Our clinical focus
Specialized support for trauma in its many forms.
Trauma does not always look like one dramatic event. Sometimes it is a childhood you had to survive, a relationship that trained you to doubt yourself, or a workplace that eroded your nervous system.
Trauma and Complex PTSD
No two traumas are created equal. The shock of a single life threatening moment lives in the body differently than the slow erosion of growing up unsafe. Surviving a violent assault is not the same as surviving a controlling marriage. Inheriting your grandmother's grief is not the same as witnessing a coworker collapse on shift. Each type of trauma writes itself onto the nervous system in its own language, and each requires care that speaks that language fluently.
At Heal the Hurt Counseling, we specialize in identifying what kind of trauma you are actually carrying, because effective treatment depends on it. Acute trauma, chronic trauma, complex trauma, developmental trauma, vicarious trauma, and intergenerational trauma each respond to different clinical approaches, and our therapists are trained across the full spectrum of evidence based modalities, including EMDR, Somatic Experiencing, Internal Family Systems, and trauma focused cognitive behavioral therapy.
Trauma is not a weakness or a story you simply need to get over. It is a physiological and psychological imprint that deserves skilled, individualized care. Healing is possible, and the path there begins with understanding what you are healing from.
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Sexual violence shatters the foundational sense of safety we are meant to carry in our own bodies. Whether the harm occurred in childhood, adolescence, or adulthood, whether it happened once or across years, whether it was perpetrated by a stranger, a partner, a family member, or someone you trusted, the impact is real and the path forward is rarely linear.
Our therapists hold space for survivors of rape, childhood sexual abuse, incest, sexual assault, coercion, and grooming with the clinical depth and human tenderness this work requires. We help you reclaim your body, your boundaries, and your sense of self.
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Abuse inside a home, a marriage, or a family of origin distorts your reality and erodes the parts of you that once felt certain. Survivors of domestic violence and intimate partner violence often arrive in our offices questioning their memories, their worth, and their judgment.
We treat the full spectrum of relational harm, including physical violence, emotional and psychological abuse, financial control, coercive control, and the lingering trauma bonds that keep survivors stuck long after they have left. Our work is to help you remember who you were before, and meet who you are becoming now.
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Faith communities are meant to offer belonging and meaning. When they instead become sources of fear, shame, control, or harm, the psychological wounds run deep. We work with clients deprogramming from high control religious environments, cults, fundamentalist traditions, and purity culture, as well as those harmed by clergy, spiritual leaders, or doctrines that taught them their authentic self was unacceptable.
Our therapists are trained to support the careful, often grief filled work of untangling identity from indoctrination and building a worldview that is truly your own.
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Living with or loving a narcissist leaves a particular kind of wound. The cycles of idealization, devaluation, and discard, the gaslighting, the loss of self, and the chronic confusion of trying to make sense of someone who could not love you the way you needed all create lasting damage.
Whether the narcissist in your life was a parent, partner, sibling, or boss, our clinicians help you rebuild a stable sense of reality, restore self trust, and grieve the relationship you hoped for so you can fully claim the life ahead of you.
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Diagnoses, surgeries, hospitalizations, ICU stays, birth trauma, miscarriage, chronic illness, and frightening encounters with the medical system can all produce lasting trauma responses. Many clients are surprised to learn that their panic at the sight of a hospital, their dread before appointments, or the flashbacks they cannot shake are recognized clinical presentations of medical PTSD.
We offer specialized care for patients, caregivers, and families navigating the psychological aftermath of medical events.
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The cumulative weight of racism, microaggressions, discrimination, and witnessing or experiencing racialized violence produces real, measurable trauma in the body and mind. Our therapists understand that racial trauma is not in your head and not something to push through alone.
We provide a clinically rigorous, culturally attuned space for clients of color to process what they carry, name what has been minimized, and rebuild in community with practitioners who get it.
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Forced migration, war, persecution, and the loss of homeland leave wounds that span generations. Our clinicians work with refugees, asylum seekers, and immigrants navigating the trauma of what was endured before arrival, the grief of what was left behind, and the ongoing stress of building a life in a new country. We approach this work with deep respect for resilience, culture, and the complex layers of identity that displacement touches.
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The people who run toward emergencies and care for the suffering carry costs the rest of us rarely see. Police officers, firefighters, paramedics, nurses, physicians, mental health workers, and military personnel face cumulative exposure to human pain that produces vicarious trauma, secondary traumatic stress, moral injury, and operational PTSD.
We offer confidential, stigma free care designed for the unique demands of high stakes professions, with clinicians who understand your world.
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Some of what you carry was never yours to begin with. Patterns of fear, silence, addiction, violence, displacement, and survival can travel through families across generations, shaping nervous systems and relational templates long before you had words for them. Our clinicians help clients trace these inheritances with compassion, distinguish ancestral pain from personal pain, and become the generation where certain cycles end.
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Car accidents, workplace injuries, natural disasters, assaults, near death experiences, and other sudden traumas can leave the nervous system stuck in survival mode long after the danger has passed. Hypervigilance, intrusive memories, avoidance, and the disorienting sense that the world is no longer safe are all common responses to acute trauma.
We use evidence based approaches like EMDR and somatic therapies to help your body and mind integrate what happened and return to a felt sense of safety.
Grief and Loss
Grief is the price of love. It is not a disorder, not a diagnosis, and not something to be efficient about. Most grief is the work of a life and does not require treatment so much as time and people who can sit with you in it.
Some grief, though, does not move the way grief is supposed to move. It compresses into the body, fragments into intrusive material, lodges in the nervous system as something closer to trauma than to mourning. This happens when a death was sudden, violent, or witnessed. When a relationship ended in ways that did not allow closure. When the loss is not the kind your culture, your workplace, or your family knows how to recognize. When grief and trauma are tangled and the trauma is keeping the grief from being able to do its work.
Heal The Hurt provides specialized treatment for the grief that has become stuck. Not to rush you through it, but to help your nervous system finish what it could not finish in the moment, so that what you have lost can take its place inside the life you are still living.
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For loss that has not been able to integrate. The death that was sudden, violent, traumatic, or witnessed. The death that was expected but for which the grief still has not been able to find its way through. The death that arrived alongside another rupture, a divorce, a relocation, a family conflict over the funeral, and got buried under what came next. The death of a child, a parent, a sibling, a partner, a friend. We work with what is keeping the grief stuck so that grief can do its actual work, which is not to be solved but to be metabolized.
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The end of a marriage, partnership, or other foundational relationship can carry the weight of a death without being recognized as such. There is no funeral, no automatic permission to grieve openly, often no acknowledgment from the people around you that what you lost was real. For the end of long marriages, sudden separations, the betrayals that detonated a relationship, friendships that dissolved without explanation, and the long aftermath of trying to be okay while still carrying the loss of the future you thought you were building. We treat this grief as the grief it actually is.
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Loss without a clean ending. The parent with dementia who is alive but no longer who they were. The estranged family member you chose to step away from. The marriage that is technically intact and emotionally over. The home country you left. The identity that no longer fits. The friend lost to addiction or untreated mental illness, still in the world but not reachable.
Ambiguous loss is grief without a finishing line, and the absence of a clear ending is often what keeps the grief from being able to do its work. We help you grieve what is real and finished even when the form of the loss makes it look like something else.
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Grief that the people around you did not treat as grief. The pet you loved like family. The pregnancy that ended early. The death by suicide, overdose, or other circumstance wrapped in stigma. The ex-partner whose death you grieved without permission. The friend you lost without anyone calling it a loss. The partner your family never acknowledged. The abortion you do not regret and still mourn.
Disenfranchised grief is the loss itself plus the secondary wound of having that loss minimized, ignored, or socially edited out. We treat both: the grief that needs processing, and the relational injury that made the grief harder to carry.
Veterans
Service shapes the nervous system in ways civilian life often does not understand. The training that kept you alive, the experiences that did not get processed, the loss of structure, the loss of the unit, the gap between what you saw and what the people around you can hold: all of it lives in the body and continues to organize how you function long after you have come home. Heal The Hurt provides trauma-specialized care for veterans across California.
We work with all branches, all eras, all combat and non-combat experiences, and all discharge statuses. Confidential. Clinical. Outside the VA system. We treat the cases where standard PTSD protocols have not landed, including chronic, treatment-resistant, and complex presentations, and we address what civilian-trained clinicians often miss: the moral injury, the identity rupture, the depression that does not look like sadness, the hypervigilance that has nowhere to go in civilian life.
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Combat trauma is not always what civilian therapists assume it is. It can include the explicit events: firefights, IEDs, casualties, the loss of fellow service members. It also includes the layered material that does not show up in war movies: the moral injury of orders you carried out, the survivor's guilt, the dissonance of returning from a deployment to find that ordinary life continued without you, the body that learned to read every doorway as a threat. We treat all of it. We use EMDR, Brainspotting, somatic therapy, and parts work to process the specific events at the level your nervous system actually holds them. The work does not require you to retell anything in graphic detail. It requires you to be willing to work with what your body already knows.
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PTSD in veterans shows up alongside specific contextual factors that civilian PTSD treatment was not designed for: the training that suppressed normal threat-response calibration, the prolonged exposure to high-arousal environments, the moral and identity dimensions of military service, and the systems-level realities of accessing care. Standard PTSD treatments work for some veterans and miss others. We are equipped to work with the cases where the standard protocols have not landed, including chronic, treatment-resistant, and complex presentations that previous trauma therapy almost reached but did not quite finish.
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Many veterans experience post-service anxiety and panic that does not always get correctly identified as trauma-related. Hypervigilance that has nowhere to go in civilian environments. Panic responses to crowded spaces, fireworks, certain sounds, certain smells. The dread that builds before social events the rest of your family considers ordinary. The vigilance that does not turn off when you sit down at a restaurant or walk into a store. Treatment addresses the underlying nervous-system patterns, not only the surface symptoms, because anxiety driven by unprocessed trauma does not respond to anxiety-management protocols built for non-traumatic anxiety.
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Depression after service is common and is frequently missed, because it does not always look like sadness. It can look like flatness, irritability, the loss of meaning, the loss of structure, the disorientation of going from a context where every day mattered to one where you are not sure what you are doing. We treat the depression as both its own clinical condition and as a frequently overlapping manifestation of unprocessed trauma and identity rupture, which is often what separates the depression that lifts with standard treatment from the depression that does not.
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Reintegration is not a phase. It is an ongoing process, sometimes for years. It involves rebuilding identity outside a military framework, navigating relationships and family roles that have shifted while you were gone or while you were changing, managing the loss of the unit and the loss of structure, finding meaningful work, and figuring out how to be in a civilian community that does not always know what to do with what you have brought home.
We work with veterans at every stage of this process: the first six months, the fifth year, the moment two decades in when the material finally surfaces.
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Military Sexual Trauma includes sexual assault, sexual coercion, and persistent sexual harassment experienced during military service. It is clinically distinct from civilian sexual trauma because of the institutional context that shaped what was possible at the time: the chain of command that included your assailant, the retaliation that followed reporting or the well-founded fear of it, the careers that were ended, the medical exams that did not happen, the documentation that was never created.
Many survivors carry not only the original trauma but the secondary injury of having been harmed by, or unprotected by, the institution they served. We work with survivors of all genders, all branches, and all eras, including DADT-era veterans who carried MST in additional silence. Treatment is paced. Stabilization comes before processing. The work does not require you to retell the events to anyone you do not trust. Our position outside the VA system matters here: many MST survivors need care that is not entangled with the institution where the harm occurred.
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Moral injury is the wound that comes from witnessing, doing, or failing to prevent acts that violate your moral code. It is clinically distinct from PTSD. Where PTSD is organized around threat and fear, moral injury is organized around violation: the orders carried out that should not have been, the harm witnessed without the power to stop, the choice made under impossible circumstances that you have not been able to live with since, the betrayal by leadership or by the institution itself.
Symptoms include chronic shame, persistent guilt, the loss of meaning, rage that does not resolve, a sense of being morally separate from other people, and the spiritual or existential rupture that often follows. Standard PTSD treatments built around fear circuitry frequently miss it, which is one reason moral injury can persist long after other trauma symptoms have responded to treatment.
We treat moral injury as its own clinical territory, addressing both the specific events and the meaning-making work that recovery requires.
LGBTQ+ affirming. Identity-affirming. Available via secure telehealth to veterans across California, including those in rural areas where in-person specialty care is scarce.
Childhood & Attachment Trauma
The child you were did exactly what was needed to survive. The adult you are is now living with the cost. Childhood trauma, whether physical, sexual, emotional, or the chronic absence of attunement, installs survival strategies before you have the cognitive scaffolding to understand them, and decades later they show up as personality: hypervigilance reframed as observance, self-erasure reframed as easygoingness, over-functioning reframed as responsibility.
The attachment system organizes around the same early data and runs the same patterns into adult relationships below conscious choice, which is why most adults with attachment wounds already know what they should do and still cannot do it.
Heal The Hurt closes the gap between knowing and capacity by reaching the developmental layer where the wounds were laid down, using EMDR, Brainspotting, somatic therapy, parts work, and attachment-based therapy to help the parts of you that froze at five or eleven or fifteen finally update their information.
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The trauma that is hardest to name because nothing visibly "happened." The parent who was depressed, absent, working three jobs, addicted, grieving, or simply unable to attune. The child who learned not to need. The adult who is competent at everything except being received, and who often does not know that anything was missing until they sit down to describe a childhood that "wasn't that bad" and notice they cannot account for who was actually paying attention to them.
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Verbal contempt, criticism, conditional love, gaslighting, the silent treatment, the family member whose moods organized the whole household. The trauma that leaves you doubting your own perception decades later, second-guessing your read of any room you walk into, calibrating to other people before you check in with yourself. We work specifically with the loss of internal reference that this kind of childhood produces.
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The child who became the emotional caretaker, the household manager, the parent's confidant, the buffer between adults, the older sibling who raised the younger ones. Or the household where there were no private interior lives, where your feelings were treated as the family's business, where individuating was punished.
Treatment addresses the developmental cost of having had to be older than you were, and the adult patterns it produced: over-responsibility, difficulty receiving care, an identity built around being needed, guilt at the idea of taking up space.
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Trauma-specialized treatment for adults who experienced sexual or physical abuse as children, including by family members, caregivers, clergy, coaches, teachers, or others in positions of trust. The work is paced, careful, and explicitly designed for what implicit memory holds in the body. We do not push and we do not minimize. We follow the nervous system's readiness and we do not move ahead of it.
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For adult children of alcoholics, adult children of parents with untreated mental illness, and anyone who grew up regulating an adult instead of being regulated by one. The hypervigilance that became second nature, the role rigidity, the difficulty with rest, the way calm can feel suspicious. Treatment addresses both the trauma of the environment and the specific developmental impact of having grown up oriented to someone else's nervous system instead of your own.
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Anxious, avoidant, and disorganized attachment patterns in adulthood. The push and pull dynamics, the unreachable closeness, the partners who feel familiar in ways that hurt, the people you choose who recreate the original wound and the people you cannot choose because safety reads as boring. We work directly with the attachment system rather than only the symptoms that arise from it.
Maternal Mental Health
You wanted this and you are not okay. Both can be true. Pregnancy, birth, and the early years of motherhood reshape a body, an identity, a nervous system, and a partnership all at once, and the cultural mandate to perform gratitude through every part of it makes the harder pieces of the passage nearly invisible. Maternal mental health is its own clinical territory. Postpartum mood and anxiety disorders are not just regular depression that happened to a new mom. Birth trauma is not erased by a healthy baby. The grief of pregnancy and infant loss is not made smaller by the silence around it. Infertility is not a project you can think your way through.
Heal The Hurt provides perinatal mental health treatment to clients across California, with clinicians trained in the developmental, hormonal, identity, and relational realities of this passage who do not minimize any part of it.
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Postpartum depression, anxiety, OCD, rage, and PTSD are clinically distinct from each other and from their non-perinatal counterparts. They show up in the context of sleep deprivation, hormonal shifts, identity reorganization, relational realignment, and the cultural mandate to perform gratitude, which is why they are both common and frequently missed.
You may be functioning. You may be loving your baby. You may also be intrusively imagining harm coming to them, dissociating in the middle of feedings, raging at your partner, experiencing dread you cannot name, or feeling profoundly disconnected from the life you wanted.
None of this means you are a bad mother. It means you need support that knows the difference between baby blues and a postpartum mood disorder, and knows how to treat the latter.
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Birth can be traumatic regardless of whether the outcome was a healthy baby. Birth trauma includes obstetric violence, emergency cesareans, NICU stays, severe medical complications, witnessing your own resuscitation, fetal distress, procedures performed without informed consent, the loss of your birth plan, racism in obstetric care, and the experience of feeling unseen, unsafe, or unheard during one of the most vulnerable events of your life.
Symptoms include intrusive memories, avoidance of medical settings, difficulty bonding, hypervigilance about the baby's safety, fear of future pregnancies, and postpartum PTSD.
We use EMDR, Brainspotting, and somatic therapy to process the specific experiences, including the moments your body remembers even when your mind has worked to move on. We hold the complexity of an event that was supposed to be joyful and was also harmful, without minimizing either.
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Miscarriage, stillbirth, neonatal loss, termination for medical reasons, and the loss of a pregnancy through any pathway are losses that the surrounding culture often fails to recognize as losses. The grief is real, and it is frequently complicated by the silence around it, the speed at which the world expects you to move forward, the unanswered questions about your body, the strain it puts on a partnership, and the way it changes how every subsequent pregnancy or non-pregnancy feels.
We treat pregnancy and infant loss as the trauma and the grief it actually is. We use EMDR and Brainspotting to address the traumatic dimensions, the moment you found out, the procedures, the things you saw, the things you wish had been different. We use grief-informed therapy to walk the longer arc: the anniversaries, the due dates, the integration of who you are now that this has happened. Partners are welcome.
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The infertility journey is a sustained nervous-system event. It includes the cyclical trauma of hope and loss, the medicalization of sex and intimacy, the financial weight, the impact on identity and partnership, the experience of being surrounded by the easy fertility of others, and the chronic uncertainty about whether the family you imagined will exist. Therapy through infertility is not about helping you stay positive. It is about helping you stay yourself through a process that is structurally designed to deplete you.
We work with the accumulated trauma, the grief of each loss, the relational strain, the identity reorganization, and the question of when and how to stop, if you decide to stop. We support clients pursuing IVF, IUI, surrogacy, donor-conceived parenthood, adoption, and clients moving toward a child-free life by choice or by necessity.
Couples & Relational Therapy
Most couples do not come to therapy when things get hard. They come when things get unbearable, and by the time you are searching for a couples therapist, one or both of you has been carrying something alone for a long time. Heal The Hurt works with romantic couples and with the other relationships that shape a life: parents, adult children, siblings. These are the relationships that often hold the deepest unprocessed material, and they rarely get clinical attention until they have already broken.
Our relational work is trauma-informed and structured. We do not stage emotional reenactments and call it intimacy. We slow the system down enough that you can actually hear each other, then we work on the underlying dynamics. When trauma history in one or both of you is driving the pattern, we say so. When the relationship itself is the problem, we say so. We are not a "save the marriage at all costs" practice and we are not a "split up and stop wasting time" practice. We help you see what is actually happening between you and decide, with clarity, what to do with what you see.
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For couples in crisis and couples who can feel the crisis coming. Betrayal trauma (affairs, financial deception, secret-keeping that crossed a line). Conflict that has turned contemptuous. Disconnection that has crossed from drift into estrangement. The aftermath of one partner's individual trauma showing up between you. Co-parenting strain. The rupture caused by a major life event the relationship was not ready for.
We also work with couples deciding whether to stay. Sessions are paced, structured, and built on the assumption that you can both handle the truth of what is happening, even when the truth is hard.
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The relationship with a young child, an adolescent, an adult child, or a parent of your own is often where the deepest unprocessed material lives. The patterns you swore you would not repeat. The ruptures that did not get repaired. The estrangements. The reconciliations that never quite landed. The ways an aging parent activates a younger version of you that you thought you had outgrown.
We work across the lifespan: parents trying to do differently with their young children, parents in conflict with adolescents, adult children navigating parents who have not changed, adult children navigating the decline or death of a parent, parents and adult children attempting reconciliation after estrangement. Most of these ruptures have a trauma layer that surface-level communication work cannot reach. We work with the layer.
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Sibling dynamics get less clinical attention than they deserve. Adult sibling estrangements, conflicts over aging parents, betrayals around inheritance or family secrets, the long-running patterns established in childhood that resurface every holiday: these are real relationships with real impact. They also frequently hold the most unprocessed family-of-origin material, because your siblings are the only other witnesses to the system you were both inside.
We work with sibling pairs, small sibling groups, adults navigating sibling relationships individually, and families negotiating ruptures and reconciliations. The work is paced, structured, and oriented to what is actually possible between people whose histories are entangled and whose presents may need to look different from their pasts.
Self-worth, Boundaries & Codependency
Knowing your boundaries should be respected is not the same as being able to hold them. Knowing you are worth more than people-pleasing is not the same as not abandoning yourself in the next conversation.
The gap between knowing and capacity is where this work lives. Self-worth, boundaries, communication, codependency, self-trust, the anger that never had a safe place to land, the chronic shame, the sense of self you had to set aside in order to be acceptable to the people around you: these are not character skills you should have developed and somehow missed. They are nervous-system capacities that get built, or fail to get built, in early relationships where it was either safe to have a self or it was not.
Heal The Hurt treats this as the personal growth work that lets you live as the person you actually are, not the version that survived your circumstances. We address these patterns at the developmental layer where they were laid down, not the behavioral surface where they show up.
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After years organized around someone else's nervous system, the question is not "who am I" but "who was I before I became this." For adults emerging from childhood trauma, controlling relationships, high-demand religious or cultural systems, or roles they adopted because the people around them needed them to.
This work also includes the longer arc that opens once the survival self can rest: rediscovering what you actually care about, what gives the life you are now in meaning, and what becomes possible when you are no longer organizing your existence around managing the threat that used to be at the table.
The work is not about constructing a new identity. It is about recovering access to the one that had to go underground in order for you to survive, and letting that self choose the life from here.
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Trauma teaches the body to be a place to escape from. For people who have intellectualized themselves through life, who experience their bodies primarily as instruments or inconveniences, who have complicated relationships with eating, weight, sexuality, exercise, or being seen. This is not body positivity as performance. It is the slower, often quieter work of returning to a body you have been at war with or absent from, using somatic therapy, parts work, and trauma processing to make presence in your own body feel survivable again.
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Boundaries are not scripts. They are the felt sense of where you end and someone else begins, and they get built through nervous-system experience, not through reading books about them. We work with the underlying capacity first: why you go offline in conflict, why your "no" comes out as a question, why you over-explain, why you say yes and then resent it, why the boundary you finally set on Monday has collapsed by Thursday. The language follows once the structure inside can hold it.
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Boundaries get you to the threshold. Communication is how you walk through it without losing yourself or running over someone else. We work with the frameworks that have stood up clinically: nonviolent communication (NVC), assertive communication as distinct from passive, aggressive, or passive-aggressive patterns, and the repair language that Gottman-informed couples work draws on.
For adults who never learned that "no" could be said with respect, who flip between silence and overflow, who can lay out a case at work but go mute with the people closest to them, who say what they mean only after the conversation is over. The skills themselves are teachable in a handful of sessions.
Building the nervous-system capacity to use them under pressure is the actual work, and that is where trauma-specialized treatment differs from a communication workshop.
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For people whose perception was systematically overridden, by a parent, a partner, an institution, or a culture, the loss is not just confidence. It is the felt connection to your own knowing. We work on rebuilding that connection: noticing the body's signals, distinguishing intuition from anxiety, learning to take your own read on a situation seriously enough to act on it. This is the foundational capacity. Every other sub-specialty in this category rests on it.
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Codependency is not a character flaw. It is a survival strategy that develops when love was conditional, when a caregiver needed regulating, when being needed felt safer than being known, or when conflict felt dangerous and harmony had to be manufactured. Treatment addresses the underlying attachment patterns and nervous-system wiring, not just the behaviors. We work with parts work, attachment-based therapy, and somatic regulation to help you develop the capacity to be in relationships without disappearing into them.
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For adults who carry a chronic relationship with shame they cannot quite locate the source of, who feel rage they cannot access or anger they cannot put down, who learned early that some emotions were dangerous to feel and got very good at not feeling them. Shame and anger are often the most defended emotional territories in trauma survivors and the most necessary to reclaim, because the parts of you that hold them are also holding information you need.
We use parts work, somatic therapy, EMDR, and Brainspotting to make these emotions metabolizable rather than threatening, which is what allows them to move through you rather than run you from underneath.
For clients who look "fine" but do not feel fine.
Who We Help
You may be successful, responsible, articulate, and deeply exhausted. You may be the person everyone relies on. You may have learned to minimize what happened because someone else had it worse, or because slowing down felt too risky.
THERAPY CAN HELP WHEN YOU ARE DEALING WITH:
Feeling numb, detached, or emotionally flooded
Overreacting and then criticizing yourself for it
Avoiding places, people, conversations, or memories
Difficulty trusting yourself or others
Trouble sleeping or relaxing
Panic, irritability, or constant scanning for danger
Shame that does not respond to logic
Relationship patterns you understand but cannot change