When the American Psychological Association (APA) published its practice guidelines for posttraumatic stress disorder, a number of emerging and innovative approaches to treating trauma survivors were not included in the document. We discuss the process by which this occurred, commenting on the manner in which the framework for producing the guidelines was problematic in its epistemic framework by failing to utilize the APA’s own definitions of what constitutes evidence-based practice. We then introduce the readers to several of the innovative and emerging approaches to working with trauma and discuss what steps need to be taken next to include innovations in trauma practice within the canon of accepted treatments. (PsycINFO Database Record (c) 2019 APA, all rights reserved)