https://www.miriamdenmarklcsw.com/home daily 1.0 2025-12-12 https://images.squarespace-cdn.com/content/v1/5fea25c567dd3717ced97bed/5ee4a892-3c3f-4942-b555-fee254e3422c/IMG_0444.jpg https://www.miriamdenmarklcsw.com/trauma daily 0.75 2025-12-19 https://images.squarespace-cdn.com/content/v1/5fea25c567dd3717ced97bed/1640302265085-YAE59HB97UHKIWGX31MT/unsplash-image-nLuXot38_rw.jpg Trauma Therapy and PTSD Treatment - What is PTSD? Post-Traumatic Stress Disorder (PTSD) is a condition that results from someone witnessing or experiencing a horrible event, such as abuse, sexual assault, a terrible accident, or active combat in the military. It can also result from having been told about a loved one’s terrible experience, or having repeatedly experienced the details of horrific incidents, such as through working as a first responder. PTSD is the result of getting stuck in your recovery from that experience. https://images.squarespace-cdn.com/content/v1/5fea25c567dd3717ced97bed/1640302342963-K0EO8KV696J1TW783D0H/unsplash-image-HMcd1bWLTjo.jpg Trauma Therapy and PTSD Treatment - What is it like to have PTSD? If you have PTSD, you know that it is very hard to live with. You’re probably anxious and restless a lot of the time, and you can’t do a lot of things you used to do. The world is divided into “safe” and “unsafe” people/places/situations, and you spend a lot of your time trying to stay in the “safe” category, but it’s not always possible. You probably blame yourself in ways that don’t make logical sense, and it undermines your self esteem and confidence. You may also blame others, in ways that aren’t helpful in actually keeping you safe. You may have trouble sleeping, which doesn’t help any of the other symptoms. You probably feel depressed and stressed out a lot of the time. https://images.squarespace-cdn.com/content/v1/5fea25c567dd3717ced97bed/1640302438421-GNO2ST1JW7UUHT0PZ0UQ/unsplash-image-B6iHcrsxnKE.jpg Trauma Therapy and PTSD Treatment - Maybe you’ve been in therapy before, and it didn’t do much for your PTSD. Unfortunately, traditional talk therapy doesn’t work very well on PTSD. Here’s why: Talk therapy is a tool that is laser-focused on following the client’s lead. The client is allowed the space and time to work on whatever they want. They can discover patterns in their relationships, learn about how they come across to others, and gain insight into their inner thoughts. For many problems, this is a great solution. Unfortunately, a big symptom of PTSD is avoidance. When someone has PTSD, the last thing they want to talk about is their trauma, since it brings about all of the intrusive symptoms listed above (nightmares, flashbacks, feeling unsafe and anxious). https://images.squarespace-cdn.com/content/v1/5fea25c567dd3717ced97bed/401af564-8f61-4e74-9991-b6b756debab2/unsplash-image-j6b5aB3CcgY.jpg Trauma Therapy and PTSD Treatment - Trauma-focused treatment is very specifically focused on a few goals: Reducing symptoms of PTSD through exposure, where you become less sensitive to trauma triggers because you’re not avoiding them so much. Helping you to take the time to think through and actually remember what happened during those traumatic moments. People tend to avoid the memories so intensely that they actually don’t put the pieces together logically, leading to a jumbled-up story that their brain has to keep turning over to make sense of. By making sense of the story of the trauma, you can reduce your trauma symptoms. Helping you to name and feel your emotions about what happened, and perhaps what happened afterward, in a way that is contained and not too overwhelming. For instance, you may feel that you are so angry that you’ll ruin all of your relationships if you let yourself feel it. Unfortunately, if you stuff down these big feelings, it causes a lot of other problems, so it’s important to find a way to feel your feelings in a way that feels safe. There are several evidence-based trauma therapies out there. https://www.miriamdenmarklcsw.com/individual-therapy daily 0.75 2025-12-19 https://images.squarespace-cdn.com/content/v1/5fea25c567dd3717ced97bed/1625791428037-TGXH5V4LIGQS95EQZLZ3/unsplash-image-jNVgCpQ0LhQ.jpg Therapy for Young Adults https://images.squarespace-cdn.com/content/v1/5fea25c567dd3717ced97bed/1644613445677-OMKOPFTIXS8TA112PH2P/unsplash-image-Lh0OKWw3YZU.jpg Therapy for Young Adults - Help with Depression and Anxiety Disorder Treatment This tension between reality and fantasy can cause all kinds of psychological suffering, including symptoms of anxiety and depression. With the right supports in place, early adulthood is a time to thrive, connect, and create--on your own terms. Therapy can be a tool to identify what’s holding you back and what can move you forward. Young adults enter an uncertain world and face the pressure of making decisions that will affect the rest of their lives. If you're a young adult, you are probably somewhere along the path of choosing a career, finding a partner, deciding where you want to live, and starting a family of your own. Or maybe you're trying to forge your own path. This is an exciting time, if we approach it with a growth mindset. You need to have the support to take risks and fail a few times. https://images.squarespace-cdn.com/content/v1/5fea25c567dd3717ced97bed/83c6df38-ddd0-4d49-8862-0ee98b9bd5f5/freud.jpeg Therapy for Young Adults https://images.squarespace-cdn.com/content/v1/5fea25c567dd3717ced97bed/1644612621989-SXFGCERJ2HOT7YTZVZ4C/unsplash-image-Hr6dzqNLzhw.jpg Therapy for Young Adults - I specialize in therapy for depression and anxiety Even though you may feel lost or stuck, we can draw on the values and goals that you believe in, and help you find your path forward. 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