Therapy for PTSD

Trauma therapy for teens and adults in Maryland, Virginia, DC, Pennsylvania and Vermont using EMDR, IFS informed parts work and creative approaches.

What is PTSD?


Trauma doesn't always look the way people expect. It can be one event that split your life into before and after: an accident, an assault, a loss, a medical crisis. It can also be something slower, built over years of growing up without safety, being hurt by the people who were supposed to protect you, or learning early that your needs didn't matter.

Either way, your nervous system learned to protect you. That protection can show up as:

  • Flashbacks, nightmares, or memories that feel like they're happening now

  • Always being on guard, easily startled, unable to relax

  • Feeling numb, disconnected, or like you're watching your life from outside

  • Losing time or feeling like different parts of you want different things

  • Intense shame, self-criticism, or a sense that something is wrong with you

  • Relationships that feel unsafe even when they should feel good

  • Coping in ways that help in the moment but cost you later

None of this means you're broken. It means you adapted. Therapy can help your brain and body learn that the danger is over.

Trauma Therapy Treatment Modalities

What healing together looks like

Build the relationship

Trauma often happens inside relationships, so healing needs one that feels different. We start with safety: getting to know each other, building trust, and making sure you have tools to steady yourself when things feel like too much. Nothing deep happens until you're ready.

Discovery & Direction Setting

Together we look at what's actually driving the pain: the memories, beliefs, and protective patterns shaping how you feel today. Then consider, what do you want to be different? We set that direction together, and it stays yours. It guides which approach we use and when.

Doing the Work

This is where active processing happens, through EMDR, parts work, creative methods, or a mix. We reprocess what's been stuck, work with the parts carrying the heaviest load, and let your nervous system learn something new. We slow down whenever we need to.

Integrating and moving forward

As things shift, we strengthen what's changed so it holds up in daily life. We talk openly about spacing out sessions and what ending looks like. The goal isn't lifelong therapy. It's for you to trust yourself again.

Let’s Talk First

Starting trauma therapy takes courage. You don't have to decide anything today. A free video consultation lets us meet, talk about what's bringing you in, and see whether we're a good fit, with no pressure and no commitment.

  • "Alyssa has a way of helping her clients, and anyone else she comes across, feel seen. She exudes a sense of confidence that is comforting, and most importantly her clients see results, even in highly complex situations. If you are considering EMDR therapy, contacting Alyssa may be a great next step."

    Tali Elitzur, LCSW-C

  • "Alyssa is an incredibly talented clinician. She is an EMDR expert who brings authenticity and expertise to everyone she works with. HIGHLY recommend Alyssa & her practice."

    Sarah Levy, LICSW

  • "I cannot recommend Healing Pathways Counseling and Consulting enough! Alyssa is an incredibly skilled, compassionate, and insightful clinician. "

    Sara Giuliani, LCPC