Experiences from childhood don’t disappear simply because time has passed—they live in the body, shaping how we relate, trust, love, and protect ourselves as adults. You may notice patterns that repeat in relationships, an inner critic that won’t quiet down, or a lingering sense of anxiety or emptiness that doesn’t match your current life. These are often echoes of old survival strategies that once kept you safe, but now keep you stuck.

Therapy offers a compassionate space to explore these early wounds and how they show up in your present life. Through approaches that honor both the mind and body, we work to release the pain held in old emotional patterns, build safety in the present, and repair the capacity for connection. Healing childhood trauma isn’t about reliving the past—it’s about reclaiming your full self now, with greater ease, clarity, and self-trust.

Relational trauma develops not just from what happened, but from who it happened with—especially when the people you depended on were also the source of fear, inconsistency, or emotional neglect. When love was paired with criticism, dismissal, manipulation, or unpredictability, your nervous system learned that connection is unsafe and costly. As an adult, this can show up as choosing unavailable partners, staying in relationships that hurt, feeling like “too much” or “not enough,” or shutting down the moment you most want to be close.

Therapy for relational trauma focuses on healing in and through relationship. Together, we notice the patterns you repeat, the parts of you that protect against being hurt, and the younger places inside that never fully felt seen or safe. In a steady, attuned space, your system can begin to expect something different: boundaries that are respected, emotions that are welcomed, and a version of connection that doesn’t require self-betrayal. Over time, this work can reshape how you relate to yourself and others, allowing for intimacy that feels safer, clearer, and more nourishing.

Complex PTSD (C-PTSD) often develops after long-term, repeated trauma—such as chronic childhood abuse, neglect, or ongoing relational harm—rather than a single event. It includes the core symptoms of PTSD (like intrusive memories, avoidance, and hypervigilance), but also goes further, affecting how you see yourself, manage emotions, and relate to others. Many people with complex trauma describe feeling fundamentally “broken,” chronically ashamed, or disconnected from their own needs and worth.

Therapy for complex PTSD focuses on building safety and stability first, then gently processing traumatic experiences while strengthening a more compassionate, coherent sense of self. Treatment often includes work on emotional regulation, boundaries, and trust, as well as addressing relationship patterns that stem from early harm. Over time, this process can reduce symptoms, soften harsh self-beliefs, and make space for relationships and a life that are not organized around survival alone.

Codependency and narcissistic abuse are often discussed in oversimplified terms, yet clinically they reflect complex relational dynamics rather than personality flaws or deficits in strength. Many individuals seeking therapy for narcissistic abuse are highly capable, discerning, and emotionally attuned—qualities that were exploited rather than lacking.

Narcissistic abuse typically involves chronic patterns of emotional manipulation, invalidation, gaslighting, or conditional regard. Over time, these dynamics can erode self-trust and distort one’s sense of responsibility within relationships. Clients may find themselves over-functioning, self-questioning, or managing others’ emotional states while minimizing their own needs.

Codependency is not about weakness or excessive caretaking alone. It often develops as an adaptive strategy in environments where emotional safety depended on attunement, compliance, or anticipation of another’s needs. What once ensured connection later becomes a source of exhaustion, resentment, or loss of self.

Common experiences include:

• Persistent self-doubt or second-guessing perceptions

• Difficulty setting boundaries without guilt or fear

• Attraction to emotionally unavailable or controlling partners

• A sense of identity organized around being needed or useful

• Shame or confusion after leaving—or considering leaving—a relationship

A Relational, Depth-Oriented Approach

Therapy for codependency and narcissistic abuse focuses on understanding how these patterns formed and why they endured. Rather than emphasizing confrontation, quick empowerment, or rigid boundary rules, the work attends to attachment history, relational conditioning, and the internal conflicts that make separation or individuation feel threatening.

Treatment may include:

• Rebuilding trust in one’s perceptions and emotional responses

• Examining attachment dynamics that sustain unequal or exploitative relationships

• Differentiating care from self-erasure

• Addressing trauma responses such as fawning, hypervigilance, or emotional numbing

• Supporting boundary formation that is internally grounded rather than reactive

This approach is particularly effective for individuals with histories of relational trauma or complex PTSD, where narcissistic abuse has reinforced long-standing patterns of self-blame and emotional over-responsibility.

Therapy for Thoughtful, High-Functioning Adults

Many clients seeking narcissistic abuse recovery therapy in San Francisco or Palo Alto are intellectually sophisticated and accustomed to managing complex interpersonal environments. They are often less interested in labels or prescriptive frameworks and more interested in understanding how they became entangled—and how to relate differently without losing their values, empathy, or depth.

The aim of therapy is not to harden or detach, but to restore psychological clarity, autonomy, and relational choice—so connection no longer requires self-abandonment.

Sexuality is often where trauma is most deeply held—and most carefully avoided. For many adults seeking trauma and sexual healing therapy, the difficulty is not a lack of desire or knowledge, but the way past experiences have shaped the body’s sense of safety, permission, and choice.

Sexual trauma may be overt or subtle. It can include boundary violations, coercion, early exposure, emotional intrusion, or experiences in which consent was compromised or ambiguous. Even when events are minimized or rationalized, the nervous system retains their impact. Clients may experience disconnection from desire, difficulty with arousal or pleasure, aversion to touch, compulsive sexual behavior, or a sense of being “present but not embodied.”

These experiences often coexist with relational trauma, complex PTSD, or attachment injuries, and are especially common among individuals who appear high-functioning and composed in other areas of life. Insight is rarely the problem. Safety is.

A single traumatic event like a car accident, house fire, medical emergency, or natural disaster can be over in minutes, yet its impact can linger for months or years. Many people notice intrusive memories or images, nightmares, sudden rushes of fear in seemingly ordinary situations, or a strong urge to avoid anything that reminds them of what happened. These reactions are the nervous system’s way of trying to protect you after something overwhelming, even when you “know” it’s over.

Therapy offers a structured, compassionate space to process what happened so you don’t have to keep reliving it alone. Together, we slow down and make sense of your reactions, work with triggers in your body and mind, and help your system recognize that the danger has passed. Over time, this can reduce anxiety and hypervigilance, soften self-blame, and restore a sense of safety and choice—so that the event becomes one part of your story, rather than something that controls your life now.