PTSD Treatment in North Carolina
Mindful Counseling & Wellness treats post-traumatic stress disorder (PTSD) and trauma-related conditions by telehealth across North Carolina. Care starts with a trauma-informed psychiatric evaluation from a board-certified PMHNP, and continues as medication management and supportive therapy — at a pace you control.
What we help with
- PTSD after an accident, assault, medical event, or loss
- Birth trauma and postpartum PTSD
- Trauma from intimate partner violence or sexual violence
- Nightmares, hypervigilance, and sleep problems after trauma
- PTSD occurring alongside depression or anxiety
What does PTSD care look like here?
Treatment begins with a psychiatric evaluation. Over a video visit, the PMHNP reviews your history, current symptoms, and what you want to change — and you set the pace. You do not have to retell the details of what happened to begin care; a trauma-informed evaluation works with what you are ready to share. What that looks like in practice is covered in what trauma-informed psychiatric care looks like.
PTSD rarely announces itself by name. It often shows up as poor sleep, irritability, being constantly on guard, avoiding reminders, or feeling numb — sometimes long after the event. The evaluation looks at the whole picture, including the depression and anxiety that frequently travel with trauma (NIMH: Post-Traumatic Stress Disorder). Every visit is telehealth, so you can attend from anywhere in North Carolina.
How are PTSD medication decisions made?
This is general education, not medical advice — medication decisions are individual and made with your prescriber. The medications with the strongest evidence for PTSD are certain SSRIs and SNRIs; sertraline and paroxetine are FDA-approved for PTSD specifically (National Center for PTSD: Medications). Other medications are sometimes considered for specific symptoms, such as trauma-related nightmares.
Trauma-focused psychotherapy also carries strong evidence for PTSD and is often recommended alongside or before medication (National Center for PTSD: Talk Therapy). MCW provides psychiatric evaluation, medication management, and supportive therapy within its scope; if structured trauma-focused therapy is the right fit, the PMHNP coordinates with your therapist — or helps you find one — so the two sides of care work together. A fuller picture of the options is in PTSD treatment options by telehealth in NC.
What if the trauma was the birth itself?
A frightening delivery, an emergency intervention, or a NICU stay can leave symptoms that look exactly like PTSD — because they are. Birth trauma is real, it is common enough to have its own name, and it is treatable. This practice specializes in perinatal and postpartum mental health, and postpartum PTSD is part of that work.
If this is your situation, two guides may help before your first visit: birth trauma & postpartum PTSD, and how postpartum PTSD differs from postpartum depression and anxiety. The broader context of trauma in women's mental health is covered in PTSD & women's mental health.
How do I get started?
Booking starts with a psychiatric evaluation. You can begin from the get started page, which walks through scheduling your first telehealth visit.
In-network with major North Carolina health plans; self-pay is welcome, too. See the insurance page for how that works, and the services overview for the full range of psychiatric care MCW offers across North Carolina.
If you or someone you know is in crisis, call or text 988 (Suicide & Crisis Lifeline) or call 911.