psychotherapy+ Ketamine STUDIO

A Different Way Into Difficult Material
Accelerated Resolution Therapy (ART) is a structured, evidence-based treatment that helps the mind and body resolve the emotional charge of traumatic memories without requiring you to talk through what happened in detail. The images and sensations stored in the nervous system are processed directly, which is why clients often experience relief faster than they do in traditional approaches.
ART uses the same bilateral eye-movement mechanisms as EMDR but adds a distinctive tool: voluntary image replacement. Rather than repeatedly revisiting a distressing image until it loses its charge, ART allows the client to choose what replaces it. The traumatic material is processed and then rescripted, so the memory no longer carries the same emotional weight when it surfaces.
At Higher Ground, ART is practiced by Ashley Guerrera, MAATC, LPC, ATR, a clinician who works at the intersection of somatic trauma processing and creative therapy. Ashley's training as a registered art therapist shapes the way she understands and moves through trauma work: not as something to narrate, but as something to reach. Many of her clients have done years of talk therapy and still feel stuck. ART offers a different entry point. The results are often felt within just a few sessions.
The images that haunt you don't have to stay as they are.


Who Is ART Designed For?
ART is well-suited for individuals who want meaningful relief from trauma symptoms without extended therapeutic timelines, and for those who have struggled to access change through verbal processing alone. Ashley works with clients who struggle to find the words, or who may understand what needs to be examined but have not yet found a space where it felt safe to do so.
Adults with PTSD or trauma from a specific event or series of events
People who have tried other therapy approaches without lasting symptom relief
Individuals who find verbal processing re-traumatizing or difficult to sustain
Those carrying phobias, specific fears, or intrusive imagery
People navigating grief, anxiety, or depression with a traumatic root
Clients in addiction recovery who want to address what drove the escape
Anyone whose nervous system holds material that words alone have not been able to reach
Key Benefits

You Don't Have to Tell the Story
ART is one of the few trauma treatments that allows the nervous system to process and resolve traumatic material without requiring detailed verbal disclosure. For many clients, especially those who have felt re-traumatized by talk therapy, this is the opening that changes everything.

Results That Come Quickly
ART is designed for efficiency without sacrificing depth. Most clients see meaningful symptom reduction within a small number of sessions. The work is concentrated, structured, and built for real movement, not indefinite maintenance

A Tool That Rewrites, Not Just Reduces
Unlike approaches that aim only to reduce the intensity of a traumatic memory, ART goes further. Voluntary image replacement gives the mind a new endpoint, so the nervous system has somewhere different to land when the memory surfaces
The ART Process
Eye Movement and Bilateral Stimulation
Like EMDR, ART uses guided eye movements to engage the brain's natural processing mechanisms. Bilateral stimulation activates both hemispheres simultaneously, creating the conditions for the nervous system to begin metabolizing what it has been storing.
Working With Images, Not Story
One of ART's most distinctive features is that clients do not need to verbally describe the traumatic content in detail. The therapist works with the images and sensations the client holds internally, allowing the nervous system to process them without requiring repeated narration of what happened. This matters significantly for people who have felt re-traumatized by talk-based approaches.
Voluntary Image Replacement
Once the original image has been processed and its emotional charge reduced, ART introduces rescripting: the client actively chooses a new image to replace the distressing one. The mind now has somewhere different to land. Over time, the new image takes root, and the old one loses its hold.
Rapid, Measurable Relief
Most ART protocols are completed in 1 to 5 sessions, depending on the complexity of the issues being addressed. Clients typically notice significant shifts in how their nervous system responds to previously distressing material within the first few sessions.


Frequently Asked Questions
What does ART stand for, and how is it different from EMDR?
ART stands for Accelerated Resolution Therapy. Like EMDR, it uses guided eye movements to engage the brain's natural processing systems. The key difference is the addition of voluntary image replacement: after processing a distressing image, the client actively chooses what replaces it. ART also tends to require fewer sessions and does not rely on detailed verbal narration of the traumatic content.
Do I have to talk about what happened?
No. ART works directly with the images and sensations the client holds internally. You do not need to describe the traumatic event in detail for the therapy to be effective. Many clients find this aspect of ART to be one of its most meaningful qualities, particularly if previous therapy felt re-traumatizing.
How many sessions does ART take?
Most ART protocols are completed in one to five sessions, depending on the complexity and nature of what is being addressed. Single-incident trauma often resolves more quickly than complex or developmental trauma.
Is ART evidence-based?
Yes. ART has been studied in clinical trials and has demonstrated effectiveness for PTSD, depression, anxiety, phobias, and grief. It is recognized as an evidence-based practice and is approved for use with military veterans through the VA system.
Is ART right for me if I have already tried EMDR or other trauma therapies?
ART can be a strong option for people who have tried other modalities without finding the relief they were looking for. The combination of eye movements and image replacement works through different mechanisms and often reaches material that other approaches have not fully resolved.
What can I expect in a first ART session?
The first session includes an intake and thorough history, followed by an introduction to the ART process and what to expect. Many clients begin active processing in the first session. Ashley moves at the pace your nervous system can handle and will keep you informed throughout.