Both EMDR and TF-CBT are evidenced based in addressing trauma. Each therapy has its advantage, but there may be a reason to select one therapy over the other. 

At this time, TF-CBT is still considered the gold standard to treating PTSD in adolescents. It appears to have more research to support it and it is better understood in terms of how it works. TF-CBT has a clear model that is followed and fidelity standards. 

EMDR is also supported by evidence and backed by research. However, it is less understood than TF-CBT. Some research does suggest that it is more effective than TF-CBT. It may offer relief more quickly, provide longer-lasting results, and reduce the potential to overwhelm a client. 

Currently at WCRJC, clients are provided TF-CBT. This approach has been largely effective for clients and will continue to be the primary form of therapy used at this time. However, EMDR will be offered on a limited basis. A client may be selected for EMDR if they are determined by a mental provider to be a better fit for this form of therapy. Some factors that may indicate EMDR to be used would be a client with complex trauma that has remained unresolved despite treatment, a client who is highly avoidant, one with limitations or deficits in communicating or expressing themselves, and a person with a long history of treatments.