The utilization of eye movement desensitization and reprocessing (EMDR) therapy alone, as Francine Shapiro has discussed, presents challenges when working with children, particularly with complex relational trauma. Limits for the effectiveness of EMDR include the developmental immaturity of the child and missing adaptive information, the impact of trauma on skill development, and lack of trust due to the impact of relational trauma. This chapter explores how creative arts therapy holds the potential as a special form of mentalization therapy that can support and strengthen the skills required for success in EMDR in Phase 4 processing. This approach emphasizes how the expressive arts, when used strategically, can extend the reach of EMDR by utilizing the indirect dyadic process of art making within a therapeutic relationship increasing trust, building metacognitive functioning, elevating concrete thinking through experiential learning, and taking a curious, open, and playful stance that helps grow self-reflective capacity.