Therapists in West Lake Hills, TX
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![Photo of Charlotte Crary, MEd, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/75cd776e-d4b8-420c-85ba-b1d695fe3fd2/2/320x400.jpeg)
Charlotte is an experienced trauma therapist specializing in the treatment of children and families with special needs who have suffered trauma, children in foster care, and adoptive families. Charlotte has developed trauma-informed clinical programs for treatment centers and non-profit organizations across the country. Building trust and rapport with children and their families is the first step to effective treatment. Charlotte uses an integrated family approach to include the entire family in the treatment process.
Charlotte is an experienced trauma therapist specializing in the treatment of children and families with special needs who have suffered trauma, children in foster care, and adoptive families. Charlotte has developed trauma-informed clinical programs for treatment centers and non-profit organizations across the country. Building trust and rapport with children and their families is the first step to effective treatment. Charlotte uses an integrated family approach to include the entire family in the treatment process.
Online Therapists
![Photo of Tony Vitela - Tony Vitela, LCSW, SAP, LCSW, SAP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/43d74575-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Tony Vitela, LCSW, SAP
Clinical Social Work/Therapist, LCSW, SAP
Verified Verified
Wimberley, TX 78676
I work with clients on a spectrum of issues including ADD/ADHD/ODD, Alcohol & Drugs, Anger Management, Anxiety, Bipolar Disorders, Conduct Disorders, Depression, Eating Disorders, Grief & Bereveavement, Life Transitions, Military Life Issues, OCD, Panic Atttacks, Parenting, Phobias, Psychotic Disorders, PTSD, Relationships, and Work-related Issues.
Licensed since 1993 and in private practice since 1999. Previous work-related experience includes working at a residential treatment center, youth shelter, juvenile detention center, chemical dependency unit, adolescent and adult in-patient hospital, Employee Assistance Program, crisis intervention, in-take assessments, and intensive out-patient programming. Over the past two decades, I have served individuals, couples, families, children, adolescents, adults, and the elderly. I am a certified and approved DOT Substance Abuse Professional.
I work with clients on a spectrum of issues including ADD/ADHD/ODD, Alcohol & Drugs, Anger Management, Anxiety, Bipolar Disorders, Conduct Disorders, Depression, Eating Disorders, Grief & Bereveavement, Life Transitions, Military Life Issues, OCD, Panic Atttacks, Parenting, Phobias, Psychotic Disorders, PTSD, Relationships, and Work-related Issues.
Licensed since 1993 and in private practice since 1999. Previous work-related experience includes working at a residential treatment center, youth shelter, juvenile detention center, chemical dependency unit, adolescent and adult in-patient hospital, Employee Assistance Program, crisis intervention, in-take assessments, and intensive out-patient programming. Over the past two decades, I have served individuals, couples, families, children, adolescents, adults, and the elderly. I am a certified and approved DOT Substance Abuse Professional.
![Photo of Laura Kotlowski, LPC, LCDC, NCC, CCTP, EMDR, Licensed Professional Counselor](https://photos.psychologytoday.com/45b9429b-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Laura Kotlowski
Licensed Professional Counselor, LPC, LCDC, NCC, CCTP, EMDR
Verified Verified
2 Endorsed
San Antonio, TX 78259
I am a Licensed Professional Counselor, Licensed Chemical Dependency Counselor, National Certified Counselor, Certified Clinical Trauma Professional, & EMDR Trained.
I feel privileged & blessed to witness clients' change processes. I seek to use therapy modalities that work best for individualized client care, & I am grateful to serve in settings that align perfectly with my beliefs in achieving recovery. I am humbled to witness the healing that occurs in therapy where there was previously confusion, pain, & hopelessness. It is my life's passion to support & encourage others.
I am a Licensed Professional Counselor, Licensed Chemical Dependency Counselor, National Certified Counselor, Certified Clinical Trauma Professional, & EMDR Trained.
I feel privileged & blessed to witness clients' change processes. I seek to use therapy modalities that work best for individualized client care, & I am grateful to serve in settings that align perfectly with my beliefs in achieving recovery. I am humbled to witness the healing that occurs in therapy where there was previously confusion, pain, & hopelessness. It is my life's passion to support & encourage others.
![Photo of Felise De Novo, MA, LPC-S, PC, Counselor](https://photos.psychologytoday.com/4d0c0448-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
If you are committed to improving your situation, I will commit to working with you. I have been working with families and children with a variety of issues as a Licensed Professional Counselor since 2000. I offer professional therapeutic services to individuals, couples, families, adolescents, and children.
If you are committed to improving your situation, I will commit to working with you. I have been working with families and children with a variety of issues as a Licensed Professional Counselor since 2000. I offer professional therapeutic services to individuals, couples, families, adolescents, and children.
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Trauma and PTSD Therapists
When should I seek treatment for trauma?
Not everyone who undergoes trauma needs therapy to heal, but many do. If, after experiencing a traumatic event, you find yourself struggling with symptoms such as nightmares, dissociation, irritability, or emotional numbness—especially if these symptoms last more than a month and are severe enough to interfere with your daily functioning—you may benefit from seeking out therapy with a trauma-informed provider.
How long does trauma therapy take?
Different types of therapy for trauma unfold on different timelines. Prolonged exposure therapy and cognitive processing therapy, for example, each take about three months, while trauma-informed CBT may last anywhere from 8 to 25 sessions. Other approaches, especially those that are less structured or that incorporate elements from multiple modalities, may be more open-ended, though many patients report feeling better within the first few months of treatment.
What happens if trauma is left untreated?
Unaddressed trauma can have serious—even devastating—effects on relationships, career, and day-to-day functioning. Post-Traumatic Stress Disorder (PTSD) can lead people to distrust or lash out at others, making it difficult to maintain intimate relationships; it can also trigger symptoms such as flashbacks or hyperreactivity that can interfere with a person’s ability to function effectively, personally and/or professionally. Some sufferers turn to drugs to find relief. Symptoms may lessen on their own with time, but there is no guarantee that PTSD will resolve on its own.
Can PTSD come back after treatment?
It is possible for PTSD symptoms to recur months or years after successful treatment. This is because, like most mental health disorders, it is not possible to “cure” PTSD, and stressful life events may cause symptoms to recur in even the most resilient individuals. There is no shame in re-experiencing PTSD symptoms nor in returning to therapy when such relapses occur; indeed, many forms of trauma therapy explicitly encourage periodic “maintenance sessions” to reinforce coping skills and ensure that symptoms stay manageable.