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Trauma-Informed Therapy: What Is It?

Not all therapy is trauma-informed. Learn the key differences and how to find care that feels safer, gentler, and more affirming.

Written by
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Liz Crain, LPC
Clinician, Spring Health
Clinically reviewed by
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Abeela Haq
Clinician, Spring Health, LMHC

Trauma-informed therapy centers emotional safety, choice, and understanding of how past experiences shape present behavior. It’s different from traditional therapy, and for people who have experienced trauma, that’s essential.

Let’s explore how trauma-informed care and traditional therapy approach healing, and understand the differences so you can find the right care for you.

What Is Trauma-Informed Therapy?

Trauma-informed therapy isn’t a specific therapy type or modality like Cognitive Behavioral Therapy (CBT) or Dialectical Behavior Therapy (DBT). It’s a therapeutic approach that recognizes, understands, and responds to the widespread and profound impact trauma has on a person, in people, families, and communities. It shapes how mental health care is delivered, regardless of the therapy type being used.  

Rather than focusing solely on symptoms or diagnoses, trauma-informed therapy addresses your full life experiences, what you’ve lived through, how your body and mind have adapted, and what you need to feel safe in the healing process. 

This approach guides every part of the therapeutic relationship, from the tone of conversations to the pace of sessions, to create an environment where you feel safe, empowered, and in control. Trauma-informed therapy promotes resilience, and sometimes, even post-traumatic growth. Post-traumatic growth is a psychological phenomenon where individuals experience positive changes and transformations in their lives following a traumatic event.

The four key principles of trauma-informed care include:

  • Safety: Physical, emotional, and psychological safety
  • Choice & collaboration: You’re an active participant, not a passive client
  • Empowerment: Your strengths are honored
  • Cultural humility: Your identities and experiences are respected

How Is It Different from Traditional Therapy?

Traditional therapy and trauma-informed therapy share the same goal: supporting your healing and growth. The difference lies in the lens each brings. 

Traditional therapy emphasizes reducing symptoms and building coping strategies. Trauma-informed care values those goals, while beginning with the recognition that your past experiences can deeply shape how you think, feel, and function in your day to day life.

Traditional Therapy

  • May focus more on symptom relief and skill-building.
  • Therapists are trained to guide the process using proven approaches.
  • Can be structured or flexible depending on the therapist and model used.

Trauma-Informed Therapy

  • Builds on traditional therapy methods while keeping trauma history top of mind.
  • Emphasizes safety, trust, and collaboration, valuing your voice and pace.
  • Frames challenges through the lens of “what happened to you,” in addition to “what’s happening now.”
  • Helps you stay within, and increase, your nervous system's window of tolerance. Your  “window of tolerance” is the zone where you feel most balanced and able to handle life’s ups and downs. When you’re in this window, stress feels manageable and emotions don’t feel as overwhelming. Staying within this window allows you to think clearly and feel more like yourself.

Trauma-informed therapy doesn’t mean you’ll avoid challenges or hard conversations, it means those challenges will be approached with care, compassion, and an awareness of how to avoid re-traumatization. 

Signs You May Benefit from a Trauma-Informed Approach

If you’ve been through difficult or traumatic experiences that affect how you feel and function, a trauma-informed approach may offer the kind of care and understanding you need. Here are signs you may benefit: 

  • You’ve experienced emotional abuse, physical abuse, sexual abuse, neglect, abandonment, or generational trauma
  • You feel disconnected from yourself or others
  • You struggle with shame, trust, emotional flashbacks, or hypervigilance (you’re always on high alert)
  • You’ve felt invalidated or misunderstood in past therapy experiences
  • You want care that honors your pace and consent

What Trauma-Informed Care Isn’t

Let’s clear something up: trauma-informed therapy isn’t coddling, overly gentle, or just a space to vent about trauma. It’s grounded in the shared understanding that the trauma you experience shapes everything in your life. The approach is designed to help people who have experienced trauma build resilience, process experiences at their own pace, and reconnect with a sense of control in their life.

How  Spring Health Supports Trauma-Informed Care

We have providers trained in trauma-informed frameworks and treatment best practices including: 

  • Eye Movement Desensitization and Reprocessing (EMDR) which allows you to process traumatic memories while using bilateral stimulation like tapping or eye movement to reduce distress.
  • Accelerated Resolution Therapy (ART) which is a specialized treatment that has been shown as very effective for PTSD.
  • Dialectical Behavioral Therapy (DBT) that can help with emotional regulation issues related to traumatic experiences.
  • Cognitive Processing Therapy (CPT) which is a form of cognitive behavioral therapy specially designed to support PTSD symptoms.
  • Body-based therapies and somatic practices that are used to regulate the nervous system. 
  • Culturally attuned care that supports your personal, lived experience.

Whether you're exploring past experiences or focusing on present-day challenges, your therapist will move at your pace, honor your boundaries, and work collaboratively with you to build a path forward that feels empowering and sustainable.

About the Author
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Liz Crain, LPC
Clinician, Spring Health

Liz Crain is a licensed professional counselor at Spring Health specializing in complex trauma. With a background spanning clinical practice, research, and program development, she combines evidence-based and experiential approaches to guide clients toward greater connection, resilience, and mental well-being. Liz brings warmth, curiosity, and creativity to her practice, tailoring care to meet the unique needs of each individual.

About the clinical reviewer
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Abeela Haq
Clinician, Spring Health, LMHC

Abeela Haq is a Licensed Mental Health Counselor at Spring Health with more than 15 years of clinical experience. She holds an MA in Mental Health Counseling from Webster University and has worked extensively with culturally diverse populations, including children, adolescents, families, and individuals navigating chronic or terminal illness. Specializing in holistic-health psychology, Abeela combines reflective insight with practical strategies to promote balance and well-being. She provides inclusive care across all cultural and religious backgrounds and is fluent in Urdu and Hindi.

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