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Conditions

Trauma and PTSD

Trauma can keep showing up long after the events themselves — in sleep, in startle and vigilance, in mood, and in how safe the world feels. Medication is not the whole answer here, but it can lower the volume enough for other work to be possible.

A calm, private space set up for a telehealth psychiatric appointment

What it can look like

  • Intrusive memories, nightmares, or flashbacks
  • Feeling on guard, easily startled, or unable to settle
  • Avoiding people, places, or conversations that bring it back
  • Sleep that will not come, or will not stay
  • Feeling numb, detached, or cut off from people who matter

These are common experiences, not a checklist for self-diagnosis. A comprehensive evaluation is how we understand what is going on for you specifically.

How NCNE can help

  • An evaluation that asks about trauma history carefully and at your pace
  • A plan that treats what medication can genuinely help — sleep, hyperarousal, mood, co-occurring depression or anxiety
  • Psycho-education about what trauma does to sleep, arousal and mood, and what helps between visits
  • A referral to a trauma-focused therapist where that work would help, with coordination as needed
  • Follow-up that tracks whether the plan is actually helping

About medication

Medication is one option among several. At NCNE we believe meaningful care goes beyond writing prescriptions — a thorough evaluation, collaboration, education, and an individualized plan come first, and therapy, lifestyle changes, and primary-care coordination are part of the conversation.

Related program: Holistic & Root-Cause Psychiatry.

Read more

Learn more about the initial psychiatric evaluation, ongoing medication management, and insurance & fees.

If you are in immediate danger, call 911. For urgent emotional support at any hour, call or text 988(Suicide & Crisis Lifeline). Telehealth visits and this website are not an emergency service.

Common questions

Do I have to talk about what happened?
Not in detail, and not before you are ready. We need enough to understand your symptoms and keep you safe; the detailed processing work belongs in therapy, at your pace.
Do you provide trauma therapy?
NCNE provides comprehensive psychiatric care, and psychotherapy can be part of your treatment based on your needs — including psychoeducation about what trauma does to sleep, arousal and mood, and practical strategies for managing symptoms between visits. Trauma-processing therapies such as EMDR, CPT or prolonged exposure are specialized, ongoing treatments that go beyond what is provided within psychiatric care. When that kind of work would help, we will say so and recommend a trauma-focused therapist, and with your permission we coordinate care with them so your treatment is well integrated.

Taking the first step toward better mental health can feel overwhelming, but you don’t have to navigate it alone. Contact NCNE to learn more about our services and discover how personalized psychiatric medication management can support your goals.