Online PTSD & trauma treatment

Trauma-focused therapy that works

We use the therapies with the strongest evidence for PTSD — Cognitive Processing Therapy (CPT), Prolonged Exposure (PE), and EMDR — to help your brain reprocess the trauma so the memories lose their grip. You set the pace; nothing is forced, and we build in grounding and coping skills from the first session.

Medication when it helps

When medication is part of the plan, we use non-controlled options first — SSRIs such as sertraline and paroxetine are FDA-approved for PTSD, and prazosin can quiet trauma-related nightmares. We avoid benzodiazepines, which don't treat PTSD and can slow recovery, and we explain what to expect and monitor closely.

A coordinated, safety-first plan

Your prescriber and therapist work from one plan, so medication and therapy reinforce each other. We screen for the things that so often travel with trauma — depression, panic, insomnia, and substance use — and treat them together rather than in isolation.

From first visit to feeling safe again

Trauma-informed intake

We take a careful history at your pace — you're never asked to relive details you're not ready to share. We map how the trauma shows up now (sleep, mood, concentration, avoidance, startle), screen for depression and substance use, and ask directly about safety, so the plan fits where you actually are.

Your plan, together

Your clinician explains the options — CPT, PE, or EMDR, with or without medication — and the reasoning behind each, so you can choose. We set realistic expectations for how trauma-focused work feels and how progress usually unfolds.

Follow-up & adjustment

We track your response through regular check-ins and adjust the approach, dose, or focus as you go, spacing visits out as symptoms ease. Recovery isn't linear, and the plan flexes with you.

The symptoms overlap, but the timeline separates them: acute stress disorder is diagnosed within the first month after a trauma, while PTSD is diagnosed when the symptoms last longer than a month. Recognizing acute stress early lets us intervene before symptoms entrench.

Anxiety is future-focused worry that isn't tied to a specific event. PTSD is anchored to a trauma — the intrusive memories, flashbacks, and avoidance all trace back to what happened. Treating PTSD means processing the trauma itself, not just managing worry.

They frequently occur together, and numbness, poor sleep, and loss of interest show up in both. The distinguishing features of PTSD are re-experiencing (flashbacks, nightmares) and avoidance of trauma reminders. When both are present, we treat them together in one coordinated plan.

Trauma that was prolonged or repeated — childhood abuse, ongoing domestic violence, trafficking — can affect emotion regulation, self-image, and relationships beyond classic PTSD. Care is longer and more layered, and we pace it carefully around safety and stability.

Insurance & cost

Coverage and cost

We're in-network with major commercial plans — including Aetna, Cigna, UnitedHealthcare/Optum, Anthem/Blue Cross Blue Shield, and Humana — and Medicare where our clinicians are licensed. We verify your benefits before your first appointment, so you know your cost up front. Prefer not to use insurance? Transparent self-pay rates are available. If your trauma is the result of a violent crime in Texas, you may qualify for fully covered care through the state's Crime Victims' Compensation program — see our Texas Crime Victims' Compensation page.