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Trauma Therapy Approaches: Understanding Your Treatment Options

You may have heard of EMDR, cognitive behavioural therapy, body-oriented approaches or neurofeedback and wondered what they involve—and which might help you. Understanding trauma treatment means considering what an approach addresses, what research supports it, and how it connects with your experiences and goals.

Our therapists bring different areas of clinical training and experience to this work. Together, we explore how trauma is affecting your life, establish meaningful goals and consider appropriate treatment options. Your therapist explains their recommendations and welcomes your questions.

This educational guide introduces approaches that inform our team’s work at Gentle Currents Therapy in Langley. It also explains how Dr. Michael “Mike” Dadson’s Sequential Trauma Narrative framework connects our understanding of the body, personal meaning, relationships and participation in life.

Meet Our Therapists and Explore Their Training

If you are exploring care for yourself, you can talk with our team at Gentle Currents about your concerns and possible next steps.

What Is EMDR Therapy, and How Is It Used for Trauma?

Eye Movement Desensitization and Reprocessing (EMDR) is a structured psychotherapy for processing distressing memories and their effects. It has strong research support for treating PTSD.

Treatment begins with understanding your concerns, planning together and preparing for memory processing. During processing, your therapist guides you to focus briefly on aspects of a memory while using bilateral stimulation, such as side-to-side eye movements or alternating taps. The work includes associated emotions, beliefs and body sensations.

You generally do not need to describe every detail aloud. You remain involved in decisions and can ask to pause.

Carlie Dinwoodie brings EMDR training together with experience supporting people affected by childhood trauma, attachment injuries, grief and distressing life experiences.

Read About Carlie’s Training and Approach

Learn About EMDR From the National Center for PTSD

What Is Sensorimotor Psychotherapy?

Sensorimotor Psychotherapy brings attention to the body into talking therapy. It explores physical experiences—such as tension, posture, breathing and impulses to protect yourself—alongside emotions, memories and beliefs.

Your therapist may invite you to notice a response and explore manageable alternatives. This might involve noticing physical support, orienting to your surroundings or experimenting with a movement that expresses a boundary. These explorations connect with goals such as remaining present or having greater choice when distress arises.

Dr. Michael “Mike” Dadson has completed Level I and Level II training in Sensorimotor Psychotherapy.

Small studies of group adaptations have reported encouraging findings in areas including body awareness and anxiety. The research remains preliminary; it does not establish the same level of PTSD treatment evidence as EMDR.

Explore Dr. Dadson’s Training and Experience

Read a Pilot Study of a Sensorimotor Group Adaptation

How Can Cognitive Behavioural Therapy Help With Trauma?

Cognitive Behavioural Therapy (CBT) explores connections between thoughts, emotions, physical responses and behaviour. Following trauma, these may include self-blame, expectations of danger or avoidance that restricts everyday life.

Sessions may involve examining beliefs with care, developing coping skills and taking planned steps toward valued activities. Your therapist considers both what happened to you and your circumstances now.

Dan Lloyd and Ishani Chakravorty describe integrating CBT with person-centred care. Dan emphasizes practical strategies and collaborative goals; Ishani also brings graduate training in neuroscience.

CBT is a broad family of approaches. Specific treatments, including Cognitive Processing Therapy and Prolonged Exposure, have strong research support for PTSD. General CBT-informed counselling is distinct from delivering these protocols. Your therapist can explain their relevant training and recommendations.

Read About Dan’s Approach

Read About Ishani’s Approach

Compare Research-Supported PTSD Treatments

How Do Attachment-Based and Relational Approaches Address Trauma?

Trauma can affect closeness, trust, boundaries and how you respond to conflict. You may want support while also expecting rejection, withdrawing or feeling responsible for others’ emotions.

Attachment-based and relational work explores how these patterns developed and creates opportunities to respond differently. Goals might include expressing needs, accepting support or staying connected during disagreement.

The therapeutic relationship provides space to discuss feeling uncertain or misunderstood, including in counselling itself.

Carlie, Manreet Buttar and Nicole Valor describe attachment-focused or relational approaches in their work. Dr. Dadson’s clinical work and publications also address attachment, mentalization and complex trauma. These perspectives inform care; individual interventions should be explained in relation to your needs and their research support.

Explore Our Therapists’ Backgrounds

What Is Internal Family Systems (IFS) Therapy?

IFS uses the language of “parts” to explore conflicting feelings and protective responses. For example, you may want closeness while also feeling a strong impulse to withdraw.

Your therapist helps you explore these experiences with curiosity, understand their purposes and develop greater choice in responding. The language should make sense to you, and you can describe your experience in your own words.

Jason Evans has completed IFS Level 1 training and integrates this perspective with attachment-based and relational approaches.

Research on IFS for PTSD is developing. Studies of structured programmes combining group and individual sessions should be distinguished from evidence for individual IFS-informed counselling.

Read About Jason’s Training and Approach

Read the Randomized PARTS Programme Study

What Is Neurofeedback, and How Might It Fit With Counselling?

Neurofeedback uses information about brain activity to guide feedback. Our team offers the Low Energy Neurofeedback System (LENS), which differs from methods involving active training through games or screen-based tasks.

A practitioner discusses your concerns, health history and goals, explains the procedure and considers suitability. Scalp sensors measure electrical activity, and the system delivers brief, very low-energy feedback. Your responses during and after sessions guide review and adjustment.

Jeanette Dadson brings extensive LENS experience. Carlie, Ishani and Nicole also describe LENS practice in their profiles.

When considered alongside counselling, neurofeedback should connect with specific goals and ongoing assessment of benefits and adverse effects. Research on other EEG or fMRI neurofeedback methods cannot automatically establish LENS effectiveness. LENS is not an established first-line treatment for PTSD.

Explore Neurofeedback at Gentle Currents

How Does Sequential Trauma Narrative Inform Our Approach?

Dr. Michael “Mike” Dadson developed Sequential Trauma Narrative (STN) as a clinical framework connecting four domains:

  • Capacity: Managing distress and remaining present.
  • Coherence: Making sense of experiences and strengthening self-understanding.
  • Connection: Developing trust, boundaries and relationships.
  • Contribution: Participating in personally meaningful life activities.

Its proposed pathway—regulation, relationship, narrative and belonging—guides attention to readiness, relational safety, processing experiences and engagement with life.

Our therapists consider these concerns alongside your goals, their training and relevant treatment research. You do not need every method described here.

Evidence supporting STN’s component ideas or individual methods is distinct from research evaluating STN as a complete framework.

Read the STN Recovery Blueprint

How Do We Choose Treatment and Review Progress Together?

You do not need to select a method before reaching out. Your therapist begins by understanding your concerns, strengths, circumstances and preferences, then discusses suitable options and alternatives.

Together, you identify changes that matter: fewer distressing memories, greater freedom in relationships, improved sleep or returning to activities you value. Reviewing these goals helps determine whether treatment is helping and what needs adjustment.

Our Statement of Care guides these conversations through a commitment to dignity, compassion and hope.

For a fuller explanation of the counselling process, read how trauma counselling can help, including establishing goals, working toward change and reviewing progress.

Explore Trauma & PTSD Counselling in Langley

Read Our Statement of Care

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The 3 Phases of Trauma Treatment

Understanding Phase-Oriented Trauma Treatment

A phase-oriented framework can organize attention to safety and regulation, processing traumatic experiences, and integration into everyday life. These concerns may overlap or recur; they are not a universal sequence every person must complete. Treatment decisions should reflect your needs, preferences and the evidence for the particular approach.

Read the National Center for PTSD’s overview of treatment evidence.

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Why You Need a Trauma Informed Therapist

Michael Dadson On Trauma Counselling and The Importance of Finding The Right Therapist

Trauma-Informed Care and Skilled Trauma Treatment

Trauma-informed care recognizes the effects of trauma and supports safety, choice and collaboration. Choosing treatment also involves asking about specific clinical training, experience and research support.

When choosing a therapist, ask about specific treatment training as well as trauma-informed care. Our guide to trauma therapy approaches explains methods, research foundations and how our therapists connect treatment with your goals.

Dr. Dadson underscores:

  • Trauma-informed practice and specific trauma-treatment qualifications are related but different. Our therapists explain their relevant training, the approach they recommend, its evidence and alternatives. No approach can guarantee that PTSD will be prevented. You are welcome to ask about experience with concerns similar to yours and how progress will be reviewed.

A trauma informed therapist is aware of the various elements of trauma including recognizing the characteristics of traumatic stress such as the psychological impact, the impact on your body, and neurologically.

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Dissociation

Dr. Michael Dadson is a Fellow of the International Society for the Study of Trauma and Dissociation (ISSTD) and formerly served on its Board of Directors. His professional work has included trauma and dissociation, and he co-authored two peer-reviewed articles in the Journal of Aggression, Maltreatment & Trauma addressing structural dissociation, attachment, mentalization, and phase-oriented treatment.

To learn more about care for trauma, PTSD, and related concerns, explore Trauma & PTSD Counselling at Gentle Currents Therapy in Langley, British Columbia.

Questions about dissociation or finding a therapist? Talk with our team at Gentle Currents about appropriate next steps.

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PTSD in Veterans and First Responders: Symptoms, Treatment and Family Life

By
Clinical Director, Gentle Currents Therapy
Updated

Understanding your experiences. Working toward meaningful change. Finding care that respects you.

Military service can shape identity, relationships and a sense of purpose long after release. Work as a first responder can also carry commitments, responsibilities and experiences that other people may struggle to understand.

You may value what your service has given you while carrying experiences that remain difficult. Perhaps memories interrupt your sleep, you feel constantly alert, or being close to your family has become harder. You may be a partner or family member trying to understand what has changed while managing difficulties of your own.

Our therapists begin by understanding your experiences, what matters to you and how life is being affected now. Together, we establish meaningful goals and explore research-informed treatment options.

This website shares trauma education and clinical perspectives connected with Dr. Michael “Mike” Dadson’s work. Our purpose is to help you understand your experiences and make informed choices. For those exploring trauma counselling or PTSD treatment in Langley, care is available through Gentle Currents Therapy.

Explore Trauma & PTSD Counselling at Gentle Currents

Talk With Our Team

What Are the Signs of PTSD in Veterans and First Responders?

PTSD can involve unwanted memories or nightmares, avoiding reminders, changes in thoughts and feelings, and remaining unusually alert or reactive. These experiences can affect sleep, concentration, relationships and participation in everyday life.

You might recognize something more particular:

  • A sound, smell or situation brings an experience back with unexpected intensity.
  • You remain watchful in places where others seem comfortable.
  • Keeping busy helps you avoid memories, but leaves little room for rest or relationships.
  • You feel distant from people you care about, even when you want to connect.
  • Guilt or questions about what you should have done keep returning.

You may continue meeting responsibilities while noticing that life has become narrower or harder to enjoy. Being capable in one part of life does not explain everything you are experiencing elsewhere.

These changes deserve careful attention. They do not, by themselves, establish PTSD. Assessment considers the pattern and duration of symptoms, their impact on life and other possible explanations. You do not need to diagnose yourself before asking for help.

Read the National Institute of Mental Health’s overview of PTSD and assessment

Can Repeated Exposure to Trauma Contribute to PTSD?

Trauma-related difficulties can follow a single event or repeated exposure to distressing events. The intensity and duration of exposure, previous experiences, ongoing stress and available support can influence recovery. Exposure does not mean that everyone will develop PTSD.

Military experiences may involve deployments, training incidents, injury, loss, violence or events within the service environment. Not every veteran has served in combat, and combat is not the only context in which trauma can occur.

First responders may encounter repeated emergencies, serious injury, death and situations in which they cannot prevent suffering. A useful counselling conversation makes room for the events themselves, their circumstances and what happened afterward.

How Can First Responder Work Affect Life Between Shifts?

A call may end while parts of the experience remain with you. You may return to another emergency before having much opportunity to consider what happened. Over time, particular calls, losses or decisions may become difficult to set aside.

Readiness, quick decisions and attention to danger can be essential at work. At home, you may notice that you remain watchful, react strongly to interruptions or find it difficult to settle into ordinary family life. A partner may experience distance where you are trying to find quiet or recover from a demanding shift.

These experiences deserve understanding in the context of your work and relationships. They do not automatically mean you have PTSD.

Our therapists explore what is happening between shifts as well as during them. Goals might include sleeping more comfortably, responding differently to reminders, communicating what you need or feeling more present with the people you care about. If occupational exposure continues, we consider that reality when planning treatment and reviewing progress.

For information developed for the realities of public safety work, explore Canadian resources for public safety personnel and their families from the Canadian Institute for Public Safety Research and Treatment (CIPSRT).

Can PTSD Symptoms Appear Years Later?

Yes. Symptoms can emerge months or years after an event, and they can fluctuate over time. Recognizing longstanding difficulties later is different from symptoms first emerging later; both warrant thoughtful exploration.

You may wonder why something you once managed now feels harder to carry. Counselling can help you explore when changes began, what seems to bring them forward and how they connect with life now. You do not need a complete timeline or a detailed account of every experience to begin.

Learn more about PTSD symptoms and when they can emerge

How Can Counselling Support Life During and After Military Service?

Military service can shape identity, relationships, values and a sense of belonging. You may take pride in your service while carrying experiences that remain difficult to understand or discuss.

Leaving the military can bring changes in structure, responsibility, camaraderie and purpose. Some veterans seek counselling during that transition. Others have built civilian lives and come years later because memories, losses or relationship difficulties need attention. Canadian transition research recognizes the importance of integrating military and civilian identities and developing meaningful connections after service.

Your service history deserves curiosity rather than assumptions. What did service mean to you? What do you value and want to preserve? What has become difficult, and what would you like to change?

Counselling can make room for grief, distressing experiences and questions about identity alongside your strengths, commitments and hopes. Goals may involve reconnecting with family, understanding a troubling experience, finding community or participating in meaningful work and activities.

Our therapists explore these concerns with you. Transition difficulties do not automatically mean PTSD, and treatment should reflect your individual circumstances.

Partners and family members also have their own experiences of military life and its changes. Their concerns, goals and wellbeing belong in the conversation.

Explore Veterans Affairs Canada’s research on veterans’ identities

How Can PTSD or Operational Stress Affect Family Life?

Partners and family members may have lived through deployments, separations, relocations, reunion and changes in responsibilities. They bring their own experiences of service life and transition.

A partner may feel uncertain about how to approach a difficult conversation. Someone who has served may want closeness while finding questions or ordinary disagreements overwhelming. Children may notice changes without understanding them.

Veteran and family accounts collected by the Atlas Institute describe difficulties with connection, identity and supporting loved ones, alongside the importance of family members’ own wellbeing.

Family members deserve space to talk about their own needs. Supporting someone you love should include attention to your health, boundaries, relationships and access to support.

Depending on the people involved and their needs, care may include individual counselling, relationship work or referral to an appropriate family service. We can discuss which form of support may fit and what each person hopes might change.

If you and your partner would like support with communication, closeness or patterns in your relationship, you can explore couples and marriage counselling at Gentle Currents.

Explore resources for veteran families and friends | Hear veterans and family members describe their experiences

What Treatments Can Help With PTSD?

Research strongly supports specific trauma-focused psychotherapies, including Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE). These are defined treatments with particular methods and training requirements.

Understanding treatment means asking how an approach addresses your concerns:

  • Distressing memories and reminders: treatment may help change how those memories affect you in the present.
  • Persistent guilt or self-blame: the work may include examining beliefs about responsibility in the context of what happened.
  • Avoidance: carefully planned work may help you regain participation in situations or activities you value.
  • Difficulties with connection: counselling may include understanding protective responses and practising different ways of communicating and relating.

The approach depends on assessment, your preferences and the clinician’s qualifications. Different therapists offer different treatments. Your therapist explains the recommendation, its research support, what the work involves and what alternatives you can consider.

Read the National Center for PTSD’s overview of treatment research

To picture how this work may unfold, explore what trauma counselling can involve, including understanding your concerns and establishing goals together.

How Does Our Therapists’ Training Inform Your Care?

Our therapists bring different areas of training and experience. Understanding those differences can help you consider who may fit your needs.

Carlie Dinwoodie’s training includes EMDR, alongside experience supporting people with distressing memories, childhood trauma, attachment injuries, grief and shame. Her work also draws on cognitive behavioural and attachment-based approaches.

Dr. Michael “Mike” Dadson’s training includes Sensorimotor Psychotherapy Levels I and II, alongside clinical work addressing complex trauma, dissociation and relationships. His background also includes group-based trauma work and supporting military-to-civilian transition.

These approaches attend to different aspects of experience: memories, beliefs, emotions, physical responses and relationships. Their research foundations and applications differ. Your therapist explains how their training relates to your concerns and the treatment they recommend.

Read about Carlie’s training and approach
Explore Dr. Dadson’s training and experience
Compare trauma therapy approaches and their research foundations

Establishing Goals and Reviewing Progress

Goals should connect with the life you want to live. You may want to sleep more comfortably, respond differently when reminded of an experience, feel more present with your family or return to an activity you have been avoiding.

Together, we make those goals specific enough to review. What would improvement look like? What has changed between appointments? What remains difficult?

Your feedback helps guide decisions about continuing, adjusting or reconsidering treatment. Respecting your choices and pace includes explaining the purpose of difficult work and discussing concerns openly.

How Does Sequential Trauma Narrative Inform Our Work?

Dr. Michael “Mike” Dadson developed Sequential Trauma Narrative (STN) as a clinical framework informing our understanding of trauma treatment and recovery.

It brings attention to four connected domains:

  • Capacity: being able to manage distress and remain present enough to participate.
  • Coherence: making sense of experiences and how they have affected your understanding of yourself.
  • Connection: developing trust, relationships and a sense of belonging.
  • Contribution: participating in activities, responsibilities and communities that give life meaning.

For a veteran, these questions might involve feeling more settled at home, understanding a troubling experience, reconnecting with family or finding meaningful participation after service.

These domains help organize clinical thinking alongside your goals and relevant treatment research. Evidence supporting particular treatments or component ideas remains distinct from research evaluating STN as a complete framework.

Read the STN Recovery Blueprint

What About Guilt, Betrayal or Moral Injury?

Some experiences raise painful questions about responsibility, loyalty, fairness or what should have happened. Moral injury describes distress associated with events that conflict with deeply held values. It can involve guilt, shame, anger or betrayal and can occur with or without PTSD.

These concerns deserve an accepting, thoughtful conversation. Counselling may involve understanding responsibility in context, exploring what an experience has meant and considering how you want to live in relation to your values. You can raise these concerns without having to decide in advance what to call them.

Learn more about moral injury and its relationship with PTSD

How Do I Find a Counsellor Who Understands Military or First Responder Experience?

Relevant professional credentials and treatment training matter. So does a willingness to understand your service, occupational culture and individual experience.

You can ask about experience with veterans or first responders, the approaches a clinician provides and how treatment will connect with your goals. Notice whether explanations make sense and whether your questions are welcomed.

Our therapists bring different backgrounds and areas of training. We can help you explore fit and discuss referral options where another clinician or service may be more appropriate.

Dr. Michael “Mike” Dadson, PhD, RCC, CCC, is the Clinical Director of Gentle Currents Therapy. His background includes former national executive and clinical leadership with the Veterans Transition Network.

Meet our therapists

Research on Group Treatment for Military-Related Trauma

Dr. Michael “Mike” Dadson co-authored a peer-reviewed evaluation of the Veterans Transition Program, published in the International Journal of Group Psychotherapy in 2014.

The study involved 56 veterans whose military-related trauma was affecting their lives. Participants completed measures of posttraumatic stress and depressive symptoms before and after the programme. The researchers reported improvement across the measures, offering encouraging evidence for further investigation of this group-based approach.

Before-and-after findings require careful interpretation: they do not, on their own, establish what caused improvement or predict an individual’s outcome.

For someone considering counselling, this research offers an example of treatment developed and evaluated specifically with veterans. It also illustrates an important commitment in care: checking whether the work is helping.

Your own progress deserves that attention. Together, we identify changes that matter to you and review how treatment is affecting your symptoms, relationships and participation in life.

Read the study: Evaluation of a Group Intervention for Veterans Who Experienced Military-Related Trauma

Can We Discuss Confidentiality, Fees and Funding Before Beginning?

Yes. You are welcome to ask practical questions before deciding whether to begin.

Ask your therapist to explain confidentiality and its limits, record keeping and how requests for information or reports would be handled. Where an employer, insurer or funding organization is involved, clarify the arrangements and any information-sharing requirements.

Our team can explain current fees and help you explore available access pathways. Benefits and third-party funding depend on eligibility, authorization and the clinician involved; confirm coverage before relying on it.

Family members are also welcome to ask about support for themselves and which services may fit their needs.

Explore affordable counselling and access-to-care options

Support can also include connecting with others who understand service life. Veterans Affairs Canada explains peer support for military members, veterans and families through OSISS, and separately identifies peer support for RCMP members and veterans. These are independent support options; you do not need to contact our clinic to explore them.

Exploring Care in Langley

You can begin with what matters now: sleep, memories, relationships, military or occupational experiences, or something you have not yet found words to describe. You do not need to wait a month after an event to ask for support if distress is severe, worsening or affecting daily life.

Our therapists listen with curiosity and care, explain treatment options and work collaboratively toward meaningful change. Our Statement of Care expresses the commitment guiding that work: every person is welcomed with dignity, compassion and hope.

Read our Statement of Care
Explore Trauma & PTSD Counselling in Langley

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20 Signs You May be Living with PTSD

Some of these experiences can occur with PTSD, but they can also have other causes. This list is not a diagnostic test. Assessment considers your experiences, the pattern and duration of symptoms, how life is affected and other possible explanations. Learn how PTSD is assessed from the National Institute of Mental Health.

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10 Common Symptoms Immediately After a Traumatic Event

People can experience different emotional and physical responses after a traumatic event. This list is educational and does not establish what is causing a symptom.

Sudden confusion or new difficulty speaking needs immediate medical assessment. Do not assume these symptoms are caused by emotional trauma. Read about sudden confusion and difficulty speaking.

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10 Examples of Childhood Trauma (Adverse Childhood Events)

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Suicide

Dr. Michael Dadson cautions:

If you are beginning to have suicidal thoughts or ideation, Dr. Mike Dadson strongly recommends that a person seeks help from their doctor, or call a suicide hot line and find a Registered Clinical Counsellor who is trauma informed counsellor.

It is critical if you are having feelings of suicide to reach out for help from your doctor, a mental health resource (see Support Links below), a therapist or counsellor.

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Trauma

Dr. Mike Dadson (Michael Dadson) Answers Important Questions About Trauma

What is Traumatic Stress?

A traumatic incident frequently causes the mind and body to be overwhelmed with feelings of powerlessness and terror. Traumatic stress has the same effect.

Dr. Michael Dadson reports:

PTSD assessment considers exposure to actual or threatened death, serious injury or sexual violence. Exposure can be direct, witnessed in person, learned about in a close family member or friend, or involve repeated occupational exposure to distressing details. The circumstances matter; hearing about an upsetting event is not automatically qualifying exposure. Read the National Center for PTSD’s explanation of diagnostic criteria.