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Therapists answer…

How do you work with clients with trauma and PTSD?

Allyson ByersA

Allyson Byers

Associate Marriage and Family Therapist
Online Therapy
What's your experience with clients with trauma or abuse?
Two people can go through the same traumatic experience and react or cope with it differently depending on their previous life experiences. Some people may not consider it a trauma while others. This doesn’t mean that one person is stronger than the other. If something hurts you, it hurts, and your natural emotional reaction is valid. No one gets to define your trauma for you—not even a therapist. I specialize in medical trauma, which includes being dismissed by medical and mental health professionals, interacting with fatphobic medical and mental health professionals, undergoing surgery, having cancer, giving birth, and living with a chronic illness or chronic pain. You are the only one who gets to decide if you’ve experienced medical trauma. I also specialize in relational and attachment trauma, which is a trauma that has occurred within a close relationship. This can happen with anyone you loved, trusted, and/or relied on, either as a child or adult. Finally, I specialize in complex trauma, including those diagnosed with Borderline Personality Disorder. Complex trauma is not always the result of childhood trauma. It can also occur as a result of an adult’s experience of violence in the home, family, neighborhood, and workplace. If you have experienced complex trauma, you may experience feelings of worthlessness and shame, difficulty in connecting with yourself and others, and difficulty in managing your emotions. You may feel like you don’t know who you are and that you can’t trust yourself or the world around you.
Are you experiencing grief and loss? Are you navigating health challenges, chronic illness, and/or chronic pain? Do you have parts of yourself that are difficult to share with others? Have you experienced medical or relational/attachment trauma? You've come to the right place. I believe that therapy can be a reparative experience and that the relationship between a therapist and client has the ability to foster immense change and growth. Everyone deserves to have a life worth living, and I am here to help you get there. I specialize in grief and loss, chronic illness/chronic pain, trauma, and depression. I enjoy working with clients who are experiencing a non-death loss (the ending of a platonic or romantic relationship, a new health diagnosis, infertility, etc.). I also love working with individuals who have Borderline Personality Disorder and complex trauma. As someone who is neurodivergent and queer and has multiple chronic illnesses, I draw from both my professional and lived experiences. I am an active therapist in the room, which means I like to provide psychoeducation when appropriate and gently challenge you to see things from a different perspective or dig deeper. I also frequently utilize humor because therapy doesn’t have to always be so serious.
Patty DumontP

Patty Dumont

LCSW
Online Therapy
Why is trauma processing important?
There are a variety of approaches that are effective in healing from trauma. I think there are many factors to consider with any approach as well as what the trauma involves. Sometimes processing in the way this is asking would require one to "relive" the events as part of the processing. There are other ways in which trauma can be managed with a client have to bring up every painful detail they likely have spent years suppressing. It is so important for therapists to assess the type of trauma as well as supportive factors that clients may have. Understanding how a client can manage "processing" is the first concern. I always insure clients understand and can utilize grounding techniques. Sometimes sessions need to be more than 1x per week for a short time. I think a good analogy is trauma is a wound. A wound that over time has at least scabbed over. When you reopen that wound, you need to be able to open it and get it bandaged back up all in a 50 min session. I always insure that clients have someone who will see if the start to "bleed" through the bandage between sessions as it can be harmful and unsafe to take a client back to a trauma if the can not manage things that may reemerge like flashbacks. There are many other modalities such as EMDR which can be very effective.
I have been licensed since 2006 gaining my clinical experience in both inpatient and outpatient settings with individuals, couples, and families 12 years and up.