Accelerated Resolution Therapy (ART): Quick Fix for PTSD? - GoodTherapy.org Therapy Blog (2024)

Accelerated Resolution Therapy (ART): Quick Fix for PTSD? - GoodTherapy.org Therapy Blog (1)Imagine being able to make significant progress in healing from posttraumatic stress in one therapy session. Several mental health practitioners using accelerated resolution therapy (ART) have told me of such stories.

ART is a relatively new brief therapy for treating a variety of behavioral health issues. Effective relief has been shown to be achieved even for combat veterans in only three to five sessions (Kip et al., 2013). It is now being used in a number of U.S. Army hospitals, such as Walter Reed and Fort Belvoir, and is expected to expand through the armed services rapidly. The Federal Substance Abuse and Mental Health Services Administration (SAMHSA) has recognized ART asan evidence-based treatment for depression and depressive symptoms, personal resilience and self-concept, and trauma and stressor-related conditions (PTSD) (Accelerated Resolution Therapy, 2015).

What Is ART?

ART is an eye-movement therapy. The person in therapy moves their eyes back and forth following the therapist’s hand, and the therapist gives specific directions before each set of eye movements. ART draws on a number of other established and evidence-based therapies, such as cognitive behavioral theory, gestalt, and eye movement desensitization and reprocessing (EMDR). However, it is unique in being a procedurally oriented therapy. Other therapies typically focus on the content of the person’s thoughts and emotions.

Find a Therapist for Trauma / PTSD

Since ART is procedurally oriented, the person in therapy doesn’t have to talk about what happened. This makes the approach great whenworking with people who may have trouble talking about their emotions, as might some individuals in the military. It also may be easier on the therapist, who doesn’t have to experience secondary (vicarious) trauma as a result of hearing about terrible things.

ART Is Said to Work Quickly

Very rapid healing is a hallmark of accelerated resolution therapy. Many therapists trained in ART report people can heal from a single traumatic event—such as an auto accident, assault, or witnessing an atrocity—in as little as one session. Some therapists report healing phobias in one session as well.

One consideration when choosing a therapy is how likely the person is to complete the full course of treatment. The longer a therapy takes to complete, the less likely it is the person will complete it. Because it is such a brief treatment, more people may be likely to complete a course using ART.

I recently watched the developer of ART, Laney Rosenzweig, heal a woman from two phobias in less than an hour. These very rapid results may seem unbelievable to someone familiar only with other therapies. Most of the evidence-based therapies for treating posttraumatic stress expect to take between 12 and 20 sessions to be effective. ART, meanwhile, has been shown to be effective in only three to five sessions in scientific studies of both military and civilian populations (Kip et al., 2012; Kip et al., 2013; Kip et al., 2014). It was even shown to be effective working with a population of homeless veterans (Kip et al., 2016). Some of them didn’t complete treatment because they found jobs or housing, but despite this, a study found a success rate of over 50%.

One consideration when choosing a therapy is how likely the person is to complete the full course of treatment. The longer a therapy takes to complete, the less likely it is the person will complete it. Because ARTis such a brief treatment, more people may be likely to complete a course using this approach to healing.

How Does ART Work?

Research is still pending, but eye movements used in ART are believed to have some link to the sort of eye movement seen in REM sleep, when the brain is believed to be processing the day’s events. We used to believe memories were fixed and that accessing one was like taking a book from a library, looking at it, and then putting it back. In fact, we have found accessing a memory makes it plastic; it can then be altered by the sort of techniques employed by ART. After four to six hours, the memory reconsolidates and the altered (new) memory is stored.

Who Can Benefit from ART?

ART has been used with a wide variety of people. Children as young as 4 have been treated with ART, and I recently utilized the approach to helpa 16-year-old male with an IQ of 66. This methodhas been researched in both military and civilian populations, andsimilar effectiveness results have been obtained withinboth populations. (Kip et al., 2015).

Basically, three things are necessary for ART to be successful. The person receiving the treatment must be motivated to heal, capable of tracking the therapist’s hand with their eyes, and able to hold on to a thought.

How ART Differs from EMDR

Col. Charles Hoge, an Army psychiatrist who trained in both EMDR and ART, compared the two and noted 10 points of difference (Hoge, 2015). Some of the major ones are:

  • EMDR uses a variable number of eye movements, while ART uses a fixed number.
  • EMDR uses free association, while ART therapists are directive.
  • EMDR pays attention to content, whereas ART therapists focus on visual imagery and emotional sensations.
  • EMDR is content-oriented, while ART has a procedural orientation.

Why You May Not Have Heard of ART

If ART is so good, why haven’t you heard of it? There are two good reasons.

First, it’s new, having been introduced only in 2008 by its developer, Rosenzweig. Most other evidence-based treatments for posttraumatic stress have been around for over 25 years. Awareness is mostly spread by word of mouth, from one therapist to another, from one person in therapy to another. So far, fewer than 1,000 therapists have been trained in ART, and the vast majority of these therapists are located on the east coast of the U.S.

The second reason is sheer disbelief—based on the length of time it takes for other therapies to work, the ability to heal a person from one traumatic event in only a few sessions (or perhaps just one) simply seems unbelievable to many people, including therapists.

What’s Next for ART?

SAMHSA has identified ART as a “promising” therapy for disruptive behavior issues and antisocial behaviors; phobias, panic, and generalized anxiety; and sleep and wake conditions. These areas all need to be investigated via further research.

In addition, many therapists are reporting success in treating substance abuse and obsessive-compulsive issues with ART, but this type of treatmentrequires two sessions a week in the early stages.

References:

  1. Accelerated resolution therapy. (2015, May 22). Retrieved from http://nrepp.samhsa.gov/ProgramProfile.aspx?id=7
  2. Hoge, C.W. (2015). Accelerated resolution therapy (ART): Clinical considerations, cautions, and informed consent for military mental health clinicians. Walter Reed Army Institute of Research. Retrieved fromhttp://acceleratedresolutiontherapy.com/wp-content/uploads/2016/08/ART-vs-EMDR_by-Hoge.pdf
  3. Kip, K.E., D’Aoust, R.F., Hernandez, D.F., Girling, S.A., Cuttino, B., Long, M.K., … Rosenzweig, L. (2016). Evaluation of brief treatment of symptoms of psychological trauma among veterans residing in a homeless shelter by use of Accelerated Resolution Therapy (ART). Nursing Outlook, 64:411-223.
  4. Kip, K.E., Elk, C. A., Sullivan, K. L., Kadel, R., Lengacher, C. A., Long, C. J., … Diamond, D. M. (2012). Brief treatment of symptoms of post-traumatic stress disorder (PTSD) by use of accelerated resolution therapy (ART®). Behavioral Sciences, 2(4), 115–134. doi:10.3390/bs2020115
  5. Kip, K.E., Hernandez, D.F., Shuman, A., Witt, A., Diamond, D.M., Davis, S.E., … Rosenzweig, J. (2015). Comparison of accelerated resolution therapy (ART) for treatment of symptoms of PTSD and sexual trauma between civilian and military adults. Military Medicine, 180:964-971. PMID: 26327548
  6. Kip, K.E., Shuman, A., Hernandez, D.F., Diamond, D.M., Rosenzweig, L. (2014). Case report and theoretical description of accelerated resolution therapy (ART) for military-related post-traumatic stress disorder. Military Medicine, 179(1): 31-7, 2014. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/24402982
  7. Kip, K.E., Rosenzweig, L., Hernandez, D.F., Shuman, A., Sullivan, K.L., Long, C.J., … Diamond, D.M. (2013). Randomized controlled trial of accelerated resolution therapy (ART) for symptoms of combat-related post-traumatic stress disorder (PTSD). Military Medicine, 178(12): 298-309. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/24306011

© Copyright 2017 GoodTherapy.org. All rights reserved. Permission to publish granted by Dwight Norwood, PhD, LICSW, GoodTherapy.org Topic Expert

The preceding article was solely written by the author named above. Any views and opinions expressed are not necessarily shared by GoodTherapy.org. Questions or concerns about the preceding article can be directed to the author or posted as a comment below.

Accelerated Resolution Therapy (ART): Quick Fix for PTSD? - GoodTherapy.org Therapy Blog (2024)

FAQs

How do you calm down from PTSD? ›

Positive ways of coping with PTSD:
  1. Learn about trauma and PTSD.
  2. Join a PTSD support group.
  3. Practice relaxation techniques.
  4. Pursue outdoor activities.
  5. Confide in a person you trust.
  6. Spend time with positive people.
  7. Avoid alcohol and drugs.
  8. Enjoy the peace of nature.

Is EMDR better than ART? ›

ART uses a specific number of eye movements, but EMDR numbers vary. EMDR focuses on content whereas ART concentrations on emotions and images. ART clinicians operate under specific directives, while EMDR practitioners have more general guidelines. EMDR is more adaptable than ART.

How an individual with PTSD can manage their condition? ›

The main treatments for post-traumatic stress disorder (PTSD) are psychological therapies and medicine. Traumatic events can be very difficult to come to terms with, but confronting your feelings and seeking professional help is often the only way of effectively treating PTSD.

How is EMDR different from ART? ›

EMDR uses a variable number of eye movements, while ART uses a fixed number. EMDR uses free association, while ART therapists are directive. EMDR pays attention to content, whereas ART therapists focus on visual imagery and emotional sensations. EMDR is content-oriented, while ART has a procedural orientation.

What are three unhealthy coping skills for PTSD? ›

Ginger Mercer: How Treatment Helps Me
  • Substance abuse. Taking a lot of drugs or alcohol to feel better is called substance abuse. ...
  • Avoiding others. ...
  • Staying always on guard. ...
  • Avoiding reminders of the trauma. ...
  • Anger and violent behavior. ...
  • Dangerous behavior. ...
  • Working too much.
8 Nov 2022

What is the fastest way to cure PTSD? ›

Get enough rest, eat a healthy diet, exercise and take time to relax. Try to reduce or avoid caffeine and nicotine, which can worsen anxiety. Don't self-medicate. Turning to alcohol or drugs to numb your feelings isn't healthy, even though it may be a tempting way to cope.

When is EMDR not recommended? ›

Because stability must come first, you don't use EMDR to process trauma when a patient is actively abusively using alcohol, drugs, or something to help them feel less. You can't effectively practice EMDR phases 3 – 8 with someone who has yet to experience a safe, trusting relationship.

Why is EMDR controversial? ›

EMDR therapy is a trauma therapy that is sometimes considered controversial. The reasons someone might think it is a controversial therapy option are the potential adverse side effects and the lack of long-term research. EMDR is safe and effective, but there are some risks associated with the therapy.

What is better than EMDR? ›

Brainspotting is more flexible and is often more powerful than EMDR methods, which means it'll look different for each client. Overall, a therapist and client will work together to find the position of the eye that triggers a specific emotional incident or response.

What are PTSD triggers? ›

Triggers can include sights, sounds, smells, or thoughts that remind you of the traumatic event in some way. Some PTSD triggers are obvious, such as seeing a news report of an assault. Others are less clear. For example, if you were attacked on a sunny day, seeing a bright blue sky might make you upset.

How do you make someone with PTSD happy? ›

Helping someone with PTSD tip 1: Provide social support
  1. Don't pressure your loved one into talking. ...
  2. Do “normal” things with your loved one, things that have nothing to do with PTSD or the traumatic experience. ...
  3. Let your loved one take the lead, rather than telling them what to do. ...
  4. Manage your own stress. ...
  5. Be patient.
5 Dec 2022

Who is not a good candidate for EMDR? ›

If you're emotions feel overwhelming or if you tend to shut down when you feel an emotion you may not be ready for EMDR treatment. EMDR therapy relies on your body and mind's ability to process through your thoughts and feelings. If you're unable to process in that way, EMDR therapy may not be effective.

What are the 8 phases of EMDR therapy? ›

EMDR is an eight-phase treatment method. History taking, client preparation, assessment, desensitization, installation, body scan, closure and reevaluation of treatment effect are the eight phases of this treatment which are briefly described.

Does EMDR release trapped emotions? ›

Treatment with EMDR

EMDR therapy uses bilateral stimulation, right/left eye movement, or tactile stimulation, or sound, which repeatedly activates the opposite sides of the brain releasing emotional experiences that are "trapped" in the nervous system.

What three brain areas are primarily affected with PTSD? ›

Brain regions that are felt to play an important role in PTSD include hippocampus, amygdala, and medial prefrontal cortex. Cortisol and norepinephrine are two neurochemical systems that are critical in the stress response (Figure 1.)

What are 2 things that can happen to you if you have PTSD? ›

Post-traumatic stress disorder can disrupt your whole life ― your job, your relationships, your health and your enjoyment of everyday activities. Having PTSD may also increase your risk of other mental health problems, such as: Depression and anxiety. Issues with drugs or alcohol use.

What are the 3 main symptoms for someone suffering from PTSD? ›

The main symptoms and behaviours associated with PTSD and complex PTSD include: Reliving the experience through flashbacks, intrusive memories, or nightmares. Overwhelming emotions with the flashbacks, memories, or nightmares. Not being able to feel emotions or feeling “numb”

Can you heal PTSD by yourself? ›

Many people get better on their own. But it often takes time. Sometimes professional help is needed. People who feel they can't get control of their lives because of their responses to the trauma may have posttraumatic stress disorder (PTSD).

Can I treat my PTSD on my own? ›

Self-help strategies, including meditating, engaging in exercise, seeking social support, and using aromatherapy can be useful for managing PTSD symptoms at home.

Does PTSD ever go away completely? ›

So, does PTSD ever go away? No, but with effective evidence-based treatment, symptoms can be managed well and can remain dormant for years, even decades. But because the trauma that evokes the symptoms will never go away, there is a possibility for those symptoms to be “triggered” again in the future.

Can EMDR make PTSD worse? ›

Can EMDR Treatment Make You Feel Worse? Yes. Many of us cope by using the only method we have; avoidance. Because thinking, talking and reflecting on things makes us feel uncomfortable, we can make ourselves feel better in the moment by ignoring or minimizing our distress.

Do you talk during EMDR? ›

EMDR is a form of psychotherapy, a specialized, brain-based method for healing trauma. But unlike conventional therapy, you're not talking back-and-forth with the therapist for the entire session.

Can I do EMDR on myself? ›

It is possible to self-administer EMDR on yourself; however, it is not often recommended. If you do decide to try a self-administered EMDR program, it is recommended to only do so for smaller-scale traumas, such as something "minor" that has happened in the present.

What happens to your brain during EMDR? ›

EMDR temporarily slows your over-stimulated amygdala down and synchronises your brain waves helping you process the traumatic memory. This suggests that during EMDR therapy the traumatic memories are continuously “reactivated, replayed and encoded into existing memory networks”.

Can EMDR cause false memories? ›

The GGZ views EMDR to be one of the best trauma treatments at this time, it does have an awkward side effect: it can elicit false memories. This appeared from the PhD research by Maastricht forensic psychologist Sanne Houben.

Can EMDR bring up repressed memories? ›

EMDR does not recover repressed memories.

EMDR only assists the brain in reprocessing unstable processed memories. If the brain has locked away a memory, it has done so for a reason. This therapy will not unlock something that it is not ready for.

Is EMDR better than CBT for PTSD? ›

Eye Movement Desensitization and Reprocessing (EMDR) has been found to be a more effective form of treatment for post-traumatic stress disorder (PTSD) than Cognitive Behavioral Therapy (CBT) . A recent meta-analysis determined that EMDR is more effective for the treatment of PTSD symptoms when compared to CBT therapy.

Can EMDR trigger psychosis? ›

Evidence for reductions in auditory hallucinations and paranoid thinking was mixed. No adverse events were reported, although initial increases in psychotic symptoms were observed in two studies. Average dropout rates across the studies were comparable to other trauma-focused treatments for PTSD.

What is better EMDR or Brainspotting? ›

Overall, Brainspotting tends to yield faster and deeper results over standard EMDR methods. This seems to happen because Brainspotting is much more adaptable. Therapists can be flexible with the approach, thus finding the right iteration for you and your needs.

What foods help with PTSD? ›

Shift towards more anti-inflammatory foods, such as omega 3-rich fish three times a week, flax seeds, sour cherries and berries, apples, pears, and pomegranate. Choose a plant-based diet. Eat mostly whole grains, nuts, seeds, fruits, and vegetables. Balance your meals with protein and fat.

What can worsen PTSD? ›

Seeing a person, thing, or place related to the trauma can trigger a reaction. Likewise, seeing a similar trauma on the news or in a movie can set off symptoms. Thoughts, feelings, emotions, scents, situations, sounds, and tastes can all trigger PTSD again.

Can a person with PTSD love? ›

In time, most are able to resume their prior level of closeness in relationships. Yet the 5% to 10% of survivors who develop PTSD may have lasting relationship problems. Survivors with PTSD may feel distant from others and feel numb. They may have less interest in social or sexual activities.

How do I rebuild my life after PTSD? ›

Self-Care and Recovery After Trauma
  1. Surviving a Traumatic Experience. 1/15. ...
  2. Don't Isolate Yourself. 2/15. ...
  3. Seek Professional Help. 3/15. ...
  4. Join a Support Group. 4/15. ...
  5. Face It (Don't Avoid It) 5/15. ...
  6. Exercise. 6/15. ...
  7. 7/15.
  8. Listen to Your Body. 8/15.
4 Nov 2020

Why is EMDR not working for me? ›

This lack of therapeutic progress happens for two main reasons: Early stress has shaped a nervous system that is unstable and reactive or. The brain and nervous system have gotten very adept at disconnecting from emotions.

What disorder is EMDR most commonly used to treat? ›

The most widespread use of EMDR is for treating post-traumatic stress disorder (PTSD). Mental healthcare providers also use it in the treatment of the following conditions: Anxiety disorders: Generalized anxiety disorder, panic disorder, phobias and social anxiety/phobia.

Does EMDR work if you can't remember the trauma? ›

will emdr work if i don't remember everything? If you're interested in EMDR therapy, you might wonder whether it will work if you don't have a clear recollection of events or remember a lot of details from your past. The good news is that you don't need to fully remember something vividly to process it!

How long does your brain process after EMDR? ›

Each individual reacts differently to EMDR therapy, but as a general rule, a typical session will last anywhere between 60-90 minutes. Getting to the bottom of a traumatic memory and completely rewiring your brain can take anywhere between three to twelve sessions.

What does a typical EMDR session look like? ›

While the client focuses on the upsetting event, the therapist will begin sets of side-to-side eye movements, sounds, or taps. The client will be guided to notice what comes to mind after each set. They may experience shifts in insight or changes in images, feelings, or beliefs regarding the event.

What is the 3 pronged protocol for EMDR? ›

EMDR therapy uses a three pronged protocol: (1) the past events that have laid the groundwork for dysfunction are processed, forging new associative links with adaptive information; (2) the current circ*mstances that elicit distress are targeted, and internal and external triggers are desensitized; (3) imaginal ...

Can you dissociate during EMDR? ›

They can easily dissociate while trying to think of the traumas they experienced in their childhoods. Learning how to help clients find ways to stay present is essential in the Preparation Phase of EMDR Therapy.

How trauma memories are stored? ›

The amygdala stores the visual images of trauma as sensory fragments, which means the trauma memory is not stored like a story, rather by how our five senses were experiencing the trauma at the time it was occurring. The memories are stored through fragments of visual images, smells, sounds, tastes, or touch.

How do you feel after first EMDR session? ›

After the First Session

The traumatic memory will start to be desensitized and will at the very least be less emotionally distressing. However, EMDR opens up the memory networks in the brain and many clients may notice new memories, additional details, or dreams after the first session.

Is EMDR the most effective therapy? ›

EMDR therapy is a relatively new — but very effective — method of helping people with traumatic memories. It's also an option for people of all ages, including children. Though this treatment is best known for its use in treating PTSD, ongoing research shows it can treat many other conditions.

Is art therapy effective for trauma? ›

Art therapy can help with the healing of trauma as verbal expression is not always necessary. Recounting traumatic experiences repeatedly and invasively can result in re-traumatisation, hence, art therapy has the potential to access trauma in a non-intrusive or intimidating manner and at a safe distance.

What therapy is similar to EMDR? ›

CBT is an alternative to EMDR therapy because it focuses on thoughts, emotions, and behaviors and places more attention on how an individual's perspective affects their reactions. They are given controlled exposure to the traumatic memory, without reliving it, while trying new methods of coping at the same time.

Why is art therapy not for everyone? ›

Art Therapy Is Not for Everyone

While high levels of creativity or artistic ability aren't necessary for art therapy to be successful,10 many adults who believe they are not creative or artistic might be resistant or skeptical of the process.

What are the 8 stages of EMDR? ›

EMDR is an eight-phase treatment method. History taking, client preparation, assessment, desensitization, installation, body scan, closure and reevaluation of treatment effect are the eight phases of this treatment which are briefly described.

What happens in the brain during art therapy? ›

There is increasing evidence in rehabilitation medicine and the field of neuroscience that art enhances brain function by impacting brain wave patterns, emotions, and the nervous system. Art can also raise serotonin levels. These benefits don't just come from making art, they also occur by experiencing art.

How does art therapy heal the soul? ›

Q: How does art contribute to healing? A: Art is healing because it forces you to forge a connection between your mind and your body. Unlike exercise, which works your body, or meditation, which clears your mind, art-making accesses both mind and body to promote healing.

What are 3 uses of art therapy? ›

Helped reduce pain, decrease symptoms of stress and improve quality of life in adult cancer patients. Improved ability to deal with pain and other frightening symptoms in children with cancer. Reduced stress and anxiety in children with asthma. Stimulated mental function in older adults with dementia.

What part of the brain does EMDR calm? ›

EMDR temporarily slows your over-stimulated amygdala down and synchronises your brain waves helping you process the traumatic memory. This suggests that during EMDR therapy the traumatic memories are continuously “reactivated, replayed and encoded into existing memory networks”.

Is Accelerated Resolution Therapy legit? ›

Accelerated resolution therapy (ART) is a relatively new evidence-based therapy. It may be an effective intervention for trauma, depression, and other mental health concerns. ART uses eye movements aimed to help quickly alleviate symptoms, which are often related to past trauma.

Is EMDR just hypnosis? ›

Generally, there are several key differences between hypnosis and EMDR: During hypnosis, a state of mental relaxation is employed to tap into the conscious mind. EMDR, on the other hand, attempts to gently connect with an anxious mental state.

What are the negative effects of art therapy? ›

Potential negative effects include: Higher levels of stress or anxiety. Surfacing emotions without effectively processing them. Difficulty coping if therapy is abruptly terminated.

What are the risks of art therapy? ›

Risks of Art Therapy

The inherent risk comes when vulnerable people or people with powerful symptoms begin expressing their state. Doing this may cause feelings to intensify as they are uncovered. The goal of treatment is to bring these feelings to the surface and then lessen their impact.

What is the least you could make as an Art Therapist? ›

A Art Therapist earns salaries somewhere between $34,270 and $96,160 based on the level of experience.

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