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Brainspotting Therapy for PTSD

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    Brainspotting Therapy for PTSD:
    Healing from Post-Traumatic Stress Disorder 

    Discover how brainspotting therapy helps heal PTSD. Learn how it works, who benefits, and connect with a trauma-informed brainspotting therapist.

    POSTTRAUMATIC STRESS DISORDER

    What is PTSD?

    If you are living with Post-traumatic Stress Disorder (PTSD), you may feel like your nervous system is on high alert even when your mind knows that you are safe. You might be tired of explaining it, or talking it through, only to feel triggered, shutdown or emotionally flooded afterwards.

    Brainspotting is a brain–body therapy that helps resolve PTSD at the level of the nervous system, without requiring you to relive or retell everything.

    A woman in neutral clothing sits on a wooden bench in a garden, looking to the side with a concerned expression. Digital lines are drawn around her head.

    PTSD and Trauma: Aren’t the Same Thing.

    People often use trauma and PTSD interchangeably. However, post-traumatic stress disorder (PTSD) is not the trauma itself. It is what happens when the nervous system does not reset after a traumatic event. PTSD is a mental health disorder identified in the Diagnostic and Statistical Manual of Mental Disorders.

    Trauma is the experience or the injury. 

    • Trauma is what happens when you experience a distressing or frightening event that overwhelms your ability to cope.

    • Trauma can occur from one major traumatic event or multiple incidents.

    • You can have trauma and still function, sometimes very well.

    PTSD is a diagnosable condition, when the nervous system doesn’t reset after a trauma.

    PTSD is a chronic condition that sometimes develops when the traumatic event remains active in the mind and body. PTSD is most often associated with a specific event or a series of identifiable events, such as:

    • Accidents
    • Assault
    • Abuse
    • Medical trauma
    • Witnessing others being abused/hurt
    • Natural disasters
    • Combat or military service

    Not everyone who experiences trauma develops PTSD. But when PTSD does occur, the nervous system remains stuck in survival long after the threat has passed.

    Learn how we can help you on your path of healing
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    PTSD SYMPTOMS

    Common Symptoms of PTSD

    PTSD symptoms must last for more than a month and causing significant distress or issues in daily function. The symptoms of PTSD fall into four categories: intrusion, avoidance, changes, in thinking in mood, and changes in arousal and reactivity. People respond differently to PTSD but generally experience one or more of each symptoms in these four categories of mental health.

    Intrusion

    • Flashbacks

    • Nightmares

    • Distressing memories that feel present tense

    • Strong, emotional or physical reactions to reminders

    Avoidance

    • Avoiding places, people, or conversations

    • Emotional shutdown or numbing

    • Staying constantly busy to avoid internal experience

    Negative changes in mood and cognition

    • Guilt, shame, self-blame

    • Feeling disconnected from others

    • Feeling detached from reality

    • Loss of interest or meaning

    • Difficulty feeling joy or safety

    • Depressed mood and negative thoughts

    • Difficulty to regulate emotions

    Hyperarousal

    • Hypervigilance

    • Easily startled

    • Sleep disruption

    • Anger or irritability

    • Anxiety or panic

    All PTSD comes from trauma, but trauma does not always become PTSD. Many people with PTSD say, 'I know that I'm safe, but my body doesn't believe it'. That statement captures the heart of PTSD. 

    Why PTSD Gets "Stuck" in the Nervous System

    PTSD is not failure of logic or willpower. It is not just a memory problem. It is a regulation problem. It is a neurobiological survival response when a traumatic event overwhelmed the nervous system.

    • The amygdala (threat detector) becomes overactive
    • The hippocampus struggles to place the memory in time and details
    • And they prefer a cortex (reasoning, language, perspective) goes off-line

    This is why talking about the trauma does not always resolve PTSD. Traumatic memories from traumatic events are stored below, conscious awareness, in the body and subcortical brain. This is why traditional therapies that focus on cognitive processing such as analysis or talking therapy tend to fall short of resolving many symptoms of PTSD. Cognitive behavioural therapy and prolonged exposure therapy are two such therapies that are commonly recommended.

    A close-up of a futuristic, biomechanical brain with glowing red neural pathways and green vines intertwined over metallic structures.

    When PTSD is active, you may notice:

    • Sudden surge of fear, anxiety or panic

    • Feeling more disconnected

    • Tension, startle response, irritability

    • Trouble sleeping or relaxing

    • Difficulty trusting yourself or others

    Many people discover that insight alone doesn’t turn PTSD off because PTSD lives below the level of logic, inside the survival circuits of the brain and body. Cognitive behavioural therapy and cognitive processing therapy focus on insight rather than addressing the trauma memories at the deeper level of the brain and body.

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    Two people sit in wicker chairs around a stone fire pit inside a sunlit room filled with green plants, holding hands and facing each other.

    PTSD Treatment Options

    Trauma-focused psychotherapies are recognized as the most effective first-line treatments for PTSD by clinical guidelines from the VA, DOD, and APA as of 2026. These therapy approaches recognize the importance of prioritizing client safety, connection and empowerment when processing trauma. As specialized treatments, clinicians are trained to support clients to go at their own pace while processing distressing feelings, negative beliefs, and painful memories. This allows individuals to feel supported and gain control over their healing journey. Common types of trauma-focused therapies are EMDR, prolonged exposure therapy, trauma-focused CBT, somatic therapy, AEDP and brainspotting. While CBT and prolonged exposure therapy have been considered the standard, more client-centered therapies like EMDR, brainspotting and somatic therapy are often considered to go deeper and be more compassionate.

    Cognitive Behavioural Therapy

    Cognitive processing therapy is a specific type of CBT that helps the individuals modify, and challenge unhelpful beliefs related to trauma. Trauma-focused cognitive behavioral therapy (TF-CBT) is a recommended approach for children and young people with PTSD. In general, CBT for PTSD focuses on changing patterns of thoughts, feelings and behaviors.

    Prolonged Exposure Therapy

    Prolonged exposure therapy (PE) is a type of CBT that teaches individuals to gradually approach trauma-related memories and situations.

    Eye Movement Desensitization

    Eye movement desensitization and reprocessing (EMDR) is a structured therapy that helps reduce the vividness and emotion associated with trauma memories. It follows a structured eight-phase process that allows individuals to safely reprocess traumatic memories.

    A close-up of a person’s face with brown eyes, while a hand holds pointed tweezers in the foreground. A beige couch and a potted plant are in the background.

    What is Brainspotting Trauma Therapy?

    Brainspotting is a brain, body-based therapy that uses eye positions to access where trauma is stored in the nervous system. Rather than requiring detailed, storytelling or reliving the event, brainspotting works by:

    • Identifying a visual brainspot connected to the stored trauma
    • Allowing the brain and body to process naturally
    • Supporting regulation through therapist attunement, pacing and coregulation

    This makes brainspotting well-suited for PTSD and addressing a traumatic event.

    How Brainspotting Helps Heal PTSD

    Bottom-up processing

    Brainspotting is designed to meet PTSD where it lives, in the subcortical brain and nervous system, not only in thoughts, words and analysis. This is what’s known as bottom-up processing. From the bottom brainspotting engages the parts of the brain, responsible for survival and emotion before cognition. Cognitive therapy and prolonged exposure therapy are top-down therapies that attempt to use the thinking brain to talk through PTSD symptoms.

    You don't need to:

    • Recall every detail
    • Re-experience the trauma
    • Explain or analyze what happened

    This is critical for people whose PTSD symptoms worsen with traditional exposure-based approaches.

    Brainspotting prioritizes:

    • Safety and regulation first
    • It doesn’t require retelling the story
    • It supports integration, so that the past feels in the past
    • This reduces the risk of overwhelm, dissociation or re-traumatization

    Brainspotting works, even when memories are fragmented

    • Many people with PTSD have:
    • Incomplete memories, body sensations without narrative
    • Emotional reactions without clear images

    Brainspotting does not require a coherent story to work.

    Two women sit in a cozy living room; one rests her hands on a stone in her lap, while the other watches attentively from an armchair.

    What a Brainspotting Session for PTSD Looks Like

    Intake and Assessment 

    We begin by understanding:

    • Your current symptoms and triggers

    • What helps you feel grounded?

    • With too much feels like

    • Your goals for therapy

    During the session

    A typical brainspotting session may include:

    • Finding a visual brainspot connected to the activated response in your body

    • Tracking body sensations, such as tightness, heat, heaviness, numbness, etc.

    • Using grounding and resourcing as needed

    • Going at your pace, with you leading the way

    After the session

    Some people feel calmer immediately. Others noticed fatigue like having a neural workout, emotional release, or gradual shifts over days. Planning a gentle space afterwards can be supportive.

    Learn how we can help you on your path of healing
    Request a Free 15 min Consultation

    Success Stories

    Laura Reeves

    Dr. Hilary is an amazing therapist and working with her has been transformative. She's empathetic, intuitive, a great listener and really smart. This combination, along with her skilled use of brainspotting, has helped me become clearer, move through challenging circumstances from my past and open up my future. I'd highly recommend her to anyone seeking a commpassionate and supportive therapist.

    Ali Gould

    I have worked with Dr. Hilary for a few years and could not have had a better experience. Dr. Hilary is one of the most kind, compassionate, understanding, and insightful individuals I have had the pleasure of getting to know. She is incredibly knowledgeable about a plethora of therapeutic techniques and exercises. Over the years, I have grown immensely with the help of Dr. Hilary.

    Linda Mantel

    I began working with Dr. Kim Ward while I was in deep grief after my husband's passing. She walked me through the darkness with her kindness, compassion and professional skills and I've continued to work with her for several years. In addition to talk therapy, brainspotting has been amazingly helpful in unlocking emotions and beliefs I wasn't aware of. Working with Dr. Ward has been life-changing! She continues to be a wonderful gift in my life.

    see more reviews
    Woman sitting cross-legged on a cushion indoors, eyes closed, with one hand on her chest and the other touching her forehead, sunlight illuminating her face and chest.

    Brainspotting Compared to Other PTSD Therapies

    Brainspotting may be a strong fit for people who:

    • Want a brain-body approach
    • Feel flooded or shut down when they talk about the trauma
    • Need a gentler pace and titration
    • Want therapy that emphasizes attunement and regulation

    No single therapy is right for everyone. Brainspotting is often chosen by people who want deep healing without re-traumatization.

    Who is a Good Candidate for Brainspotting for PTSD?

    Brainspotting can be especially helpful for:

    • First responders
    • Survivors of sexual assault, abuse or accidents
    • People with long-standing PTSD
    • People who have experienced trauma whether they meet all the criteria for PTSD or not.
    • Individuals who feel like they plateaued and are in need of talk therapy
    • Military service members

    If trauma symptoms are present, but do not clearly fit PTSD, you may want to explore brainspotting for trauma more broadly.

    Learn more about brain body for trauma.

    A firefighter in uniform sits across from a therapist in an office, engaged in a serious conversation, with abstract lights illustrating communication between them.
    Ready to begin PTSD focused brainspotting?

    Feeling PTSD is not about forgetting or erasing the past. It's about teaching a nervous system that danger is now over. If you are ready to explore a therapy that works with your brain and body. Brainspotting may be the next step.

    Schedule a free consultation to explore brainspotting for trauma

    Brainspotting and PTSD FAQs

    About the Authors

    headshot of Dr. Hilary Stokes, licensed psychotherapist

    Hilary Stokes Phd

    HIlary Stokes, Ph.D., LCSW is a licensed psychotherapist in California with more than 25 years of clinical experience, specializing in trauma therapy, PTSD treatment, anxiety, depression, and nervous system healing. She holds Master's degrees in Clinical Social Work and Kinesiology and Sports Psychology and a Ph.D. in Transpersonal Psychology with a specialization in Tibetan Buddhist Psychology. Dr. Stokes is extensively trained and certified in brainspotting, EMDR, somatic therapy and other mind body approaches. Her integrative work bridges neuroscience, mindfulness, and holistic psychology to help clients process unresolved trauma, rewire stress patterns, and build emotional resilience.

    read more
    headshot of Dr. Kim Ward, certified trauma-informed coach and life coach

    Kim Ward Phd

    Kim Ward, Ph.D. holds both a masters and a doctorate in Transpersonal Psychology with a specialization in Tibetan Buddhist Psychology. She brings more than 25 years of experience in trauma recovery, Brainspotting and mind-body transformation. She is extensively trained and certified in Brainspotting, somatic therapy, and trauma-informed approaches. Dr. Ward integrates neuroscience, nervous system regulation and consciousness-based psychology to help individuals process unresolved trauma, shift limiting beliefs, and access greater emotional resilience. Her work focuses on healing at the root, beyond symptom management, through brain-body therapies that create lasting change.

    read more
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