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Method guide

What is trauma-informed therapy?

The phrase appears on almost every therapy website now. It should mean something specific, and it is easy to check whether it does.

What it should mean in practice

Assuming trauma may be present rather than waiting to be told. Prioritising safety and predictability. Giving you choice at every stage. Pacing so that sessions do not leave you flooded. And understanding that symptoms are usually adaptations, not defects.

  • Nothing happens without being explained first
  • You can stop or pause at any point
  • Stabilisation precedes processing, always
  • Sessions end regulated, not mid-distress

How to test the claim

Ask how they handle it if you become overwhelmed mid-session. Ask what stabilisation looks like before processing. A trauma-informed practitioner answers both quickly and concretely.

It is not a modality

Trauma-informed is a stance, not a treatment. It should sit alongside an actual trauma treatment such as EMDR — the stance alone does not process anything.

Common questions

Is every therapist trauma-informed?+

Many claim it; fewer have specific trauma training. The two are worth checking separately.

Does it mean we avoid difficult material?+

No. It means difficult material is approached deliberately and at a survivable pace.

Do I need a PTSD diagnosis for this to apply?+

No. The stance applies regardless of diagnosis.

Ask the two test questions

Put them to any therapist you are considering, including this one.