If you’re dealing with post-traumatic stress disorder (PTSD), two of the most effective treatment options are cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR). Here’s how each therapy works and how to decide which one might be the right fit.
Understanding CBT and EMDR for PTSD
Both CBT and EMDR are widely used, research-backed treatments for PTSD, but they use different methods to help the brain process trauma.
Cognitive Behavioral Therapy (CBT) is a talk therapy focused on identifying and changing unhelpful thought patterns. It teaches coping skills, emotional regulation, and ways to face trauma-related triggers safely. CBT often includes exposure techniques to help reduce fear and avoidance.
Eye Movement Desensitization and Reprocessing (EMDR) uses guided eye movements and structured protocols to help the brain reprocess distressing memories. EMDR doesn’t require detailed descriptions of the trauma and tends to focus more on the body’s and brain’s natural healing processes.
CBT vs EMDR: Key Differences
| Feature | CBT | EMDR |
|---|---|---|
| Talk-Based? | Yes | Partially |
| Trauma Detail Needed? | Often Yes | Usually No |
| Number of Sessions | 8–20 | 6–12 |
| Session Length | 45–60 min | 60–90 min |
| Best for | Anxiety, PTSD, Depression | PTSD, Trauma Memories |
| Covered by Insurance? | ✅ | ✅ |
| Offered Online? | ✅ | ✅ |
Common Questions About CBT and EMDR
Q: Which therapy works faster?
A: EMDR often leads to quicker symptom relief in fewer sessions, especially for single-event trauma.
Q: Is CBT or EMDR better for complex PTSD?
A: CBT may offer better structure for long-term behavioral support, while EMDR can help reprocess early or layered trauma.
Q: Do I need to talk in detail about my trauma?
A: CBT may involve more verbal processing. EMDR can work effectively even if you don’t want to share every detail.
Q: Are both therapies offered at Dr. Messina & Associates?
A: Yes. Our licensed therapists in both Southlake and Flower Mound offer CBT and EMDR, personalized to your specific trauma history.
What Clients Care Most About
People want results—but they also want to feel safe, heard, and respected. At Dr. Messina & Associates, every therapist is trained to help you feel supported throughout the process. We match you with the approach that best fits your trauma history, therapy preferences, and goals. Whether you need something structured or a nonverbal approach, we help you move forward at your pace.
Our offices in Southlake and Flower Mound offer in-person and virtual therapy options. All providers are licensed and experienced in PTSD care. Most insurance plans are accepted, and our team helps with claims and scheduling.
Get the Help That’s Right for You
If you’re looking for PTSD treatment in Southlake or Flower Mound, both CBT and EMDR can be effective. What matters most is the right fit for your trauma experience and comfort level. Reach out to Dr. Messina & Associates to schedule a consultation and learn which therapy can help you heal.
