Trauma Therapy in Portland, OR

Reclaim Safety, Build Strength, and Move Forward

Man healed by trauma therapy in Portland, OR

You don't have to live in the shadow of trauma — healing is possible

Trauma can leave you feeling trapped, constantly on edge, and unable to trust yourself or the world around you.
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Does this sound familiar?

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I can’t shake the feeling that something bad is always about to happen.
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Even when I know I’m safe, my body feels like it’s in danger.
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Memories from the past keep popping up, and I can’t control them.
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I feel so stuck — it’s like I’m living in the past, and I can’t move forward.
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Everyday situations trigger me, and I don’t know how to cope.
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Why People Seek Trauma Counseling?

Creating Calm and Stability in the Face of Trauma

Together, we’ll work to create a sense of safety and control in your daily life. Our trauma counseling sessions will help you build resilience, identify triggers, and develop tools to calm your mind and body when stress feels overwhelming.

Let’s find calm amid the storm together

Through practical strategies and a compassionate approach, we’ll guide you in reclaiming a sense of stability and confidence in your ability to face life’s challenges. Step by step, you’ll work toward breaking free from the grip of trauma and rediscovering what it means to feel grounded and empowered.

We help you see that you are not defined by what happened—healing and stability are within reach

How Mental Health Occupational Therapy can Help:

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Addressing hypervigilance and sensory overload through grounding and regulation techniques.
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Supporting you in understanding and responding to triggers in healthy, manageable ways.
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Guiding you in developing coping strategies for intrusive thoughts and flashbacks.
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Helping you create routines and systems that foster safety, predictability, and emotional well-being.
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Let’s find calm amid the storm together

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Trauma Counseling in Portland

Compassionate Care With Licensed Occupational Therapists

Our occupational therapists help adults work through trauma using practical, hands-on approaches. We offer home visits, community-based sessions, and virtual therapy across SE Portland and the Belmont District.

Who We Are and How We Help

Our therapists focus on mental health and trauma using occupational therapy. That means we work with you where you actually live … at home, in your daily routines, in situations that feel hard.

We don’t just talk about what happened. We help you practice managing triggers, build routines that feel safe, and work through situations that feel overwhelming.

  • Our Team: We have therapists with training in mental health, sensory processing, and trauma-informed care. Meet our team to see who you might work with.
  • Our Process: We start by understanding what’s hard right now and what you want to be different. Then we build a plan together. Learn about how we work and what sessions look like.
  • What Others Have Experienced: Clients have learned to manage panic, navigate situations they were avoiding, and rebuild daily routines. See how others have worked with us.
  • For Healthcare Providers: We work with doctors, therapists, and other providers to coordinate care. Learn about referring clients to us.

Where You Can Find Us

We serve SE Portland, including the Belmont District and Inner Southeast.

Areas We Serve

Sunnyside, Hosford-Abernethy, Kerns, Laurelhurst, Richmond, Brooklyn, and Mt. Tabor.

Getting Here

We’re near SE Belmont St and SE 20th Ave, close to Stumptown Coffee and Laughing Planet. You can reach us via TriMet Lines 15 and 70.

Session Options
  • Home visits throughout SE Portland
  • Community sessions at parks, cafes, or wherever feels comfortable
  • Virtual sessions across Oregon

Mental Health Occupational Therapy Helps You Thrive In All Parts of Your Life

Frequently Asked Questions About

Trauma Therapy

It’s important to find the right kind of therapist. So let’s start by thinking about what you actually need. Do you want someone who just listens, or someone who helps you figure out how to get through your day when everything feels heavy?

What to Look for in a Trauma Therapist

  • Someone who gets how trauma shows up in daily life, not just in your thoughts
  • A therapist who teaches you actual tools you can use when you’re triggered
  • Flexible options like home visits, community sessions, or virtual therapy

Finding a Trauma Therapist Near Me in Portland, Oregon

Think about accessibility. You want someone close by who can be there when you need support. Occupational therapy for trauma focuses on rebuilding routines, managing overwhelm, and feeling steady again.

Why Occupational Therapy for Trauma Works Differently

At Holistic Community Therapy, we work with clients across SE Portland, Belmont, and Sunnyside neighborhoods. We’re here to support you so you can move through daily life with more ease.

The best therapist for trauma is someone who understands how it affects your whole life, not just your thoughts. Trauma doesn’t stay in the past. It shows up in how you sleep, how you relate to others, or how you handle everyday stress.

Different Types of Trauma Therapists

  • Traditional talk therapists focus on processing what happened
  • Occupational therapists focus on how trauma affects daily functioning
  • Trauma-informed clinicians supporting clients with trauma use body-based and practical approaches

What Makes Occupational Therapy Different

We don’t just talk about trauma. We help you build skills to manage it. That means creating routines that feel safe, learning grounding techniques you can actually use, and practicing real-world situations with support.

Choosing the Right Fit

The best therapist is the one who meets you where you are. If you need help getting through your day, managing triggers, or rebuilding routines, occupational therapy might be the right fit. Learn more about our Portland trauma therapists and their approach to trauma recovery.

There is no such thing as “best” therapy for trauma because everyone’s experience is different. What helps one person might not help another. The most effective approach is the one that fits your needs and helps you move through daily life with ease.

Common Trauma Therapy Approaches

  • EMDR helps process traumatic memories
  • Somatic approaches work with how trauma lives in your body
  • Cognitive approaches help change thought patterns
  • Occupational therapy focuses on practical skills and daily functioning

Why Practical Skills Matter

Therapy approaches for trauma that focus on real-world skills help you manage triggers as they happen. You learn grounding techniques, build routines that create safety, and practice navigating situations that feel overwhelming.

What Works Best

The best therapy is the one you’ll actually use. If you need concrete tools and hands-on support, occupational therapy offers a practical path forward in Portland.

A trauma therapist has specific training in how trauma affects the brain, body, and daily life. They understand that trauma isn’t just about what happened … it’s about how your nervous system learned to protect you, even when you’re safe now.

How Trauma Therapists Work Differently

  • They understand triggers and how to work with them safely
  • They know how trauma affects memory, sleep, and relationships
  • They use approaches designed specifically for trauma recovery
  • They create safety first before processing difficult experiences

What Regular Therapists Might Miss

General therapists are trained in many areas, but they might not have the specialized knowledge to work with trauma responses. They might focus on thoughts and feelings without addressing how trauma shows up in your body and daily routines.

The Occupational Therapy Difference

Therapists trained in trauma who use an occupational therapy approach focus on function. We help you rebuild the ability to do the things trauma has made difficult, whether that’s going to work, sleeping through the night, or feeling safe in your own home.

A trauma therapist or counselor is someone trained to help people recover from traumatic experiences. But trauma therapy isn’t just about talking through what happened. It’s about helping your nervous system learn that you’re safe now and rebuilding the skills trauma has disrupted.

What Trauma Therapists Do

  • Help you understand how trauma shows up in your life
  • Teach grounding and regulation techniques
  • Work with triggers in manageable ways
  • Support you in building routines that create stability

How Trauma Affects Daily Life

Trauma can make everyday tasks feel overwhelming. Getting out of bed, going to the store, being around other people, these can all become difficult when your nervous system is stuck in survival mode.

The OT Approach to Trauma

At Holistic Community Therapy, we focus on helping you reclaim your daily life. We work on the practical skills that trauma has made hard to live with.  We will build confidence by practicing in real-world situations. So that you can reclaim your calm and peace. 

Trauma doesn’t just live in memories. It shows up every day in ways that might not seem connected to what happened. You might feel exhausted all the time, struggle to concentrate at work, or avoid situations that feel overwhelming.

Common Ways Trauma Shows Up

  • Difficulty sleeping or nightmares
  • Feeling on edge or easily startled
  • Avoiding places, people, or situations
  • Trouble concentrating or making decisions
  • Physical tension, headaches, or stomach issues

How Trauma Affects Routines

Simple tasks can feel impossible. Getting ready in the morning might take all your energy. Social situations might feel threatening. Work might be overwhelming because you can’t focus.

Rebuilding Function

Occupational therapy helps you rebuild these skills. We work on creating morning routines that feel manageable, developing strategies for work stress, and practicing social situations in safe ways. This is what we do at Holistic Community Therapy throughout Portland.

Occupational therapy for trauma focuses on helping you do the things trauma has made difficult. Instead of just talking about what happened, we work on the practical skills you need to move through daily life.

What OT Addresses

  • Daily routines that feel overwhelming
  • Triggers that show up at work or in social situations
  • Sensory overload and regulation
  • Building habits that create safety and predictability

How Sessions Work

We might practice going to the grocery store if social situations feel overwhelming. We might work on morning routines if getting started feels impossible. We might develop strategies for managing triggers at work.

The Hands-On Difference

This isn’t just talk therapy. We work in your actual environment at home, in the community, or virtually, helping you build skills where you need them most across SE Portland, Belmont, and surrounding neighborhoods. Learn more about our individual therapy for trauma approach.

Yes. Occupational therapy can be very helpful for PTSD because it focuses on how trauma affects your ability to do everyday things. PTSD isn’t just flashbacks and nightmares. It’s the way your nervous system stays stuck in survival mode, making normal life feel impossible.

How OT Helps with PTSD

  • Builds grounding techniques you can use when triggered
  • Creates routines that reduce hypervigilance
  • Helps you practice situations you’ve been avoiding
  • Addresses sensory overload and regulation

What Makes OT Different for PTSD

We don’t start by processing traumatic memories. We start by building safety in your daily life. Once you have tools to manage triggers and regulate your nervous system, the other work becomes possible.

Real-World Skills

You learn how to notice when you’re getting triggered and what to do about it. You practice being in situations that feel overwhelming. You rebuild confidence through hands-on support at your own pace.

The first session is about understanding where you are and what you need. We won’t ask you to relive traumatic experiences or dive into painful memories. We start by getting to know you and how trauma is affecting your daily life.

What We’ll Talk About

  • What brings you to therapy now
  • What feels hard in your daily life
  • What you hope will be different
  • What kind of support would be most helpful

Building Safety First

Before we work on anything else, we make sure you feel safe. That means going at your pace, respecting your boundaries, and creating a plan that feels manageable.

What Comes Next

After the first session, we’ll work together to build practical skills. That might mean creating morning routines, learning grounding techniques, or practicing situations that feel overwhelming. We move step by step.

At Holistic Community Therapy, we meet you where you are, at home, in the community, or virtually across Portland.

There’s no set timeline for trauma therapy. Some people start feeling more stable in a few months. Others need longer. It depends on what you’ve experienced, what you’re working on, and what feels like progress to you.

What Affects Timeline

  • How trauma is showing up in your life
  • What skills are you building
  • Whether you’re addressing recent or long-term trauma
  • How much support do you have outside of therapy

Early Progress

Many people notice small changes within the first few weeks—sleeping a bit better, feeling slightly less on edge, managing one trigger more effectively. These small shifts build over time.

Long-Term Recovery

Recovery isn’t linear. Some weeks will feel easier, others harder. The goal isn’t to make trauma disappear. It’s to help you live your life without trauma controlling it.

We work at your pace at Holistic Community Therapy, whether that’s weekly sessions or less frequent check-ins across SE Portland and surrounding areas.

Trauma doesn’t always look the way people expect. It’s not just big events. Sometimes it’s years of small wounds that add up. Sometimes it’s one moment that changed everything. Sometimes it’s the absence of safety when you need it most.

At Holistic Community Therapy, we work with all types of trauma because we understand that what matters isn’t how your trauma compares to someone else’s—it’s how it’s affecting your life right now. Occupational therapy helps you rebuild the daily skills and routines that trauma has disrupted, no matter where that trauma came from.

Childhood Trauma

Childhood trauma includes experiences like abuse, neglect, witnessing violence, or growing up in an unpredictable or unsafe environment. When trauma happens during development, it shapes how you see yourself, relate to others, and navigate the world.

How it shows up in daily life:

  • Struggling to trust others or yourself
  • Emotions that feel overwhelming or out of control
  • Difficulty feeling safe in relationships
  • Triggers that seem out of proportion to the situation
  • Patterns of self-protection that don’t fit your adult life

How occupational therapy helps:

  • Recognizing triggers before they overwhelm you
  • Creating daily routines that signal safety to your nervous system
  • Practicing social situations with support in SE Portland and the Belmont District
  • Developing tools for emotional regulation that you can actually use
  • Learning to respond as the adult you are now, not the child you were then

Relationship and Interpersonal Trauma

Relationship trauma comes from betrayal, emotional abuse, domestic violence, or repeated experiences where someone you trusted hurt you. This type of trauma affects how you connect with others, set boundaries, and trust your own perceptions.

How it affects trust and connection:

  • Avoiding relationships completely or staying in unhealthy ones
  • Feeling hypervigilant around other people
  • Difficulty setting boundaries or saying no
  • Second-guessing your own perceptions and feelings
  • Simple interactions feel overwhelming or unsafe

How occupational therapy helps:

  • Practicing connection in safe, manageable ways
  • Learning to set boundaries and recognize red flags
  • Rebuilding trust in yourself and your judgment
  • Developing skills for healthy relationships through real-world practice
  • Distinguishing between past patterns and present reality

Traumatic Grief and Loss

Traumatic grief happens when you lose someone suddenly, violently, or without the chance to prepare. It can also come from complicated losses, relationships that ended badly, estrangement from family, or losing parts of yourself through illness or life changes.

How grief disrupts routines:

  • Getting out of bed feels impossible
  • Basic tasks take all your energy
  • Avoiding places or activities that remind you of loss
  • Your world is shrinking down to what feels manageable
  • Daily structure falling apart when you need it most

How occupational therapy helps with daily functioning:

  • Creating morning routines that feel doable
  • Finding small ways to engage with life again
  • Managing overwhelming emotions when they surface
  • Practicing being in situations you’ve been avoiding
  • Learning to carry grief while still living your life across Portland

Complex Trauma

Complex trauma comes from repeated, prolonged experiences—childhood abuse that lasted years, ongoing domestic violence, long-term emotional neglect, or multiple traumatic events over time. It’s different from single-event trauma because it affects your sense of self, your relationships, and your ability to function in fundamental ways.

How complex trauma shows up:

  • Intense emotions that feel unmanageable
  • Difficulty trusting anyone, including yourself
  • Feeling disconnected from your body or emotions
  • Chronic shame or feelings of worthlessness
  • Patterns that keep you stuck even when you want to change

How occupational therapy addresses layered impacts:

  • Building safety and stability in daily life first
  • Developing routines that create predictability
  • Learning tools for managing overwhelming emotions
  • Creating strategies for navigating relationships
  • Reconnecting with your body in safe, gradual ways
  • Working on practical skills before processing deeper wounds

How to Manage Trauma in Daily Life

Trauma affects more than just your memories; it shows up in how you move through each day. Here are practical strategies occupational therapy teaches you to manage trauma responses as they happen:

  • Practice grounding techniques like 5-4-3-2-1 (noticing 5 things you see, 4 you hear, 3 you feel, 2 you smell, 1 you taste) when you feel disconnected or overwhelmed
  • Create morning and evening routines that signal safety to your nervous system. Consistent times for waking, eating, and sleeping help your body feel more regulated
  • Use sensory tools that calm your system: weighted blankets, cold water on your face, listening to specific music, or engaging with textures you can touch
  • Build in predictability where possible, knowing what to expect reduces the constant vigilance trauma creates
  • Practice situations that feel overwhelming in small, manageable steps rather than avoiding them completely
  • Develop a plan for triggers before they happen, knowing what helps you in those moments makes them less frightening
  • Notice your body’s signals, tension, shallow breathing, stomach discomfort, and respond with gentle movement or breathing techniques
  • Create spaces in your home that feel genuinely safe, a corner with soft lighting, comfortable seating, and items that bring comfort
  • Connect with others in ways that feel safe; even small interactions help combat the isolation trauma creates
  • Practice self-compassion when you struggle. Trauma responses aren’t failures; they’re your nervous system trying to protect you

These strategies become more natural with practice and support. At Holistic Community Therapy, we work with you to develop these skills in your actual environment, whether that’s at home, in the community, or through virtual sessions throughout SE Portland and surrounding areas.

Trauma therapy in Portland doesn’t have to mean reliving painful experiences. It can mean learning practical skills that help you feel safer, steadier, and more present in your daily life. If you’re ready to work on rebuilding what trauma has disrupted, we’re here to support you with hands-on, practical care.

Choosing a virtual trauma therapist is similar to finding any therapist, but there are a few extra things to consider. You want someone who understands trauma and knows how to create safety, even through a screen.

What to Look for in Virtual Trauma Counseling

  • Someone trained in trauma who can work with triggers remotely
  • A therapist who uses video (not just phone or text) so they can see how you’re doing
  • Flexibility with session times, especially if you’re in different time zones
  • Clear communication about technology, privacy, and what to do if the connection drops

Why Virtual Therapy Can Work for Trauma

Some people find virtual sessions feel safer, especially at first. You’re in your own space. You can end the session and stay somewhere familiar. And if you’re working on things like building routines or managing triggers at home, virtual therapy lets you practice in real time.

Making Sure It’s the Right Fit

The most important thing is finding someone you feel comfortable with. Most therapists offer a free consultation, so you can see if the connection works before committing to sessions.

At Holistic Community Therapy, we offer virtual trauma therapy across Oregon for clients who prefer meeting online.

Start Your Journey Today

Please note – we only offer home, community-based, and virtual sessions. We do not provide in-office services.

 Doctors & Providers – Click here to refer a client.