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    • Home
    • ABOUT
    • My Approach
    • Starting Therapy
    • Trauma Therapy
    • Teen Therapy
    • Reflections and Resources
    • Cultural Humility
    • CONTACT
Van Riel Counselling
  • Home
  • ABOUT
  • My Approach
  • Starting Therapy
  • Trauma Therapy
  • Teen Therapy
  • Reflections and Resources
  • Cultural Humility
  • CONTACT

Trauma Therapy

When something that happened before is still showing up now.

Trauma does not always look like flashbacks or nightmares. 


Sometimes it looks like overthinking everything, shutting down when something feels too close, feeling responsible for everyone around you, staying on alert even when nothing is obviously wrong, or understanding exactly why you react a certain way and still not being able to stop it.


You do not have to decide whether what happened was “bad enough” to count as trauma before coming to therapy.


If it is still affecting you, we can start there.

Book a Free 15-Minute Consultation
Man running with dog

Trauma doesn’t always look like trauma

The ways we survive difficult experiences can become so familiar that they just feel like part of who we are.


You might notice:

  • feeling on edge or always waiting for something to go wrong
  • shutting down, disconnecting, or going numb
  • overthinking conversations long after they are over
  • finding it hard to trust or rely on other people
  • feeling responsible for keeping everyone else okay
  • being very independent because needing other people has not always felt safe
  • understanding your patterns really well but still feeling stuck in them 


These responses usually developed for a reason. Therapy is not about judging them or forcing them away. It is about understanding what they helped you get through, and whether you still need them in the same way now. 

You do not have to prove that something was traumatic for it to matter.


Trauma can come from more than one kind of experience

Mother and son in field

Some trauma has a clear before and after. An accident. An assault. A frightening medical experience. A sudden loss.


Other experiences happen repeatedly or build over time.


Growing up around anger or unpredictability. Having to become independent too early. 


Not knowing which version of someone you were going to get. Being repeatedly criticized, rejected, ignored, controlled, or made responsible for things that were never yours to carry.


Sometimes there is one experience you can point to. Sometimes there are hundreds of smaller moments.


Emotionally Focused Therapy for trauma considers 

chronic, cumulative, and acute traumatic experiences, 

rather than limiting trauma to one particular type of event (Johnson & Campbell, 2026).


What matters to me is not putting your experience into the right category. It is understanding what happened, how you learned to get through it, and what is still showing up in your life now.

Stacey Van Riel, registered social worker sitting at her desk

How I work with trauma

 My primary approach is Emotion-Focused Individual Therapy (EFIT), an attachment-based and experiential approach developed by Dr. Sue Johnson and Dr. Leanne Campbell (Johnson & Campbell, 2022).


EFIT is used with concerns including anxiety, depression, traumatic stress, and difficulties connected to our sense of self and relationships. Rather than working only with thoughts or coping strategies, EFIT helps us slow down and understand the emotional experience underneath the patterns that keep repeating (Johnson & Campbell, 2022).

Understand the pattern

Work with what is underneath

Work with what is underneath

 We get curious about what happens when you become overwhelmed, shut down, pull away, overthink, get angry, or feel like you have to handle everything yourself.


Instead of asking,


“What is wrong with me?” 


we can begin asking, 


“What is happening here, and how did this response come to make sense?”

Work with what is underneath

Work with what is underneath

Work with what is underneath

  Trauma can leave fear, shame, sadness, anger, helplessness, and longing tangled together.


When it feels safe enough, we slow things down and get curious about what those emotions are telling you, what they may be protecting, and what you might need (Johnson & Campbell, 2026).

Create something different

Work with what is underneath

Create something different

  Insight matters, but EFIT also focuses on creating new emotional experiences.


The aim is not simply to revisit what happened or add another coping strategy. It is to help create more flexibility, agency, and connection in how you experience yourself and relate to others (Johnson & Campbell, 2026).

You do not have to tell me everything that happened

Trauma therapy does not mean sitting down and having to tell me your entire history. 


We can begin with what is happening for you now: what you notice in your body, what brings up strong reactions, and the ways you learned to protect yourself.


In EFIT, safety and connection are central to trauma work. A sense of safety in the therapeutic relationship helps create the conditions for approaching difficult emotions and experiences without having to force or rush the process (Johnson & Campbell, 2026).


You do not need to talk about something because you think I expect you to, and you do not need to go further than feels manageable.


You get a say in what we talk about, when we talk about it, and how quickly we go.

Two people sitting on a bench

What if I already know why I do this?

This is something I hear a lot.


You might already know that you shut down because of what happened growing up. You may understand why conflict makes you anxious, why you have trouble trusting people, or why you automatically take care of everyone else.


And you may still find yourself doing exactly the same thing.


That does not mean you have failed to understand yourself.


Trauma does not live only in the story we can tell about what happened.  It can affect emotional responses, our sense of safety, the way we see ourselves, and what we expect will happen when we need another person.


That is why EFIT goes beyond understanding the pattern intellectually. We work with what happens emotionally, in the moment, so something new can become possible.

Ontario Couple sitting above a lake together

What might change through trauma therapy?

There is no single version of healing, and therapy cannot erase what happened.


Over time, the work may help you:

  • understand your reactions with more curiosity and less shame
  • notice emotional patterns before they completely take over
  • feel more able to stay with difficult emotions without them taking over 
  • develop a stronger sense of choice in how you respond
  • feel more comfortable with your own needs and vulnerability
  • experience yourself as more capable, worthy, and grounded
  • feel safer reaching for support and letting other people be there for you


In EFIT, trauma recovery can involve becoming more able to access, tolerate, and organize emotional experience, developing a stronger sense of competence, worth, and agency, and building a greater capacity to trust, reach for, and receive support from others (Johnson & Campbell, 2026). 

Trauma therapy does not have to be serious every second

Some sessions are heavy.


Some involve grief, fear, anger, or things you have spent a long time trying not to feel.


 There can also be humour, relief, awkwardness, swearing, moments of connection, and the occasional realization that ends with, “Well… that explains a lot.” 


You are a whole person in the room.


Trauma may have shaped parts of your life, but it does not have to become the only story we tell about who you are. 

Stacey Van Riel, registered social worker laughing

Online trauma therapy across Ontario

Online trauma therapy across Ontario

Online trauma therapy across Ontario

  I provide virtual trauma therapy for teens and adults across Ontario.  


Sessions happen by secure video, so you can do this work from a familiar space without travelling to an office.  


You do not need a perfect setup. You just need somewhere reasonably private where you feel comfortable talking and a reliable internet connection.  


For more about first sessions, how long therapy may take, insurance, or what happens during a consultation, visit Starting Therapy.

Starting Therapy: What to Expect

Still thinking about therapy?

Online trauma therapy across Ontario

Online trauma therapy across Ontario

 You do not have to know whether something “counts” as trauma before reaching out.


You also do not need to know exactly what you want to work on or how to explain it.


If something that happened before is still affecting how you feel, cope, relate to other people, or move through your life now, we can start there.

Book a Free 15-Minute Consultation

References

Johnson, S. M., & Campbell, T. L. (2022). A primer for emotionally focused individual therapy (EFIT): Cultivating fitness and growth in every client. Routledge. R

outledge

Johnson, S. M., & Campbell, T. L. (2026). Emotionally focused therapy for trauma. Guilford Press.


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