The Journal

Why EMDR Therapists Undercharge for the Deepest Work They Do

Part 3 of 6 in the series on therapist and practitioner pricing. Start with Why Deeply Trained Therapists Undercharge.

EMDR asks something specific of a therapist. You are not simply listening, you are actively guiding someone through the reprocessing of a traumatic memory, holding the structure of the eight phases, tracking their activation in real time, staying steady while something genuinely difficult moves through the room.

This is demanding. Trained, credentialled, clinically supervised work. And yet EMDR therapists are some of the most likely to charge as though it were ordinary talk therapy.

The gap between what the work requires and what it's priced at

Standard EMDR sessions often run 60 to 90 minutes rather than the traditional 50-minute hour, because the reprocessing phases don't fit neatly into a shorter slot. Many EMDR therapists know this, plan for it, and then still price the session as though the extra time and intensity weren't real costs to their own capacity.

I don't say this as a criticism. I say it because I recognise the pattern from the inside. It isn't a pricing error. It's a parts pattern, and once you can see it as that, it becomes something you can actually work with rather than something you keep absorbing.

Why the training itself can make this harder, not easier

You would think that further certification and years of complex trauma experience would make charging appropriately easier. In practice, I see the opposite more often than not.

The more skilled an EMDR therapist becomes at holding complex trauma, the more they tend to underestimate what that skill is worth, because it has become invisible to them. It doesn't feel remarkable anymore. It feels like a normal Tuesday afternoon. And when something stops feeling remarkable to you, it becomes very easy to price it as though it isn't.

There is often a part underneath this that believes the seriousness of the work means it shouldn't come with too high a cost, as though charging appropriately for trauma work is somehow at odds with caring about the person in front of you. Perhaps it makes you a bad healer. Maybe you're just being greedy? Those beliefs, as well as many others, are worth questioning, because in my experience it is almost always a part trying to protect you from guilt, not a reflection of what's actually true.

The part that manages the fee, and the part that absorbs the gap

A pattern I see consistently across EMDR therapists is a kind of self-taxation. The session runs long because the client needed the extra time to complete a set. They will take the hit themselves. The rate stays the same because raising it feels uncomfortable to bring up mid-treatment. Again, they will swallow the rising costs in their practice in order to avoid bringing this to their client's door. The end result is often a therapist who ends most weeks having given many hours more time than they charged for, and having told themselves this is simply part of doing the work properly.

Maybe. But it's worth asking the part responsible for that decision what it's actually protecting you from. Often the honest answer is discomfort. Not client wellbeing. Discomfort with naming a price and holding it.

What actually shifts this

The advice most therapists receive about pricing is behavioural. Raise your rates. Set a policy. Stick to session length. All useful, and none of it addresses why the same conversation keeps repeating itself session after session, year after year.

What actually shifts a pattern like this is turning toward the part that manages your fees the same way you would turn toward a client's protective part. Getting curious about it rather than trying to override it. Understanding what it's afraid would happen if you charged appropriately and held the line. That's a different process than white-knuckling your own willpower, and it tends to be the one that truly holds in the long-term.

If this is landing

If you're an EMDR therapist and this pattern feels familiar, this is the exact work I built Permission to Expand to address. It's a personalised, IFS-informed audio coaching session designed to meet the specific part of you managing your pricing, not to override it, but to actually understand what it's protecting.

The work you do is demanding, skilled, and clinically serious. It's allowed to be priced that way too.

If this is the pattern you recognise, Permission to Expand was built to meet the part of you that manages your pricing.

Book Permission to Expand