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Therapists answer…

How do you work with clients with trauma and PTSD?

Matthew PieknikM

Matthew Pieknik

Clinical Social Work/Therapist, LCSW
Online & In-PersonAccepting New Clients
What's your approach to trauma and PTSD, and what does progress look like for clients?
Trauma can profoundly shape the stories we tell ourselves—about safety, trust, worth, and belonging. My approach is not to rush into revisiting painful experiences, but to first create a therapeutic relationship where you feel safe enough to explore them at your own pace. Together, we'll examine how past experiences continue to influence your present life, relationships, emotions, and sense of self, while recognizing the strengths and resilience that have helped you survive. Progress isn't measured by forgetting what happened or never feeling distressed again. Instead, it often looks like reclaiming a greater sense of choice and agency. Many clients find they become less overwhelmed by traumatic memories, respond to difficult situations with greater flexibility, develop more compassionate ways of relating to themselves, and begin living according to their own values rather than trauma's expectations. The goal is to help you become the author of your life again, with your past informing your story rather than defining it.
You have a story about yourself — about who you are, what you're capable of, what you deserve. Chances are, you didn't write all of it. Parts came from your family, your culture, old wounds, expectations you never agreed to. And chances are, some of that story no longer fits. I come to psychotherapy from an unusual place: a background in literature and literary theory, and twenty years of teaching and counseling before I ever became a therapist. That means I listen differently. I pay close attention to the language you use, the stories you tell about yourself, and the larger narratives — familial, generational, cultural, even unconscious — that have been shaping you long before you had a say in the matter. Together, we co-author something new. Not by erasing your history, but by loosening its grip — finding the parts of the old story that were never really true, and uncovering resources you didn't know you had to build the life you actually want. Sexuality often has a central role in this work; it's rarely peripheral to who we are and who we're becoming, and I make room for it accordingly. I work most often with anxiety, depression, mood disorders, personality disorders, and relationship conflict — but more than any diagnosis, I'm interested in the story underneath it, and in helping you become its author instead of its subject. If this resonates, I'd love to talk.
Zachary ImholteZ

Zachary Imholte

PMHNP-BC
Online & In-PersonAccepting New Clients
What's your approach to trauma and PTSD, and what does progress look like for clients?
My approach to trauma and PTSD is compassionate, patient-centered, and grounded in understanding how past experiences can affect emotional and mental well-being. I focus on creating a safe, supportive environment where clients feel heard and respected while working together to identify symptoms, triggers, and patterns that may be affecting daily life. Treatment is individualized based on each person's needs, history, and goals. Progress may look different for everyone, but often includes feeling more emotionally grounded, experiencing fewer or less intense symptoms, developing healthier coping strategies, improving sleep and relationships, and feeling more confident navigating everyday challenges. My goal is to help clients regain a greater sense of safety, stability, and control in their lives.
With over 16 years of experience in healthcare, I bring extensive expertise in mental health care across a wide range of clinical settings. The majority of my career has been dedicated to psychiatric care, including inpatient treatment, emergency and crisis services, substance use treatment, and long-term care. My diverse clinical background has given me a well-rounded understanding of the unique needs of individuals navigating mental health and substance use concerns. I strive to provide compassionate, thoughtful, and individualized care while supporting each person through their unique journey toward greater stability and well-being.
April ShackelfordA

April Shackelford

LMSW
Online & In-PersonAccepting New Clients
What's your approach to trauma and PTSD, and what does progress look like for clients?
My approach to trauma and PTSD is gentle, supportive, and focused on understanding what is happening beneath the surface. Rather than focusing only on symptoms, we slow down and explore the experiences, emotions, beliefs, and patterns that may have developed in response to trauma. As a Clinical Certified Trauma Professional and Somatic Therapist, I incorporate an awareness of how trauma can be experienced not only emotionally and mentally, but also through the body. Therapy is a space to become more connected to yourself, recognize what your mind and body may be communicating, and develop greater clarity around your experiences. Progress does not mean forgetting what happened or never experiencing difficult emotions again. It can look like feeling more grounded, understanding yourself with greater compassion, recognizing patterns that no longer serve you, and having more choice in how you respond to life's challenges. The goal is to help you move forward with a deeper understanding of yourself and a greater sense of clarity, safety, and connection.
I am a Clinical Certified Trauma Professional and Somatic Therapist specializing in anxiety, depression and relationship difficulties. I graduated with a Masters degree in Clinical Social Work and began her clinical and educational experience as a Certified Drug and Alcohol Counselor that eventually expanded into varying components of relational, emotional and physical health: attachment sources of relationship issues, women’s specific needs, anxiety, depression and something that has lied in the forefront of many decisions and experiences for folks, the expression of undigested experiences and aspects of self (trauma). My passion is helping people gain a deeper sense of who they are and teasing through varying layers within themselves to have clarity and understanding around the conditioning, experiences and belief systems that continue to play out in their lives, how this affects each person and choosing how to move forward. Therapy sessions are designed to be supportive in the present as well as gently getting to the root of what’s happening, expanding beyond the symptoms on the surface, but the deeper experiences, emotions, and patterns that have shaped how you move through life. In working with me, there is a slowing down and listening to what’s really happening underneath the struggle, so you can begin to understand yourself in a fuller, gentler and compassionate way.
Mallory RigbyM

Mallory Rigby

LPC
Online & In-PersonAccepting New Clients
What's your approach to trauma and PTSD, and what does progress look like for clients?
I approach trauma and PTSD with compassion, safety, and an understanding that healing happens at your own pace. My priority is creating a trusting, nonjudgmental environment where you feel supported as we work through the impact of traumatic experiences. I integrate evidence-based therapies, including EMDR and DBT, to help process traumatic memories, reduce emotional distress, strengthen coping skills, and improve emotional regulation. Progress looks different for every person, but it often includes feeling less controlled by past experiences, experiencing fewer trauma-related symptoms, building healthier relationships, and gaining greater confidence in managing life's challenges. My goal is to help you move beyond surviving so you can feel more present, empowered, and engaged in the life you want to live.
I believe therapy is most effective when you feel safe, understood, and genuinely supported. My approach is collaborative, compassionate, and tailored to your unique needs. I integrate evidence-based modalities, including EMDR and DBT, to help you process past experiences, build emotional regulation skills, and create meaningful, lasting change. I have experience working with individuals navigating anxiety, depression, trauma, loss, life transitions, and relationship challenges. Through EMDR, I support clients in reprocessing distressing experiences so they feel less overwhelming and more integrated. Using DBT, I help you develop practical tools for managing emotions, tolerating distress, and improving relationships. My style is warm, grounded, and engaged. I value authenticity and strive to create a nonjudgmental space where you can show up as you are. Whether you’re seeking relief from current stressors or working through deeper patterns, I’ll meet you where you are and support you in building a life that feels more balanced, connected, and aligned with your goals.
Dr. Lisa PalmerD

Dr. Lisa Palmer

Marriage & Family Therapist, PhD, LMFT, CHT, CRRTT
Online & In-PersonAccepting New Clients
How do you work with clients with trauma and PTSD?
I help clients safely process traumatic memories while stabilizing the nervous system and reducing reactivity. Using evidence-based methods such as EMDR, trauma-focused CBT, grounding techniques, and emotional regulation strategies, we work to lessen the intensity of triggers, rebuild a sense of safety, and restore healthier patterns of thinking and responding.
I’m Dr. Lisa Palmer, Clinical Director of The Renew Center of Florida, where I provide compassionate, specialized therapy for individuals, couples, and families. Through both in-person sessions and secure virtual care across Florida, I support clients in finding clarity, healing, and meaningful, lasting change. With advanced clinical training and decades of experience, I help adults and teens work through anxiety, depression, PTSD, trauma, substance use, relationship struggles, life transitions, and stress-related challenges—always with a focus on restoring balance and strengthening emotional well-being. My therapeutic approach is highly personalized. I draw from a broad range of evidence-based modalities, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, mindfulness-based techniques, trauma-focused interventions, and emotional regulation strategies. Together, we identify the patterns that no longer serve you and develop practical, effective tools to support healthier thoughts, improved coping, and a renewed sense of resilience.