You may know the trigger, understand the history, and be able to explain the pattern afterward. The harder part may be what happens in the moment: fear, anger, shutdown, guilt, over-responsibility, avoidance, or a physical stress response that arrives before reasoning catches up.
This may be worth exploring if
- certain reminders still feel unusually immediate
- conflict or boundaries trigger reactions that feel larger than the present situation
- you keep returning to the same shutdown, appeasing, avoidance, or over-functioning pattern
- you have insight, but insight has not translated into enough choice when the pattern is active
Not every strong reaction is trauma, and not every difficult experience is PTSD. Current stress, health, substance use, relationships, and other mental-health concerns can overlap with trauma-related symptoms.
What we actually work on
We get specific about what sets the pattern off, what it seems to mean in the moment, and what your response is trying to accomplish. When appropriate, we work more directly with the memories, beliefs, cues, relationship patterns, or physical reactions that continue to carry intensity.
The point is not to have an impressive therapy session. It is to have more room to choose outside the session—during conflict, at a boundary, after a reminder, or when an old response would usually take over.
How I choose a method
I may use EMDR, relational and restorative approaches, parts-informed work, somatic support, and practical skills. You do not need to choose a modality before we meet.
Trauma treatment also does not require immediate disclosure of every detail or pushing through overwhelm. You should understand what we are doing and why.
Practical information
Psychotherapy is currently offered by telehealth to clients located in Arizona and Mississippi.
If faith or spirituality is important to you, it can be part of treatment. It is never required.
Sources
- National Institute of Mental Health: Post-Traumatic Stress Disorder
- VA National Center for PTSD: PTSD Treatment Basics
- SAMHSA: Trauma-Informed Approaches and Programs
Educational information only. Diagnosis and treatment recommendations require individualized clinical assessment.
Clinically reviewed by Ashley S. Berg, LCSW · Updated October 2, 2026