Trauma is not only what happened. It is what your nervous system learned from it and never unlearned. Evaluation and medication management by secure video across Oregon, at whatever pace you set.
Book a Telehealth Appointment →Trauma leaves the body convinced the danger is ongoing. The result is hypervigilance that never switches off, sleep broken by dreams you cannot fully recall, a startle response out of all proportion, and a steadily shrinking list of places and situations that feel tolerable. None of that is weakness or a failure to move on. It is a nervous system doing exactly what it was trained to do.
It also does not require a single dramatic event. Chronic trauma, including childhood instability, an abusive relationship, medical trauma, or years in a job where terrible things were routine, produces the same physiology and is more often missed because there is no obvious incident to point at. Refugee and immigrant families frequently carry trauma that was never named as such in either language.
Nothing here requires you to narrate what happened in order to be treated. Medication can reduce hyperarousal and nightmares and make sleep possible again, which is often what makes trauma-focused therapy survivable. You decide what gets discussed and when.
Often the most disabling symptom and one of the most responsive to treatment. Fixing sleep changes everything downstream.
Constant scanning is exhausting in a way that is difficult to explain to anyone who has not lived it.
Chronic and developmental trauma count. There does not need to be one identifiable incident.
You are never required to tell the story to get help. Symptom relief can come first.
No. You are never required to narrate the trauma to receive treatment. Medication management and symptom stabilization can proceed without it, and many people find that easier once sleep and hyperarousal improve.
It helps meaningfully with specific symptoms, particularly sleep, nightmares, hyperarousal, and co-occurring depression. Trauma-focused therapy remains the core treatment, and the two work best together.
Yes. Chronic and repeated trauma produce the same physiology and often more pervasive effects. The absence of one dramatic incident does not mean the absence of trauma.
Yes, and for some people it is easier. Being in your own home, with the ability to end the call, gives a sense of control that a clinic room does not.
Usually within one to two weeks. There is no waitlist and no referral requirement.
By secure video, anywhere in Oregon. The initial evaluation is up to 60 minutes and follow-ups are 30 or 45 minutes. You need to be physically located in Oregon during the visit.
Oregon care is self-pay only. $400 for the initial evaluation, $200 for a 30-minute follow-up, $250 for 45 minutes. Nothing is billed to a health plan.
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ADHD medicationAnxiety medicationDepression medicationSecure video across Oregon. Self-pay only. Usually seen in one to two weeks.
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