Los Angeles Trauma Therapy
Trauma Therapist Los Angeles
Hi, I’m Dr. Nicole Moshfegh, a licensed clinical psychologist and trauma therapist in Los Angeles specializing in complex trauma.
If you’re feeling constantly anxious, fatigued, or on edge, struggling with low self-esteem, or finding it difficult to trust yourself or others, you may be experiencing the lasting effects of trauma. On the outside, you may seem like you’ve got it all together, but inside, you might be dealing with overwhelming feelings of shame, worthlessness, or emotional numbness. Perhaps you’ve experienced life-threatening events that are hard to talk about, or you feel like no one could truly understand your pain. I’m here to tell you that you are not alone, and I specialize in helping people just like you heal and move forward.
As a trusted trauma therapist in Los Angeles, I help individuals understand how trauma has shaped their emotional and behavioral patterns. My work centers on providing you with the tools to reclaim your life—by fostering deeper self-awareness, building healthier relationships, and setting clear boundaries. We will work together to unravel how your trauma has impacted your life and empower you to embrace joy and fulfillment once again.
Healing from trauma can feel like a daunting journey, but with the right support, you can regain control over your life. If you're ready to begin your healing process, I invite you to schedule a complimentary consultation today.
My Approach to Trauma Therapy Los Angeles
I understand how incredibly challenging it can be to find a trauma therapist who truly feels like a good fit. If you’ve landed here, it may be because you’re one step closer to finding the support you need to heal and move forward.
Over the years, I’ve become well-known in the sleep field for helping individuals improve their relationship with sleep and significantly enhance the quality of their rest. However, my journey into sleep therapy began through my work with people who’ve experienced trauma. You see, trauma deeply affects how our brain processes sleep, and many individuals struggling with trauma-related disorders face sleep disturbances, such as distressing dreams and nightmares, that only amplify their symptoms and delay healing.
That’s why I strongly believe in addressing both trauma and its impact on sleep or other related issues as part of the recovery process. Healing from trauma requires a comprehensive approach. My work starts with a thorough evaluation, where I take the time to listen to your story, understand the challenges you're facing, and learn about your goals. I believe in a collaborative process, where we have an open conversation about what is achievable in therapy, taking into account the time and energy you can realistically commit to the journey ahead. From there, we’ll discuss the treatment approach I recommend for your unique situation.
Because every person is unique, and healing doesn’t follow a one-size-fits-all approach, my methods are flexible and personalized. As a trained scientist-practitioner, I prioritize using evidence-based therapies, which means I begin with Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), an approach that has proven to be highly effective in treating trauma-related disorders. However, I adapt my methods based on your individual experiences, preferences, cultural background, and life context. I believe in honoring your unique identity and creating a treatment plan that resonates with you on a personal level.
Before diving into trauma processing, it’s vital to ensure that you have a stable foundation to build upon. I incorporate a range of relaxation and grounding techniques—such as deep breathing, mindfulness meditation, and other stress-reduction strategies—to help you develop the skills necessary to cope with distressing emotions. We’ll work together to identify which tools resonate best with you, giving you the confidence and calm you need to prepare for deeper trauma work when the time is right.
It's essential that trauma processing doesn’t begin until you are ready. That may mean we first focus on stabilizing symptoms of anxiety, depression, or insomnia, and enhancing your support system to ensure you have a strong foundation before addressing more intense work. Healing is a gradual process, and I am committed to walking with you every step of the way, honoring your pace and unique needs.
With the right therapist and support, healing is not just a possibility—it’s an eventuality. I have the experience and tools to help you work through your pain, navigate difficult emotions, and ultimately find peace, joy, and self-understanding again. My goal is to empower you to live a life that is no longer defined by your trauma, but instead by your resilience and your capacity to heal.
If you’re ready to take the first step toward reclaiming your life, I invite you to reach out for a consultation today. Healing begins with that first moment of connection.
Los Angeles Trauma Therapy FAQs
What is Post-Traumatic Stress Disorder (PTSD) and how do I know if I have it?
Post-Traumatic Stress Disorder (PTSD) is a mental health condition that can develop after someone has experienced or witnessed a traumatic event(s). Traumatic events can include things like sexual assault, wars/revolutions, natural disasters, accidents, being the target of oppression or racism, or any other event that is perceived as life-threatening or emotionally distressing. You can also develop trauma symptoms after hearing about how a loved one or someone you may share identities with has experienced a traumatic event(s). Trauma impacts people in different ways and some individuals are more susceptible to developing PTSD than others.
The primary symptoms of PTSD can be grouped into four categories:
Intrusion Symptoms:
Recurrent, intrusive, and distressing memories of the traumatic event.
Distressing dreams related to the trauma.
Flashbacks, where you feel like you are reliving the traumatic event.
Severe emotional distress or physical reactions when reminded of the trauma.
Avoidance Symptoms:
Efforts to avoid reminders of the trauma, such as avoiding places, people, or activities associated with the event.
Avoidance of thoughts or feelings related to the traumatic event.
Feeling emotionally numb or detached from others.
A sense of a limited future, like you don't expect to live a normal life span.
Negative Changes in Mood and Cognition:
Negative thoughts and feelings about oneself or others.
Inability to experience positive emotions.
Feeling emotionally numb or detached.
Difficulty in maintaining close relationships.
Memory problems, particularly with regard to the traumatic event.
Arousal and Reactivity Symptoms:
Irritability, anger, or aggressive behavior.
Hypervigilance, where you are constantly on guard for threats.
Exaggerated startle response.
Problems with concentration and sleep disturbances.
Some people may only experience a few of these symptoms, while others may experience most or all of them. If you suspect you might have PTSD, it's important to seek help from a qualified mental health professional who specializes in trauma. A therapist or psychologist can conduct a thorough evaluation to determine whether you meet the criteria for PTSD or another trauma or stressor related disorder. Finding the right treatment can significantly improve your quality of life and reduce the impact of PTSD on your daily functioning.
What is Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)?
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment designed to help individuals process and overcome the emotional and psychological effects of traumatic experiences. It is a structured and supportive therapy that combines elements of cognitive-behavioral therapy with trauma-informed interventions to promote healing and resilience.
How Does TF-CBT Work?
TF-CBT typically involves individual sessions where clients work closely with their therapist to build coping skills, process difficult thoughts and feelings, and address traumatic experiences in a safe and supportive environment. The therapy provides tools for managing emotional responses and reframing negative thoughts.
Key Components:
Psychoeducation: Understanding the impact of trauma and learning about common reactions to traumatic experiences.
Relaxation Techniques: Developing strategies to reduce anxiety and manage stress effectively.
Affective Expression and Regulation: Learning to identify, express, and manage emotions in healthy ways.
Cognitive Coping and Processing: Recognizing and changing unhelpful thought patterns related to trauma.
Trauma Narrative Development: Gradually and safely exploring and processing the traumatic experience to reduce its emotional impact.
In-Vivo Exposure: Confronting trauma-related triggers in a safe and supportive manner to reduce avoidance.
Enhancing Safety and Future Development: Building skills to ensure long-term emotional well-being and resilience.
Who Can Benefit from TF-CBT?
TF-CBT is effective for individuals who have experienced various types of trauma, including but not limited to:
Physical or sexual abuse
Domestic violence
Natural disasters
Grief and loss
Medical trauma
Community or workplace violence
This therapy can be particularly helpful for those who feel stuck in patterns of negative thinking, emotional distress, or avoidance behaviors related to their traumatic experiences.
What to Expect
During TF-CBT, you will be met with empathy and a focus on creating a supportive environment. The process is tailored to your needs and comfort level. Gradually, you will gain the tools to process trauma, develop healthier thought patterns, and build stronger coping skills.
Why Choose TF-CBT?
Research consistently shows that TF-CBT is one of the most effective treatments for trauma. By addressing both the emotional and cognitive aspects of trauma, it empowers individuals to move forward with greater strength, confidence, and resilience.
If you are struggling with the effects of trauma, TF-CBT may provide the support and tools you need for healing. Contact our office today to learn more or schedule a consultation.
What is Complex Trauma or Complex PTSD?
Complex Post-Traumatic Stress Disorder (C-PTSD) is a psychological condition that can develop in people who have experienced prolonged and repeated trauma throughout their lives, often in the context of interpersonal relationships or due to historical and/or systemic issues. While it shares some similarities with classic PTSD, there are some differences that distinguish it.
C-PTSD is often associated with situations where an individual has endured chronic and recurring trauma over an extended period of time. Some examples include but are not limited to the following:
Repeated Childhood Abuse: This can include physical, emotional, or sexual abuse experienced during childhood, which can often occur within a family or familiar setting.
Long-term Domestic Violence: Survivors of abusive relationships (not limited to physical abuse) where the abuse occurred over an extended period may develop C-PTSD.
War and Prolonged Conflict: Soldiers and civilians who have endured long periods of war, revolution, captivity, or ongoing violence may develop C-PTSD.
Childhood Neglect: Prolonged neglect, where a child's emotional or physical needs are consistently unmet, can contribute to C-PTSD.
C-PTSD can manifest with symptoms similar to PTSD, such as flashbacks, nightmares, and hyperarousal. However, it can also often include additional symptoms and challenges, including:
Emotional Dysregulation: Difficulty managing and regulating emotions, which can lead to mood swings and emotional reactivity.
Disturbances in Self-Identity: A compromised sense of self and identity and worth, often stemming from a prolonged experience of powerlessness and victimization.
Chronic Shame and Guilt: A persistent feeling of shame, guilt, and worthlessness, often related to the trauma and its effects.
Difficulty in Relationships: Struggles in forming and maintaining healthy relationships, including trust issues and difficulties with attachment.
Dissociation: Experiencing periods of detachment from reality, oneself, or one's surroundings as a way to cope with overwhelming emotions or memories.
Somatic Symptoms: Physical symptoms and health problems that may be linked to the stress and trauma experienced.
Treatment for C-PTSD typically involves specialized therapy approaches, such as:
Trauma-focused therapy: Therapies like Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) can help individuals process traumatic memories and develop coping strategies.
Insight-Oriented or Psychodynamic Therapy: This approach can help address issues related to self-identity and attachment difficulties.
C-PTSD can be a debilitating experience, but with the right treatment and support, people can make significant progress in their recovery and improve their overall well-being. If you suspect you may be experiencing C-PTSD, it will be very beneficial to seek help from a mental health professional experienced in trauma-related disorders.
Source
What is intergenerational trauma?
Intergenerational trauma, also known as transgenerational trauma or ancestral trauma, refers to the transfer or transmission of trauma and its effects across generations within families or communities. Psychological and emotional wounds resulting from traumatic experiences can be passed down from one generation to the next which can not only affect the individuals who directly experienced the trauma but also their descendants.
Some key aspects of intergenerational trauma include:
Historical Trauma: Often, intergenerational trauma is rooted in historical events that have had a profound impact on a particular group of people. Examples include slavery, genocide, colonization, wars, forced displacement, and cultural oppression. These events can result in long-lasting psychological and emotional scars.
Transmission Mechanisms: The transmission of trauma can occur through various mechanisms, including family dynamics, cultural norms, and societal factors. For example, trauma survivors may inadvertently pass on their trauma to their children through their behaviors, emotional patterns, and parenting styles.
Epigenetics: Some research suggests that trauma can influence gene expression and potentially be passed down through changes in DNA methylation and other epigenetic mechanisms. This means that the effects of trauma may be embedded in the genes and inherited by offspring.
Cultural and Collective Memory: Traumatic events can become part of a community's or culture's collective memory and identity, influencing beliefs, traditions, and narratives. These cultural aspects can contribute to the intergenerational transmission of trauma.
Symptoms and Effects: Descendants of trauma survivors may experience a range of psychological and emotional symptoms, similar to those seen in individuals who directly experienced the trauma. These can include anxiety, depression, post-traumatic stress symptoms, substance abuse issues, and difficulties with trust and relationships.
While intergenerational trauma can be a significant challenge, individuals and communities can also demonstrate resilience and engage in healing processes. Recognizing and addressing the trauma, seeking therapy from a trauma specialist, fostering cultural connections, and supporting each other can aid in breaking the cycle of intergenerational trauma.
How will I know if trauma therapy is helping?
Knowing if trauma therapy is helping can vary from person to person and often depends on your specific goals and the nature of the trauma you have experienced.
That being said, there are some signs and indicators to look out for to assess whether trauma therapy is helping:
Reduction in Symptoms: One of the most tangible signs that therapy is working is a noticeable reduction in the symptoms related to your trauma. These symptoms might include flashbacks, nightmares, intrusive thoughts, anxiety, depression, or emotional numbness (see above). As therapy progresses, these symptoms should become less intense and/or less frequent.
Improved Coping Skills: Effective trauma therapy often equips you with new coping skills to manage triggers and stressors related to your trauma. You may find that you're better able to handle distressing situations or emotions and have healthier ways of dealing with them.
Increased Emotional Regulation: Therapy can help you become more in control of your emotions. You might notice that you have fewer emotional outbursts or that you can express your feelings in a more balanced and controlled manner.
Enhanced Self-Understanding: As therapy unfolds, you may gain a deeper understanding of yourself, your trauma, and its impact on your life. This increased self-awareness can be a significant sign of progress.
Improved Relationships: Therapy can often lead to improved relationships with others. You may find that you're better at setting boundaries, communicating effectively, and forming healthier connections with friends and family members.
Increased Resilience: Over time, you may develop greater resilience, meaning you can bounce back from setbacks and adversity more effectively. This resilience can help you navigate future challenges with greater confidence.
Positive Feedback from Others: People close to you, such as friends and family, may notice positive changes in your behavior, mood, and overall well-being. Their observations can provide valuable external validation that therapy is making a difference.
Feeling Safer: A significant part of healing from trauma is feeling safer in your own body and in the world. As therapy progresses, you may notice a growing sense of safety and a reduction in hypervigilance.
Better Quality of Life: Ultimately, successful trauma therapy should contribute to an improved overall quality of life. You might find that you're more engaged in activities you enjoy, have a greater sense of purpose, and experience a higher level of life satisfaction.
It's important to keep in mind that progress in trauma therapy can be gradual and nonlinear. Some sessions may feel more productive than others, and setbacks can occur. Additionally, therapy may bring up difficult emotions as you explore traumatic memories and their impact.
Regular communication with your therapist is essential. If you have doubts about whether therapy is helping or if you're experiencing any concerns or challenges, discussing them with your therapist can lead to adjustments in your treatment plan. Remember that healing from trauma is a process, and it can be very beneficial to seek ongoing support and guidance from an experienced trauma-informed therapist to achieve your goals.
Get support from a Los Angeles Trauma Therapist
I know how overwhelming it can be to figure out where to begin and who you can trust on your healing journey. Please remember, you are not alone in feeling lost or stuck, and with the right support, you can reconnect with yourself and the life you truly deserve. I’m here to guide you through this process, offering compassionate care tailored to your unique needs. Reach out today for a complimentary consultation, and let's explore how we can work together toward your healing.