Trauma and PTSD therapy, including KA‑EMDR®
Trauma can leave lasting imprints, emotional and physical, that shape how you see yourself, relate to others and move through life. Many people feel as though the past is still happening in the present. Trauma-focused therapy is a structured, carefully paced way to work on that.
Online therapy for adults in Washington, Florida, Colorado, Idaho, Vermont, Delaware and South Carolina.
Is this you?
If several of these sound familiar, trauma-focused therapy may be worth a conversation. A free 15-minute call is the place to start.
- ✓Flashbacks, nightmares or memories that intrude when you least expect them
- ✓Feeling on edge, hypervigilant or unable to fully relax
- ✓Emotional numbness, or feeling cut off from yourself and the people around you
- ✓A single event, or a long history of difficult experiences
- ✓Talk therapy helped you understand the past, but it still feels present
How trauma therapy works here
The goal of trauma therapy is not to erase the past but to change the way it lives inside you. Together we work to help your brain and body understand that the danger is over, so your nervous system can settle and a sense of safety can return.
Each session is paced carefully so you feel supported and in control. You will learn grounding techniques, self-soothing tools and new ways of understanding how trauma has affected your mind and body. Healing is not a linear process, and we decide together whether EMDR, ART, Brainspotting, KA‑EMDR® or a combination fits your goals and pace.
Four approaches, chosen for what they do
We decide together which one fits, and it is fine to change course.
EMDR
Eye Movement Desensitization and Reprocessing helps the brain reprocess memories so they stop driving the present.
ART
Accelerated Resolution Therapy®. Brief and structured. Eye movements and image rescripting change how a distressing memory is stored while the factual memory stays intact. You do not have to talk through every detail.
Brainspotting
Works through where you look to reach what words do not. Useful when a memory lives more in the body than in language.
KA‑EMDR®
EMDR integrated with ketamine treatment you receive through a prescribing provider. Details below.
I offer ART by secure telehealth using adapted visual tracking. ART is generally considered best done in person, and the developer of ART does not endorse its use via telehealth, so we will talk through together whether a telehealth ART session is a good fit for you. Accelerated Resolution Therapy® and ART® are registered service marks of the Rosenzweig Center for Rapid Recovery (RCRR), used with permission.
KA‑EMDR® (Ketamine Assisted EMDR Therapy)
KA‑EMDR® is an integrative approach that combines EMDR trauma therapy with ketamine-assisted psychotherapy. I trained in KA‑EMDR® through the Ketamine Assisted EMDR Therapy Institute. For some clients, this combination can make it easier to approach and process difficult material than EMDR alone.
Ketamine, prescribed and administered by a qualified medical provider in a safe, controlled setting, can temporarily quiet the brain's default patterns and increase neuroplasticity, the brain's ability to form new connections. Paired with EMDR, this can create an environment for reprocessing painful memories with more clarity, compassion and emotional distance.
This approach is often considered for PTSD, complex trauma, treatment-resistant depression or severe anxiety, especially when other methods have not provided enough relief. EMDR provides the structured framework for reprocessing, while ketamine can support emotional openness, self-reflection and integration. Every session is guided from start to finish, with an emphasis on grounding, emotional safety and post-session integration.
Ketamine is prescribed and medically supervised by a separate licensed prescriber. I provide the psychotherapy, and we coordinate with your prescriber with your written permission.
In network with United Healthcare, Optum and First Choice Health. Out of network with most BCBS plans, with superbills for reimbursement. Free 15-minute consultation.
Ready when you are.
Book a free 15-minute call. If I'm not the right fit, I'll point you to someone who is.
Email sean@innerstandingpsychotherapy.com
Text preferred (509) 341-0067
Telehealth Washington, Florida, Colorado, Idaho, Vermont, Delaware, South Carolina
In crisis? Call or text 988. This practice is not an emergency service.