WHAT WE TREAT 01

The danger can be over long before your body feels safe again.

You may know you are safe now. Your body can still react as if the threat is close.

Trauma can show up as intrusive memories, nightmares, avoidance, irritability, feeling constantly on guard, or periods of numbness and disconnection. Sometimes the link to what happened is obvious. Sometimes it is not.

Experiencing trauma does not automatically mean PTSD, and you do not need a diagnosis before seeking help. Therapy starts by understanding your experience, what is happening now and what kind of support may fit.

WHAT THIS CAN FEEL LIKE 02

Trauma does not always announce itself as a memory. Sometimes it shows up in how you live now.

You may notice it in what you avoid, how quickly your body reacts, how hard it is to switch off, or how distant you can feel from yourself or other people. The pattern matters more than whether you already think of it as trauma.

A man on public transport with a reflection suggesting an earlier military experience.
What happened then can still shape what feels possible now.
01 INTRUSION

The past can arrive without being invited.

A memory, nightmare, image, sensation or sudden rush of emotion can pull you back toward something you would rather leave behind. Sometimes the body reacts before you have made sense of why.

02 AVOIDANCE

You start steering around whatever might bring it back.

That can mean avoiding certain places, people, conversations, situations or reminders. In the short term it can feel protective. Over time, it can make life progressively smaller.

03 THREAT

Part of you stays ready, even when nothing is happening.

Sleep may become lighter. Small noises can land harder. Irritability, tension, scanning the room or difficulty concentrating can all reflect a system that has learned to stay prepared.

04 DISCONNECTION

Sometimes protection looks like feeling less.

You might feel numb, detached or further away from yourself and other people. It can be difficult to feel close, trust what you are feeling, or stay present when something becomes emotionally loaded.

These experiences can occur after trauma without necessarily meaning that you have PTSD. Understanding the pattern, its impact and its context comes before deciding what treatment is appropriate.

Hello, World!

HOW WE APPROACH TRAUMA 03

We don't start by sending you straight back into what happened. We start by understanding what is still happening now.

Trauma treatment should not begin with a method and then ask you to fit it. We first build a clearer picture of what is affecting you now, what helps you stay present, and what kind of work is most likely to be useful.

01 WHAT IS HAPPENING NOW

Understand the pattern before choosing the treatment.

Triggers, intrusive memories, sleep, avoidance, physical reactions, relationships and the ways you are coping now all help build the picture.

UNDERSTANDING FIRST
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THE EXPERIENCE IS YOURS. The treatment should fit it.
02 READINESS

Decide whether trauma processing should start now.

Some people are ready for trauma-focused work relatively quickly. Others benefit from more preparation so difficult memories or emotions can be approached without becoming overwhelming.

03 WHAT NEEDS THE WORK

Identify what is keeping the difficulty going.

The main problem may involve traumatic memories, avoidance, beliefs, dissociation, emotional regulation, continuing threat, or a combination of several things.

04 TREATMENT FIT

Choose the treatment because it fits.

That may mean EMDR, CPT, another trauma-focused approach, or addressing something else first. The treatment follows the formulation, not the label.

ASSESS PREPARE FOCUS MATCH
A PLACE TO BEGIN 04

You don’t need to know exactly what this is before you ask for help.

Trauma does not always arrive with a clear label. You may know that something still affects you, without knowing whether PTSD is the right description or which kind of therapy would make sense.

That uncertainty does not have to be resolved before you get in touch.

01 NO DIAGNOSIS REQUIRED

You don’t need to arrive with the right label.

You can begin with what is happening now: memories that intrude, situations you avoid, sleep that has changed, a body that stays on alert, or simply the sense that something has not settled.

02 NO THERAPY TO CHOOSE

You don’t need to decide which treatment you need.

The first step is to understand the pattern properly. From there, we can consider whether EMDR, CPT, another trauma-focused approach, or something else first is the better fit.

03 NO PRESSURE TO START THERE

You don’t have to begin with the hardest memory.

Trauma-focused work can begin when it is appropriate. Assessment, preparation and helping you feel able to stay present can all be part of the work before difficult memories are approached directly.

START WITH A CONVERSATION

You bring what is happening now. We can work out what comes next.

An initial appointment gives us a chance to understand what you are experiencing and consider the most appropriate next step.

Where specialist trauma treatment is indicated, the treatment approach and practitioner expertise should fit the work required.