EMDR Therapy for Dissociative Disorders

Abstract
Many therapists report significant challenges when working with patients with dissociative disorders—particularly around developing treatment plans, structuring sessions, managing internal conflicts, and engaging with parts that are especially stuck or seem resistant. When dissociative parts are anchored in traumatic material, therapy can become unpredictable and complex. Common difficulties include impaired emotional regulation, pervasive distrust, and defensive or hostile responses. Using EMDR with this clinical population requires not only a deep understanding of dissociation but also the flexibility to adapt procedures and techniques to meet each client's unique needs.

This workshop provides a comprehensive and practical framework for using EMDR therapy with clients diagnosed with dissociative disorders. Clinicians will learn how to work safely with dissociative parts and “not-me” experiences, manage dissociative phobias, and address internal conflicts and challenging presentations. Emphasis is placed on practical tools, case conceptualization, and strategies to foster the development of the Adult Self and improve treatment pacing based on subtle dissociative signals.

This workshop will explore advanced applications of EMDR therapy for clients with complex dissociation, using an expanded Adaptive Information Processing (AIP) model as a guiding framework. Participants will learn how to structure treatment plans that address dissociative phobias, internal conflict, and fragmented self-states while fostering integration and stability. The session will cover practical strategies for developing and strengthening the Adult Self, and for working safely and effectively with dissociative parts and “not-me” experiences. Special attention will be given to understanding and addressing complicated, critical, controlling, and fearful parts that often impede therapeutic progress. Attendees will also gain tools and procedures for gradual, safe trauma processing, alongside methods for organizing sessions to promote consistency, containment, and therapeutic progression across phases of treatment.