--- title: "Trauma & PTSD therapy · California telehealth · Joshua Acosta-Duque, LCSW" description: "Trauma-focused therapy for adults across California. 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Telehealth, English & Español, with a Latino LCSW.", "url": "https://withlovewellnesstherapy.com/services/trauma-ptsd-therapy", "provider": { "@id": "https://withlovewellnesstherapy.com/#joshua" }, "areaServed": { "@type": "State", "name": "California" }, "serviceType": "Trauma & PTSD" }, { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Do I have to talk about the worst of it in detail?", "acceptedAnswer": { "@type": "Answer", "text": "No. EMDR does not require extensive verbal retelling of the memory. We prepare carefully first, and you stay in the driver's seat throughout." } }, { "@type": "Question", "name": "Can EMDR happen over telehealth?", "acceptedAnswer": { "@type": "Answer", "text": "Yes — evidence-based protocols exist for telehealth EMDR, and it's a large part of my practice. We use bilateral stimulation methods that work through the screen." } }, { "@type": "Question", "name": "What if my trauma is 'small' compared to others'?", "acceptedAnswer": { "@type": "Answer", "text": "Nervous systems don't measure like that. If it lives in your body, it deserves care." } } ] } ] --- [Skip to content](#main) [](/) [About](/about)[Approach](/approach) [Services](/services) [Who I work with](/who-i-work-with) [Insights](/insights)[Español](/es)[Contact](/contact) [Book a free call](/book) ![Autumn leaves against warm stone wall in dappled afternoon light](/assets/hero-trauma-BWLHUINd.jpg) [All services](/services) 03 Specialization # Trauma & PTSD The thing you can't seem to reason your way out of — that's the thing we work on. What this actually is ## The long version. Trauma isn't only what happened; it's what your nervous system had to do to survive it. Insight alone doesn't move it. EMDR (Eye Movement Desensitization and Reprocessing) and trauma-focused work help the body finish the story so the past stops running the present. Sound familiar? ## You might recognize — - A memory you can describe calmly but that still hijacks your body - Startle responses, hypervigilance, or numbness that feel disproportionate - Patterns in relationships you can name but can't stop repeating - 'It wasn't that bad' — and you still can't sleep - Veterans, first responders, and survivors of complex or developmental trauma are welcome here How we work ## The work itself. EMDR is the primary tool, integrated with parts work, somatic tracking, and — when it fits — CBT and psychodynamic conversation. We move at the pace your system can hold. Nothing is rushed. [Book your free 15-min call](/contact) [See full approach ](/approach) FAQ ## Questions people actually ask. Do I have to talk about the worst of it in detail? No. EMDR does not require extensive verbal retelling of the memory. We prepare carefully first, and you stay in the driver's seat throughout. Can EMDR happen over telehealth? Yes — evidence-based protocols exist for telehealth EMDR, and it's a large part of my practice. We use bilateral stimulation methods that work through the screen. What if my trauma is 'small' compared to others'? Nervous systems don't measure like that. If it lives in your body, it deserves care. Related services ## Where this work often overlaps . [ Modality EMDR therapy EMDR helps your brain reprocess experiences that got stuck — the memories, images, or feelings that still fire even when you know, on paper, they shouldn't. We don't rush it. We move at your pace, build the resources you need first, and work toward those old moments losing their grip on the present. Read more ](/services/emdr-therapy)[ Primary focus Anxiety & chronic stress Primary focus. EMDR, DBT, and CBT for the version of you that looks fine and feels wrecked. Read more ](/services/anxiety-therapy)[ Depth work Grief & loss For the part no one around you seems to know how to sit with. Read more ](/services/grief-therapy) ## Ready to actually work on this? [Book your free 15-min call ](/contact) With Love Wellness Center Depth-oriented therapy across California. Sessions in English & Español. Telehealth-only practice. Begin [Book your free 15-min call](/contact) In a crisis or emergency, call or text [988](tel:988) or [911](tel:911). Services - [All services](/services) - [EMDR therapy](/services/emdr-therapy) - [Anxiety & chronic stress](/services/anxiety-therapy) - [Trauma & PTSD](/services/trauma-ptsd-therapy) - [Relationship & attachment patterns](/services/relationship-therapy) - [Depression](/services/depression-therapy) - [Substance use, recovery & codependency](/services/substance-use-therapy) - [Burnout & high-achiever therapy](/services/burnout-therapy) - [Life transitions](/services/life-transitions-therapy) - [Grief & loss](/services/grief-therapy) - [Men's issues](/services/mens-therapy) Who I work with - [Overview](/who-i-work-with) - [Latino/a/x adults](/who-i-work-with/latino-therapy) - [LGBTQ+ adults](/who-i-work-with/lgbtq-therapy) - [Veterans & first responders](/who-i-work-with/veterans-therapy) - [High achievers](/who-i-work-with/high-achievers) Serving California - [California online therapy](/california-online-therapy) - [Los Angeles](/california/los-angeles) - [Orange County](/california/orange-county) - [San Diego](/california/san-diego) - [San Francisco](/california/san-francisco) - [San Jose](/california/san-jose) - [Sacramento](/california/sacramento) Insights - [All insights](/insights) - [High-functioning anxiety](/insights/high-functioning-anxiety) - [When therapy didn't work](/insights/when-therapy-didnt-work) - [Are my problems bad enough?](/insights/are-my-problems-bad-enough) - [Perfectionism & anxiety](/insights/perfectionism-and-anxiety) - [Can't think your way out](/insights/why-you-cant-think-your-way-out) Practice - [About Joshua](/about) - [Approach](/approach) - [Rates & insurance](/rates) - [Reviews](/reviews) - [Contact](/contact) En Español - [Inicio](/es) - [Sobre mí](/es/sobre-mi) - [Terapia de ansiedad](/es/terapia-de-ansiedad) - [Terapia de trauma](/es/terapia-de-trauma) - [Contacto](/es/contacto) With Love Wellness Center · Telehealth across California · sessions in English & Español. Individual results vary; therapy outcomes are not guaranteed. This website is for informational purposes only and is not a substitute for clinical care. Website by [Automaus.ai](https://automaus.ai) © 2026 With Love Wellness Center · Joshua Acosta-Duque, LCSW · CA LCSW #121584