PTSD & trauma treatment in Dallas & across Texas
After a traumatic experience — an accident, assault, loss, combat, childhood adversity — the mind can stay stuck in survival mode. Post-traumatic stress disorder (PTSD) brings intrusive memories, nightmares, hypervigilance, and avoidance that can persist for months or years. None of it means you're broken; it means your brain adapted to protect you and needs help standing down.
Healing Realm Psychiatry & Wellness provides trauma-informed psychiatric evaluation and medication management by secure telehealth for adolescents 13 and older and adults across Texas, including Dallas and DFW. Our practice places a strong emphasis on stress and trauma, in an environment of confidentiality, privacy, and safety.
Common symptoms of PTSD
You don't need to check every box — if several of these sound familiar and are affecting your daily life, an evaluation can bring clarity.
- ✦Intrusive memories, flashbacks, or nightmares about the event
- ✦Avoiding reminders — places, people, conversations, feelings
- ✦Feeling constantly on guard, easily startled, or unsafe
- ✦Irritability, angry outbursts, or reckless behavior
- ✦Difficulty sleeping or concentrating
- ✦Negative beliefs about yourself or the world; guilt or shame
- ✦Feeling detached, numb, or disconnected from people you love
Online care, built around you
Care begins with a comprehensive 60–70 minute evaluation, paced with sensitivity — you share what you're ready to share. We assess your symptoms, history, sleep, and co-occurring conditions like depression, anxiety, or substance use that often accompany trauma.
Effective PTSD care usually pairs medication management with trauma-focused psychotherapy; we connect you with quality trauma therapists and coordinate care while managing the medication side. Holistic supports — grounding techniques, mindfulness, sleep routines — round out the plan, with follow-ups every 2 weeks to 3 months.
A careful, collaborative approach
Medications can meaningfully reduce the intensity of PTSD symptoms — the hypervigilance, the mood symptoms, the sleep disruption — creating the stability that makes trauma therapy possible. First-line options include specific SSRIs and SNRIs, along with targeted treatments for trauma-related nightmares.
Every prescription decision is explained and shared. If medications have been hit-or-miss for you before, GeneSight pharmacogenetic testing can help identify options better matched to your genetic profile.
Common questions about ptsd & trauma care
Do I have to talk about my trauma in detail?+
No. A psychiatric evaluation focuses on your current symptoms and how they affect your life. You control how much detail you share. Detailed trauma processing, when you're ready, happens with a trauma therapist at your pace.
Can PTSD show up years after the event?+
Yes. Symptoms sometimes emerge or intensify long after the trauma, often triggered by a life change, loss, or reminder. Delayed-onset PTSD is real and just as treatable.
Is telehealth appropriate for trauma care?+
For many trauma survivors, being at home — in a space they control — actually makes psychiatric care feel safer and easier to begin. All visits use a secure, HIPAA-compliant video platform.
What if I'm in crisis?+
We do not provide 24/7 crisis services. If you are in immediate danger or having thoughts of self-harm, call or text 988 (Suicide & Crisis Lifeline) or call 911 / go to your nearest emergency department.
We can also help with
Anxiety
Persistent worry, panic attacks, and racing thoughts don't have to run your life.
Depression
When low mood, exhaustion, and hopelessness linger, effective treatment can help you feel like yourself again.
Insomnia & Sleep
Sleep is the foundation of mental health. When it breaks, we help you find out why — and fix it.
The information on this page is for educational purposes only and is not medical advice. In a psychiatric emergency, call or text 988 (Suicide & Crisis Lifeline, 24/7), call 911, or go to your nearest Emergency Department.