Two professionally dressed women talking on a city sidewalk, one holding a laptop and the other carrying a coffee cup.

Your client. Your work. I'm just here for the EMDR.

You've built the relationship. You know the history. And maybe you've reached a point where some focused EMDR work could help your client move through something that's been difficult to address in weekly therapy.

That's where I come in.

I offer adjunctive EMDR therapy for clients who already have a primary therapist and could benefit from targeted trauma processing alongside their ongoing treatment.

We'll establish clear goals, communicate with your client's permission, and make sure we're working together rather than accidentally running two separate treatment plans.

No turf wars. No weirdness. Just good clinical collaboration.

THE PROCESS / HOW WE WORK TOGETHER

A little coordination. A lot less guesswork.

You stay their primary therapist. I focus on the agreed-upon EMDR work. And we make sure your client isn't stuck coordinating their own treatment team.

Because honestly? They have enough going on without having to play middleman between two therapists.

01 THE REFERRAL

We talk first.

You tell me what you're seeing, what you've already been working on, and where you think focused EMDR might be helpful.

We'll discuss whether adjunctive treatment seems like a reasonable next step. Then I'll complete my own assessment with the client.

No automatic yes just because someone said EMDR.
02 THE PLAN

We get specific.

With your client's permission, we'll clarify what we're targeting, who's responsible for what, and how we'll communicate.

We'll also talk about what support the client may need between sessions, especially if we're addressing difficult material.

Two therapists. One actual plan.
03 THE EMDR WORK

I handle the EMDR.

I'll assess readiness, work on preparation and stabilization as needed, and begin focused EMDR reprocessing when it's clinically appropriate.

You continue your ongoing therapeutic work. I'm not here to replace the relationship you've already built.

Your client stays your client.
04 THE FOLLOW-THROUGH

We close the loop.

With appropriate consent, we'll communicate about relevant progress, treatment needs, and what comes next.

When the focused EMDR work is complete, the goal is a thoughtful transition back to your client's ongoing care.

No disappearing act. No mystery treatment plan.
THE WHOLE POINT

Good collaboration means the client doesn't have to do all the coordinating.

THE REFERRAL EDIT / 003 HARD FEELINGS. SHIFT HAPPENS.
CLINICAL FIT / REFERRAL NOTES
A NOTE FOR THE REFERRING THERAPIST

You don't have to do every part of the work yourself.

You're doing good work with your client. That doesn't mean you have to be their entire treatment team.

Maybe there's a memory that keeps showing up. A belief that won't quite budge. Or something you suspect could benefit from focused EMDR.

That doesn't automatically mean your client needs a new therapist, a whole new treatment plan, or another person asking them to explain their entire life story.

Sometimes we just need to bring in the right person for the right piece.

WHEN A REFERRAL MIGHT MAKE SENSE 01 — 04

There's something specific to work on.

A distressing memory, experience, or belief keeps showing up in the client's present-day life.

The relationship is working.

Your client wants to keep seeing you. And there's no reason focused EMDR should automatically change that.

There's a possible treatment gap.

EMDR might complement the work you're already doing, rather than replace it.

We're willing to coordinate.

The client agrees to collaboration, we establish clear roles, and nobody is left guessing who's doing what.

SAMANTHA'S NOTE

Sometimes adjunctive EMDR makes sense. Sometimes it doesn't. I'd rather figure that out than force a fit.

FILED UNDER: GOOD CLINICAL JUDGMENT
GOOD QUESTIONS / STRAIGHT ANSWERS

Before you send someone my way...

A few things worth knowing before we add another clinician to the mix. Because your client shouldn't have to figure out how two therapists are supposed to work together.

THE REFERRAL FAQ / 01—06

Clear roles. Actual communication.

THE QUESTIONS SELECT TO READ MORE
01 What exactly is adjunctive EMDR therapy?

Adjunctive EMDR is a collaborative treatment arrangement where a client works with an EMDR therapist on specific treatment goals while maintaining their relationship with an existing primary therapist.

In this arrangement, I focus on the agreed-upon EMDR work. The referring therapist continues providing the client's ongoing therapy, with each clinician maintaining responsibility for their own services.

It's not about replacing the primary therapist or starting an entirely separate treatment direction. It's about determining whether focused EMDR could complement the work that's already happening.

And no, we're not going to turn this into a professional turf war. Your client has enough going on.

02 Will my client continue seeing me during adjunctive EMDR?

Generally, yes. The purpose of adjunctive EMDR is to provide focused treatment alongside an established therapeutic relationship, not automatically replace that relationship.

We'll discuss how the two treatments fit together, what each clinician is addressing, and whether adjustments to session frequency or timing make sense for the client.

Some clients may need more preparation or a different treatment structure before working with two therapists simultaneously.

I'm not going to assume that adding another weekly appointment is helpful just because everyone's calendar technically allows it.

03 How do we coordinate treatment without confusing the client?

We start by getting clear about roles. With the client's informed consent and appropriate authorization to communicate, we can discuss the referral goals, relevant clinical considerations, and how the two treatment plans will work together.

We'll also clarify who is responsible for ongoing therapy, what support may be needed between EMDR sessions, and when communication would be helpful.

I don't need every detail of the client's history, and we shouldn't be sharing information simply because we can. Communication should be purposeful and consistent with the client's consent.

The goal is a coordinated treatment experience, not two clinicians independently giving the client conflicting directions.

04 What if my client isn't ready for EMDR processing?

Then we don't jump into reprocessing. It's really that simple.

EMDR involves more than bilateral stimulation. Assessment, preparation, stabilization, and evaluating readiness are all important parts of the process.

If a client needs additional coping strategies, greater stability, or more comprehensive support before trauma processing, we'll discuss what makes sense clinically.

That might mean spending more time preparing, coordinating with their primary therapist, postponing reprocessing, or recommending a different treatment approach.

I'm not going to start processing trauma just because someone wrote "EMDR" on a referral form.

05 How long does adjunctive EMDR treatment typically last?

There isn't one standard timeline for adjunctive EMDR therapy. Treatment length depends on the client's history, treatment targets, current stability, and response to the work.

Some referrals involve a relatively focused set of goals. Others require additional preparation or a more gradual approach than initially anticipated.

We'll discuss the expected scope of treatment after assessment, and revisit that plan if the client's needs change.

The goal is to provide the work that's clinically appropriate, not promise a particular number of sessions before I've even met the client.

06 How do I refer a client for adjunctive EMDR?

Start by reaching out through my contact page and letting me know you're interested in discussing an adjunctive EMDR referral.

We can talk generally about what you're hoping EMDR might address, how adjunctive treatment could fit with the client's ongoing therapy, and whether a formal referral makes sense.

Before sharing identifiable client information, we'll need the appropriate consent and a secure way to communicate. I'll also complete my own assessment before accepting a client for treatment.

You don't need to have every detail figured out before contacting me. That's part of why we have the conversation.

THE NEXT STEP / LET'S COLLABORATE

Got a client in mind? Let's talk before we make it complicated.

If you're considering an adjunctive EMDR referral, let's talk about what you're seeing, what you're hoping to address, and whether working together makes sense. No elaborate referral pitch required.

Let's Talk Referrals GOOD COLLABORATION. CLEAR COMMUNICATION.