Assess the full picture.
We consider trauma history, current safety, developmental context, sleep, mood, anxiety, attention, dissociation, medical concerns, and substance use. Screening tools support clinical understanding.
Complex trauma care · Ages 5+
Understand what happened.
Change what follows.
Trauma-focused psychiatric assessment, psychotherapy, EMDR, and medication management with Jamie Anne Wilson, DNP, ARNP, PMHNP-BC.
Adaptations can
outlive the danger.
Repeated threat, disrupted safety, interpersonal harm, and prolonged adversity may change how you respond to emotion, closeness, conflict, and uncertainty. You may feel constantly alert, disconnected, overwhelmed, or exhausted by reactions you struggle to explain.
I want to understand the experience beneath those patterns. Complex trauma describes an exposure history plus a pattern of effects. Your assessment clarifies PTSD or other diagnoses, overlapping conditions, suitable care.
A phased approach
Care with purpose.
Room for your pace.
Build steadiness.
We identify resources, coping skills, practical supports, and treatment goals. Medication may be considered for appropriate target symptoms. Preparation supports informed participation.
Choose deeper work.
Psychotherapy or EMDR may address distressing experiences when readiness supports it. We monitor your response, review daily functioning, adjust the pace or approach.
Across the lifespan
The history is yours.
The approach fits you.
Children ages 5+ + adolescents
Development, family context, caregiver observations, and the young person’s perspective guide assessment. Care considers emotional regulation, behavior, school functioning, and age-appropriate communication.
Adults and trauma-exposed professionals
I see first responders, DOC and corrections staff, physicians, nurses, and other healthcare professionals. Care can address longstanding trauma, relationship patterns, occupational exposure, and persistent symptoms. My nursing background includes trauma-exposed populations, high-acuity care, and juvenile corrections.
A collaborative relationship
I use a calm, direct conversation with clear boundaries. I explain the clinical reasoning, ask how the plan fits your experience, and invite you to tell me when the pacing needs to change.
Choose the therapeutic work together.
Therapy may include EMDR, supportive psychotherapy, emotional regulation and coping skills, and exploration of interpersonal patterns. We choose the approach around the concern you bring, your readiness, and the goals of treatment.
Questions about trauma care.
Do I have to tell every detail immediately?
You can begin with the concerns affecting your life now. Trauma history is gathered thoughtfully. Detailed disclosure, readiness for memory-focused work, and the pace of treatment are discussed during care.
Is every symptom caused by trauma?
Several conditions can contribute to similar symptoms. Psychiatric assessment considers developmental history, physical health, medications, psychiatric diagnoses, and your trauma history. Further testing or specialist referral may help clarify some presentations.
How does EMDR fit?
EMDR is a structured trauma-focused psychotherapy used for PTSD. It begins with history, preparation, and readiness assessment. Memory processing uses guided bilateral stimulation within a clinical treatment process.
VA explanation of EMDRHow long will treatment take?
Frequency, duration, and progress depend on your needs, stability, goals, and response. We review changes in symptoms, daily functioning, and suitability of the plan over time. Specific outcomes remain individualized.