Complex PTSD (C-PTSD) Therapy in California & Virginia
Stabilize, build skills, and reclaim meaning with ACT-led care—paced for safety and consent.
At a Glance — Online C-PTSD Therapy
I specialize in C-PTSD and developmental trauma. We start with stabilization and regulation, then add meaning-making and belief work so changes hold up in daily life.
Quick Facts
Modality: 100% online (HIPAA-secure)
Approach: ACT-led; integrates CBT, CPT; titrated exposure only when skills are in place
Who I help: Adults with chronic/prolonged trauma histories and attachment injuries
Availability: CA & VA (statewide)
Fees: $300 / 50 minutes • Self-pay • Superbills available
Licensure: CA PSY36022 • VA 0810007130
Start: Free 15-minute consultation
Who I Work With
I work with adults living with long-term, relational, and developmental trauma—where safety, trust, identity, and intimacy have been shaped by years of adversity. Care is ACT-led and paced for stability in CA and VA via private telehealth.
Childhood emotional/physical/sexual abuse or neglect
Survivors of coercive control (family, partner, group), complex grief, estrangement
Intergenerational & identity-based trauma (racism, homophobia, transphobia)
Immigrants & refugees coping with displacement, fear of deportation, raids
Attachment wounds (fear of closeness, chronic people-pleasing, shutdown)
Chronic hyperarousal or dissociation that complicates daily life
Adults 18+, online statewide; self-pay with superbills available
What C-PTSD Often Looks Like—and Why It Makes Sense
C-PTSD can follow chronic, repeated, or relational trauma (e.g., childhood abuse/neglect, coercive control, community/systemic harm). In addition to core PTSD symptoms, people often experience “disturbances in self-organization” such as:
Emotion regulation swings: shutdown, overwhelm, or feeling “all gas/no brakes”
A wounded self-view: shame, self-blame, or confusion about identity and worth
Relationship turbulence: fear of closeness or abandonment, boundary challenges
Dissociation or feeling detached from body/emotions
Sticky beliefs about danger, trust, or control that won’t shift
None of this means you’re broken. These are intelligent adaptations. Treatment focuses on safety, regulation, meaning-making, and gentle reconnection with self and others.
How I Treat C-PTSD (Phase-Based, ACT-Led)
We follow a phase model—stabilize → process → reconnect—prioritizing consent, pacing, and identity repair.
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ACT — Identity, Values, and Self-Compassion:
Strengthen “self-as-context,” reduce avoidance, and practice values-guided actions that rebuild dignity and choice.
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CBT — Everyday Stability:
Practical skills for sleep, routines, and emotion labeling; gentle experiments that test new, safer behaviors.
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CPT — Meaning-Making After Chronic Trauma:
Work through core themes (safety, trust, power/control, esteem, intimacy) that often underlie shame and isolation.
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PE — Carefully Applied, If Appropriate:
Choice-based, titrated exposure for narrowed lives—used only when stabilization skills are in place.
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Mindfulness & Grounding:
Body-based regulation and anti-dissociation strategies to widen the window of tolerance and reconnect with self/others.
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When helpful, we collaborate with medical providers for sleep or pain care.
What Therapy Looks Like
Care is phase-based and paced to your nervous system—stabilization first, then deeper meaning-making, all online across CA & VA.
Phase 1 (stabilize & resource): Regulation skills, sleep supports, boundaries, and daily structure so life feels safer and more predictable.
Phase 2 (make meaning): ACT + CPT-informed work on beliefs about safety, trust, control, esteem, and intimacy—always collaborative and paced.
Phase 3 (reconnection): Rebuild routines, relationships, and values-guided actions that hold outside session.
Optional exposure: Only when you choose and when skills are in place; we titrate carefully.
Checkpoints & options: We set 4–6 session check-ins and decide whether to keep stabilizing, deepen processing, or pause.
Telehealth is provided with documented informed consent at your first appointment. We review risks, benefits, privacy, and alternatives per California and Virginia law.
Where I Provide Care (California & Virginia)
Licensed in California (PSY36022) and Virginia (0810007130), I provide care fully online.
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Sacramento Metro (Folsom-based):
Sacramento, Roseville, Elk Grove, Rocklin, Davis
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Northern California:
Bay Area, North Coast, Shasta/Redding, Sacramento Valley
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Southern California:
Los Angeles, Orange County, San Diego, Inland Empire
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Northern Virginia:
Arlington, Fairfax, Reston, Alexandria, DC Metro
Fees & Policies
Sessions are $300 per 50 minutes. I don’t accept insurance directly but can provide superbills for possible out-of-network reimbursement. Cancellations under 24 hours are billed 50%, and no-shows are billed in full.
Uninsured or self-pay? You have the right to receive a Good Faith Estimate of expected charges.
Frequently Asked Questions
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C-PTSD often follows prolonged or repeated trauma and can involve regulation challenges, identity/esteem wounds, and relational difficulties in addition to core PTSD symptoms. Visit my blog post to learn more about the differences between C-PTSD and PTSD.
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We start with stabilization and skills, add meaning-making and trauma-related belief work (often CPT-informed), and support values-based living with ACT.
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No. We pace carefully. You decide what to work on and when; safety and consent guide the plan.
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Yes—care is online across CA & VA, including Bay Area, North Coast, Shasta/Redding, Sacramento Metro; Los Angeles/OC/San Diego/IE; and Northern Virginia/DC Metro.
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$300 per 50-minute session; self-pay. Superbills are available for possible OON reimbursement.
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We’ll use grounding, orientation, and paced body-based skills to build tolerance and reduce overwhelm before any deeper processing.
Have more questions? Visit my frequently asked questions about online trauma therapy page.