The issue of dual relationships recently came up in an Advanced EMDR Workshop where I was talking about working with couples:
Is it okay for a couples therapist to do individual EMDR with their clients (meaning not conjoint sessions while doing EMDR) and still be the couple's therapist (in conjoint sessions)?
Let’s look at the DORA guidelines for Colorado:
DORA states that a dual relationship may impair the therapist from staying objective, competent and effective in treatment, and can exploit the client or cause harm to the client. This includes providing couple’s counseling and individual therapy to the same person(s) at the same time.
With these guidelines in mind, therapists who want to do EMDR in couples therapy will need to do EMDR within the context of conjoint therapy. This means that the treatment needs to stay as a couple, and not do individual sessions. In order to do conjoint couple’s EMDR therapy there are some key factors that must be in place before proceeding:
Note: If you feel that the issues are long term therapy for individuals or there is not enough safety for someone to do EMDR with the other person in the room, it is best to refer each individual to have their own individual therapist and you remain the couple’s therapist. Get signed released forms from the other therapists so that all therapists can work on best treatment for their clients.
Working with couples can help establish healthier communication, less reactivity for the couple, easier problem solving and less drama. Make sure to always be working within the guidelines of your own state licensing board.
For more information on DORA's regulations regarding dual relationship as it pertains to couples therapy, visit their website:
Department of Regulatory Agencies
Division of Registrations
State Board of Licensed Professional Counselor Examiners
http://www.dora.state.co.us/mental-health/lpc/2012%2003%2016%20LPC%20Policies.pdf#page9
If you would like to share your thoughts on this matter, please feel free to comment on this post.
Barb Maiberger, MA, LPC is the author of “EMDR Essentials: A Guide for Clients and Therapists”. She teaches therapists EMDR as an integrative trauma therapy through weekend trainings and consultation. Barb is a Licensed Professional Counselor in the State of Colorado and has a Masters degree in Somatic Psychology. She is an EMDRIA Approved Provider of the EMDR Basic Training and Consultant. Barb’s knowledge, experience, keen sense of empathy, and a strong presence have motivated hundreds of therapists to incorporate EMDR into their practices.