When Dissociation Shows Up, and Your Training Did Not Prepare You
Most therapists were taught that dissociation is rare, extreme, and best left to “specialists.” In real practice, it is everywhere in complex trauma work. Clients “go away” right when you get close to certain memories. They lose time, feel like “different versions” of themselves are taking over, or describe watching life from outside their bodies. You feel the weight of deciding what is ethical, what is actually possible, and how to maintain competency and reduce risk in EMDR when dissociation is part of the picture.
Most clinicians were given very little real training on dissociation:
- Minimal coverage in graduate programs.
- The sense that dissociation is rare, extreme, or “for specialists only.”
- Conflicting messages about whether EMDR is appropriate at all.
So you are left with understandable questions:
- Is this dissociation, something else, or both?
- How do I assess it in a way that actually guides treatment?
- Will I destabilize this client if I move forward with EMDR?
- How do I adapt the eight phases without abandoning fidelity or myself as a clinician?
Your hesitation is not avoidance. It is an ethical clinical responsibility when you have not been given enough support.
This course is designed to help you get there, and you will:
- Develop confidence in assessment, case conceptualization, and EMDR adaptation with dissociative clients.
- Integrate EMDR thoughtfully, ethically, and with competency to reduce risk when working with dissociation.
- Practice “assessment before activation” and remember that “competence includes pacing.”
- Bridge scientific models and lived experience so your work reflects both what research says and what clients actually report.
This is not a generic overview of dissociation, and it is not meant for every clinician. It is a fit for EMDR and trauma therapists who are ready to move from hesitation to informed, thoughtful action with dissociative clients.