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Check out therapists located nearby or offering teletherapy in Washington below.

Online Therapists

Photo of Jason McAllister, LMHC, NCC, Counselor
Jason McAllister
Counselor, LMHC, NCC
Verified Verified
I also work with depression, anxiety, mood disorders, stress management and trauma.
I have worked with a variety of different clients with unique and diverse walks of life. I became a counselor because I believe in people's ability to grow, learn and heal. I am here to help guide and facilitate that growth, to meet you where you are to help you heal, learn and grow. I provide a space of non-judgment, that is safe to walk on your path of discovery and recovery. Life can be a difficult journey at times and for different reasons, but it helps to have someone walk along side you as you persevere through these trials. I believe in hope, that even in our darkest of days, hope is on the horizon.
I also work with depression, anxiety, mood disorders, stress management and trauma.
I have worked with a variety of different clients with unique and diverse walks of life. I became a counselor because I believe in people's ability to grow, learn and heal. I am here to help guide and facilitate that growth, to meet you where you are to help you heal, learn and grow. I provide a space of non-judgment, that is safe to walk on your path of discovery and recovery. Life can be a difficult journey at times and for different reasons, but it helps to have someone walk along side you as you persevere through these trials. I believe in hope, that even in our darkest of days, hope is on the horizon.
(509) 204-8152 View (509) 204-8152
Photo of Marina Connor, LMHC, NCC, Counselor
Marina Connor
Counselor, LMHC, NCC
Verified Verified
Spokane, WA 99205  (Online Only)
Hi, I'm Marina. With me, no topic, feeling, or situation is off-limits in the counseling space – I will treat you with respect to help you overcome what's hurting you. I work with individuals, couples/poly relationships, and families between the ages of preteen and elder. As a sex therapist, I have extensive experience working with kink and BDSM, polyamory, LGBTQ issues, gender therapy, sexual pleasure and dysfunction, pain with sex, negative body image, high or low libido, sex work, sex abuse, sexual trauma, and/or sexual shame, among other topics.
Hi, I'm Marina. With me, no topic, feeling, or situation is off-limits in the counseling space – I will treat you with respect to help you overcome what's hurting you. I work with individuals, couples/poly relationships, and families between the ages of preteen and elder. As a sex therapist, I have extensive experience working with kink and BDSM, polyamory, LGBTQ issues, gender therapy, sexual pleasure and dysfunction, pain with sex, negative body image, high or low libido, sex work, sex abuse, sexual trauma, and/or sexual shame, among other topics.
(509) 260-7465 View (509) 260-7465
Photo of Joeleen Wilkinson - Charmed Counseling, MSW, LICSW, Clinical Social Work/Therapist
Charmed Counseling
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
5 Endorsed
Spokane, WA 99204
Welcome to Charmed Counseling! We are a dynamic group of caring professionals who enjoy what we do and truly care about your mental health needs. We offer services in specialties such as trauma related disorders, anxiety, depression, behavioral concerns, OCD, life transitions, gender identity, sexuality, self-esteem, relationship stress, play therapy etc. We believe in a client-centered, strength-based approach and will encourage you to be an active participant in your treatment planning and therapy.
Welcome to Charmed Counseling! We are a dynamic group of caring professionals who enjoy what we do and truly care about your mental health needs. We offer services in specialties such as trauma related disorders, anxiety, depression, behavioral concerns, OCD, life transitions, gender identity, sexuality, self-esteem, relationship stress, play therapy etc. We believe in a client-centered, strength-based approach and will encourage you to be an active participant in your treatment planning and therapy.
(509) 774-3216 View (509) 774-3216
Photo of Renata Atwood, Pre-Licensed Professional
Renata Atwood
Pre-Licensed Professional
Verified Verified
Spokane, WA 99202
As a trauma survivor myself, I honor the step you’re taking.
When we feel disconnected and overwhelmed, life can leave us feeling broken, damaged, and disconnected from our true selves. You may be fed up with feeling triggered in everyday situations, isolated from friends who can’t understand, or guilty over what happened to you. You may not even remember a time you didn’t feel like this. Either way, one thing is for sure: you’re ready for some relief. You’re ready to enjoy deep relationships without your past getting in the way. You’re ready to wake up each morning with purpose. Most of all, you’re prepared to love yourself again & to face your future with a sense of hope.
As a trauma survivor myself, I honor the step you’re taking.
When we feel disconnected and overwhelmed, life can leave us feeling broken, damaged, and disconnected from our true selves. You may be fed up with feeling triggered in everyday situations, isolated from friends who can’t understand, or guilty over what happened to you. You may not even remember a time you didn’t feel like this. Either way, one thing is for sure: you’re ready for some relief. You’re ready to enjoy deep relationships without your past getting in the way. You’re ready to wake up each morning with purpose. Most of all, you’re prepared to love yourself again & to face your future with a sense of hope.
(509) 779-8541 View (509) 779-8541
Photo of Gracie Rodriguez, MA, LMHC, Counselor
Gracie Rodriguez
Counselor, MA, LMHC
Verified Verified
Pasco, WA 99301
Let me use my many years of experience working with clients to help you through lifes most difficult and challenging events. I use different forms of therapy depending on the need of my client. I can help with a variety of problems such as trauma, depression, anxiety, and other mental health issues.
Let me use my many years of experience working with clients to help you through lifes most difficult and challenging events. I use different forms of therapy depending on the need of my client. I can help with a variety of problems such as trauma, depression, anxiety, and other mental health issues.
(509) 412-3907 View (509) 412-3907
Photo of Giovanna Treglio, LAC, LMHCA, Counselor
Giovanna Treglio
Counselor, LAC, LMHCA
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
With a dedicated focus on trauma survivors, Giovanna brings a compassionate and evidence-based approach to her practice. Specializing in Eye Movement Desensitization and Reprocessing (EMDR), She employs this powerful therapeutic technique to help individuals heal from their traumatic experiences. She understands the complexities of trauma and its impact on one's mental and emotional well-being, and she is committed to facilitating the healing journey for her clients. She believes in the inherent strength and resilience of every individual and is honored to walk alongside them on their journey towards healing and wholeness.
With a dedicated focus on trauma survivors, Giovanna brings a compassionate and evidence-based approach to her practice. Specializing in Eye Movement Desensitization and Reprocessing (EMDR), She employs this powerful therapeutic technique to help individuals heal from their traumatic experiences. She understands the complexities of trauma and its impact on one's mental and emotional well-being, and she is committed to facilitating the healing journey for her clients. She believes in the inherent strength and resilience of every individual and is honored to walk alongside them on their journey towards healing and wholeness.
(509) 383-8971 View (509) 383-8971
Photo of Frances J Archer, LMHC, MHP, CMHS, Counselor
Frances J Archer
Counselor, LMHC, MHP, CMHS
Verified Verified
Spokane, WA 99204
I specialize in human relations, healthy dynamics, trauma (including narcissistic abuse), and emotional self regulation.
The decision to seek help is a personal one, often made after trying everything to remedy our circumstances. Childhood issues, symptoms of anxiety and depression, relational issues, and personal loss can take a toll. With over 20 years of counseling individuals and families with a wide swath of difficult circumstances, I have learned to provide a supportive, non-judgmental, truthful, and safe environment that promotes self confidence and hope in overcoming and breaking through the obstacles we all face from time to time
I specialize in human relations, healthy dynamics, trauma (including narcissistic abuse), and emotional self regulation.
The decision to seek help is a personal one, often made after trying everything to remedy our circumstances. Childhood issues, symptoms of anxiety and depression, relational issues, and personal loss can take a toll. With over 20 years of counseling individuals and families with a wide swath of difficult circumstances, I have learned to provide a supportive, non-judgmental, truthful, and safe environment that promotes self confidence and hope in overcoming and breaking through the obstacles we all face from time to time
(509) 797-7756 View (509) 797-7756
Photo of Angela Khessed, LPC, NCC, LMHC, Licensed Professional Counselor
Angela Khessed
Licensed Professional Counselor, LPC, NCC, LMHC
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
Working with chronic and severe trauma survivors has been my focus of training.
I specialize in chronic trauma, depression, sex and intimacy challenges, anxiety, ADHD, and more. I have seen many people integrate their past and transform their present lives to find peace, meaning, and purpose. I offer sessions that recognize how your body postures in relation to feelings, thoughts, and other senses. I have been a counselor for 16 years now. but did not set out to become a counselor. Does anyone? Counseling found me and for that, I am deeply grateful. I have found this quote to be true in counseling and life.: "In the end, it is not the mountain that you must master, but yourself." Adapted from Edmund Hillary
Working with chronic and severe trauma survivors has been my focus of training.
I specialize in chronic trauma, depression, sex and intimacy challenges, anxiety, ADHD, and more. I have seen many people integrate their past and transform their present lives to find peace, meaning, and purpose. I offer sessions that recognize how your body postures in relation to feelings, thoughts, and other senses. I have been a counselor for 16 years now. but did not set out to become a counselor. Does anyone? Counseling found me and for that, I am deeply grateful. I have found this quote to be true in counseling and life.: "In the end, it is not the mountain that you must master, but yourself." Adapted from Edmund Hillary
(907) 738-9088 View (907) 738-9088
Photo of Raymond Lester, MSW, LSWAIC, Clinical Social Work/Therapist
Raymond Lester
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Liberty Lake, WA 99019  (Online Only)
I specialize in working with individuals and families experiencing anxiety, depression, trauma, and relational difficulties.
Welcome! My name is Ray and I know seeking help may be intimidating, but I am focused on creating an accepting, compassionate environment where safety and wellbeing allow for development and healing. I believe everyone has great strength and resiliency and it is my goal to help everyone recognize their potential.
I specialize in working with individuals and families experiencing anxiety, depression, trauma, and relational difficulties.
Welcome! My name is Ray and I know seeking help may be intimidating, but I am focused on creating an accepting, compassionate environment where safety and wellbeing allow for development and healing. I believe everyone has great strength and resiliency and it is my goal to help everyone recognize their potential.
(509) 512-1538 View (509) 512-1538
Photo of Yvonne Wilhelm, MS, LMHC, MAC, Counselor
Yvonne Wilhelm
Counselor, MS, LMHC, MAC
Verified Verified
Spokane, WA 99201
I have years of experience working with individuals, families, and couples, in the area of trauma, substance and process addiction, anxiety, depression, adjustment and attachment disorders, relationship and sexual addiction issues.
Looking for help and support for yourself or someone you care very much about? Whether you are trying to recover from something difficult, are trying to improve your relationships with others, or improve your mental health, it takes courage to seek help or to make a change. My goal as a therapist is to help others discover their strengths, as well as learn new skills to help overcome life's obstacles. I can assist in building a toolbox of healthy coping skills for successful emotional regulation and help develop insight and awareness needed to grow and find peace.
I have years of experience working with individuals, families, and couples, in the area of trauma, substance and process addiction, anxiety, depression, adjustment and attachment disorders, relationship and sexual addiction issues.
Looking for help and support for yourself or someone you care very much about? Whether you are trying to recover from something difficult, are trying to improve your relationships with others, or improve your mental health, it takes courage to seek help or to make a change. My goal as a therapist is to help others discover their strengths, as well as learn new skills to help overcome life's obstacles. I can assist in building a toolbox of healthy coping skills for successful emotional regulation and help develop insight and awareness needed to grow and find peace.
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Photo of Aislinn Moira Noone, MA, LMFTA, Marriage & Family Therapist Associate
Aislinn Moira Noone
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
4 Endorsed
Spokane, WA 99202
I have trained/worked with clients dealing with trauma, anxiety, and relationships.
Sometimes life can feel like a rollercoaster that we somehow can’t seem to exit, don’t know how we got on it in the first place, and are then having to white knuckle it as best as possible. That is why I went into this field to not only learn tools to help others work through challenges, but also provide a space to feel safe, seen, and fully understood without judgement. My goal as a therapist is to walk alongside you, help you grow, and help curate security with yourself, your relationships, and feel more emotionally balanced.
I have trained/worked with clients dealing with trauma, anxiety, and relationships.
Sometimes life can feel like a rollercoaster that we somehow can’t seem to exit, don’t know how we got on it in the first place, and are then having to white knuckle it as best as possible. That is why I went into this field to not only learn tools to help others work through challenges, but also provide a space to feel safe, seen, and fully understood without judgement. My goal as a therapist is to walk alongside you, help you grow, and help curate security with yourself, your relationships, and feel more emotionally balanced.
(509) 778-5508 View (509) 778-5508
Photo of Amanda Salisbury - Trauma Informed Therapies, Clinical Social Work/Therapist
Trauma Informed Therapies
Clinical Social Work/Therapist
Verified Verified
2 Endorsed
Spokane, WA 99201
At Trauma Informed Therapies, we have counselors trained in therapies that are researched to reduce anxiety, PTSD, depression, eating disorders, and a variety of other challenges.
Our team of Mental Health Counselors, Marriage Family Therapists and Clinical Social Workers offer a sincere welcome. We know it takes courage to step out of our comfort zones and embrace change. It is our desire to help those who are struggling to find the kind of life they long for. While trauma may not be something you are seeking direct services for, you can have the peace of knowing that all our staff are skilled in addressing trauma should it be or become a factor in treatment. Whether you are battling stress, anxiety, depression, or trying to find calm in the aftermath of trauma; we believe that peace and joy are possible.
At Trauma Informed Therapies, we have counselors trained in therapies that are researched to reduce anxiety, PTSD, depression, eating disorders, and a variety of other challenges.
Our team of Mental Health Counselors, Marriage Family Therapists and Clinical Social Workers offer a sincere welcome. We know it takes courage to step out of our comfort zones and embrace change. It is our desire to help those who are struggling to find the kind of life they long for. While trauma may not be something you are seeking direct services for, you can have the peace of knowing that all our staff are skilled in addressing trauma should it be or become a factor in treatment. Whether you are battling stress, anxiety, depression, or trying to find calm in the aftermath of trauma; we believe that peace and joy are possible.
(509) 855-4439 View (509) 855-4439
Photo of Julissa Anguiano Perez, LSWAIC, Pre-Licensed Professional
Julissa Anguiano Perez
Pre-Licensed Professional, LSWAIC
Verified Verified
Kennewick, WA 99336  (Online Only)
My expertise includes supporting individuals dealing with pregnancy, fertility issues, pregnancy loss, grief, and other parenthood challenges. I understand these experiences can be complex and emotionally challenging, and I am dedicated to providing compassionate care and guidance. I'm also passionate in providing services to clients from all backgrounds but especially to Spanish-speaking individuals by using a trauma-informed approach that respects and considers cultural backgrounds and diverse life experiences. Additionally, I offer support to undocumented communities and can conduct psychosocial immigration evaluations.
My expertise includes supporting individuals dealing with pregnancy, fertility issues, pregnancy loss, grief, and other parenthood challenges. I understand these experiences can be complex and emotionally challenging, and I am dedicated to providing compassionate care and guidance. I'm also passionate in providing services to clients from all backgrounds but especially to Spanish-speaking individuals by using a trauma-informed approach that respects and considers cultural backgrounds and diverse life experiences. Additionally, I offer support to undocumented communities and can conduct psychosocial immigration evaluations.
(360) 284-1796 View (360) 284-1796
Photo of Amber Hall, MA, LMFTA, Marriage & Family Therapist Associate
Amber Hall
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Spokane, WA 99208
Do you find yourself struggling in important relationships? Are you stuck in unwanted push-and-pull patterns with your partner or closest friends? Relationships are central to life, yet they can feel painful and confusing. Attachment strategies influence how we see ourselves and others and can impact most areas of life. The paradox of attachment trauma is that relational wounds create a profound longing for connection, but intimacy feels perplexing and risky. It is hard to think and act optimally when one’s intrinsic desires for belonging, safety, and love are unmet.
Do you find yourself struggling in important relationships? Are you stuck in unwanted push-and-pull patterns with your partner or closest friends? Relationships are central to life, yet they can feel painful and confusing. Attachment strategies influence how we see ourselves and others and can impact most areas of life. The paradox of attachment trauma is that relational wounds create a profound longing for connection, but intimacy feels perplexing and risky. It is hard to think and act optimally when one’s intrinsic desires for belonging, safety, and love are unmet.
(509) 516-2142 View (509) 516-2142
Photo of Alicia Evans, MS, LPCC, NCC, LMHCA
Alicia Evans
Licensed Professional Counselor Candidate, MS, LPCC, NCC, LMHCA
Verified Verified
1 Endorsed
Spokane, WA 99201
I practice somatic, mindfulness, movement, adventure, and trauma-informed theories to help you get to the root of the problem.
I currently work with clients in Washington State via telehealth, and have an in-person office in Colorado. I enjoy working with people of all ages and experiences, though I have particular insight into challenges more specific to women including body image, self-criticism, anxiety, perfectionisms, depression, shame, parenting, relationships, sex, and boundaries. Mental health is about holding balances in one's life, and at the core, restoring loving compassion for one's self. I support you to explore your life, belief systems, and goals; to get to the things that might be blocking you from being the support you need.
I practice somatic, mindfulness, movement, adventure, and trauma-informed theories to help you get to the root of the problem.
I currently work with clients in Washington State via telehealth, and have an in-person office in Colorado. I enjoy working with people of all ages and experiences, though I have particular insight into challenges more specific to women including body image, self-criticism, anxiety, perfectionisms, depression, shame, parenting, relationships, sex, and boundaries. Mental health is about holding balances in one's life, and at the core, restoring loving compassion for one's self. I support you to explore your life, belief systems, and goals; to get to the things that might be blocking you from being the support you need.
(970) 238-2965 View (970) 238-2965
Photo of Noah Oliver Le Beau, MSW, LSWAIC, Clinical Social Work/Therapist
Noah Oliver Le Beau
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Spokane, WA 99201  (Online Only)
Hi and welcome, arriving at an online health care platform is a big deal for your mental health and it can also feel really overwhelming. So, thanks for being here and for being proactive to work on yourself. My name is Noah and I work with a wide variety of people to build their capacity to be in the world. I tend to focus on early attachment relationships, trauma, meeting the present moment and the process of becoming your own safe space and therapist. I am a direct person with a caring touch and I believe deeply in our ability to grow and change. It is my honor to be on that journey with each of my clients.
Hi and welcome, arriving at an online health care platform is a big deal for your mental health and it can also feel really overwhelming. So, thanks for being here and for being proactive to work on yourself. My name is Noah and I work with a wide variety of people to build their capacity to be in the world. I tend to focus on early attachment relationships, trauma, meeting the present moment and the process of becoming your own safe space and therapist. I am a direct person with a caring touch and I believe deeply in our ability to grow and change. It is my honor to be on that journey with each of my clients.
(509) 215-2498 View (509) 215-2498
Photo of Jenny Twitchell, LMHCA, Counselor
Jenny Twitchell
Counselor, LMHCA
Verified Verified
1 Endorsed
Richland, WA 99352
I am passionate about providing a safe, confidential, non-judgmental place where you can navigate the anxiety and depression that accompanies self-hatred and the trauma of the past.
If you find yourself believing that change is impossible for you or your child and feel helpless as you see your child struggle with unhelpful behaviors and beliefs, I can help. You want to form healthier relationships, break away from never feeling good enough, from depression, anxiety, and shame. Together we can get to the root of what is causing these unwanted patterns of thoughts and behaviors. It's time to live a life where you are living your values, feeling content about your decisions, and are empowered to face life's challenges.
I am passionate about providing a safe, confidential, non-judgmental place where you can navigate the anxiety and depression that accompanies self-hatred and the trauma of the past.
If you find yourself believing that change is impossible for you or your child and feel helpless as you see your child struggle with unhelpful behaviors and beliefs, I can help. You want to form healthier relationships, break away from never feeling good enough, from depression, anxiety, and shame. Together we can get to the root of what is causing these unwanted patterns of thoughts and behaviors. It's time to live a life where you are living your values, feeling content about your decisions, and are empowered to face life's challenges.
(888) 348-3027 View (888) 348-3027
Photo of Hannah Carlsrud - Hannah Carlsrud | EMDR Intensives | Postpartum, MACP, LMHCA, Counselor
Hannah Carlsrud | EMDR Intensives | Postpartum
Counselor, MACP, LMHCA
Verified Verified
4 Endorsed
Spokane, WA 99201  (Online Only)
I believe that trauma is often connected to other struggles, such as anxiety, depression, panic, and OCD.
Accepting new clients virtually in WA state. As a parent and therapist, I understand the messiness and wonder that is being a parent. I also know how valuable time is, and offer therapy intensives ranging from 90 minutes to 3-hour blocks. I can help you process complications in pregnancy, fertility issues, birth trauma, NICU experiences, pregnancy loss, and more. Do you have scary thoughts? Or memories that keep you up at night? Are you having a hard time connecting with your newborn or feel guilty? Do you feel like there are so many new things in parenthood and it is overwhelming? I am here to support you through this time.
I believe that trauma is often connected to other struggles, such as anxiety, depression, panic, and OCD.
Accepting new clients virtually in WA state. As a parent and therapist, I understand the messiness and wonder that is being a parent. I also know how valuable time is, and offer therapy intensives ranging from 90 minutes to 3-hour blocks. I can help you process complications in pregnancy, fertility issues, birth trauma, NICU experiences, pregnancy loss, and more. Do you have scary thoughts? Or memories that keep you up at night? Are you having a hard time connecting with your newborn or feel guilty? Do you feel like there are so many new things in parenthood and it is overwhelming? I am here to support you through this time.
(425) 541-1711 View (425) 541-1711
Photo of Brad Kubat Riverside Therapy Center, LMHC, LSUDPT, Counselor
Brad Kubat Riverside Therapy Center
Counselor, LMHC, LSUDPT
Verified Verified
1 Endorsed
I have overcome my own adversity and trauma and have a personalized approach to build resilience.
We are accepting new patients. My name is Bradley Kubat and I specialize in helping heal from trauma, whether that be from childhood, adolescent, or adult trauma. I am an army combat veteran which has given me a deep understanding of the active military and veteran experience. I have vast experience in multiple areas of life that can be utilized to help others. The ideal client would come to therapy to heal, move forward and grow to their full potential.
I have overcome my own adversity and trauma and have a personalized approach to build resilience.
We are accepting new patients. My name is Bradley Kubat and I specialize in helping heal from trauma, whether that be from childhood, adolescent, or adult trauma. I am an army combat veteran which has given me a deep understanding of the active military and veteran experience. I have vast experience in multiple areas of life that can be utilized to help others. The ideal client would come to therapy to heal, move forward and grow to their full potential.
(509) 213-0183 View (509) 213-0183
Photo of Yuliana Colin Gonzalez, MSW, LSWAIC, Clinical Social Work/Therapist
Yuliana Colin Gonzalez
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Spokane, WA 99201  (Online Only)
Welcome! I'm Yuliana Gonzalez, a dedicated therapist empowering individuals to reach their full potential. With expertise in anxiety, depression, and trauma recovery. I create a nurturing environment for personal growth. Armed with a bachelor's and master's degree in clinical social work from Walla Walla University, I offer tailored solutions that resonate with each client's unique journey. I firmly believe in the transformative power of self-awareness and self-compassion. In my practice, I foster collaboration and understanding, guiding clients to uncover strengths and make meaningful life changes.
Welcome! I'm Yuliana Gonzalez, a dedicated therapist empowering individuals to reach their full potential. With expertise in anxiety, depression, and trauma recovery. I create a nurturing environment for personal growth. Armed with a bachelor's and master's degree in clinical social work from Walla Walla University, I offer tailored solutions that resonate with each client's unique journey. I firmly believe in the transformative power of self-awareness and self-compassion. In my practice, I foster collaboration and understanding, guiding clients to uncover strengths and make meaningful life changes.
(509) 486-7842 View (509) 486-7842

See more therapy options for Columbia County

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.