Trauma Therapy in San Francisco + Marin county, CA

Trauma can deeply affect how we experience and navigate daily life.

Whether it was a single highly distressing incident or prolonged exposure to chronic stress, we can experience changes that impact our nervous system, emotions, thoughts, behaviors, and our relationships in profound ways. Trauma can shape or alter our sense of safety and trust, our sense of self, and our ability to connect authentically in our most intimate relationships. 

Emotional Impact

Trauma often leaves us feeling overwhelmed by intense emotions such as fear, shame, sadness, anger, or numbness.

These emotions can fluctuate unpredictably, making it challenging to regulate our mood and respond to everyday stressors in a balanced way.

For some, intrusive thoughts or memories can hit us out of nowhere and can reactivate the emotional intensity associated with what we experienced in the past. These emotions can be confusing and can impact us for minutes, hours, or days at a time.

Cognitive Impact

Trauma can impact our cognitive processes, leading to challenges with concentration, focus, memory, and decision-making.

We all experience cognitive distortions, but with repetition, these thoughts can turn into negative beliefs about ourselves, others, and the world. Many of us feel chronic guilt and shame that can show up in every context.

Navigating this cognitive maze can undermine our confidence and can force us to compensate or overcorrect, creating even more confusion.

Behavioral Impact

We often attempt to cope with trauma in any way we can, which can lead to changes in our behaviors, routines, and habits.

In an attempt to manage overwhelming emotions, we can get stuck in hypervigilance, avoidance of people, places and activities, addictive patterns, self-isolation, or difficulties in maintaining our discipline, drive, and responsibilities.

These changes can disrupt our relationships, careers, and the way we engage in the things we find meaningful.

Relational Impact

Trauma can strain our relationships with family, friends, romantic partners, mentors, and colleagues.

Many of us struggle with trust, intimacy, and emotional closeness, making it difficult to communicate our experiences, needs, and boundaries.

Withdrawing, shutting down, or engaging in higher levels of reactivity and conflict can arise from heightened sensitivity, or from not feeling understood.

Physical Impact

As Bessel van der Kolk describes it, the body keeps the score.

Trauma can impact our sleep, fatigue, muscle tension, headaches, gastrointestinal issues, changes in appetite, and the way our bodies experience the world around us. Many of us learn to ignore signs and signals from our bodies in an attempt to get on with life.

These physical changes are part of the body's response to stress and can heighten feelings of overwhelm and panic in our day-to-day. The best place to start is to learn to listen to our bodies so we can better regulate our nervous system responses.

Overall Well-Being

Trauma can lead to a pervasive sense of vulnerability and uncertainty about the future.

It can change our sense of identity, purpose, and can shatter our deepest beliefs. Trauma can impact every area of our lives. I offer treatment that can help you heal so you can reconnect with what’s most meaningful to you.

Addressing the Impact of Trauma

I provide a supportive space to address and heal from the impact of trauma.

Through evidence-based approaches such as EMDR therapy, ketamine assisted psychotherapy, cognitive processing therapy, mindfulness practices, and art therapy, I support my clients in exploring and releasing overwhelming emotions, negative beliefs, problematic patterns of behavior, and uncomfortable physical symptoms so they can strengthen their relationships and reclaim a sense of safety, resilience, and empowerment.

If you're navigating the effects of trauma in your daily life and seeking support, I'm here to help. Together, we can explore strategies to promote healing, build coping skills, and foster a renewed sense of hope and well-being.

Adverse Childhood Experiences (ACEs)

Adverse childhood experiences (ACEs) are defined as preventable, potentially traumatic events that occur before the age of 18 years and are associated with numerous negative outcomes.

Among U.S. adults from all 50 states and the District of Columbia surveyed during 2011–2020, approximately two thirds reported at least one ACE; one in six reported four or more ACEs. ACEs were highest among women and those aged 25–34 years. (Swedo, Aslam, Dahlberg, Niolon, Guinn, Simon, Mercy, 2023. Prevalence of Adverse Childhood Experiences Among U.S. Adults — Behavioral Risk Factor Surveillance System, 2011–2020. Retrieved here.

Dr. Amy Waldron, LMFT offers online therapy and in-person therapy in San Francisco for the treatment of trauma

EMDR Therapy in San Francisco + Marin county, CA

Eye Movement Desensitization and Reprocessing (EMDR) can address the symptoms of posttraumatic stress, anxiety, depression, and past traumas. Learn more about types of EMDR therapy offered in my offices in San Francisco and Marin, California and online throughout California and North Carolina.

Cognitive Processing Therapy (CPT) for Treating Trauma

Cognitive Processing Therapy (CPT) is a structured and evidence-based approach designed to help individuals recover from trauma by addressing the cognitive distortions and beliefs that contribute to distressing symptoms. Developed initially for treating post-traumatic stress disorder (PTSD), CPT has been widely used to support individuals in processing and making sense of traumatic experiences.

Cognitive Restructuring

CPT focuses on identifying and challenging unhelpful or distorted thoughts related to the traumatic event(s). These thoughts, often termed "stuck points," can perpetuate negative emotions such as guilt, shame, and fear, or behaviors such as avoidance. Through structured exercises, you can learn to examine the evidence for and against these thoughts, gradually replacing them with more balanced and realistic perspectives.

Understanding the Impact of Trauma

CPT encourages us to explore and articulate emotions, beliefs, and reactions to trauma. This process helps to validate our experience and gain a deeper understanding of how the trauma has affected our sense of safety, trust, and self-worth. By fostering a compassionate and non-judgmental approach, I create a safe space for my clients to process difficult emotions and memories.

Skill-Building

CPT incorporates practical skills and techniques to help my clients manage distress and improve coping strategies. These may include relaxation exercises, grounding techniques, mindfulness practices, and assertiveness training. By developing these skills, you can learn to regulate your emotions more effectively and reduce the impact of trauma-related triggers on your daily life and your relationships.

Writing and Exposure

A key component of CPT involves structured writing assignments, such as the impact statement and weekly tracking tools. These exercises encourage us to confront and process traumatic memories in a safe and controlled manner. Through repeated exposure to these memories, we can gradually reduce avoidance behaviors and diminish the emotional intensity associated with the trauma.

Integration and Moving Forward

As you progress through CPT, you’ll begin to integrate new insights and perspectives into your daily life. You’ll develop a more adaptive understanding of the trauma and the impact it’s had on you, fostering resilience and a sense of empowerment. This phase of therapy focuses on consolidating gains, strengthening coping skills, and enhancing overall well-being.

Evidence-Based Approach

CPT is supported by extensive research demonstrating its effectiveness in reducing PTSD symptoms, improving quality of life, and promoting long-term recovery.

As a therapist who has specialized in treating trauma and PTSD for over more than a decade, I’ve received extensive education and training that allows me to tailor CPT and other forms of trauma therapy to each client's unique experiences and needs, ensuring a personalized and effective therapeutic process.

Cognitive Processing Therapy (CPT) offers a structured and empowering approach to help my clients heal from trauma by addressing the cognitive, emotional, physical, relational, and behavioral aspects of their experiences. By challenging negative beliefs, processing traumatic memories, and building coping skills, my clients have reclaimed their sense of safety, resilience, and hope for the future. If you're considering therapy for trauma and are interested in learning more about how Cognitive Processing Therapy (CPT) can support your healing journey, I'm here to provide guidance and support.

Frequently Asked Questions

  • Therapy with me is a collaborative and compassionate process. I work with adults and teens who identify as highly sensitive, introspective, or creative. Many of my clients struggle with feeling overstimulated, anxious, or disconnected from themselves or others. Our sessions are designed to help you understand your emotional patterns, heal from past trauma, and reconnect with your authentic self.

    I integrate approaches such as EMDR (Eye Movement Desensitization and Reprocessing), art therapy, somatic awareness, and, when appropriate, ketamine-assisted psychotherapy. Each session is personalized. There’s no “one-size-fits-all” approach. My goal is to help you feel seen, supported, and empowered to make meaningful changes at your own pace.

  • If you find yourself stuck in patterns of overthinking, self-doubt, people-pleasing, or emotional overwhelm, therapy can be a supportive and effective next step. Many of my clients come to therapy because they feel anxious in social settings, struggle with imposter syndrome, or notice that past experiences continue to shape their current relationships and sense of self.

    You don’t have to be in crisis to benefit from therapy. Sometimes, the most powerful work begins when you’re simply curious about why you feel the way you do and ready to experience life with more ease, clarity, and confidence.

  • EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based form of trauma therapy that helps people process and reconsolidate distressing memories and reduce the emotional charge these experiences continue to have in the present. Instead of talking through every detail of a painful experience, EMDR helps the brain reprocess those memories so they no longer feel as activating in the present.

    This approach is especially helpful for clients with trauma histories, social anxiety, or chronic self-doubt. Many highly sensitive people (HSPs) find EMDR particularly supportive because it works gently with the nervous system and doesn’t require rehashing painful stories. Over time, clients often report feeling calmer, more grounded, and better able to handle stress and triggers.

  • Masking refers to the tendency to hide or suppress parts of yourself, be it your emotions, needs, humor, or authentic personality, in order to fit in, avoid judgment, or stay safe. It’s common among HSPs, trauma survivors, and those with social anxiety or imposter syndrome.

    In therapy, we explore where these protective patterns came from and how they’ve helped you survive in the past. We also work to gently unlearn them, so you can show up more authentically in relationships and feel comfortable being yourself without the fear of being “too much” or “not enough.” 

  • Ketamine-assisted psychotherapy (KAP) combines the therapeutic effects of ketamine, a fast-acting medication shown to support neuroplasticity and emotional healing, with psychotherapy in a safe, supportive setting.

    Clients who engage in KAP often experience breakthroughs in processing long-held emotional pain, trauma, or patterns of depression that have felt resistant to traditional talk therapy. During sessions, you’ll have support before, during, and after your experience to help integrate insights into daily life.

    KAP can be especially beneficial for clients experiencing chronic depression, anxiety, or emotional blocks. All KAP sessions are conducted in partnership with a medical provider with attention to eligibility, safety and integration of the experience.

  • You don’t need to be an artist to benefit from art therapy. Art therapy uses forms of creative expression like drawing, painting, collage, or other mediums, as a way to access emotions and experiences that may be hard to put into words.

    Art therapy helps clients externalize complex feelings, reduce anxiety, and gain insight into unconscious thoughts and patterns. For highly sensitive people and trauma survivors, it can offer a grounding, nonverbal way to explore healing at a pace that feels safe and empowering.

  • A Highly Sensitive Person (HSP) is someone with a finely tuned nervous system who processes information and emotions deeply. About 15–20% of people fall into this category, a trait identified by psychologist Dr. Elaine Aron.

    HSPs often notice subtleties in their environment, feel deeply affected by others’ moods, and need time to recharge after social or sensory stimulation. In therapy, we work on understanding your sensitivity as a strength, developing tools to regulate overstimulation, set boundaries, and embrace your sensitivity in order to engage meaningfully in your relationships, work, and interests.

  • You may benefit from trauma-informed therapy if you:

    • Experience difficulty regulating your emotions

    • Feel detached or numb

    • Experience an exaggerated startle response or experience hypervigilance

    • Have experienced relationship patterns rooted in fear or shame

    • Struggle with physical tension, exhaustion, or burnout

    • Struggle with intrusive memories or avoidance of reminders

    Therapy provides a safe space to process these experiences at your own pace. Through approaches like EMDR, somatic awareness, and mindful grounding, you can reestablish a sense of safety, self-trust, and empowerment.

  • Yes! This is one of my specialties. Many of my clients struggle with social anxiety, especially those who are highly sensitive, introverted, or creative. We work on understanding the root of these fears, often tied to early experiences of judgment, rejection, or perfectionism.

    If you experience imposter syndrome, therapy can help you uncover the underlying beliefs that fuel self-doubt and comparison. Over time, we’ll replace those patterns with self-compassion and authenticity, helping you feel more confident in both professional and personal settings.

  • Our first session is about connection and understanding. You’ll have space to share what’s bringing you to therapy, what you’ve tried so far, and what you’d like to change. I’ll ask some gentle questions to learn about your background and goals, and we’ll begin to outline a plan that feels right for you.

  • Most clients begin with weekly sessions, which provide enough consistency to create meaningful change towards your initial goals. As therapy progresses and you feel more grounded, we may shift to biweekly sessions.

    The length of therapy depends on your goals, history, and pace of healing. Some people see noticeable shifts in a few months, while others choose longer-term therapy for ongoing personal growth and self-understanding.

  • Yes. I offer secure online therapy sessions for clients located anywhere in California, North Carolina, and Florida. Many clients appreciate the flexibility and privacy of virtual sessions, especially highly sensitive people who feel more comfortable processing in their own space or have busy work schedules..

    Online therapy can be just as effective as in-person sessions, and I use HIPAA-compliant telehealth platforms to ensure your confidentiality and comfort.

  • Getting started is simple.

    1. Schedule a free 20-minute consultation to see if we’re a good fit.

    2. If you decide to move forward, I’ll send a secure intake packet to complete before your first session.

    3. We’ll meet for a 60-minute session to begin exploring what’s bringing you to therapy and how I can help.

    From there, we’ll create a plan that fits your needs and goals at a pace that honors your sensitivity and your process.

  • My areas of focus include:

    • Anxiety, panic, and overthinking

    • Social anxiety and imposter syndrome

    • Trauma and complex PTSD

    • Highly Sensitive People (HSPs)

    • Burnout and emotional exhaustion

    • Creative blocks (artists, writers, musicians)

    • Life transitions and identity exploration

    • Integration of psychedelic or ketamine experiences

    Each of these challenges is approached with compassion, curiosity, and evidence-based care.

  • That’s completely normal, especially for HSPs or those who’ve felt misunderstood in past therapeutic or relational settings. You don’t need to have everything figured out before you start.

    Therapy is a space where it’s safe to not know, to explore, and to take things one step at a time. My approach is gentle, supportive, and rooted in building trust. Over time, you’ll likely find yourself feeling more grounded, self-aware, and confident in navigating life’s challenges.

Ready to Get Started with Therapy? 

  1. Begin by booking a complementary 20-minute consultation. This is a chance for you to ask any questions and for me to learn more about what’s bringing you to therapy.

  2. If we’re a good fit, we’ll schedule your first 60-minute session. Before we meet, I’ll send you an electronic intake packet to complete at your convenience. During our initial session, you’ll have space to share more about your goals, challenges, and what you hope to gain from therapy.

  3. From there, we can set up ongoing weekly sessions. The length of your therapy journey will depend on your individual needs and goals. Together, we’ll create a pace that feels right for you..

Over the past decade, I have worked with individuals, families, and groups within residential treatment settings, hospitals, schools, and outpatient settings. I also trained with Impact Bay Area, which teaches full-force self-defense, personal safety, violence prevention, and personal empowerment courses for women. My community work has also included partnering with NGOs to offer art therapy experiences internationally, and I have worked within hospital settings and family camps focusing on childhood illness and the loss of a family member. Many of my clients have struggled with adverse childhood experiences, sexual trauma, multigenerational wounding, addiction, and toxic stress.