traditional talk therapy effective—especially when trauma is a central issue.

Key Differences Between EMDR and Traditional Talk Therapy

Understanding the differences between these two approaches can help you determine which might suit your needs best:

1. Processing Distressing Events

• Talk therapy relies on conversation and reflection. The client shares thoughts, feelings, and experiences with the therapist offering insight and support to help unpack emotional challenges.

• EMDR, on the other hand, uses bilateral stimulation (such as eye movements or tapping) to help the brain reprocess distressing memories directly. The goal is to reduce the emotional intensity of these memories, enabling deeper healing. memories so those memories are less emotionally charged. See my blog An EMDR Therapist Explains EMDR.

2. Structure and Techniques

• Talk Therapy sessions are typically flexible and open-ended. The direction of the therapy session often depends on what the client wants to work on that day, making it suitable for ongoing exploration.

• EMDR follows a structured eight-phase protocol. Each session is part of a deliberate process aimed at helping clients move through and resolve traumatic or distressing experiences.

  3. Timeline and Pace

• Talk Therapy usually unfolds gradually, with progress building over time through a consistent therapeutic relationship.

• EMDR may lead to more rapid relief, especially for trauma-related symptoms. However, sessions can feel intense, and pacing is always tailored to the client’s readiness.

  4. What It Feels Like

• Talk Therapy tends to offer a gentler, more reflective environment, often evolving at the client’s pace and covering a broad emotional range.

• EMDR is often described as focused and emotionally active, with a clear objective during each phase. Many clients feel they are “doing the work” more directly and efficiently.

  5. What Each Modality is Best For

• Talk Therapy is well-suited for a wide range of issues, including depression, anxiety, grief, and relationship dynamics.

  EMDR shines when addressing trauma-related disorders like PTSD. However, it's increasingly being used for issues like phobias, chronic anxiety, and addiction.

  6. Which Modality is Right for You?

  Deciding whether to pursue EMDR or traditional talk therapy depends on a variety of factors, including the nature of the challenges you're facing. If you're dealing with unresolved trauma or symptoms of PTSD, EMDR might be a powerful tool for you. However, if you're seeking general self-exploration or have anxiety or depression, traditional talk therapy may be more appropriate.

  Here are a few considerations to help you decide:

• Do you struggle with trauma-related symptoms, flashbacks, or intense memories? If so, EMDR could help you process and heal these memories.

• Are you more comfortable with in-depth, conversational therapy? Traditional talk therapy might be a better fit if you enjoy discussing and reflecting on your emotions at your own pace.

• Do you want faster symptom relief, especially from trauma? EMDR is often effective in providing relief more quickly than traditional therapies.

  In either case, a licensed therapist can help guide you through the decision-making process. In my practice, I offer both traditional talk therapy and EMDR, tailoring the approach to fit each client’s unique needs

Final Thoughts from an EMDR Therapist in Seattle

Choosing the right path depends on your specific needs, personal preferences, and the nature of your challenges. With the guidance of an experienced therapist, you can find the approach that will best support your journey toward recovery and well-being.

Diane Dempcy Counseling

If you’re ready to explore therapy, I’d love to support you. Whether you’re working through trauma, anxiety, or relationship struggles, you deserve a space to feel safe, seen, and supported. Please email me at therapy@dempcycounseling.com

Diane Dempcy provides therapy in Seattle to adults experiencing anxiety and trauma. She utilizes brain-based tools such as EMDR, DBT, and other types of therapy. Diane’s clients experience her as direct, empowering, warm, and accepting

She provides online and in-person therapy in Washington.