Therapists in Salem County, VA
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Check out therapists located nearby or offering teletherapy in Virginia below.Online Therapists
Avis Augustine-Miller
Licensed Professional Counselor, LPC, LMHC, NCC, CCMHC
Verified Verified
Lynchburg, VA 24502 (Online Only)
The goal of every client who comes to treatment is to resolve the existing crisis or trauma, manage anxiety, reduce depressive and other symptoms, and return to a state of being that better reflects their optimal functioning. Clients who come to therapy are arguably the best suited to tell us what their needs are and where the gap exists between their needs and goals for their best life. Living with grief, loss, anxiety, PTSD, psych ache, relationship distress, trauma (including racial trauma), rejection, and mood disorders takes a toll, not only on everyday functioning but also on self-esteem, self-efficacy and self-care.
The goal of every client who comes to treatment is to resolve the existing crisis or trauma, manage anxiety, reduce depressive and other symptoms, and return to a state of being that better reflects their optimal functioning. Clients who come to therapy are arguably the best suited to tell us what their needs are and where the gap exists between their needs and goals for their best life. Living with grief, loss, anxiety, PTSD, psych ache, relationship distress, trauma (including racial trauma), rejection, and mood disorders takes a toll, not only on everyday functioning but also on self-esteem, self-efficacy and self-care.
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Trauma and PTSD Therapists
When should I seek treatment for trauma?
Not everyone who undergoes trauma needs therapy to heal, but many do. If, after experiencing a traumatic event, you find yourself struggling with symptoms such as nightmares, dissociation, irritability, or emotional numbness—especially if these symptoms last more than a month and are severe enough to interfere with your daily functioning—you may benefit from seeking out therapy with a trauma-informed provider.
How long does trauma therapy take?
Different types of therapy for trauma unfold on different timelines. Prolonged exposure therapy and cognitive processing therapy, for example, each take about three months, while trauma-informed CBT may last anywhere from 8 to 25 sessions. Other approaches, especially those that are less structured or that incorporate elements from multiple modalities, may be more open-ended, though many patients report feeling better within the first few months of treatment.
What happens if trauma is left untreated?
Unaddressed trauma can have serious—even devastating—effects on relationships, career, and day-to-day functioning. Post-Traumatic Stress Disorder (PTSD) can lead people to distrust or lash out at others, making it difficult to maintain intimate relationships; it can also trigger symptoms such as flashbacks or hyperreactivity that can interfere with a person’s ability to function effectively, personally and/or professionally. Some sufferers turn to drugs to find relief. Symptoms may lessen on their own with time, but there is no guarantee that PTSD will resolve on its own.
Can PTSD come back after treatment?
It is possible for PTSD symptoms to recur months or years after successful treatment. This is because, like most mental health disorders, it is not possible to “cure” PTSD, and stressful life events may cause symptoms to recur in even the most resilient individuals. There is no shame in re-experiencing PTSD symptoms nor in returning to therapy when such relapses occur; indeed, many forms of trauma therapy explicitly encourage periodic “maintenance sessions” to reinforce coping skills and ensure that symptoms stay manageable.