Delicate white flowers representing new beginnings and the founding philosophy behind Carolina Trauma Recovery's trauma therapy practice in North Carolina

The Origin story behind ctr

Your story is uniquely your own. Your therapy should be too.


Carolina Trauma Recovery and Psychological Services was built on a simple but seemingly radical idea: that therapy should be designed around the client, not around the clock.

The traditional therapy model wasn't designed with trauma recovery in mind. Fifty minutes goes by fast, and for this kind of work, it often isn't enough time to go where true healing actually requires. CTR was designed differently and intentionally for this exact reason. Every thoughtful decision made here, from session length, to treatment structure, to the pace of your healing process, is considered with one person in mind: you.

My practice is founded on depth, intention, and the belief that trauma survivors deserve more than only managed symptoms. You deserve real and lasting recovery that isn’t fit into a standard box.

I carried that conviction into every clinical setting that followed and I kept noticing the same pattern. Clients would come in motivated, insightful, and making progress, only to be cut off just as the real work was beginning at the 50-minute mark.

My continued clinical experiences later on only reinforced the idea that the structure of traditional therapy simply wasn't built for the depth that I believe trauma recovery requires, nor the space to treat someone as a whole person and honor their unique story and experiences.

So, I started asking different questions. What would therapy look like if it wasn't rushed? How do I create enough space for meaningful, lasting recovery? What does a practice look like when it's built entirely around the needs of trauma survivors and not around volume, insurance panels, or the 50-minute standard?

My vision of CTR didn't emerge from a simple business plan I created, but from years of clinical experience and a growing conviction that the traditional therapy model wasn't serving trauma survivors well enough.

Early in my career, I worked within correctional facilities. Spaces where I met people carrying the heaviest and most invisible weight imaginable including experiences of childhood abuse, violence, neglect, generational trauma. What I witnessed during my time there ignited something in me: behind every story was a person whose life had been shaped by trauma that they never had the space, time, or support to heal from.

Building Carolina Trauma Recovery is my answer to those questions.

Close-up of dark green ivy leaves with prominent light green veins, covering the surface.
Dr. Cierra Listermann reflecting on her client-centered practice philosophy at Carolina Trauma Recovery, offering specialized trauma and PTSD therapy in North Carolina

My Practice Philosophy

Your story is uniquely your own. Your therapy should be too.

This isn't just a tagline. It's the axiom that guides every decision made at CTR: from how sessions are structured, to how treatment is planned, to how progress is measured.

At CTR, there is no one-size-fits-all approach. There is no rushing through your history to stay on an arbitrary schedule. There is no ending a session just as it feels like something important surfaces. Every client brings a story that deserves to be heard fully, honored completely, and treated with the time and space it requires.

That's why every session at CTR is 90-minutes. That's why the full Cognitive Processing Therapy protocol is offered in both intensive formats and weekly therapy sessions to honor a pace that’s right for you. That's why my practice operates outside of high client volume models to foster genuine connection and the depth of care needed for trauma recovery.

The Hummingbird Metaphor

The hummingbird was chosen as the heart of my practice because it embodies everything that guides trauma recovery: resilience, precision, endurance, and the capacity to find sweetness even in the most difficult landscapes.

Just as the hummingbird hovers with intention, sustains momentum with purpose, and ascends with power, clients navigating trauma move through their own stages with guidance and support toward healing — stabilization, processing, and post-traumatic growth — at a pace that honors their capacity and their story.

This is not therapy that rushes you through healing or forces forward movement before you are ready. It is intentional, skillful, and transformative work. The kind that moves you toward the life you want, not just away from the pain you're in.

Hummingbird in flight among blue flowers representing the resilience, precision, and endurance that guide trauma recovery at Carolina Trauma Recovery in North Carolina
Outline of a hibiscus flower with leaves on a black background.

You are a high-achieving professional who has built a successful life on the outside while quietly carrying something heavy on the inside. You are good at showing up. You are good at pushing through. But, underneath the productivity and the accomplishments, something from your past keeps surfacing. Maybe it comes up in your relationships, your reactions, or the way you feel when things slow down enough to actually acknowledge it. You may have tried therapy before and felt like you were circling the same ground without real forward movement. You may be currently working with another provider, but looking for specialized, focused trauma treatment alongside your existing care. Or perhaps, this is your first time seeking support and you are ready to do this right from the very beginning.

My clients are insightful, motivated, and used to holding it together. They come to CTR because they want more than coping strategies. They want to understand how trauma has shaped the way they think, feel, and move through the world, and they want a clear, structured path to change it.

If this sounds like you, you're in the right place.

CTR was built for adults in North Carolina who are done surviving and ready to heal. Who are tired of carrying something they never asked to carry. Who are finally ready to put it down for good.

Who I work with

The CTR Difference

Choosing a therapist is one of the most important decisions you can make for yourself. Here is what you can expect when you choose to work with me, and why every element of my practice was designed with your healing in mind.

You have already done the hardest part by showing up here and considering what comes next.

The consultation call is free, confidential, and a space for you to ask questions, share what you are carrying, and explore whether CTR feels like the right fit. There is no pressure and no commitment required.

Outline drawing of a leafy branch with multiple elongated leaves on a black background.