Skip to Content
Therapists answer…

How do you work with clients with trauma and PTSD?

Karen MitchellK

Karen Mitchell

Psychiatric Mental Health Nurse Practitioner
Online Therapy
I provide expert psychiatric evaluations, medication management, and psychosocial counseling for children, adults, and their families. I am deeply committed to helping individuals with mental illness and their families reach their full potential in the most peaceful, low-stress manner possible. As the mother of an adult who has struggled with mental illness since childhood, I understand firsthand the challenges that come with managing these conditions. My experience includes providing psychiatric care in Level 1 Trauma emergency settings, community mental health clinics, and private practice. This background allows me to deliver high-quality, compassionate, and affordable care. Most appointments can be scheduled within a week of reaching out, and, given current concerns related to COVID-19, I also offer telepsychiatry visits. I work with children and adolescents to address behavioral and emotional issues that impact family life and school performance. For adults, I assist with mood disorders, thought disorders, and cognitive impairments. Medication management is a key part of the treatment process, alongside effective therapy and reducing environmental stressors. I understand the stress and anxiety that come with finding and accessing high-quality psychiatric care. That’s why I prioritize timely appointments, usually within a week of contact, to ensure you or your loved ones receive the support you need as quickly as possible. *Specialties •Mental Health •Adult Psychiatry •Child Psychiatry *Conditions treated •Depression •Bipolar disorders •Schizophrenia •PTSD •Mood disorders •Trauma •Panic attacks •Personality Disorders •Autism •Behavioral issues •Sleep problems •Anxiety disorders •Asperger's Syndrome •Bisexual •Emotional Disturbance •Family Conflict •Grief •Intellectual Disability •Lesbian •LGBTQ+ •Medication Management •Obsessive-Compulsive (OCD) •Oppositional Defiance (ODD) •Parenting •Peer Relationships •Pregnancy, Prenatal, Postpartum •School Issues •Insomnia •Stress •Suicidal Ideation •Thinking Disorders •Transgender •Traumatic Brain Injury (TBI) *Practice description I am a doctorally prepared Psychiatric Nurse Practitioner who provides telepsychiatric services for children and adults. I have worked in emergency psychiatric services at a Level 1 Trauma hospital as well as community health centers. I have also worked in inpatient psychiatric care & work diligently with my clients to prevent hospitalizations whenever possible. I have worked with clients who struggle with chronic serious mental illnesses including Schizophrenia, Schizoaffective Disorder, & Bipolar I & II Disorders. I work in partnership with my clients and their family members to choose the most acceptable & effective treatment options. *Treatment philosophy As a mental health provider as well as the mother of an adult who has struggled with mental illness since childhood, I seek to serve my clients as their compassionate advocate and knowledgeable resource. I believe in respecting the dignity and autonomy of my clients while working in partnership with them. I seek to offer the latest evidence-based treatment options in the most cost-effective manner possible. *Treatment approach •Cognitive Behavioral Therapy(CBT) •Culturally Sensitive •Eclectic •Humanistic •Coaching •Mindfulness-Based(MBCT) •Trauma-Focused •Family Systems •Interpersonal •Motivational Interviewing •Positive Psychology •Rational Emotive Behavior (REBT) •Strength-Based
Hannah SpiroH

Hannah Spiro

Psychotherapist - LICSW
Online Therapy
The journey towards self-discovery is a valuable and worthwhile endeavor, deserving of the effort required to connect with one's authentic self. I believe in the inherent capacity for individuals to thrive and undergo meaningful personal growth. Throughout our work together we will create an environment where vulnerability is embraced, challenging conversations occur, and discomfort is acknowledged as a catalyst for growth and change, as we explore and unravel learned patterns that may no longer serve you. My therapeutic approach is characterized by flexibility, adapting to your unique needs and preferences. I highly value your feedback, ensuring that our collaboration is a dynamic and responsive process. Grounded in an intersectional understanding of trauma, neurodiversity, and systemic oppression, I aim not only to delve into your internal world but also to consider the impact of external factors on your well-being. Therapy with me involves taking the time to connect with your joys, struggles, history, and hopes, facilitating a comprehensive and nuanced understanding of yourself. Focusing on complex trauma and neurodiversity, I have a profound appreciation for the richness and complexity of people's stories. I am committed to supporting your growth and change while acknowledging and welcoming all facets of your identity. Furthermore, I am dedicated to my own ongoing learning on social justice topics and anti-racism, recognizing the importance of understanding my own identities (both privileged and marginalized) to create an inclusive and empathic therapeutic environment. I believe that my work as a therapist is not just about individual growth but empowering my clients to recognize and dismantle the damaging and broken systems in their lives. As the therapeutic relationship is central to our work and not every therapist is going to be the best fit for you, I encourage you to take advantage of my 15 minute free consultation. This way we can discuss what you are looking for from therapy and I can answer any questions you might have about starting therapy with me. I look forward to hearing from you!