New EMDR therapists often feel a gap between basic training and confident, real-world practice. In this conversation, Carol Miles, LCSW-BACS (trainer, consultant, and leader in the South Louisiana EMDR community) joins us to unpack why clinicians drop off after training—and what actually keeps EMDR alive in agencies and private practice.

We cover:

The five reasons clinicians stall out after basic training—confidence gaps, time/workload, organizational barriers (including insurance/90-minute sessions), cultural & ethical considerations, and keeping skills fresh.
How relationships, community, and consultation bridge the “I learned it” → “I can do it” gap.
Using WeMind’s EMDR practice avatars to build real-world confidence with complex presentations.
What agencies and group practices can do to reduce barriers (scheduling, leadership buy-in, Medicaid/EBP support).
EMDR’s “yes-and” posture—honoring standard protocol while integrating DBT skills, somatic work, intensives, and innovations like EMDR 2.0 (Ad de Jongh & Suzy Matthijssen).
The field’s shift toward cultural humility and anti-racist practice, and why it matters for outcomes and equity.
An invitation to Ad & Suzy’s New Orleans training on Oct 24–25, 2025 (live + virtual) on complex trauma, dissociation, and personality disorders.

Whether you’re fresh from Part 2 or years into EMDR, this episode will help you practice with confidence, find (or build) the right community, and keep your skills both ethical and current.

Guest: Carol Miles — trainer, consultant, and host of the South Louisiana EMDR Regional Network • https://carolmiles.com

Don't forget to check out the training Carol mentioned with Ad de Jongh and Suzy Matthijssen, hosted in person in New Orleans with virtual seat options available. Head over to Carol's website for more details.

Also, if you're interested in the training Jen talked about in the intro with Sarah Butler, check out the event page here: Understanding Intensive EMDR and use the promo code BEYOND55 for 20% off!

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The Trauma Treatment Handbook

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