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PTSD & Trauma-Related Disorders

Trauma can affect mood, sleep, anxiety, relationships, and daily functioning. With individualized treatment, many people can reduce symptoms and regain a greater sense of safety and stability.

Common PTSD & Trauma Symptoms

Intrusive Memories & Flashbacks

Avoidance

Hypervigilance & Reactivity

Mood & Emotional Changes

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Compassionate, evidence-based care focused on reducing trauma symptoms and improving day-to-day functioning.

How We Help

Medication Options

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Medication can help reduce certain PTSD symptoms, particularly anxiety, depression, sleep disturbance, nightmares, and hyperarousal.

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Depending on symptoms and medical history, treatment may include:

  • SSRIs such as sertraline or paroxetine

  • SNRIs such as venlafaxine

  • Medications targeting sleep or nightmares when appropriate

  • Treatment of co-occurring depression or anxiety

  • Individualized medication selection based on symptoms and side effects

 

Medication decisions are tailored to the individual and may be used alongside trauma-focused psychotherapy.

Personalized & Long-Term Treatment

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PTSD often affects more than one area of life, so treatment may involve more than addressing a single symptom.

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A long-term treatment plan may include:

  • Improving sleep

  • Reducing anxiety and hyperarousal

  • Treating depression

  • Managing panic or dissociation

  • Supporting healthy routines

  • Addressing substance use when relevant

  • Coordinating with therapy and medical providers

 

The goal is not simply symptom reduction, but helping patients regain stability, confidence, and functioning.

Trauma-Focused Therapy Collaboration

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Psychotherapy is an important part of PTSD treatment.

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Evidence-based trauma therapies may include:

  • Cognitive Processing Therapy (CPT)

  • Prolonged Exposure (PE)

  • EMDR

  • Trauma-focused cognitive behavioral approaches

 

LB Psychiatry focuses primarily on psychiatric evaluation and medication management while collaborating with therapists when appropriate.

Understanding PTSD

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PTSD Can Look Different From Person to Person

Not everyone with PTSD experiences symptoms in the same way.

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Some people primarily struggle with nightmares and intrusive memories, while others experience emotional numbness, avoidance, irritability, panic, or a persistent sense of danger.

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Symptoms may begin shortly after trauma or may become more noticeable months or even years later.

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PTSD Is More Than Anxiety

PTSD can include anxiety, but it also involves changes in how the brain and nervous system respond to reminders of trauma.

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People may experience:

  • Intrusive memories or flashbacks

  • Avoidance of reminders

  • Changes in mood and beliefs

  • Hypervigilance and increased startle response

  • Sleep disturbance

  • Irritability

  • Emotional detachment

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Trauma Does Not Always Mean PTSD

Experiencing trauma does not automatically mean someone has PTSD.

 

Some people develop short-term stress reactions, while others may develop conditions such as:

  • Acute Stress Disorder

  • Adjustment Disorder

  • Depression

  • Anxiety disorders

  • Panic symptoms

  • Dissociative symptoms

  • Substance-related problems

 

A psychiatric evaluation can help determine whether symptoms fit PTSD or another trauma-related condition.

PTSD vs. Other Conditions

PTSD symptoms can overlap with several other psychiatric conditions

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PTSD vs. Anxiety

Both can involve worry, tension, and hyperarousal, but PTSD is linked to trauma-related symptoms such as intrusive memories, avoidance, and trauma reminders.​

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PTSD vs. Depression

Both can cause low mood, withdrawal, sleep problems, and difficulty concentrating. PTSD also involves trauma-specific symptoms.

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PTSD vs. ADHD

Both can involve concentration problems, restlessness, and emotional dysregulation, but ADHD is typically chronic and developmental, while PTSD symptoms emerge in relation to trauma.

PTSD & Trauma Resources

Helpful information to better understand Bipolar & Trauma.

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PTSD vs. Anxiety:
What’s the Difference?

Learn how trauma-related symptoms differ from generalized anxiety.

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PTSD Medications: What Are the Options?

Learn about SSRIs, SNRIs, sleep medications, and other treatment considerations.

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PTSD & Sleep: Nightmares, Insomnia, Hypervigilance

Learn why trauma can disrupt sleep and what treatment options may help.

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PTSD Treatment: Therapy, Medication, or Both?

Learn how trauma-focused therapy and medication can work together.

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Not Sure Where to Start?

PTSD symptoms can overlap with depression, anxiety, panic disorder, ADHD, and other trauma-related conditions.

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A comprehensive psychiatric evaluation can help clarify the diagnosis and identify appropriate treatment options.

Most insurances accepted

Medicare, Medicaid, &
commercial plans

100% Telehealth

Across Washington State from the comfort of home

Fast appointments

New patient openings within 1-2 weeks

HIPAA secure

Your privacy and data are always protected

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253-292-5133 (phone/text)

253-237-9463 (fax)

105 M ST NE

Auburn, WA 98002

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© 2026 LB Psychiatry PLLC. All rights reserved.

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