PTSD Treatment & Trauma Therapy in Raleigh

You don’t have to live in the shadow of your past any longer. As PTSD and trauma experts, we’re here to let you know that recovery is possible. Trauma and PTSD treatment help you change your relationship to traumatic memories so you can once again embrace the present moment.

Regain Peace of Mind Through Trauma & PTSD Treatment

Our emphasis on trauma-informed evidence-based practice ensures that you are matched with a psychologist who offers the best available evidence-based treatment for our needs. We have the clinical expertise to apply effective methods skillfully and will partner with you to base your care on your particular needs and preferences. Our work with you will be individualized and effective, moving you toward your life and wellness goals. We utilize gold-standard evidence-based interventions for trauma, such as Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy (PE), Acceptance and Commitment Therapy (ACT), and Cognitive Behavioral Therapy (CBT).

Enhance Emotional Regulation

Through trauma & PTSD therapy, you can gain greater self-awareness and mindfulness, helping to stabilize your emotions.

Reduce Avoidance Behaviors

Treatment helps to address avoidance behaviors, allowing you to reengage in activities you might have been avoiding.

Strengthen Support Systems

Trauma & PTSD therapy provides you with compassionate support, allowing you to build trust and deepen connections with others.

Develop Coping Strategies & Cognitive Skills

As you learn to reframe the traumatic experience and change your relationship to it, you will become equipped with the skills and strategies that allow you to better manage and cope with symptoms.

Self-Compassion and Agency

As you regain a sense of control over your life, you’ll begin to experience a boost in self-esteem, self-trust, and self-confidence.

Improved Quality of Life

Less trauma & PTSD symptoms means greater peace, improving your quality of life, from better sleep to embracing the moment.

Types of Trauma We Work With

  • Adjustment Disorders
  • Sexual Trauma
  • Psychological Abuse
  • Physical Abuse
  • Childhood Trauma/Abuse/Neglect
  • Interpersonal Trauma and Intimate Partner Violence
  • Acute Trauma, Chronic Trauma, Complex Trauma
  • Complex PTSD
  • Chronic PTSD and Trauma-Related Disorders
  • Combat Trauma and Military Sexual Trauma (MST)
  • Vicarious Trauma
  • Crime & Accidents
  • Man-Made and Natural Disasters
  • Medical Trauma
  • Religious Trauma
  • Generational Trauma
  • Birth Trauma and Obstetric Violence

Feeling lost or stuck? Let Breyta be your North Star.

If you are caught in the ebbs and flows of the waves of emotion, or frozen in an iceberg of numbness, we will help you navigate the way forward. Contact our trauma-informed therapists today. We will be your North Star.

Embarking on Your Path to Meaningful Change

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Therapy to Change the Tides of Trauma

At different points in our lives, events can leave a deep impact on our emotional well-being. While some experiences clearly fit the traditional definition of trauma, others might not be as easily discernable but can be equally life-altering. These experiences can reshape how you relate to yourself and others, even if they don’t meet the conventional criteria for a “traumatic event.” Trauma is deeply personal and can stem from subtle experiences, like a painful interaction with a parent, a difficult life adjustment, or witnessing someone else’s suffering. 

It’s vital to recognize that trauma isn’t defined by how it compares to others’ experiences but by how it has affected you. It’s not the event itself that is traumatic, but your reaction to it. Many people hold themselves back from seeking the care they badly need and deserve because they don’t believe their experience is “severe” enough to merit consideration. But in therapy, we don’t measure trauma by its intensity; we focus on its impact on you. Whether it’s the result of hurtful words in childhood or a more obvious traumatic event, if it continues to affect your well-being, it deserves attention.

The effects of trauma often extend beyond the original experience, influencing how we interpret situations and handle emotions. Strategies that once helped you survive may now lead to unexpected or unhelpful reactions in the present, even when the current situation is unrelated to past trauma. This is not a flaw—it’s simply how the mind and body adapt to protect you. Healing involves understanding these patterns and finding new ways to respond that serve you better now.

Moving forward is about honoring your unique journey. If events from your past—whether or not you consider them traumatic—are causing ongoing distress, you deserve support to help you understand, process, and heal. Our psychologists are experts in assessing, diagnosing, and treating PTSD and trauma-related disorders. We go beyond simply being trauma-informed. We are trauma specialists. You deserve to work with a therapist who has the specialized training needed to provide truly transformative care. Our team understands the many nuances of trauma and its effects. We offer a safe space for you to feel calm and cared for as you work toward recovery.

With the help of an experienced trauma and PTSD therapist, you’ll receive a personalized plan to manage your symptoms, regain your sense of safety, and start living well again. Evidence-based treatments like Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) can help you move from feeling stuck to experiencing a renewed sense of hope and motivation for positive change.

Remember, your story matters, and so does your healing. We’re here to help you reclaim your strength, embrace your worth, and move forward with confidence and hope.

Find Your Flow with Breyta

You can’t control the waves, but we can help you surf them.

Our approach creates the ripples of change.

Specialized Treatment: Trauma-Informed Care

The entire Breyta experience has been carefully structured through trauma-informed methodology; from our dedicated team of trauma-informed therapists, all of whom provide care with the utmost sensitivity and intentionality, to our waiting room and offices, all designed from a trauma-informed lens.

Elevated Expertise: Doctoral-Level Psychologists

In order to provide the highest level of psychological care, every one of our clinical psychologists has received their doctorate in the mental health field. We use our specialized knowledge and expertise to offer the most comprehensive and innovative therapeutic approaches.

Innovative Techniques: Process-Based Psychotherapy

Through process-based therapy, the most innovative form of evidence-based therapy, we gain a comprehensive understanding of what makes you who you are, including the core processes keeping you stuck. We then intentionally choose a unique combination of evidence-based approaches to create the most effective treatment plan for you.

Personalized Approach: Client-Centric Practice

The experiences that have shaped you and how you processed them are completely unique. Our client-centric approach to therapy is just as personal, placing you at the center of your care. The specific therapy you receive is a direct reflection of you, evolving with you as you heal and grow.

Frequently Asked Questions:

PTSD and trauma-related symptoms can show up differently for everyone. However, here are some of the most commonly experienced indicators that you are living in a state of trauma:

  • Experiencing uncontrolled traumatic flashbacks or memories
  • Being jumpy, nervous, and fearful
  • Avoidant of people, places, activities that used to bring you joy
  • Trouble concentrating
  • Feeling irritable or on edge
  • Can’t stop scanning your environment
  • Prefer to sit facing doors or exits
  • Having negative thoughts about yourself, the world, or others

 

The symptoms mentioned above are only a few examples of the way our minds and bodies respond to trauma. We understand these symptoms can feel terrifying, frustrating, and can significantly impact your ability to live your life. It’s important to know that these are normal responses to an abnormal event; it’s your body’s way of trying to respond protectively. While trauma may have temporarily disrupted your nervous system, trauma therapy can help you rediscover balance.

Our treatment approach entails key components necessary for trauma recovery:

• Psychoeducation
• Anxiety management
• Assistance in facing your fears and processing your memories (exposure)
• Helping to shift from the way your brain has been wired by trauma

The American Psychological Association clinical practice guidelines for the treatment of PTSD strongly recommend Cognitive Therapy (CT), general Cognitive Behavioral Therapy (CBT), as well as two evidence-based forms of cognitive behavioral treatment specifically designed to treat PTSD: Prolonged Exposure Therapy (PE) and Cognitive Processing Therapy (CPT). Breyta offers both general Cognitive Behavioral Therapy as well as PE and CPT. Moreover, we offer cutting-edge approaches to treating trauma that are at the frontier of the cognitive behavioral therapy world, such as Acceptance and Commitment Therapy (ACT) and mindfulness-based approaches.

Yes! We offer a specialized form of evidence-based therapy for PTSD that is designed to help couples when one partner is struggling with a PTSD diagnosis. This therapy is called Cognitive Behavioral Conjoint Therapy (CBCT) for PTSD. Couples learn how to address their emotional and cognitive problems with clear skill-based techniques, helping them to support themselves and one another. Goals of CBCT include creating a sense of approaching problems as a team, effective communication, reduction of avoidance, and challenging unhelpful beliefs.
No! We help you process your memories and thoughts in a safe and controlled environment. Part of the work of our therapy is helping you become skilled in discerning between memories and the present. We work as a team to foster compassion and courage. Through our work together you will be able to challenge some of the fears that every client has about beginning trauma-focused work. It’s common to fear that you won’t be able to handle it or that “going there” will “undo” you. Everybody thinks this but with skill building, education, and willingness, you will see that they are just that: fears, nothing more. Furthermore, you are not on anyone’s timeline but your own. Our primary goal is to build a strong foundation to our therapeutic relationship with you in which we nurture trust and a felt sense of safety. You do not have to discuss anything you do not wish to and certainly do not have to talk about traumatic memories when you first meet with your clinician. For example, if someone wanted to work on a trauma involving a car accident but did not feel ready to discuss it in the intake appointment, they can rest assured knowing that their therapist will tell them: “Today is not about recounting any specifics of events that may bother you, we can just agree that you want to address an event that has been difficult for you to move past; you don’t have to say anything about it if you don’t feel ready.”
Think of trauma like a book. Every day, it opens to the worst page and because you understandably don’t want to see that page, you slam it shut. This avoidance arrests healing and is the “glue” that keeps PTSD going. Trauma therapy helps you put memories in place in such a way that we can open the book and start at page one, read from start to finish, and then set it down without it popping open anymore. Take a moment and imagine what your life can be like if you aren’t living in fear of a flashback, intrusive memory, or paralyzing fear. That kind of peace is possible.
Yes! We offer both in-person and virtual care options. You can enjoy the safety and comfort of your own space while taking courageous steps toward healing with your psychologist of choice. We offer HIPAA-compliant telehealth platforms to meet your needs. Online therapy (telehealth) is very effective in treating trauma and PTSD. We conduct the same type of treatments in the same way we would in person so you can take comfort in the fact that you aren’t missing any important aspect of care. Telehealth appointments are available in Raleigh, throughout the state of North Carolina, and in select other states.

Yes, we are experts in the assessment and treatment of all forms of trauma:

  1. Acute Trauma: it happened once
  2. Chronic Trauma: a type of trauma happened several times or the trauma is of an extended and ongoing nature
  3. Complex Trauma: also referred to as Complex PTSD or C-PTSD; the experience of multiple types of traumas over a long period of time

 

You may also hear the terms “Big T” trauma and “little t” trauma. These phrases refer to the nature of the trauma, rather than the frequency or duration. For example, “Big T” trauma is used to refer to experiences that are life-threatening. These are events that we traditionally think of when we hear the word “trauma”, such as accidents, combat, chronic abuse or neglect, assault, witnessing another’s trauma, or experiencing a natural disaster. Alternatively, “little t” traumas are events that are considered traumatic on a personal level to the individual who experiences them, but may not be considered traumatic universally. Examples may be divorce, a difficult breakup, loss of a pet, a difficult move, professional stress or changes, financial stress, chronic pain, or a medical issue.

While only “Big T” trauma is part of the criteria for a PTSD diagnosis, it is still vitally important to acknowledge and understand the impact and role that “little t” trauma plays in your life. In fact, “little t” trauma is part of why it’s so important that you’ve chosen a trauma-informed care provider. The fact that there are so many things that are deeply stressful, if not traumatic, to us as individuals throughout our lives often goes unnoticed by those who don’t know how to look. When this internal stress isn’t acknowledged, it gets compounded by other issues you may be facing and can make your problems worse. Our thorough assessment and seasoned trauma-informed psychologists will ensure that you receive the compassionate and effective care that you deserve.

EMDR is a treatment that was invented in the late 1980s that combines moving one’s eyes from side to side, processing trauma memories and making positive associations. Some have successful experiences with EMDR, while many others have unsuccessful or even harmful ones. It is important to note that the central critique of this therapy is that the mechanisms of change (i.e., the reasons why it is effective in decreasing PTSD symptomatology) are actually due to components of Cognitive Behavioral Therapy inherent in the treatment, rather than the other more dramatic aspects of EMDR. These include exposure to the feared stimulus (trauma memories and emotions), reframing negative cognitions and establishing balanced or positive thoughts associated with the one’s ability to access the memory or the capability of handling the memory, behavioral relaxation skills, coping skills, and the therapeutic relationship.

In studies, it is shown to be better than no treatment at all, as are most therapies. However, it is not superior to actual Cognitive Behavioral Therapies, which is proven to be far more effective. For a now seminal article critiquing the scientific integrity of EMDR, we recommend reading this one in Scientific American.