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Forest Trail

Therapy for Complex Trauma and PTSD — Heal at Your Own Pace

Complex trauma develops over time — often from repeated experiences of fear, helplessness, or abuse. If you're living with PTSD symptoms, dissociation, emotional numbness, or hypervigilance, you're not alone. I offer a calm, grounded space and use approaches like Somatic Experiencing® and TRE® to help you rebuild safety in your body and life.
Learn more about my trauma-informed approach or explore TRE® for nervous system regulation.

Characteristics

Complex trauma refers to exposure to multiple, chronic, and prolonged traumatic events, often of an interpersonal nature, such as repeated abuse or profound neglect. These events typically (but not exclusively) occur early in life and can severely impact a person's development and overall functioning.​​

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  • Chronicity and Repetition: The trauma is ongoing and occurs repeatedly over a period of time.

  • Interpersonal Nature: The trauma often involves caregivers or other significant relationships, leading to issues with trust and attachment.

  • Developmental Impact Early exposure to complex trauma can interfere with physical, emotional, and cognitive development.

  • Post-Traumatic Stress Disorder (PTSD)

    • PTSD is a mental health condition that can develop after an individual experiences or witnesses a traumatic event. It is characterized by a range of symptoms that persist for more than one month after the trauma.

Gentle, trauma-informed therapy for survivors of emotional, physical & sexual abuse, childhood trauma & chronic stress

You may experience symptoms & sensations like...

  • Emotional Dysregulation:

    • Difficulty managing emotions, including intense anger, sadness, or fear.

    • Impulsivity/ Acting out 

  • Dissociation:

    • Feeling disconnected from oneself or reality, often as a defense mechanism against the trauma.

    • Feeling disconnected from friends/family, leaving you with a sense of isolation and aloneness

  • Interpersonal Difficulties:

    • Struggles with forming and maintaining healthy relationships, issues with trust, and patterns of re-victimization.

  • Negative Self-Perception:

    • Persistent feelings of guilt, shame, or worthlessness. 

    • Sense of lost of control

  • Physical Symptoms:

    • Chronic health problems, including gastrointestinal issues, headaches/migraines, and other stress-related conditions.

    • Flashbacks

      • Intrusive images or smells from the traumatic event​

    • Insomnia

      • Difficulties falling or staying asleep​

    • Feeling wired; not being able to rest

      •  fiddling with hands, restless leg, always moving ​

  • Behavioral Symptoms:

    • Self-destructive behaviors

    • Substance abuse, or other forms of self-harm. 

    • Distraction in work, tv-shows, sport, sex, shopping, cooking, etc.

  • Possible Diagnoses:

    • Post Traumatic Stress Disorder (PTSD)

      • see DSM-5 symptoms of PTSD further down the page​

What do expect in a therapy session...

  • Combination Therapy from ​

    • Somatic Experiencing (SE)

      • mind based approaches ("classic western talk therapy"; like Cognitive Behavioral Therapy (CBT))

      • Trauma & Tension Releasing Exercise (TRE, if wanted)

        • Body based exercise that allow our bodies to release old tension patterns from deep within the muscles / fascia  

  • Trauma-Focused Therapy:

    • Specifically designed to help individuals process and heal from trauma. Examples include Eye Movement Desensitization and Reprocessing (EMDR) and Somatic Experiencing (SE).

  • Psychoeducation

    • ​Offers information about the dynamics of domestic violence, the impact of abuse, and strategies for safety and recovery

    • Explains the influence of stress on the body and the mind

  • Systemic Work

    • Working with your trusted family and friends to create a support system​

  • Boundary Work 

    • Learning​ to say no to people, work, etc. what doesn't feel in alignment with you or what doesn't serve you any longer 

  • Trauma re-negotiation

    • ​​We can't change our past, what we can do is work though and with our past experience and integrate them into our lives as experiences that we survived and came out off.

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  • Together we use the tools/ techniques that feel the most supportive for YOU

How you feel after therapy ...

  • Many individuals feel a sense of relief as they begin to process and understand their traumatic experiences.

  • There is often a reduction in the intensity and frequency of symptoms, such as flashbacks, nightmares, less headaches, and anxiety.

  • More emotional regulation, leading to fewer outbursts and a more stable emotional state.

  • Improved coping strategies enable better management of stress and triggers.

  • As trust and communication skills are rebuilt, relationships with family, friends, and partners often improve.

  • Survivors often experience a boost in self-esteem as they work through feelings of shame and guilt.

  • There is a stronger sense of personal empowerment and control over one’s life.

  • Resilience and Post-Traumatic Growth

    • Many individuals develop a greater sense of resilience and the ability to cope with future challenges.

    • Some experience post-traumatic growth, finding new meaning, purpose, and strength from their healing journey.

  • Better sleep patterns and reduced physical symptoms like headaches and stomach issues.

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  • More possible Effects further down the page.

DSM- 5: PTSD

Exposure to Trauma

  • ​Directly experiencing the traumatic event.

  • Witnessing the event in person.

  • Learning that the traumatic event occurred to a close family member or friend.

  • Repeated or extreme exposure to aversive details of the traumatic event (e.g., first responders).​​

Intrusion Symptoms

  • Recurrent, involuntary, and distressing memories of the traumatic event.

  • Nightmares related to the trauma.

  • Flashbacks, where the individual feels or acts as if the traumatic event is recurring.

  • Intense psychological distress or physical reactions to reminders of the trauma.​​

Alterations in Arousal & Reactivity

  •  Irritability or aggressive behavior.

  • Reckless or self-destructive behavior.

  • Hypervigilance.

  • Exaggerated startle response.

  • Problems with concentration.

  • Sleep disturbances.

Advanced Tech

  • Persistent negative beliefs about oneself, others, or the world.

  • Distorted blame of self or others for the traumatic event.

  • Persistent negative emotional state (e.g., fear, anger, guilt).

  • Diminished interest in significant activities.

  • Feelings of detachment or estrangement from others.

  • Inability to experience positive emotions.​​​

Avoidance Symptoms

  • ​Avoiding thoughts, feelings, or conversations about the traumatic event.

  • Avoiding places, activities, or people that trigger memories of the trauma.​​​

To Consider

  • Symptoms must persist for more than one month and cause significant distress or impairment in social, occupational, or other important areas of functioning.

  • Both complex trauma and PTSD require a comprehensive treatment approach that addresses the individual's unique needs and experiences.

Further Treatment Options for Complex Trauma and PTSD

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  • Medications

    • Antidepressants: SSRIs and SNRIs can help manage symptoms of depression and anxiety.

    • Anti-Anxiety Medications:Used for short-term relief of severe anxiety symptoms.

    • Prazosin: May help reduce nightmares and improve sleep in individuals with PTSD.

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It is important to only use medication when it is prescribed and administered by your trusted doctor or psychiatrist.

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  • Support and Self-Care

    • Support Groups:Provide a safe space for sharing experiences and receiving support from others who have experienced trauma.

    • Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, and deep breathing can help manage stress and improve emotional regulation.

    • Healthy Lifestyle: Regular exercise, a balanced diet, and sufficient sleep are important for overall well-being and resilience.

Possible Effects of Therapy for Complex Trauma and PTSD

Feelings and experiences after therapy for PTSD and complex trauma can vary widely among individuals, but there are some common outcomes and emotional response

Positive Outcomes

  • Relief and Healing

    • Many individuals feel a sense of relief as they begin to process and understand their traumatic experiences.

    • There is often a reduction in the intensity and frequency of PTSD symptoms, such as flashbacks, nightmares, and anxiety.

  • Increased Emotional Regulation

    • Therapy can help individuals develop better control over their emotions, leading to fewer outbursts and a more stable emotional state.

    • Improved coping strategies enable better management of stress and triggers.

  • Improved Relationships

    • As trust and communication skills are rebuilt, relationships with family, friends, and partners often improve.

    • Individuals may become more open and capable of forming healthy, supportive relationships.

  • Enhanced Self-Esteem and Empowerment

    • Survivors often experience a boost in self-esteem as they work through feelings of shame and guilt.

    • There is a stronger sense of personal empowerment and control over one’s life.

  • Resilience and Post-Traumatic Growth

    • Many individuals develop a greater sense of resilience and the ability to cope with future challenges.

    • Some experience post-traumatic growth, finding new meaning, purpose, and strength from their healing journey.

  • Decreased Symptoms

    • Significant reduction in symptoms of depression, anxiety, and PTSD.

    • Better sleep patterns and reduced physical symptoms like headaches and stomach issues.

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Mixed Emotions and Challenges

  • Emotional Intensity

    • Processing trauma can be emotionally intense and may bring up painful memories and feelings.

    • It's common to experience periods of sadness, anger, or confusion during therapy.

  • Temporary Increase in Symptoms

    • Some individuals might initially experience a temporary increase in symptoms as they begin to confront and work through their trauma.

    • This is a normal part of the healing process and typically decreases with continued therapy.

  • Grief and Loss

    • Therapy may bring up feelings of grief for what was lost due to the trauma, such as lost time, relationships, or aspects of one’s former self.

    • Mourning these losses is an important part of healing.

  • Guilt and Shame:

    • While therapy helps address guilt and shame, these feelings can be strong and persistent.

    • Working through these emotions can be challenging but ultimately leads to greater self-compassion.

  • Frustration with Progress:

    • Healing is not always linear, and there can be setbacks and periods of slow progress.

    • It's important to remain patient and recognize that recovery is a journey with ups and downs.

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Long-Term Benefits

  • Increased Insight and Understanding:

    • Gaining a deeper understanding of how trauma has affected one’s life and behaviors.

    • This insight can lead to significant personal growth and a stronger sense of identity.

  • Healthy Coping Mechanisms:

    • Developing and using healthy coping mechanisms to deal with stress and emotional pain.

    • Replacing harmful behaviors with positive ones, such as exercise, meditation, or creative activities.

  • Improved Quality of Life:

    • Overall improvement in daily functioning and quality of life.

    • Greater ability to engage in and enjoy daily activities and relationships.

  • Renewed Sense of Purpose:

    • Many individuals find a renewed sense of purpose and direction in life after therapy.

    • Some may choose to use their experiences to help others, such as through advocacy or peer support.

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Ongoing Support

  • Continued Therapy:

    • Regular check-ins with a therapist can help maintain progress and address any new challenges.

  • Support Groups:

    • Engaging in support groups can provide ongoing encouragement and a sense of community 

  • Self-Care:

    • Prioritizing self-care practices such as regular exercise, healthy eating, adequate sleep, and mindfulness activities.

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The journey through therapy for PTSD and complex trauma is deeply personal and unique to each individual. While the process can be challenging, many find it to be profoundly healing and transformative, leading to a more fulfilling and resilient life.​​

Resources Complex Trauma & PTSD

These resources can provide valuable information, support, and guidance for individuals dealing with complex trauma and PTSD, as well as for their loved ones.

Websites

  • Somatic Experiencing International: www.traumahealing.org

    • More information about Somatic Experiencing ​and Trauma

  • National Center for PTSD: www.ptsd.va.gov

    • Provides information, resources, and tools for PTSD, including self-help strategies and treatment options.

  • Sidran Institut:  www.sidran.org

    • Offers resources and support for individuals dealing with traumatic stress and dissociation.

  • International Society for Traumatic Stress Studies (ISTSS): www.istss.org

    • Provides resources for professionals and individuals dealing with trauma and stress-related disorders.

  • Trauma Recovery Network (TRN): www.emdrhap.org/content/trauma-recovery-network

    • Connects individuals to EMDR-trained therapists and provides information about EMDR therapy for trauma.

  • Out of the Storm: www.outofthestorm.website

    • A community and resource site for individuals dealing with Complex PTSD.

  • RAINN (Rape, Abuse & Incest National Network):  www.rainn.org

    • Provides support and resources for survivors of sexual violence, including those dealing with PTSD and complex trauma.

  • The Trauma Foundation: www.traumafoundation.org

    • Offers educational resources and support for trauma survivors and their families.

  • National Institute of Mental Health (NIMH):  www.nimh.nih.gov

    • Provides information on PTSD, research findings, and resources for finding treatment.

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