Trauma and PTSD
Trauma and PTSD Therapy in Miami, Online Across Florida
Trauma lives on in what it leaves behind: the jaw that never unclenches, the way you scan every room you walk into, the nights you lie awake replaying a conversation from years ago. You can do well at work and still feel on guard most of the time.
I’m Isabel Wyss, a Licensed Mental Health Counselor based in Miami. I work online with adults across Florida who live with the effects of trauma, including PTSD and the slower, quieter kind that comes from growing up in a home or a relationship that didn’t feel safe.
Signs that trauma is still affecting you
Trauma shows up in the body and in relationships as much as in memories. You might notice:
- Flashbacks, nightmares or memories that intrude without warning
- Feeling jumpy, on edge or unable to relax, even on a quiet weekend
- Numbness or distance, as if you are watching your life from the outside
- Avoiding places, people or topics that remind you of what happened
- Saying yes when you mean no, or freezing when you need to speak up
- Harsh self-blame, shame or a sense that something is wrong with you
- Relationships that feel either too close for comfort or too far away
Each of these responses made sense at some point. They helped you get through. The trouble is that they keep running long after the danger has passed.
PTSD, complex trauma and relational trauma
PTSD often follows a specific event, such as an accident, an assault, a medical emergency or a sudden loss. Complex trauma tends to build over time, through repeated experiences like emotional neglect, living with an unpredictable or addicted parent, constant criticism or an abusive relationship.
Relational trauma happens between people, and it often shapes how you relate to others today. You might over-function to keep everyone happy, struggle to trust kindness, or let your boundaries collapse without noticing. I completed Neurobiology of Complex Trauma training through the NCTSN, and much of my clinical work in treatment settings, as a primary therapist and clinical supervisor, involved this kind of layered history.
How I work with trauma
I draw on three main approaches and combine them based on what you need on a given day. I call this The Return Home Framework, because the aim is to help you feel at home in yourself again.
- 01EMDRI’m trained in EMDR, which helps the brain reprocess distressing memories so they lose their charge. You bring a memory to mind while noticing left-right stimulation, such as eye movements or tapping.
- 02Somatic workAs an Integrated Somatic Trauma Practitioner trained through The Embody Lab, I help you notice and settle what your body is holding: tight shoulders, a racing heart, a sinking feeling in your stomach.
- 03Parts workWith an Internal Family Systems (IFS) informed approach, we get to know the parts of you that protect, such as the inner critic or the people-pleaser, and the younger parts that still carry the pain.
Talking still has a place. Many people I work with already understand their patterns well. What they want is for that understanding to reach the body, so they start to feel different, too.
Pacing and your window of tolerance
The window of tolerance is the zone where you can feel emotions without being flooded by them or shutting down. Above it, you might feel panic, anger or a racing mind. Below it, you might feel foggy, flat or far away.
Trauma tends to narrow that window, and our work widens it gradually. We start by building ways to steady yourself, and we move toward painful memories only when you have enough support to stay present. If you start to leave the window during a session, we pause and come back to your breath, your body or the room around you.
This can feel slow at first. Going slowly is what makes deeper work possible without leaving you shaken for days afterwards.
Online trauma therapy in Florida
All sessions are secure, HIPAA-compliant video sessions for adults who are physically in Florida at the time of the session. You can join from your home in Miami, a quiet room at work or anywhere private in the state. For people with trauma, being in a familiar place can make it easier to settle.
Being at home also means no drive through Miami traffic before or after a hard session. We plan how to close each session together, so you can step back into your day feeling steady.
Fees and next steps
Sessions are 50–60 minutes and the private pay rate is $175 per session. Insurance options depend on your plan, so ask during your free consultation.
To start, book a free 15-minute consultation by phone or video through my secure client portal. You don’t need to explain your whole history. Tell me a little about what’s been hard and what you hope will change, and we can decide together if my approach is a good fit.
Therapy isn’t an emergency service. For urgent help at any hour, call or text 988 (the Suicide & Crisis Lifeline) or go to the closest emergency department.
At a glance
Working with Isabel
- Isabel Wyss, LMHC (Florida MH26669)
- Online only, by secure video, for adults located in Florida
- $175 per 50–60 minute session
- Free 15-minute consultation
- Sessions in English or Spanish
Questions about Trauma Therapy
What is the difference between PTSD and complex trauma?
PTSD usually follows one or more specific events, such as an accident, an assault or a sudden loss, and often brings flashbacks, nightmares and avoidance. Complex trauma builds over time through repeated experiences, often in childhood or close relationships. Along with PTSD symptoms, it can affect how you see yourself, how you manage emotions and how safe you feel with other people.
Can trauma therapy be done online?
Yes. EMDR, somatic work and parts work all adapt well to secure video sessions. Some people find it easier to settle in a familiar room at home. I offer trauma therapy online to adults who are physically in Florida at the time of each session. A private space, headphones and a steady internet connection help sessions run smoothly.
Do I need to remember everything that happened?
No. Trauma memories are often patchy, out of order or held more as body sensations than as a clear story. We can work with what you do remember, with the feelings and beliefs that came out of it, and with what your body is doing now. You also don’t need to share details before you feel ready.
How long does trauma therapy take?
It varies a lot. A single event may need fewer sessions than long-term childhood or relational trauma. The early phase of building stability can take time, and that time is part of the work. We check in on progress together, and you can always change the pace or the focus. I don’t promise a set number of sessions.
What if I feel worse after a session?
Feeling tired or tender after trauma work is common. Feeling flooded for days is a sign we need to slow down, and I’ll want to know. We close every session with steadying, and we build tools you can use at home. If you are ever in crisis, call or text 988 (the Suicide & Crisis Lifeline) or go to the closest emergency department.
Related
Other ways I can help
Free 15-minute consultation
Start with a free 15-minute call
Tell me a little about what’s going on, ask your questions, and see how it feels to talk. There’s no pressure to book. Sessions are $175 for 50–60 minutes, online for anyone located in Florida.
Based in Miami, FL · Online across Florida · English & Español