Treatment For PTSD Disorder in Washington
Compassionate, Evidence-Based Care for Your Mental Health
How PTSD is Treated at Constellations Mental Health Services
Step 1: Comprehensive Evaluation
Your treatment begins with a one-on-one consultation with Alexandra Pales, ARNP, PMHNP-BC. This includes:
- A clinical interview to understand your history and symptoms
- Screening tools to assess the severity of depression
- A discussion of treatment goals and preferences
Step 2: Personalized Treatment Plan
Our treatment approach for PTSD is flexible, comprehensive, and centered around what feels supportive and effective for you.
Natural & Holistic Support Options
Exercise and yoga to reduce stress and release stored trauma
Grounding techniques like deep breathing and muscle relaxation
Journaling to process memories and gain insight
Art or music therapy to express emotion when words fall short
Social connection with trusted people or support groups
Acupuncture for nervous system regulation
EMDR (Eye Movement Desensitization and Reprocessing) – Used to help process and reframe traumatic memories
ACT (Acceptance and Commitment Therapy) – Encourages healing through mindful acceptance and values-based action
Medical Treatment Options
SSRIs like Sertraline or Lexapro for mood and anxiety symptoms
Trazodone to improve sleep quality and reduce night waking
Prazosin to decrease trauma-related nightmares
Beta-blockers for physical symptoms like rapid heart rate or shakiness
Advanced Treatment
Ketamine therapy – An emerging treatment showing promise in reducing PTSD symptoms when other treatments haven’t worked
Step 3: Ongoing Support & Adjustments
- Follow-ups are scheduled every 2-4 weeks to monitor progress.
- Once stability is achieved, appointments are spaced every 8-12 weeks for continued support.
- Medication adjustments or therapy recommendations can be made as needed.
Working With Us
- Personalized & Patient-Centered Care – Your treatment is designed with you, for you—we don’t believe in one-size-fits-all approaches.
- Convenient & Private Telehealth Appointments – Receive care from the comfort of your home using a secure online platform. Accessible via computer, tablet, or phone.
- Expert-Led Care by Alexandra Pales, ARNP, PMHNP-BC – Board-certified psychiatric nurse practitioner with experience in emergency medicine, ICU, and psychiatric care.
- Medication & Holistic Options Available – We provide both medication-based and holistic treatment strategies, tailoring care to your unique needs.
Insurance & Pricing
We accept Premera, Regence, Aetna, HMA, Asuris, and Tricare.
- Initial consultation (60 min): $300
- Follow-up visits (30 min): $200
Insurance may cover medications. We can assist in navigating this process.
Request a Consultation
We will get back to you within 24 business hours
Understanding PTSD
Post-Traumatic Stress Disorder (PTSD) is a mental health condition that can develop after experiencing or witnessing a traumatic event—such as abuse, assault, war, accidents, or natural disasters. While many people recover naturally over time, some trauma leaves a lasting impact on the nervous system, thoughts, and emotions.
Symptoms can emerge days, weeks, or even years after the trauma. If you’re feeling trapped by memories, disconnected from yourself or others, or constantly on edge, you’re not alone—and effective treatment is available.
Signs and Symptoms of PTSD
PTSD affects both the mind and body. Symptoms vary but may include:
Re-Experiencing Symptoms
Flashbacks
Intrusive thoughts
Nightmares or disturbing dreams
Avoidance Symptoms
Avoiding people, places, or reminders of trauma
Withdrawing from conversations or relationships
Avoiding thoughts or feelings associated with the event
Negative Changes in Mood or Thinking
Guilt, shame, or self-blame
Persistent sadness or numbness
Feeling detached or emotionally distant
Loss of interest in once-enjoyed activities
Hyperarousal Symptoms
Irritability or angry outbursts
Insomnia or trouble sleeping
Difficulty concentrating
Being easily startled or constantly on alert
If you relate to these symptoms, help is available—healing is possible.
Frequently Asked Questions
What if I don’t want to revisit trauma right away?
That’s absolutely okay. Your comfort and safety are our priority. We’ll begin with stabilization techniques and build trust before exploring anything deeper.
Do you offer EMDR or ACT therapy yourself?
While we integrate EMDR and ACT-informed strategies, we may also refer you to specialized therapists for full-length EMDR sessions if needed.
What if I’m hesitant about medication?
There’s no pressure to start medication. We’ll explore all options together, and you decide what feels right for your healing.
Can you help with sleep problems and nightmares?
Yes. We can recommend medications like Trazodone or Prazosin, as well as natural sleep supports and relaxation techniques.
Is this a safe space to talk about trauma?
Yes. Everything we do is guided by empathy, confidentiality, and a deep respect for your story. You will never be rushed or judged.
Where do appointments take place?
All services are offered via secure telehealth, accessible from your phone, tablet, or computer in any private space.
