Trauma and PTSD

Trauma can affect how a person experiences safety, emotion, connection, memory, and the body. HOPE therapists work with childhood trauma, abuse, neglect, sexual assault, intimate partner violence, acute and complex trauma, attachment wounds, and emotional dysregulation. We also support military service members, veterans, first responders, and families affected by difficult experiences.

Trauma-informed counseling does not ask you to tell every detail before you are ready. The work begins with collaboration, questions, and attention to your pace. A therapist can help create a supported place to notice what is present, understand patterns, and discuss what kind of approach fits your goals.

Your therapist will explain their way of working and make room for questions. In EMDR or Brainspotting, that includes discussing readiness and what to expect. In relational, parts-informed, somatic, attachment-based, or other work, it includes identifying a focus together and respecting your responses during the process.

If you need immediate help, call or text 988. Veterans and service members can press 1. In an emergency, call 911. This website, email, and phone lines are not monitored for emergencies. For ongoing counseling, you can request a therapist in Roseville or by secure video while located in California.

Counseling at HOPE is collaborative and shaped around the person, couple, or family in the room. We do not begin with a preset definition of success. Instead, your therapist makes space for what matters to you, helps you identify personal goals, and works with your experiences and strengths. You can talk about what feels difficult, notice patterns, and decide together where to focus.

Our therapists bring different backgrounds and approaches to this work. Some draw from attachment-based, relational, psychodynamic, parts-informed, somatic, emotion-focused, or cognitive behavioral perspectives. Trauma-informed approaches available within the practice include EMDR, Brainspotting, and Trauma-Focused CBT. Work with children and families may also include play therapy and Parent-Child Interaction Therapy. The approach used depends on the therapist, the client, and the goals you discuss together.

A first step does not require having everything figured out. You can read our therapist profiles, or call or email us and we will help you find a good starting point. If you have a therapist preference, let us know. If you do not, we can help identify a good starting point based on the concern, who will attend, the way you would like to meet, and any language preference.

HOPE offers counseling in person at our Roseville office and by secure video for clients who are located in California during the session. Wendy offers counseling in English and Spanish. A therapist will contact you within 48 hours, Monday through Friday. Before beginning, you can ask questions and learn what to expect so that the next step feels clear.