Therapy for Complex Trauma (CPTSD)

If the effects of Complex PTSD (CPTSD) are holding you back from the life you deserve, we see you. Feeling stuck in cycles of emotional overwhelm, self-doubt, or relationship struggles can be exhausting—but you’re not alone. Whether you’re navigating childhood trauma, emotional flashbacks, or feelings of shame and disconnection, healing is possible. At Sagebrush Psychotherapy, we specialize in trauma therapy to help individuals move forward from the lasting impacts of CPTSD.

Why We Specialize in Complex Trauma (CPTSD) Therapy

We deeply understand how complex trauma affects every part of your well-being—emotional, physical, and relational. Repeated or prolonged exposure to harm, neglect, or emotional pain can leave you feeling trapped in cycles of fear and shame. Our focus on CPTSD therapy is driven by the belief in your ability to heal and transform, even in the face of profound challenges.

This work is more than professional for us; it’s personal. Our team combines clinical expertise with a genuine understanding of the courage it takes to confront trauma. We’re here to walk with you as you reclaim your sense of self, establish boundaries, and reconnect with the life you deserve. Healing from CPTSD is not just possible—it’s a journey toward rediscovering your inner strength and resilience.

Los Angeles-based therapy services for Complex PTSD and trauma recovery
Trauma-informed therapy space in Los Angeles for CPTSD support
Healing from childhood trauma and CPTSD with therapy in Los Angeles

Healing from Childhood Trauma and CPTSD with Therapy in Los Angeles

Understanding Complex Trauma

Complex trauma develops after repeated or long-term exposure to harmful experiences, often beginning in childhood or within close relationships. Unlike single-event trauma, the impacts of complex trauma are woven into your emotional, physical, and relational experiences.

CPTSD can include:

  • Intense emotional flashbacks

  • Difficulty managing emotions or impulses

  • Feelings of deep shame or worthlessness

  • A chronic sense of distrust or hyper-vigilance

  • Struggles with self-identity and self-worth

  • Challenges in maintaining healthy relationships

Healing from CPTSD

Recovery from Complex PTSD (CPTSD) doesn’t mean erasing or forgetting the past—it’s about processing your experiences in a way that allows you to live fully in the present. CPTSD healing involves addressing the emotional, relational, and physical impacts of trauma to build a life rooted in safety, connection, and self-empowerment.

  • Rebuilding Safety
    Establishing a sense of security in your body, relationships, and environment is the foundation of recovery. Trauma-informed therapy provides tools to create safety and stability in your life.

  • Emotional Regulation
    Managing intense emotions and reducing overwhelm is a crucial part of healing. Evidence-based approaches, such as Dialectical Behavior Therapy (DBT), teach skills to navigate emotional triggers and regain control.

  • Self-Compassion
    Trauma often leaves behind feelings of shame and self-doubt. Replacing negative self-beliefs with kindness and understanding is a powerful step toward reclaiming your sense of self-worth.

  • Reconnecting with Others
    Addressing attachment wounds helps you form healthier, more fulfilling relationships. Through therapy, you can build trust, overcome fears of abandonment, and create stronger connections.

Healing from CPTSD is a gradual process, but with the right support, it can transform your life. Therapy empowers you to break free from survival patterns, develop resilience, and experience greater joy and connection.

Dialectical Behavior Therapy (DBT) for Complex PTSD (CPTSD)

Dialectical Behavior Therapy (DBT) is a highly effective approach for individuals with Complex PTSD (CPTSD), offering tools to manage intense emotions, build healthier relationships, and navigate the challenges of daily life.


How DBT Helps with CPTSD

  1. Emotional Regulation
    CPTSD often involves overwhelming emotions that can feel difficult to control. DBT teaches practical skills to help you understand, manage, and reduce emotional intensity, allowing you to respond to challenges with greater calm and confidence.

  2. Distress Tolerance
    Trauma survivors often face triggering situations that feel unbearable. DBT provides strategies to cope with distress in the moment without resorting to harmful behaviors or becoming overwhelmed.

  3. Interpersonal Effectiveness
    CPTSD can make it hard to trust others or communicate needs effectively. DBT helps you develop tools to build and maintain healthier relationships, set boundaries, and navigate conflicts with clarity and confidence.

  4. Mindfulness
    Many individuals with CPTSD experience emotional flashbacks or dissociation. DBT's focus on mindfulness helps you stay present, grounded, and connected to the here and now, reducing the power of traumatic memories.

Why DBT is Effective for CPTSD

DBT is particularly beneficial for CPTSD because it addresses core challenges like emotional dysregulation, impulsivity, and relationship difficulties. By combining practical skills with a focus on acceptance and change, DBT empowers individuals to break free from survival patterns and move toward a more fulfilling life.

Complex PTSD (CPTSD) and Attachment: Healing Relational Wounds

Complex PTSD (CPTSD) often stems from early experiences of prolonged trauma, particularly within close relationships. These experiences can disrupt the natural development of secure attachment, leaving individuals struggling with trust, intimacy, and a sense of safety in relationships. Understanding the connection between CPTSD and attachment is a vital step in healing relational wounds and building healthier connections.

How CPTSD Impacts Attachment

  1. Fear of Abandonment
    Individuals with CPTSD often experience a deep fear of being rejected or abandoned, even in safe relationships. This can lead to behaviors like clinging to others or withdrawing to avoid potential pain.

  2. Difficulty Trusting Others
    Early relational trauma may leave you feeling unsure about whether others are reliable or safe. This mistrust can create barriers to forming meaningful, secure connections.

  3. Attachment Styles and CPTSD

    • Avoidant Attachment: Avoiding closeness or vulnerability as a way to protect yourself.

    • Anxious Attachment: Feeling overly dependent on others for validation or reassurance.

    • Disorganized Attachment: Experiencing conflicting feelings of wanting connection but fearing it at the same time.

Healing Attachment Wounds with Therapy

Therapy can help you:

  • Develop Trust: Learn to feel safer in connections with others by gradually exploring vulnerability in a supportive environment.

  • Foster Healthy Relationships: Replace survival patterns with new relational skills, such as recognizing personal limits and communicating needs effectively.

  • Strengthen Self-Compassion: Heal the shame or self-blame that often accompanies attachment trauma.

Creating Secure Attachments

Through trauma-informed care, it’s possible to move toward a more secure attachment style, where relationships feel safe, nurturing, and mutually fulfilling. By addressing the relational wounds caused by CPTSD, you can form deeper connections with others and a stronger sense of connection to yourself.

Systemic Oppression and Its Relationship to CPTSD

Racism, sexism, ableism, homophobia, and other forms of systemic oppression can deeply impact mental health. These "isms" create environments of chronic stress, marginalization, and trauma that impact psychological well-being.

Facing discrimination, microaggressions, or inequities can lead to feelings of powerlessness, worthlessness, or hyper-vigilance—all hallmark symptoms of CPTSD.

Living within oppressive systems can expose you to:

  • Chronic Discrimination: Facing bias in workplaces, schools, and communities.

  • Microaggressions: Constant, subtle invalidations that chip away at self-worth.

  • Exclusion and Isolation: Feeling unseen, unheard, or unwelcome.

  • Systemic Inequities: Barriers to accessing safe housing, education, healthcare, and employment opportunities.

These experiences can cause emotional dysregulation, persistent feelings of shame, and difficulties in trusting others or feeling safe in the world. Over time, these effects compound, contributing to the development of Complex PTSD.

Healing from trauma caused by systemic oppression requires a safe and supportive space where your experiences are validated and understood. Our practice in Los Angeles is committed to offering an inclusive environment where you can begin to heal, reconnect with your sense of self, and thrive despite the challenges you’ve faced. Our staff brings a range of cultural backgrounds, identities, and experiences to ensure that every client feels seen, understood, and valued. By prioritizing equity, cultural humility, and ongoing education, we strive to create a safe space where all individuals can access compassionate, trauma-informed care.

Compassionate care for CPTSD and trauma survivors in Los Angeles.

Frequently Asked Questions

  • PTSD typically results from a single traumatic event, while CPTSD arises from ongoing trauma, such as childhood abuse or neglect. CPTSD includes additional symptoms like emotional dysregulation, a damaged sense of self, and interpersonal difficulties.

  • Effective therapies include:

    • DBT for emotional regulation and distress tolerance

    • EMDR for processing traumatic memories

    • Attachment-based therapy for relational healing

    • Somatic therapy to address trauma stored in the body

  • Yes, CPTSD can manifest in physical symptoms such as chronic pain, fatigue, and gastrointestinal issues. These are often linked to the body’s response to prolonged stress and trauma.

We recognize the diversity of experiences when it comes to Complex PTSD (CPTSD), and we honor your unique journey. Whether you’re seeking support for healing childhood trauma, managing emotional triggers, or rebuilding trust in relationships, we’re here to meet you where you are.

You deserve a life free from the weight of past trauma and the patterns it has created. By addressing the effects of CPTSD, you can reclaim your sense of safety, self-worth, and connection to others.

Proudly serving the Los Angeles community and surrounding areas, we offer both in-person and virtual therapy sessions to support your healing journey in a way that works best for you.