EMDR, CPT, Prolonged Exposure; these are the gold-standard trauma treatments. But their entire evidence base was built on single-event PTSD: combat, accidents, single assaults. None of them were developed or validated for relational trauma, which is what most therapists actually see in clinical practice.
In this episode, I break down the research gap between what we treat and what we have evidence for, why the APA reclassified EMDR to second-line status, and what happens to clients when single-event treatments don't work on relational trauma - including how treatment failure reinforces the exact schemas clients came to therapy to heal.
This is the most important episode I've recorded so far. If you've ever tried trauma therapy and felt like it didn't work, this one is for you. The problem might not be you.