Viva Integrative Wellness
Trauma Processing

EMDR & DBT therapy in Denver

EMDR helps us work with what happened. DBT gives you tools for what happens next.

I use both because processing trauma is important, but so is knowing what to do when you're overwhelmed on a random Tuesday.

I'm Mariana Vivas, LCSW. I'm trained in EMDR and completed DBT Foundational Training through Behavioral Tech Institute. I integrate both approaches depending on what you need, rather than assuming every person needs therapy in exactly the same order. Sessions are available by telehealth throughout Colorado, in English or en español.

EMDR & DBT at a glance

Who it's for
Adult women dealing with trauma, overwhelming emotions, difficult relationships, birth or medical trauma, or experiences from childhood that are still showing up now
What it can help with
Trauma symptoms, triggers, shame, emotion regulation, relationship patterns and memories that still feel more present than you'd like
Languages
English and Spanish, including EMDR en español
Format
Telehealth throughout Colorado; EMDR works over video (see FAQ)
Cost & insurance
Insurance billing through Headway; estimated cost available before booking
How to start
A free consultation call; schedule through Headway

What is EMDR?

EMDR stands for Eye Movement Desensitization and Reprocessing, which is a very long name for something I promise I won't make you memorize.

It's a structured trauma therapy that uses bilateral stimulation, such as eye movements or tapping, while working with distressing memories, beliefs, and body sensations. The goal isn't to erase what happened. You still know it happened. The goal is for the memory to become less emotionally overwhelming and less able to hijack the present.

And no, you don't necessarily have to narrate every detail of what happened for EMDR to be helpful. For people who have spent years avoiding a memory because telling the whole story feels unbearable, that can make a meaningful difference.

What is DBT?

Dialectical Behavior Therapy is basically a very structured set of skills for moments when knowing why you feel something isn't enough to help you know what to do with it. We work on things like emotion regulation, tolerating distress without making the situation worse, staying present, communicating effectively and setting boundaries without either exploding or disappearing.

I completed DBT Foundational Training through Behavioral Tech Institute and have experience teaching and using DBT skills clinically. You do not have to be in a comprehensive DBT program for individual DBT skills to be useful.

Why use them together?

Sometimes people are ready to understand their trauma before their nervous system is ready to tolerate what comes up when they touch it. That's where DBT can help. We can build skills for grounding, emotion regulation, boundaries and getting through intense moments first. Then, when it makes sense, EMDR can help us work more directly with the experiences underneath them. And afterward? We keep using the skills, because unfortunately life does not agree to stop being stressful just because you're in therapy.

You set the pace. We don't open something in therapy without also thinking about how you're going to take care of yourself when you leave the session.

EMDR for birth trauma

Maybe everyone told you the birth “went well,” but that's not how your body remembers it. Birth trauma can show up as intrusive memories, nightmares, panic around medical care, avoiding reminders of the birth, feeling disconnected from what happened, or intense fear about another pregnancy or delivery. You don't need someone else's permission to call an experience traumatic.

EMDR is one approach I may use when working with birth trauma. We'll decide together whether it's appropriate based on what happened, how you're doing now and what you need from treatment. More on this side of the practice is on the postpartum therapy page.

Can you do EMDR while pregnant?

EMDR may be appropriate during pregnancy for some people, but it's not something I approach with a one-size-fits-all rule. We'll look at what you want to work on, your current stability and support, your pregnancy, and the potential benefits and risks of trauma processing at that particular time. Sometimes we process; sometimes we focus more on preparation, stabilization and coping skills.

If a previous birth is affecting how you're experiencing a current pregnancy, we can absolutely make space to talk about whether or not EMDR ends up being the approach we use.

Is this the right fit?

I work individually with adult women, particularly around trauma, maternal mental health, ADHD, anxiety, burnout and difficult relationship patterns. My style is active and collaborative. I'll listen, obviously (occupational requirement), but I won't spend 50 minutes silently nodding at you. We'll learn skills, notice patterns, make connections, process what's underneath them and figure out what actually helps outside the therapy room.

If you need a higher level of care or a comprehensive DBT program with a skills group, phone coaching and a full DBT treatment team, I'll help you identify options. Individual therapy with me isn't a substitute for that level of treatment. If you're in crisis now, call or text 988.

Common questions

Does EMDR work over telehealth? expand_more

Yes. We use on-screen bilateral stimulation or self-tapping, and the protocol is otherwise the same. Some clients actually settle faster doing this work from their own couch.

Do I have to talk about the details of what happened? expand_more

No. EMDR needs you to hold the memory, not perform it. Plenty of clients process events they've never described out loud to anyone.

How long does it take? expand_more

It depends on what we're processing, and I'll be honest about it rather than quote a number. A single recent event often moves in a handful of processing sessions once you're prepared. A long history takes longer, because the preparation is the treatment too.

Do you take insurance? expand_more

Yes, through Headway. You see your estimated cost before booking. For out-of-network plans, there's a benefits checker on the insurance FAQ.

Other areas of focus

Wondering whether this fits what you're carrying?

That's what the free consultation call is for. Ask me anything, including whether I'd refer you to someone else.

Mariana Vivas, LCSW · Licensed in Colorado · Trained in EMDR · DBT Foundational Training, Behavioral Tech Institute · Page reviewed August 2026