You have carried this for years and want work that goes further than talking about it
Trauma-Informed Therapy
Therapy for adults carrying trauma from a recent event, from childhood, or from a relationship that wore down their sense of safety.
What Is Trauma-Informed Therapy?
Trauma-informed therapy treats your symptoms in the context of what happened to you, rather than as separate problems to be managed one at a time. It starts from what you lived through, not from what is wrong with you.
Trauma can follow a single recent event, years of childhood experience, or a relationship that slowly erodes your sense of safety. The effects look similar either way: hypervigilance, trouble concentrating, sudden waves of fear, and distance from the people closest to you.
The work builds safety and practical skills first, then looks at what is driving the pattern underneath. That order matters. For many people daily life becomes manageable well before the hardest material is described in detail.
Trauma Is the Center of My Practice
I’m Talia DiPietro, a Licensed Clinical Social Worker in Larchmont, New York, and complex trauma and relational trauma have been the center of my practice since 2010.
What I hear most often is that earlier therapy meant telling the story and nothing else. This is not how I practice. We name the pattern out loud, work through how it has impacted you, and you leave each stretch of work with something concrete to try between sessions.
Does Your Body Still Act Like the Danger Is Here?
- You feel on high alert most of the time, even when nothing is wrong
- Small things set off a wave of fear that arrives before you can think
- You feel emotionally detached from the people who are closest to you
- Anger arrives faster and bigger than the situation seems to call for
- Any change or added stress lands as completely overwhelming
- You are exhausted in a way that rest does not seem to reach
How I Approach Trauma Therapy
Safety and skills come first. Before we go anywhere near the hardest material, you get practical tools you can use in the moments when your body has already gone into full alarm.
You set the pace on detail. You never have to give me a complete account of what happened in order to work on the way that it is affecting your life right now.
We name the pattern out loud. I tell you what I am seeing rather than waiting for you to arrive at it on your own, because in my experience that is faster and more useful.
Something leaves the room with you. Every stretch of work has a practical end to it: a skill to rehearse, a boundary to test, or a hard conversation to prepare for in advance.
The body is part of the picture. Hypervigilance, broken sleep, and exhaustion are trauma symptoms rather than side issues, and we track them alongside everything else we do.
What I Help With
Recent trauma and acute stress. Support after an event that left you shaken, on edge, and unable to get back to how you were before it happened.
Childhood trauma in adulthood. Work on what a difficult childhood left behind in your adult relationships, your self-worth, and your stress response.
Relational trauma. Help when the harm came from a relationship that slowly eroded your sense of safety with other people over a long time.
Hypervigilance and living on alert. Skills for a nervous system that is stuck in emergency mode long after the emergency itself has passed.
Emotional detachment and numbness. Support when you feel blank, far away from the people around you, or unable to reach your own feelings at all.
Anger, shame, and guilt. Work on the emotions that arrive far too fast or sit for far too long, and on what is driving them underneath.
Trauma-Informed Therapy Is for You, If:
You want practical skills for the days when your body has already gone into full alarm
You are in New York, New Jersey, or Pennsylvania and want in-person or online sessions
How to Get Started
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01
Book a Free Consultation
Use the contact form or call 929-400-7783 to set up a free 20-minute phone or video consultation.
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02
Talk It Through
We go over what brought you here and whether I am the right fit. If so, I send consent forms and we schedule.
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03
Begin the Work
We map out what is driving the pattern, agree together on where to start, and work at a pace you set.
Frequently Asked Questions
What does trauma-informed therapy really mean?
It means the work starts from what happened to you rather than from a list of symptoms. Your reactions are treated as things your nervous system learned, not as flaws. In practice that shapes the pace, how much choice you have over what gets discussed, and the order we take things in.
What is the difference between PTSD and trauma?
Trauma is the experience. PTSD is one specific diagnosis that can follow it, with defined criteria around intrusion, avoidance, mood, and arousal. Many people carry real trauma symptoms without meeting the full criteria for PTSD, and the work is worth doing either way.
How do I know if I have unresolved trauma?
Common signs include staying on alert long after the danger has passed, sudden waves of fear with no obvious trigger, feeling detached from people, and reacting to small things far more strongly than you would expect. If this sounds familiar, a consultation is a reasonable place to sort it out.
What happens in a trauma therapy session?
Early sessions focus on understanding your history and building skills you can use when you are activated. From there we work on the patterns underneath, at a pace you control. Sessions usually end with something concrete to practice before we next meet. That is deliberate.
Can talking about it in therapy make trauma worse?
It can, when the work moves faster than your capacity to handle it. That is exactly why safety and skills come first, and why you decide how much detail to give. If something is destabilizing you between sessions, tell me. We slow down.
Do you take insurance, and how do I get started?
I am out of network and do not bill insurance directly, though I provide superbills you can submit for reimbursement. My fee is $275 and I offer 5-session packages based on sliding scale needs. To start, call or use the contact form. I respond within 24 to 48 hours.
Ready to start trauma-informed therapy?
Reach out for a free 20-minute consultation — no pressure, just a conversation.
If you are in crisis or thinking about harming yourself, call or text 988 to reach the Suicide and Crisis Lifeline, or call 911. Therapy is not an emergency service.