Counselling for Trauma and C-PTSD

What trauma and C-PTSD can look like

Trauma can carry on shaping how you feel and relate to people long after the event itself is over. You might know exactly where it started, or just have a sense that something from the past is still running in the background of your reactions now. It doesn't always come from one clearly defined moment. It can follow an accident, an assault, a loss or another frightening experience, but it can also build slowly, through childhood neglect, bullying, an unsafe relationship, or years of not feeling safe.

The effects can be obvious: flashbacks, nightmares, panic, feeling constantly on guard, or going numb. They can also be quieter and easier to miss: shame, harsh self-criticism, trouble trusting people, difficulty setting boundaries, people-pleasing, feeling disconnected from yourself, or finding your way into the same painful relationship pattern more than once. You don't need a diagnosis of PTSD or C-PTSD for any of this to be worth bringing into a session. What matters is whether something you've lived through is still affecting your life now.

How I work with trauma

I work in a trauma-informed, carefully paced way, broadly following Judith Herman's three-phase model of trauma treatment: safety and stabilisation first, then processing the memory itself, then reconnecting with the parts of life it affected.

I won't assume that describing what happened in detail is the right place to start. For many people that's too much too soon, so we begin with understanding your reactions and finding ways to manage panic, shutdown or overwhelm when they show up, moving toward the memory only if and when that feels right.

With complex or childhood trauma, that first stage of building safety and trust can end up being most of the work, and it still counts as real progress even when nothing dramatic seems to be happening.

Integrating approaches to working with trauma

My core approach is relational and person-centred, because trust in another person is often exactly what trauma damages, and I draw on psychodynamic thinking to understand how earlier experiences shape current relationships and defences.

Beyond that base, I bring in other tools depending on what might fit, not a fixed protocol that’s meant to work for everyone. For example, the Rewind Technique might work for certain intrusive memories, and Internal Family Systems (IFS) for understanding the different "parts" complex trauma tends to create, from wounded ones to protectors. If emotions are arriving faster than you can process them, we can slow them down with grounding and distress-tolerance tools from DBT .

If drinking, drugs or other habits have been doing the job of blocking things out, that's worth exploring too, without judgement.

You can find out more about my approach to therapy on the About my practice page.

I see adults interested win working with their trauma in person in Brighton and Hove, or online anywhere in the UK and beyond.

The process starts with a free 15-minute consultation, so we can talk through what's brought you here before either of us commits to anything.

In-person and online therapy sessions

Common Questions about Trauma Therapy