Trauma-Informed Care


Healing After Trauma: Understanding PTSD and How Therapy Can Help

Surviving something traumatic can change the way you see yourself, your relationships, and the world. If you’ve been feeling on edge, having nightmares, or avoiding reminders of what happened, you might be wondering: “Is this PTSD? Am I ever going to feel normal again?”

PTSD is not a character flaw or a sign of weakness. It is your brain and body doing their best to protect you after overwhelming experiences. The good news: with the right kind of help, healing is possible.

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What Is PTSD?

Posttraumatic Stress Disorder (PTSD) is a mental health condition that can develop after experiencing or witnessing a deeply distressing event. This may include things like car accidents, childhood abuse, sexual assault, intimate partner violence, combat, medical trauma, sudden loss, natural disasters, or first responder work. It can also come from events that, from the outside, others may not recognize as “traumatic”—but your nervous system absolutely did.

PTSD affects the way your brain and body process threat. Instead of danger feeling like something that happened in the past, it can feel as if it’s still happening right now. You might “know” you’re safe logically, but your body hasn’t gotten the memo yet.

PTSD often shows up in four core areas:

  • Intrusions: unwanted memories, nightmares, flashbacks, or feeling like you’re “back there” again.
  • Avoidance: pulling away from people, places, or reminders of what happened.
  • Changes in thoughts and mood: guilt, shame, numbness, self-blame, or feeling disconnected.
  • Arousal and reactivity: feeling on edge, jumpy, irritable, or having trouble sleeping.

Common Signs and Symptoms of PTSD

PTSD can look different from person to person. Some people feel flooded by memories. Others feel numb and detached. Many people move between the two.

  • Intrusive memories, nightmares, or flashbacks
  • Feeling emotionally or physically “back in it” when triggered
  • Intense fear, guilt, shame, or anger
  • Feeling numb, disconnected, or “far away” from life
  • Avoiding people, places, conversations, or activities
  • Always being “on guard” or scanning for danger
  • Startling easily, irritability, or difficulty concentrating
  • Trouble sleeping, exhaustion, or nightmares about trauma

If you recognize yourself in these descriptions, it doesn’t mean you’re broken. It means your nervous system has been through too much, too fast, for too long—and it’s still trying to protect you.

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Complex Trauma and Chronic Stress

Not all trauma is a single event. For many people, trauma is chronic and relational—like childhood abuse or neglect, bullying, growing up in an unpredictable home, medical trauma, or long-term intimate partner violence. When trauma is repeated, especially early in life, it can shape how you see yourself, how safe you feel in your body, and how you relate to others.

People with complex trauma may struggle with:

  • Deep shame or feeling “too much” or “not enough”
  • Difficulty trusting, or trusting too quickly
  • Emotional ups and downs that feel hard to manage
  • People-pleasing, fawning, or losing yourself in relationships
  • Feeling chronically unsafe, even when nothing is “wrong”

These patterns are adaptations to pain, not failures. In therapy, we can get curious about how they developed—and gently build new ways of relating to yourself and others.

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Evidence-Based Treatments for PTSD

Effective PTSD treatment is not about “just talking about it” until you feel numb. It’s about creating enough safety and support to help your brain and body process what happened, so that the trauma becomes part of your story—not the whole story.

Two women engaged in a psychotherapy session in a warm, inviting interior with plants and natural lighting.Trauma-Focused CBT & Cognitive Processing Therapy (CPT)

These approaches focus on understanding how trauma has shaped your beliefs about yourself, others, and the world. Together, we explore patterns like self-blame (“It was my fault”), over-responsibility, or hopelessness, and gently update them based on your current reality and values.

EMDR and Trauma Reprocessing

Eye Movement Desensitization and Reprocessing (EMDR) uses bilateral stimulation (such as eye movements, taps, or tones) to help your brain reprocess traumatic memories. You don’t have to describe every detail out loud for EMDR to work. The goal is for the memory to feel more distant and less charged over time.

Exposure-Based Approaches

For some people, gentle and planned exposure to trauma reminders (or trauma-related situations) can reduce avoidance and fear. This is always collaborative and paced to your nervous system—not a forced “throw you in the deep end” experience.

A woman in a red polka dot dress strolls through a sunlit field, embodying summer freedom.DBT Skills for Safety and Emotion Regulation

Dialectical Behavior Therapy (DBT) skills help you tolerate distress, regulate intense emotions, and build safer, healthier relationships. These skills are especially helpful when trauma has led to self-harm, suicidal thoughts, or big emotional swings.

Acceptance and Commitment Therapy (ACT)

ACT focuses on values-based living. Instead of trying to completely erase anxiety or pain, we work on changing your relationship with those experiences—so they no longer get to drive the bus. You learn to move toward what matters most to you, even when discomfort shows up.

Body-Based and Mindfulness Approaches

Because trauma lives in the body as much as in the mind, treatment may also include grounding skills, breathwork, and mindfulness practices that help you feel more present, connected, and safe in your own skin.

What PTSD Treatment Looks Like with Us

At Dynamic Reflections, we approach PTSD treatment with the belief that you are not a diagnosis—you are a whole human with a story, strengths, and a nervous system that has been doing its best to survive.

  • Safety first: We start by building stability—grounding skills, emotion regulation, and support—so that you don’t feel thrown into the deep end of your story.
  • Collaborative pacing: You have a say in what we talk about, how quickly we move, and what feels like “too much.” Your consent and choice matter.
  • Trauma-informed care: We pay attention to triggers, power dynamics, and your lived experience so that therapy itself does not become another overwhelming experience.
  • Integrated treatment: Depending on your needs, we may draw from EMDR, DBT, ACT, trauma-focused CBT, attachment-based work, and mindfulness-based practices.
  • Whole-person focus: We care about how trauma affects your relationships, work, body, and sense of identity—not just your symptoms.

Our goal is not to erase what happened to you. Our goal is to help you carry it differently—so that your life is no longer organized around trauma, but around your values, your relationships, and the kind of future you want to build.


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When to Reach Out for Help

It might be time to seek support if trauma memories, nightmares, or avoidance are getting in the way of sleep, work, relationships, or the kind of life you want to live. You don’t have to “have it all together,” hit rock bottom, or prove you’re “traumatized enough” to deserve help.

If you’re curious about whether PTSD treatment might be right for you, we can explore that together in a safe, non-judgmental space. We’ll move at your pace, with your nervous system and your values at the center.

Book Your Session today.

Reflect. Grow. Thrive.

To learn more about the providers working within this area of focus, click on the names below:
Dr. Katie Card