Condition guide

Trauma

What happened to you shaped how your nervous system responds

Overview

Trauma is the lasting effect of overwhelming experience — not the event itself, but what it left behind in the nervous system, in beliefs about safety, and in relationships.

Not everyone who experiences trauma develops PTSD, yet trauma can still drive anxiety, depression, chronic pain, substance use, and relationship difficulty. Trauma-informed care addresses those effects whether or not they meet a diagnostic threshold.

Common symptoms

  • Feeling constantly on guard or easily startled
  • Emotional numbness or disconnection from your body
  • Difficulty trusting others or tolerating closeness
  • Shame, self-blame, or a persistent sense of being damaged
  • Sleep problems and nightmares
  • Strong reactions to reminders that seem disproportionate
  • Chronic physical symptoms without a clear medical cause

Causes and risk factors

  • Childhood abuse, neglect, or household instability
  • Interpersonal violence or assault
  • Medical trauma, injury, or accidents
  • Loss of a caregiver or major attachment disruption
  • Community violence, displacement, or discrimination
  • Repeated occupational exposure

Treatment options we offer

  • Phase-based trauma treatment: safety and regulation first, then processing, then reintegration
  • EMDR and trauma-focused CBT
  • Somatic and grounding skills for nervous-system regulation
  • Family and couples work to repair relational effects
  • TMS where depression co-occurs

Therapy approaches used

  • EMDR
  • Trauma-focused CBT
  • Play therapy for young children
  • Parent coaching for traumatized children

How TMS fits in

Where trauma has produced persistent depression that hasn't responded to medication, TMS can lift mood and energy enough to make trauma processing feasible.

Learn more about TMS therapy

Frequently asked questions

Start with one conversation

Tell us what you've tried. We'll confirm eligibility, verify your benefits, and map out what treatment would look like.