Treatments · Trauma therapy

Trauma therapy that does not push.

In-person trauma-informed psychotherapy in Mississauga and online across Ontario, for adults. Sessions move slowly, with consent and pacing built in.

A copy of Polyvagal Theory in Therapy, the nervous-system foundation of trauma-informed care at Anchor & Bloom
Fee
$160 to $180 · 50-minute individual session
Free consultation
15 minutes, no charge
Format
In-person in Mississauga, or secure online video via Jane
Modalities
Trauma-informed, attachment-based, EFT, somatic, CBT
Clinicians
Katelyn Matias, RP, CRPO #10340, Daniella Simas Medeiros, RP (Qualifying), CRPO #19387
Receipts
Provided for extended-health reimbursement · HST-exempt

About trauma therapy at Anchor & Bloom.

In-person psychotherapy in Mississauga and online across Ontario, for adults living with the aftermath of difficult experiences. Single-incident trauma, developmental trauma, relational or attachment wounds.

Trauma-informed across both clinicians. Consent and pacing are part of how we work, not separate steps. We will not push into anything your system is not ready to look at.

How therapy helps

What trauma therapy can help with.

Through trauma therapy, you can:

  • Better understand the impact trauma has had on your life
  • Develop tools to manage overwhelming emotions and stress responses
  • Strengthen emotional regulation and nervous system resilience
  • Reduce feelings of anxiety, hypervigilance, and emotional reactivity
  • Improve self-esteem and self-compassion
  • Build healthier relationships and boundaries
  • Reconnect with a greater sense of safety, trust, and confidence

Learn more

Want the full picture?

Everything below is optional. Open any section to go deeper on how trauma therapy works at Anchor & Bloom, who it fits, and what changes over time.

How trauma shows up

The patterns clients bring in.

Trauma is not only what happened. It is also what the body and mind did to survive it.

  • Reactions that feel disproportionate to the situation in front of you
  • A nervous system that runs hot or runs cold, with little in between
  • Difficulty trusting your own judgment or memory
  • Avoidance, hyper-vigilance, dissociation, or numbness
  • Relationship patterns that repeat across partners, friends, or workplaces
  • A body that holds the weight: chronic tension, gut issues, sleep that will not settle
  • Shame layers that are hard to name

The shapes trauma takes

Different kinds of trauma, different ways in.

Single-incident trauma

A car accident, an assault, a sudden medical event, a witnessed loss. One clear before and after. Resourcing first, then integrating the memory so it stops intruding on the present.

Complex or developmental trauma

Childhood neglect, ongoing harm, repeated attachment ruptures. Rarely one event to point to. Instead a nervous system shaped by what it took to survive, still running the same patterns now.

Relational trauma

Harm inside a close relationship. Partner betrayal, coercive control, emotional abuse. The hurt is tangled with longing, which makes it harder to grieve.

Intergenerational trauma

Patterns carried down through families and communities. Migration, war, residential schools. Sometimes the body is holding something it was never told about. Experiences may affect individuals, families, and communities in different ways.

Birth and reproductive trauma

A birth that did not go the way it was supposed to. Emergency interventions, loss, feeling unheard. See fertility and postpartum therapy.

Vicarious and secondary trauma

For first responders, healthcare workers, social workers, journalists. The cost of being close to other people’s worst days accumulates quietly. Real even when nothing happened to you directly.

Racial and identity-based trauma

The compounded weight of racism, queerphobia, transphobia. Both specific incidents and the chronic background hum of being unsafe in spaces that should have been neutral.

Medical trauma

Diagnoses, invasive procedures, ICU stays, dismissive care. The body keeps bracing long after, and follow-up appointments can become triggers.

Unprocessed grief

Loss that never got room to land. Deaths, estrangements, endings. Stuck grief often looks and feels like trauma.

Pacing

Why pacing matters in trauma work.

One of the oldest mistakes in trauma therapy is moving too fast. Telling the full story before there is enough internal stability to hold it can re-trigger the same nervous-system response the body went through the first time. That is not catharsis. That is re-traumatization.

We work the other way around. Resourcing before processing. Stability before story.

Dan Siegel’s concept of the Window of Tolerance is useful here. Inside the window, you can think, feel, and reflect at the same time. Outside it, those capacities go offline. The body switches into fight-or-flight or shutdown, and real learning stops.

Effective trauma therapy spends time mapping where your window currently is, learning the early signals of leaving it, and building the skills that bring you back. Only once that is steady do we look at what is harder to look at.

How sessions are structured

The three-phase model.

Most modern trauma therapy follows a phased approach first articulated by Pierre Janet and developed by Judith Herman and Bessel van der Kolk. The phases overlap, but the order matters.

Phase 1 · Stabilization

Often several sessions, and sometimes longer. Building safety inside the therapy relationship and inside your own body. Identifying triggers. Learning regulation skills. No trauma processing happens here. For some clients this is the whole of the work, and it is enough.

Phase 2 · Processing

When, and only when, you are ready. Working with the trauma material itself, gently, in pieces small enough that your window of tolerance stays open. Not every client needs or wants this phase.

Phase 3 · Integration

Reclaiming a life that includes what happened without being organized around it.Re-engaging with relationships, work, and identity from a steadier base. Old patterns soften.

Polyvagal theory in session

What “polyvagal-informed” actually means.

A lot of the work here is shaped by polyvagal theory, developed by Stephen Porges and brought into clinical practice by Deb Dana in Polyvagal Theory in Therapy. Your nervous system has more than two settings, and trauma is often a story about getting stuck in one.

The three states most useful in session:

  • Ventral vagal. Safety and connection. You can think, feel, and relate at the same time. This is the window of tolerance in nervous-system terms.
  • Sympathetic. Mobilization. Fight or flight. Useful when you actually need to run, exhausting when it stays on for years.
  • Dorsal vagal. Shutdown. Numbness, dissociation, the sense of being far away from your own life. The oldest survival response, and the hardest to spot in yourself.

Some individuals describe experiences of shutdown, numbness, or disconnection that can be understood through a nervous-system lens. People sometimes come to therapy thinking something is wrong with their motivation. For some, the system has been holding shutdown so long they have forgotten what the alternative feels like.

Regulation is the slow re-introduction of ventral states. First in glimpses, then in stretches, then in patterns that hold under pressure. Polyvagal language gives both of us a shared vocabulary for what is happening in the room.

Modalities

What we draw from, and why.

Stabilization and pacing

We incorporate trauma-informed stabilization, resourcing, and pacing strategies commonly used in trauma therapy. Anchor & Bloom does not currently offer formal EMDR; if that is the right fit for you, we are glad to refer.

Body-based and somatic approaches

Body-based approaches pay attention to what the body did during the original event and what it may still be holding. Useful because so much of trauma is non-verbal. Seesomatic therapy.

Polyvagal-informed

A shared language for what is happening in session and a clearer map for the work between sessions. Especially helpful for clients with long stretches of shutdown.

Attachment-based

Trauma rarely happens in a vacuum. It happens in relationships, and it shapes every relationship that comes after. Attachment-based work looks at the patterns running in the background and the ones running in the room.

IFS-informed (parts work)

Internal Family Systems treats the psyche as a system of parts. Lets us address the part of you that wants to talk about it and the part that wants nothing to do with it, both at once.

Trauma-focused CBT

CBT adapted for trauma contexts. Useful for intrusive thoughts and the meaning-making phase. Used selectively, not as a default.

Fit

Who this fits, and who needs something else.

This fits

  • Adults with single-incident trauma looking for paced, evidence-informed care
  • Adults with complex or developmental trauma who want slow, relationship-based work
  • Attachment ruptures that keep showing up in current relationships
  • Postpartum and birth-related trauma
  • Intergenerational trauma the family did not name
  • Anxiety with a clear trauma layer underneath

This does not fit

  • Active crisis or imminent risk. Please use 9-8-8 Suicide Crisis Helpline or 911
  • Psychiatric stabilization, medication management, or hospital-level care
  • Dissociative identity work that requires specialist training we do not hold
  • Court-mandated assessments or forensic reports
  • Clients under 18

If it is not the right fit, we will say so in the consultation and help point toward what is.

Signals of change

Common changes clients may notice as therapy progresses.

Progress in trauma therapy is rarely dramatic. Small, observable shifts that add up:

  • The trigger arrives, but the window stays open. The same situations that used to send you into fight, flight, or shutdown still land, but you can stay present.
  • The body stops carrying the conversation alone. Less chronic tension, sleep that settles deeper. Symptoms shift before the story is even fully told.
  • You can talk about it without going back into it. The memory becomes a thing that happened to you, not a thing that is still happening.
  • Patterns soften. The relationship loop you have been in for years starts to feel like a choice instead of a reflex.
  • Self-trust comes back in pieces. You start believing your own read on a situation again.
  • Less time spent recovering from being yourself. A day in the world stops costing two days of repair.

These are not promises. They are what change tends to look like when the work takes.

How sessions work

A typical course.

  • First session. A conversation about what is happening now and what you would like therapy to help with. No expectation to share trauma history in detail.
  • Frequency. Weekly for the first phase is common. Many clients move to biweekly as patterns settle.
  • Length of work. Length of therapy varies significantly depending on goals, history, and current needs.
  • Format. In-person sessions in Mississauga, or online video through Jane, a PHIPA-compliant Canadian platform.

Who offers this

Clinicians who work with trauma.

Katelyn Matias, RP

Registered Psychotherapist, CRPO #10340

Trauma-informed, attachment-based work for adults and couples. EFT, ACT, CBT, and somatic-informed approaches.

About Katelyn

Daniella Simas Medeiros, RP (Qualifying)

Registered Psychotherapist (Qualifying), CRPO #19387

Affirming trauma-informed care for adults, neurodivergent, and 2SLGBTQIA+ clients. Somatic therapy, psychodynamic work, and EFT.

About Daniella

Common questions about trauma therapy.

Will I have to talk about what happened in detail?

No. Therapy moves at a pace your nervous system can hold. Many trauma clients spend the first months building safety and regulation tools before talking about specific events, and some never need to recount the story in detail to make real change.

How do you decide what kind of trauma work fits?

It depends on what you are bringing. Single-incident trauma, developmental or relational trauma, and complex trauma each call for slightly different pacing. We will talk about your history and goals in the consultation and first session.

Do you offer EMDR?

Katelyn integrates trauma-informed care, attachment-based therapy, EFT, ACT, CBT, somatic-informed approaches, and mindfulness. Anchor & Bloom does not currently offer EMDR. If EMDR is the right fit for you, we can refer.

I have done trauma therapy before and it did not help. Why try again?

Trauma work varies widely. Pace, modality, and fit with the clinician matter. The first consultation is a low-stakes way to ask questions before committing.

Is online trauma therapy safe?

Yes, for most adults. Research on virtual trauma therapy supports its effectiveness when the work is paced appropriately. Clients in acute crisis or who need higher levels of care are referred to those resources.

How long does trauma therapy take?

It varies. Length of therapy varies significantly depending on goals, history, and current needs. We talk about pacing at every stage.

How much do sessions cost?

Individual sessions are $160 to $180. Most extended health benefit plans through Canadian employers cover Registered Psychotherapist services. Psychotherapy is exempt from GST/HST as of June 2024.

For plan-by-plan coverage details, direct billing notes, and how to submit a claim, see Fees & Insurance.

Further reading

Trusted Canadian resources.

The Centre for Addiction and Mental Health and theCanadian Mental Health Association publish accessible resources on trauma and PTSD.

For information on the regulation of psychotherapists in Ontario, see theCollege of Registered Psychotherapists of Ontario.

Related services

What often pairs with trauma work.

Why Anchor & Bloom

How we work, and what to expect.

Trauma shows up differently for everyone, so the work is personalized and paced for safety. Drawing from evidence-informed and trauma-informed approaches, treatment may incorporate Cognitive Behavioural Therapy (CBT), Emotionally Focused Therapy (EFT), Acceptance and Commitment Therapy (ACT), Psychodynamic therapy, Solution-Focused therapy, somatic therapy, attachment-based work, mindfulness, and nervous system regulation.

  • Personalized treatment tailored to your needs and goals
  • Compassionate, collaborative, and non-judgmental care
  • Trauma-informed and relationship-focused approach
  • Practical tools that support meaningful change
  • Virtual therapy available across Ontario
  • In-person therapy available in Mississauga

Start with a free conversation.

A 15-minute consultation to ask questions and decide if the fit feels right.

Book a consultation

Online therapy across Ontario

Sessions are virtual province-wide, with local support for:

Toronto · Mississauga · Oakville · Burlington · Hamilton

Book a free 15-minute consult