PTSD Treatment & Trauma Support in Oregon and Washington
Trauma affects everyone differently. If you've experienced a disturbing event and are now struggling with flashbacks, avoidance, hypervigilance, or emotional numbness, you may be experiencing PTSD. Our trauma-informed team provides compassionate, evidence-based PTSD treatment to help you process trauma and reclaim your life.
Trauma-informed care
Board-certified psychiatric nurse practitioner
Your pace, your safety
Post-traumatic stress disorder (PTSD) can develop after experiencing or witnessing a traumatic event—such as assault, military combat, accidents, abuse, or other life-threatening experiences. Symptoms can be debilitating and may not appear immediately. If trauma is affecting your daily life, relationships, or sense of safety, you deserve competent, compassionate care. Our trauma-informed approach prioritizes your safety and pace in healing.
Understanding PTSD
Intrusive memories (flashbacks, nightmares, distressing thoughts)
Avoidance (staying away from reminders of the event)
Negative changes in thinking and mood (guilt, shame, feeling detached)
Changes in physical and emotional reactions (hyperarousal, difficulty sleeping, being easily startled)
PTSD is a mental health condition that can occur after experiencing or witnessing a traumatic event.
Not everyone who experiences trauma develops PTSD—the likelihood depends on factors including the nature of the event, personal history, and available support systems. PTSD symptoms typically fall into four categories:
Complex PTSD may occur with prolonged or repeated trauma, such as childhood abuse or long-term domestic violence.
Recovery is a process that takes time. You don't have to go through it alone.
Signs & Symptoms of PTSD
PTSD symptoms may include:
Intrusive Symptoms
- – Recurrent, unwanted memories of the traumatic event
- – Flashbacks (feeling like the event is happening again)
- – Nightmares about the trauma
- – Severe emotional distress when reminded of the event
Physical Symptoms
- – Avoiding places, people, or activities that remind you of the trauma
- – Avoiding talking about the event or your feelings about it
Cognitive & Mood Symptoms
- – Memory problems, especially about the traumatic event
- – Negative beliefs about yourself or the world
- – Feeling detached from others
- – Difficulty experiencing positive emotions
- – Feeling numb or emotionally flat
Physical & Emotional Symptoms
- – Being easily startled or frightened
- – Always feeling on guard
- – Difficulty sleeping or concentrating
- – Irritability or aggression
- – Overwhelming guilt or shame
When to Seek PTSD Support
Consider seeking PTSD treatment if:
Symptoms have lasted more than a month
Symptoms are severe enough to interfere with daily life
You've been avoiding people, places, or activities because of trauma reminders
You're experiencing flashbacks or nightmares
You're using alcohol or substances to cope with memories
Your relationships or work are suffering
You feel disconnected from others or life
Signs It's Time to Reach Out
PTSD Treatment Options
PTSD treatment is individualized based on your symptoms, history, and preferences.
Medication Management
SSRIs and SNRIs (antidepressants) are FDA-approved for PTSD and can help reduce symptoms like anxiety, depression, and hypervigilance. Prazosin may be prescribed for trauma-related nightmares.
- FDA-approved medications for PTSD
- Careful monitoring of effectiveness
- Support for trauma-related nightmares
Psychiatric Evaluation
Comprehensive evaluation identifies PTSD and any co-occurring conditions (depression, anxiety, substance use) that need to be addressed for comprehensive care.
- Full symptom assessment
- Co-occurring condition screening
- Individualized treatment planning
Referrals for Trauma Therapy
While we provide psychiatric medication management, trauma-focused psychotherapy (such as EMDR or CPT) is often a key component of PTSD treatment. We refer to trusted trauma therapists and coordinate your care.
- EMDR therapy referrals
- Cognitive Processing Therapy (CPT)
- Coordinated care approach
Telehealth Psychiatry
Follow-up appointments and medication management via secure video for Oregon and Washington residents. Telehealth can reduce barriers for those with social anxiety or transportation challenges.
- HIPAA-compliant platform
- Available for Oregon and Washington residents
- Reduced barriers to care
Treatment plans are individualized. Recovery is a process that takes time. We work with you to find the approach that feels right for your situation.
Why Choose Us
Trauma-informed care that prioritizes your safety and pace
Board-certified psychiatric nurse practitioner with PTSD and trauma experience
Comprehensive evaluations without pressure to share more than you're ready to
Careful, monitored medication management
Referrals to trusted trauma therapists for psychotherapy
Coordination between psychiatric care and therapy
In-person and telehealth options
Transparent about costs and insurance
We understand that seeking help for trauma takes courage. Here's how we support you:
You Don't Have to Heal Alone
If you're ready to explore PTSD treatment, our trauma-informed team is here to support you. We'll go at your pace and work with you to find the right treatment approach. Schedule online, call, or send a message—we'll respond within one business day.
Schedule Your AppointmentQuestions Answered
Frequently Asked Questions About PTSD
PTSD is diagnosed through a comprehensive clinical evaluation that includes discussing your trauma history, current symptoms, and how symptoms are affecting your life. We use validated screening tools and follow DSM-5 criteria. We also assess for co-occurring conditions.
Research shows that trauma-focused psychotherapy (like EMDR or CPT) is highly effective for PTSD, and medication can help reduce symptoms. Often, a combination of therapy and medication provides the best outcomes. We can discuss options and refer you to trusted trauma therapists.
SSRIs (like sertraline and paroxetine) and SNRIs (like venlafaxine) are FDA-approved for PTSD and can help reduce core symptoms. Prazosin may be prescribed for trauma-related nightmares. We carefully monitor medication effectiveness and side effects.
PTSD recovery is a process that varies for each person. Some people see improvement within months; others may need longer-term treatment. We work with you to track progress and adjust treatment as needed. There's no one-size-fits-all timeline.
Yes. Initial evaluations and ongoing medication management are available via telehealth for Oregon and Washington residents. Some patients find telehealth reduces anxiety about attending appointments in person. We'll discuss what format feels safest for you.
That's okay. PTSD symptoms can occur even without clear memories of the event, and you control what you share during evaluation. We work at your pace and never pressure you to discuss details before you're ready.
Complex PTSD (C-PTSD) may be diagnosed when trauma exposure was prolonged or repeated—such as childhood abuse, long-term domestic violence, or captivity. It includes PTSD symptoms plus additional difficulties with emotional regulation, self-perception, and relationships. Treatment approach is similar but may require more time.
Many insurance plans cover PTSD evaluation and treatment, including medication management and therapy referrals. We accept most major insurance plans and will verify your coverage before treatment begins.
You Don't Have to Heal Alone
If you're ready to explore PTSD treatment, our trauma-informed team is here to support you. We'll go at your pace and work with you to find the right treatment approach. Schedule online, call, or send a message—we'll respond within one business day.
Schedule Your Appointment