PTSD Treatment

Expert psychiatric care for PTSD and trauma-related disorders via telepsychiatry across California.

Understanding PTSD

Post-Traumatic Stress Disorder (PTSD) is a serious psychiatric condition that can develop after exposure to a traumatic event. It affects millions of people — not only veterans and first responders, but survivors of accidents, assault, childhood abuse, natural disasters, medical trauma, and many other experiences. PTSD is not a sign of weakness. It is a physiological response of the brain and nervous system to overwhelming experiences — and it is highly treatable.

At PsychBright Health, our board-certified psychiatrists specialize in PTSD and trauma-related disorder diagnosis and treatment. We provide evidence-based, compassionate care to help patients process trauma, reduce symptoms, and reclaim their lives.

What Is PTSD?

PTSD develops when the normal process of integrating a traumatic experience is disrupted, leaving the brain in a state of chronic threat response. The traumatic memory is stored differently from ordinary memories — it remains vivid, intrusive, and emotionally charged, as though the threat is still present. This drives the hallmark symptoms of PTSD: re-experiencing, avoidance, negative changes in mood and cognition, and hyperarousal.

PTSD can develop immediately after trauma or emerge weeks, months, or even years later. It can follow a single traumatic event or develop from prolonged, repeated trauma — as in childhood abuse, domestic violence, or combat exposure.

Types of Trauma-Related Disorders We Treat

Post-Traumatic Stress Disorder (PTSD)
The full syndrome of re-experiencing, avoidance, negative alterations in cognition and mood, and hyperarousal — lasting more than one month and causing significant functional impairment.

Acute Stress Disorder
A similar cluster of trauma symptoms occurring within three days to one month of a traumatic event. Early treatment of acute stress disorder can prevent the development of full PTSD.

Complex PTSD (C-PTSD)
Developing from prolonged, repeated trauma — particularly in childhood or situations where escape was not possible — C-PTSD involves the core PTSD symptoms plus significant difficulties with emotional regulation, self-perception, and interpersonal relationships.

Adjustment Disorders
Emotional or behavioral symptoms developing in response to an identifiable stressor, causing distress disproportionate to the stressor’s severity or significant functional impairment.

Recognizing the Symptoms

PTSD symptoms fall into four clusters. If you are experiencing symptoms across multiple clusters following a traumatic experience, a psychiatric evaluation is warranted:

Re-experiencing symptoms:

  • Intrusive, unwanted memories of the traumatic event
  • Distressing flashbacks — feeling as though the trauma is happening again
  • Nightmares related to the trauma
  • Intense psychological distress or physical reactions when reminded of the trauma

Avoidance symptoms:

  • Avoiding thoughts, feelings, or memories associated with the trauma
  • Avoiding people, places, activities, or situations that trigger traumatic memories

 

Negative changes in mood and cognition:

  • Inability to remember important aspects of the traumatic event
  • Persistent negative beliefs about oneself, others, or the world
  • Feelings of blame toward oneself or others for the trauma
  • Persistent negative emotions — fear, horror, guilt, shame, anger
  • Diminished interest in activities
  • Feeling detached or estranged from others
  • Inability to experience positive emotions

 

Hyperarousal and reactivity symptoms:

  • Irritability or angry outbursts
  • Reckless or self-destructive behavior
  • Hypervigilance — being constantly on guard for danger
  • Exaggerated startle response
  • Difficulty concentrating
  • Sleep disturbances — insomnia or disrupted sleep

If you are experiencing thoughts of suicide or self-harm, please seek immediate help by calling or texting 988 (Suicide and Crisis Lifeline) or going to your nearest emergency room.

How PTSD Is Diagnosed

PTSD is diagnosed through a comprehensive psychiatric evaluation. A psychiatrist conducts a detailed clinical interview reviewing the traumatic event or events, the onset and duration of symptoms, their impact across all four symptom clusters, and the degree of functional impairment.

Diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) require that symptoms persist for more than one month and cause significant distress or impairment. The evaluation also screens carefully for co-occurring conditions — including depression, anxiety, substance use disorders, and sleep disorders — that are extremely common in PTSD and require simultaneous treatment.

What Causes PTSD?

PTSD can develop following exposure to actual or threatened death, serious injury, or sexual violence — either experienced directly, witnessed, or learned about happening to a close person. Not everyone who experiences trauma develops PTSD. Risk factors that increase vulnerability include:

  • Severity and duration of trauma — more severe, prolonged, or repeated trauma carries higher risk
  • Prior trauma history — previous traumatic experiences, particularly in childhood, increase risk
  • Lack of social support — isolation after trauma is a major risk factor
  • Pre-existing mental health conditions — depression, anxiety, and prior psychiatric history increase vulnerability
  • Genetics and biological factors — differences in stress response systems, including the HPA axis and amygdala reactivity, influence PTSD risk
  • Peritraumatic dissociation — dissociating during or immediately after the trauma is associated with higher PTSD risk
  • Female sex — women develop PTSD at approximately twice the rate of men following equivalent trauma exposure

When to See a Psychiatrist for PTSD

Many trauma survivors minimize their symptoms, attribute them to personal weakness, or manage them with avoidance or substance use for years before seeking help. If trauma has affected your life in any of the following ways, a psychiatric evaluation is an important next step:

  • Intrusive memories, flashbacks, or nightmares are disrupting your daily life
  • You are avoiding people, places, or situations to prevent triggering memories
  • You feel emotionally numb, detached, or unable to experience positive emotions
  • Hypervigilance, irritability, or exaggerated startle response are affecting your relationships or work
  • You are using alcohol or substances to manage trauma-related symptoms
  • Sleep is severely disrupted by nightmares or hyperarousal
  • You feel persistent shame, guilt, or negative beliefs about yourself related to the trauma
  • Symptoms have persisted for more than a month following a traumatic event

Our Approach to PTSD Treatment

At PsychBright Health, we approach PTSD treatment with expertise, sensitivity, and a deep respect for each patient’s experience. We understand that discussing trauma requires trust and safety — and we work at each patient’s pace. Our approach integrates medication management with coordination of evidence-based trauma-focused therapies, addressing PTSD alongside any co-occurring psychiatric conditions.

How We Treat PTSD

Comprehensive Psychiatric Evaluation

Every patient begins with a thorough, trauma-informed psychiatric evaluation. We assess PTSD symptoms across all four clusters, evaluate the impact on daily functioning and relationships, screen for co-occurring conditions, and work collaboratively with you to develop a personalized treatment plan that reflects your goals and readiness.

Medication Management

Medication can meaningfully reduce PTSD symptoms — particularly re-experiencing, hyperarousal, sleep disturbances, and co-occurring depression and anxiety:

  • SSRIs — sertraline and paroxetine are FDA-approved for PTSD. Other SSRIs including fluoxetine are also commonly used and well-supported by evidence.
  • SNRIs — venlafaxine has strong evidence for PTSD symptom reduction
  • Prazosin — specifically targets trauma-related nightmares and has strong evidence for improving sleep in PTSD
  • Mood stabilizers and atypical antipsychotics — used as augmentation for severe hyperarousal, dissociation, or treatment-resistant symptoms

We monitor your response carefully and adjust medications as needed to optimize effectiveness while minimizing side effects. Learn more about our Psychiatric Medication Management.

Trauma-Focused Therapy Coordination

Trauma-focused psychotherapies are the most effective treatments for PTSD and are considered first-line interventions. We coordinate care with therapists trained in:

  • Prolonged Exposure (PE) — a structured EBT that involves carefully processing trauma memories and gradually confronting avoided trauma-related situations
  • Cognitive Processing Therapy (CPT) — focuses on identifying and modifying unhelpful beliefs related to the trauma — about safety, trust, power, esteem, and intimacy
  • EMDR (Eye Movement Desensitization and Reprocessing) — a well-researched approach that uses bilateral stimulation to help the brain process and integrate traumatic memories

Many patients with PTSD also experience depression or anxiety. Learn more about our Depression Treatment and Anxiety Disorder Treatment.

Lifestyle and Holistic Support

Evidence-based lifestyle strategies support trauma recovery:

  • Regular exercise, which reduces hyperarousal and improves mood in PTSD
  • Sleep support, since sleep disruption both worsens and is worsened by PTSD
  • Mindfulness-based stress reduction, which has growing evidence for PTSD
  • Social connection and safe relationship building as part of recovery
  • Addressing substance use that may be used to cope with trauma symptoms

Ongoing Monitoring and Follow-Up

PTSD recovery is a process that unfolds over time. We provide regular follow-up appointments — in-person or via Telepsychiatry — to monitor progress, adjust medications, coordinate with your therapist, and provide consistent support throughout your recovery.

PTSD Psychiatrist Across California

We offer secure, HIPAA-compliant video appointments for patients throughout California. For trauma survivors who find leaving home or attending in-person appointments triggering, telepsychiatry provides a safe and accessible alternative.

Related Conditions We Also Treat

Why Choose PsychBright Health for PTSD Treatment?

  • Board-certified psychiatrists with expertise in trauma-related disorders
  • Trauma-informed, compassionate approach — we work at your pace
  • Evidence-based medication management including FDA-approved PTSD medications
  • Coordination with trauma-focused therapists trained in PE, CPT, and EMDR
  • Integrated dual-diagnosis care for co-occurring depression, anxiety, and substance use
  • Most major insurance plans accepted
  • Same-week appointments available
  • Telepsychiatry across California

How PTSD Treatment Improves Quality of Life

Effective PTSD treatment can transform the experience of living with trauma. Intrusive memories and nightmares become less frequent and less distressing. The hypervigilance that makes the world feel constantly dangerous begins to ease. Emotional numbing lifts as the capacity for connection, joy, and safety returns. Avoidance gradually loosens — and the world that trauma had narrowed begins to open back up.

Recovery from PTSD does not mean forgetting what happened. It means that what happened no longer controls your present. With the right treatment, that is genuinely possible.

Frequently Asked Questions

Can anyone develop PTSD?

Yes. PTSD can develop in anyone following a traumatic experience. It is not a sign of weakness. Certain factors — including prior trauma history, lack of social support, and pre-existing mental health conditions — increase vulnerability, but PTSD can develop in anyone regardless of resilience, strength, or prior mental health history.

How is PTSD diagnosed?

PTSD is diagnosed through a comprehensive psychiatric evaluation assessing symptoms across four clusters: re-experiencing, avoidance, negative mood and cognition changes, and hyperarousal. DSM-5 criteria require symptoms lasting more than one month with significant functional impairment.

What is the best treatment for PTSD?

The most evidence-based treatments for PTSD are trauma-focused psychotherapies — particularly Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), and EMDR — combined with medication when appropriate. SSRIs (sertraline, paroxetine) are FDA-approved for PTSD. The right combination depends on symptom severity, personal preference, and individual response.

Do I have to talk about my trauma in treatment?

Trauma-focused therapies do involve processing the traumatic event, but this is done carefully and gradually — at your pace and with extensive support. Medication management with a psychiatrist does not require detailed discussion of the trauma itself. We will never push you beyond what you are ready for.

Do you offer telepsychiatry for PTSD treatment?

Yes. We offer secure, HIPAA-compliant video appointments for patients across California, including for evaluation and ongoing medication management for PTSD.

Do you accept insurance?

Yes. PsychBright Health accepts most major insurance plans. Please call us at (213) 584-2331 to confirm your coverage before your first appointment.

How quickly can I get an appointment?

We typically offer same-week appointments. Submit a request online or call (213) 584-2331 and our team will follow up within one business day.

Get Help for PTSD Today

You do not have to keep carrying the weight of trauma alone. Our experienced psychiatric team is here to help you find the right treatment, process what you have been through, and build a path toward genuine recovery.

Schedule an appointment with a board-certified psychiatrist at PsychBright Health today. Telepsychiatry appointments are available across California.

Call (213) 584-2331 or submit an appointment request online.

1180 S Beverly Dr #700, Los Angeles, CA 90035 · Monday–Friday, 8:00 AM–5:00 PM

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