Trauma Therapy & PTSD Treatment: Answers to Your Most Googled Questions

By Cierra Listermann, Ph.D, HSP-P

Looking for Trauma Therapy or PTSD Treatment? (If Google Sent You Here, You’re in the Right Place.)

If your recent search history looks something like:

  • “trauma therapy near me ASAP”

  • “why am I like this???”

  • “do I need EMDR or just a nap?”

  • “how long does trauma therapy take because I’m tired”

    …you’re in good company.

Most people don’t Google “trauma therapy” on a calm, perfectly grounded day. They Google it when something inside them says, Okay, we can’t keep doing this the same way anymore. Whether you’ve been researching “trauma therapy near me” or “PTSD treatment that really works,” for weeks or you’re reading this on a late-night spiral where you promised yourself you’d “just look one thing up,” I’ve got you covered. Many people reach a point where they’re ready for healing but unsure where to begin or which type of therapy will actually help them move forward.

And that’s exactly why this guide exists — to give you clear, compassionate answers to the questions people actually ask when they’re feeling overwhelmed, curious, or cautiously hopeful that therapy might help.

In this post, you’ll learn what to expect in your first session, how long trauma therapy typically takes, and which evidence-based approaches—like Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), and Eye Movement Desensitization and Reprocessing (EMDR) may be helpful for you that guides and supports real, measurable healing and recovery.

Each of these therapies has been extensively researched and shown to reduce symptoms of post-traumatic stress, anxiety, and emotional distress, helping you rebuild a sense of safety, confidence, and control. But therapy isn’t just about the treatment model — it’s about finding the right fit with a therapist who understands your story and creates space for genuine healing at your pace.

Whether you’re exploring options, starting your first session, or considering alternatives to traditional therapy models such as extended sessions or intensive formats, this post will walk you through everything you need to know so you can take the next step with confidence.


What People Are Googling About Trauma & PTSD

Many prospective therapy clients who experience trauma & PTSD often search:

  • “PTSD help near me”

  • “Best therapy for trauma”

  • “EMDR vs CPT vs PE”

  • “Trauma therapy intensives”

These searches tell me one thing: people want clear answers and reassurance that trauma therapy truly works.

Starting therapy after experiencing something traumatic can feel really vulnerable. You might wonder if you’ll have to retell every painful detail, or if you’ll feel understood and safe. You might be curious about how long it will take to feel better, or whether it’s normal to still feel anxious even after doing “all the right things.”

Here’s what I want you to know before scheduling your first session:

You don’t have to have it all figured out before you choose to engage in therapy. It’s simply just about starting.

  • Healing is possible, even if past talk therapy experiences didn’t feel helpful, with personalized trauma treatment that is scientifically proven to work.

  • And most importantly, we’ll move at your pace. Trauma therapy is all about safety, not pressure, and meets you where you are.


How Long Does Trauma Therapy Take?

The length of therapy depends on many factors, including your specific history, symptoms, and goals. Evidence-based trauma therapies like Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), and Eye Movement Desensitization and Reprocessing (EMDR) often show significant improvement in 12–16 sessions. Clients often report feeling better within just a few sessions! Therapy is an extremely individual process, where some clients experience progress sooner, while others, such as those with more complex trauma may benefit from prolonged care.

Tip: Consistency matters! Weekly sessions often produce the best results.


Which Trauma Therapy is Right for Me?

No single therapy is “best” for everyone, and that’s actually a good thing. The most effective trauma therapy is the one that fits your unique needs, history, and treatment goals. Evidence-based trauma therapies have all been shown to help people recover from PTSD and trauma-related symptoms and are the “gold-standard” in trauma treatment, but each works in a slightly different way. Evidence-based options include:

  • EMDR (Eye Movement Desensitization and Reprocessing): EMDR helps your brain process traumatic memories that may feel “stuck” or unfinished. Through guided bilateral stimulation (such as eye movements or tapping), you can reprocess distressing experiences so they no longer feel as vivid, intense, or overwhelming. Many clients describe EMDR as a way to reduce the emotional charge of past events without needing to retell every detail.

  • CPT (Cognitive Processing Therapy): CPT focuses on how trauma has affected your beliefs about yourself, others, and the world. We work together to identify unhelpful thoughts (like “it was my fault” or “I can’t trust anyone”) and replace them with more balanced, compassionate perspectives. CPT is highly structured and can be completed in as few as 12 sessions, making it a good fit if you like having a clear roadmap and measurable progress. The American Psychological Association (APA) recognizes CPT as one of the most evidence-based treatments for PTSD. This is the treatment I am extensively trained in and find extremely beneficial for my clients who have experienced all different types of trauma.

  • PE (Prolonged Exposure): PE helps you gradually face memories, feelings, and situations you’ve been avoiding because of trauma. By approaching instead of avoiding, your brain learns that those memories are not dangerous, just painful experiences from the past. Over time, anxiety decreases, and your life starts to open back up. PE can be empowering for those ready to take an active role in their recovery.

All three treatment modalities are well-researched, effective trauma therapies. What matters most isn’t placing pressure on yourself to determine which method is best for you initially. It’s more helpful to educate yourself on different trauma therapy options and reflect on what your individual preferences and goals are that may be aligned with specific treatment options and, most importantly, goodness of fit with the therapist you are choosing to work with who helps you feel safe, supported, and in control of your healing process. Participating in consultation calls with therapists specializing in evidence-based trauma treatment will help you decide which option may be best for you with the guidance of a mental health professional.


What to Expect in Your First Trauma Therapy Session

Your first session isn’t about diving into your deepest trauma. It’s about beginning to establish trust, connection, safety, and clarity. Starting therapy can feel vulnerable, especially if you’ve tried before without success or aren’t sure what to expect. My role is to help you feel grounded, informed, and supported from the very beginning.

Here’s what we’ll typically focus on in that first meeting:

  • Getting to Know You
    We’ll talk about what’s bringing you in, your current symptoms, history of trauma, and what you hope to gain from therapy. You can share as much or as little as you feel comfortable with. I’ll ask gentle, open-ended questions to get a sense of your experiences and what’s been most difficult lately.

  • Setting Goals and Next Steps
    Together, we’ll outline your goals and identify what progress would look like for you. Whether that’s sleeping better, feeling more in control of your emotions, or being able to reconnect with the people and activities that matter to you. Your treatment plan will be a collaborative process, so you understand your options and feel empowered to choose what’s most important for you and at your pace.

  • Learning Practical Tools
    Even in your first session, you’ll leave with simple, grounding tools to help you manage stress, anxiety, or emotional overwhelm between sessions. These might include breathing techniques, body-based calming skills, or short exercises to help you feel more in control when triggers arise.

    There are no sudden deep dives until you’re ready. Your comfort and autonomy of choice always come first. The pace of therapy is guided by you. My goal is to help you feel safe enough to start exploring difficult experiences, not rushed or overwhelmed on a certain timeline.


Extended Therapy Sessions & Intensive Trauma Therapy Options

Healing doesn’t look the same for everyone and neither should your therapy experience. While many clients do well with the traditional 50–60 minute format, others find that longer or more concentrated sessions help them make deeper progress in less time.

Extended 90-Minute Trauma Therapy Sessions:

Extended sessions give us more space to slow down, process deeply, and integrate new insights without feeling rushed. They’re ideal for clients who:

  • Want time to explore complex or layered trauma histories

  • Prefer fewer transitions between topics or grounding exercises

  • Benefit from a longer window for EMDR, CPT, or PE sessions

  • Appreciate having time to debrief and leave the session feeling calm and centered

A 90-minute format allows us to cover more ground while maintaining safety and emotional regulation, especially for trauma processing work. It’s a great fit for clients who want the flexibility to dive deeper while keeping therapy grounded and paced at a manageable speed.

Trauma Therapy Intensives:

Massed Cognitive Processing Therapy: (This new service will soon be available at Carolina Trauma Recovery and Psychological Services, PLLC)

Massed CPT is an accelerated version of Cognitive Processing Therapy, typically completed over 4–6 weeks instead of the traditional 12. It’s designed for clients who want to move through the healing process in a more concentrated, structured format without sacrificing safety, depth, or quality.

Here’s what makes Massed CPT unique:

A Condensed Timeline With the Same Evidence-Based Power
You’ll meet multiple times per week, allowing you to build momentum, stay engaged with the work, and maintain emotional continuity from one session to the next. This focused approach helps you process trauma-related thoughts and beliefs without long gaps between sessions.

Deep Cognitive Shifts in a Shorter Window
Because the pace is quicker, many clients notice changes in how they think, feel, and interpret their trauma earlier in the process. Massed CPT can be especially helpful if you’ve felt “stuck” or frustrated with slower weekly therapy before.

Ideal for People With Limited Time or Upcoming Life Transitions
Massed CPT is a great fit if you:

  • Have a demanding schedule but can commit short-term

  • Want focused trauma work before a move, deployment, job change, or major transition

  • Prefer a structured, goal-oriented, time-limited approach

  • Are motivated for faster progress and ready to engage actively in therapy between sessions

Same Therapeutic Support, Just More of It
While the timeline is shorter, you still get high-quality, trauma-informed support. I’ll move at a pace that feels manageable, grounded, and safe for your system and check in regularly to ensure you’re not overwhelmed. Massed CPT is a premium, research-backed intensive option for clients who want efficient, measurable progress and feel ready for a more immersive therapeutic experience.

Eye Movement Desensitization and Reprocessing Intensives:

EMDR Intensives offer the same evidence-based EMDR approach you may already know about, but delivered in a more concentrated, immersive format. Instead of weekly sessions, you work in extended blocks over a few days or weeks, allowing you to stay deeply engaged in the processing without losing momentum.

Why people love EMDR intensives:

  • More rapid relief: The concentrated format helps you move through stuck memories faster.

  • Less emotional “stop and start”: You don’t have to re-warm the engine every week — you stay connected to the work.

  • Flexible structure: Intensives can be half-day, full-day, or multi-day depending on your goals and capacity.

  • Ideal for single-incident trauma, repeated traumas, or belief-level work that requires deeper processing.

Prolonged Exposure Therapy Intensives:

PE Intensives take the gold-standard approach of Prolonged Exposure and deliver it in a time-efficient, focused format. You’ll meet multiple times per week — sometimes daily — to work through both imaginal and in-vivo exposures in a supportive, structured way.

Why people choose PE intensives:

  • Faster symptom reduction, especially with avoidance, fear, and hyperarousal

  • Helps you build momentum so fear loses its control more quickly

  • Great for clients who are ready for an active, experiential approach

  • Highly structured: You always know what to expect and what each session is working toward

How EMDR, PE, and Massed CPT Intensives Compare

All three intensives are:

  • Evidence-based

  • Time-efficient

  • Goal-oriented

  • Personalized

  • Designed to accelerate healing while maintaining safety

But each works differently:

  • EMDR intensives help your brain reprocess stuck memories without needing to talk through every detail.

  • PE intensives help you face and release the fear that trauma taught your body and brain to hold.

  • Massed CPT helps you shift the beliefs trauma left behind so you can rewrite the story with clarity and compassion.

No option is “better” — the right fit depends on your symptoms, goals, and the style of therapy that resonates most with you.

Ready to Take the Next Step?

If you’re searching “Can therapy help me?” — the answer is yes. Trauma therapy works, and you don’t have to figure it out alone. If you're considering starting trauma therapy and seeking a compassionate, trauma-informed space to begin your healing journey, at Carolina Trauma Recovery and Psychological Services I’m here to support you.

I specialize in evidence-based trauma treatment including Cognitive Processing Therapy (CPT) and other treatment approaches proven to promote trauma recovery. I offer an integrative approach tailored to your needs. No “one size fits all” here.

👉 Book your free consultation and discover how trauma therapy can help you move forward. Let’s talk about what healing could look like for you — I’m here when you’re ready.

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