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Is EMDR or DBT better? Tips from a NYC Therapist

January 16, 2025

Therapist and client talking in session.

Navigating therapy options and understanding the different therapeutic approaches can be overwhelming, especially if you are trying to understand which approach is best for you. Eye Movement Desensitization and Reprocessing (EMDR) and Dialectical Behavior Therapy (DBT) are two evidence-based therapies that have gained popularity for their effectiveness in treating various mental health conditions. Both DBT and EMDR can benefit individuals struggling with emotional distress, symptoms of anxiety, and trauma. They share a commitment to enhancing emotional well-being and helping individuals cope with stress. Despite their shared goal of improving mental health, EMDR and DBT have nuanced approaches, and differ significantly in their methodologies. So, are you wondering which approach is better for you? Here are some tips to make the best decision for you!

1. Assess Your Specific Needs

Consider what issues you’re facing that have led you to seek therapy, and clarify what you hope to achieve through your therapy sessions. Different therapeutic approaches are designed for specific concerns, so having a strong understanding of your needs can guide you toward the most suitable options and answers. You can start by asking yourself questions:

Image of a woman looking into the camera, no emotion.
  • Are you dealing with any challenges? (e.g., relationship challenges, or emotional regulation? 
  • Are you dealing with emotional distress surrounding a traumatic event? 
  • Are you currently experiencing any emotions? (e.g., sadness, anxiety, anger)
  • Are there specific events or experiences that trigger certain feelings or emotions?
  • What specific goals do I want to accomplish through therapy? (e.g., reducing anxiety, improving self-esteem, enhancing communication skills)

If you aren’t sure what your needs are, that’s okay! You’re not alone. It can be challenging to identify your needs and connect with yourself on this deeper level. To help with self-discovery, you can also try journaling your thoughts and feelings, discussing your concerns with a trusted friend or family member, or reflecting on past experiences that were particularly difficult. Engaging in mindfulness or self-care practices may also help clarify your emotional landscape. Additionally, consider tracking your mood and behaviors over a week or two to gain insight into patterns that could inform your therapeutic goals.

2. Understand What EMDR and DBT Offer

Now that you’ve assessed your own needs, take the time to learn about different therapy methods. Look into their principles, techniques, and the types of issues they address. This knowledge can help you identify which approach resonates with you and aligns with your goals.  Now, let’s break down EMDR and DBT, together:

Man outside with his face in his hands.

EMDR is a specialized psychotherapeutic approach that was originally developed to treat post-traumatic stress disorder (PTSD) in veterans. EMDR uses bilateral stimulation – often through rapid, guided eye movements – to facilitate the processing of distressing memories. This approach enables clients to reprocess traumatic events, while reducing their emotional reactivity to the memories, and fostering healthier perspectives. While the primary application of EMDR has been for treating PTSD, today, mental health providers have seen benefits across various populations. The Cleveland Clinic identifies benefits across conditions including anxiety disorders, depression, phobias, eating disorders, borderline personality disorder, and other personality disorders.

DBT is a psychotherapeutic approach that was originally developed for individuals with borderline personality disorder (BPD) and teaches skills for emotional regulation, improving relationship quality, and coping with stress. This structured therapy combines cognitive-behavioral techniques with mindfulness practices, enabling clients to develop practical strategies for managing intense emotions and enhancing interpersonal effectiveness. The applications of DBT have expanded to benefit individuals facing a variety of mental health challenges, including anxiety disorders, depression, substance use issues, and eating disorders. DBT can be useful for strengthening skills to better manage conflicts, improve relationships, and develop healthier coping mechanisms for stress. Well & Good even outlines DBT skills that can help with boundary setting and “people pleasing” tendencies.

3. Consider Your Personal Preferences and Comfort

Choosing the right therapy is not only about the techniques used, but also about how comfortable you feel with the approach and the therapist. Reflect on your personal preferences regarding therapy, such as:

  • Do you prefer a structured approach or a more flexible, open-ended one?
  • How do you feel about using mindfulness techniques, as seen in DBT?
  • Are you open to experiential techniques, such as those used in EMDR?
Therapist comforting her client in session.

Your comfort level with these aspects can significantly influence your engagement and progress in therapy. Consider how you’ve felt in previous therapeutic relationships or in situations where emotional exploration was required. It’s essential to find a therapy style that resonates with you, as this can enhance your motivation and willingness to engage in the process. As you explore your options, don’t hesitate to communicate your preferences to potential therapists during consultations. They can help you understand how their approach aligns with your comfort levels, ensuring you feel safe and supported in your therapeutic journey.

4. Reach Out to a Mental Health Provider

Whether you feel informed about EMDR and DBT or are still uncertain which therapy might be the best fit for you, consider reaching out to a mental health provider to guide you through next steps. A qualified therapist can conduct a comprehensive assessment to understand your specific needs and guide you toward the most suitable therapeutic approach. Look for therapists who specialize in EMDR therapy, specialize in DBT therapy, or both, as their expertise can provide valuable insights. These trained professionals will be effective resources for answering your questions and ensuring that your research truly aligns with your unique needs, helping you feel more confident in your mental health journey.

In conclusion, both EMDR and DBT offer effective therapeutic options tailored to various mental health challenges. Collaborating with a trained therapist can provide invaluable guidance, helping you navigate your therapeutic journey and work toward meaningful outcomes. Remember that mental wellness is a highly individual process- what resonates with one person may differ for another. Further, by prioritizing your unique situation and preferences, you can choose a path that empowers you and allows you to take the first step toward a happier life.

THERAPY SERVICES FOR ANXIETY WE OFFER IN MANHATTAN & BROOKLYN, NEW YORK

The truth is, there’s no single or one-size-fits-all approach to anxiety treatment. Everyone has a different approach to managing anxiety and anxious thoughts. That is why it’s important to get clear on what works for you. Once you have a better understanding of yourself and your values, you can start designing your life based on the things that are most important to you. 

Therapy for women in Manhattan and Brooklyn is a great way to figure out how to manage your anxious mind. At Manhattan Wellness, we will provide you with a safe space to explore your feelings and goals. So you can find clarity on what you want for yourself. We will pair your vulnerability with our empathy and encouragement. Then together we will uncover the key elements that will take you from where you are now to where you want to be. If you are ready to make the changes you want in your life:

  1. Submit a Contact Form or Email Us at hello@manhattanwellness.org
  2. Learn More About Our Team of Female Therapists and Our Areas of Expertise
  3. Let’s Talk About How We Can Help You Feel Empowered & Ready To Take The Next Step. 

We believe that you have the power within yourself to make the changes you want and find your version of success. Our female therapists are here to support you in navigating this journey. Allowing you to reclaim your identity and take control of your life. Thus allowing you to create the future you’ve been dreaming of.

OTHER THERAPY SERVICES OFFERED IN MANHATTAN, BROOKLYN, & THROUGHOUT NEW YORK

At Manhattan Wellness we have specialists trained in EMDR therapy and specialists trained in DBT therapy, who can help you work through challenges and move into a better way of living. Our dedicated therapists offer a diverse range of individual counseling services in addition to EMDR therapy and DBT therapy. The mental health support we offer includes stress management, symptoms of depression, self-esteem challenges, body image concerns, navigating the unique challenges faced by women, and more. If you need support, reach out to connect with a therapist.

Are you feeling like you’re not living the life you want and need to make changes? Let’s talk about it.

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