What This Treatment Is

Complex trauma is distinct from single-incident PTSD. It refers to trauma that is chronic, repeated, and often occurring in developmental or relational contexts — childhood abuse, prolonged domestic violence, ongoing captivity, sustained exposure to violence. The clinical presentation extends beyond classic PTSD symptoms to include disrupted attachment patterns, difficulties with emotional regulation, and altered sense of self.

How Complex Trauma Differs Clinically

Single-incident PTSD often responds well to time-limited trauma-focused therapy (EMDR, CPT, PE). Complex trauma typically requires longer treatment courses and a phase-based approach. Judith Herman’s foundational three-phase model — safety and stabilization, remembrance and mourning, reconnection — remains a widely used framework. Somatic-informed approaches, Internal Family Systems (IFS), sensorimotor psychotherapy, and adapted EMDR are core modalities.

Substance Use in Complex Trauma

Chronic developmental trauma is associated with elevated rates of substance use disorder, often beginning in adolescence. Substances typically serve as emotion regulation tools — blunting intrusive states, managing dissociation, controlling arousal. Effective treatment addresses both the trauma work and the substance use coping in parallel, recognizing that reducing substance use without building new regulation skills often produces intense emotional destabilization.

Our Care Model: Specialty-Led, Distinct Primary Tracks

Elevated Healing operates separate primary treatment tracks for Mental Health and Substance Use, each led by the appropriate clinical specialty from day one. When both are present, our teams coordinate care across tracks so the full clinical picture is addressed without collapsing treatment into a single generalized program.

This is different from a blended or generalized model. Read more on our Care Model page.

Elevated Healing’s Specialty-Led Approach

Our Woodland Hills complex trauma treatment is phase-based. Aggressive trauma processing without prior stabilization can produce destabilization, dissociation, and substance-use relapse. We do the stabilization work first.

Practically:

  • Phase 1 (Stabilization): Safety, basic skill building, emotion regulation tools, initial substance use treatment. Often the longest phase.
  • Phase 2 (Processing): Trauma-focused therapy — EMDR, IFS, sensorimotor work — delivered when stabilization is sufficient.
  • Phase 3 (Integration): Reconnection with identity, relationships, and future orientation.
  • MAT for co-occurring substance use disorder when clinically indicated.
  • Psychiatric medication support — SSRI, sometimes prazosin for sleep disturbance, careful attention to which medications support versus destabilize.
  • Cross-team coordination between trauma therapist, psychiatric provider, and substance use track.
Evidence base. Phase-based treatment for complex trauma is the widely endorsed framework, per International Society for Traumatic Stress Studies guidelines. Somatic and parts-work approaches (IFS, sensorimotor) are increasingly evidence-supported for developmental trauma.

Access at Our Woodland Hills Campus

Our campus is at 21250 Califa St, Ste 114, Woodland Hills, CA 91367, in the West San Fernando Valley. Access is straightforward:

  • From the 101 (Ventura Freeway) — exit at De Soto Avenue or Winnetka Avenue and drive a short distance north.
  • From the 118 (Ronald Reagan Freeway) — take Winnetka or De Soto south into the West Valley.
  • Nearby communities — Warner Center, Winnetka, West Hills, Canoga Park, Tarzana, and Encino are all a short drive.
  • Telehealth — after your initial in-person assessment, most follow-up psychiatric visits can be done by video for California residents.

Parking and check-in details are provided at intake. If accessibility accommodations are needed, tell our admissions team when you call.

Program Levels That Deliver This Care

This service is delivered inside the level of care that matches your clinical need at intake. Level of care can shift over time as treatment progresses.

Partial Hospitalization (PHP)

Structured day program, five days per week, with psychiatric oversight and integrated therapy.

Learn about PHP

Intensive Outpatient (IOP)

Three-to-five sessions per week that allow work or school to continue.

Learn about IOP

Outpatient (OP)

Weekly therapy plus regular psychiatric visits — well-suited to step-down maintenance.

Learn about OP

Telehealth Follow-Up

Video visits with the psychiatric provider, available across California for eligible patients.

Learn about telehealth

Insurance, Cost, and Getting Started

Most commercial insurance plans cover complex trauma under mental health and substance use disorder benefits, which are subject to federal parity requirements under the Mental Health Parity and Addiction Equity Act. Parity means insurers cannot impose stricter limits on behavioral health services than they apply to physical health services — a real legal protection worth knowing you have when you call.

The first step is a conversation with our admissions team. This call is free, confidential, and carries no obligation. During it, we:

  • Verify your insurance benefits within one business day.
  • Confirm what’s covered, what your copay or coinsurance will be, and whether prior authorization applies.
  • Start any required prior authorization on your behalf so you’re not stuck on hold with your insurer.
  • Schedule a clinical evaluation — usually within a few business days of your first call, sooner when the situation is time-sensitive.

If insurance doesn’t cover the service or your plan design doesn’t fit, self-pay options can be discussed. There is no charge to have this conversation. Reach us at (747) 888-3000 or use our insurance verification form.

What Progress Looks Like

Recovery through complex trauma is not a straight line, and durable clinical outcomes rarely happen in weeks. Realistic timelines matter here more than optimistic promises. Most patients notice measurable improvement in the first month of consistent treatment — reduced cravings, more stable mood, better sleep, easier engagement with therapy. Substantive behavioral change typically takes root over three to six months.

Progress is reviewed at every clinical visit. We measure it in specifics: frequency of the target behavior, functional recovery in work and relationships, sleep quality, and — where medications are involved — how well the pharmacology is holding cravings and side effects. When something isn’t working, we adjust. That might mean a dose change, a therapy focus shift, or a step up or down in level of care. The plan follows the patient’s clinical picture, not the other way around.

Setbacks are treated as clinical data, not moral failure. If a relapse or symptom flare happens, the team’s job is to understand what led to it and refine the plan. Patients are not discharged for a relapse. Long-term recovery is often what happens after the acute treatment phase ends, and we plan for that from the first visit — through aftercare planning, coordinated hand-offs, and telehealth follow-up available across California.

Confidentiality and HIPAA Protections

Treatment records at Elevated Healing are protected under the Health Insurance Portability and Accountability Act (HIPAA) and, for substance use records specifically, under 42 CFR Part 2 — a federal regulation providing additional protection for substance use disorder treatment information. That means treatment status and clinical details are not disclosed to family members, employers, or third parties without your written authorization, except in narrowly defined legal circumstances (imminent harm, court order).

Practical protections include HIPAA-compliant scheduling and communication systems, secure insurance verification channels, and billing structured to minimize what appears on statements. Patients with heightened confidentiality concerns can request specific accommodations at intake — arrival timing, check-in flow, telehealth-first scheduling — and our admissions team will confirm what’s available.

Frequently Asked Questions

How is complex trauma different from PTSD?
PTSD in DSM-5 focuses on identifiable traumatic events and characteristic symptom clusters. Complex trauma (sometimes called complex PTSD or CPTSD in ICD-11) extends the picture to include chronic, repeated, and developmental trauma with additional features: disrupted attachment, emotion dysregulation, altered self-perception, and difficulties with relationships.
Why phase-based treatment?
Because aggressive trauma processing without prior stabilization can produce serious destabilization — flooding, dissociation, substance use relapse, self-harm. Building safety, skills, and emotion regulation first creates the foundation to process traumatic material without being overwhelmed by it. This is not delay — it’s essential treatment.
How long does complex trauma treatment take?
Longer than single-incident PTSD treatment — typically 12-18 months at minimum, often longer. Phase 1 (stabilization) can take 6 months or more; deep processing work happens after that. This is honest expectation-setting: complex trauma is a long-term clinical picture, and treatment respects that reality.
What's Internal Family Systems (IFS)?
IFS is a parts-based therapy developed by Richard Schwartz. It works with the internal ‘parts’ of a patient — protective, wounded, exiled — as a way to build inner cohesion and heal trauma without re-traumatization. It’s particularly useful for developmental trauma where different self-states carry different experiences.
What about somatic therapies?
Somatic-informed approaches (sensorimotor psychotherapy, Somatic Experiencing) work with the body-based experience of trauma. Chronic trauma is stored in body memory, autonomic patterns, and physical tension — not just cognitively. Somatic work addresses these dimensions directly. It’s often combined with EMDR or parts work.
Does insurance cover complex trauma treatment?
Yes — most commercial insurance covers trauma-focused psychotherapy under mental health benefits subject to parity requirements. Duration of coverage varies; our team advocates for medically necessary continuation of care. Reach us at (747) 888-3000.

If You’re in Crisis

If you or someone you love is in immediate crisis, help is available 24/7. You are not alone.

Trusted External Resources

Independent, evidence-based sources on the topics covered on this page:

International Society for Traumatic Stress Studies →

ISTSS professional society for trauma clinicians and researchers.

National Center for PTSD (VA) →

VA National Center for PTSD.

SAMHSA — Trauma-Informed Care →

SAMHSA’s overview of trauma-informed care.

EMDR International Association →

Professional body for EMDR clinicians and research.

IFS Institute →

Internal Family Systems Institute — training and clinician resources.

Ready to Talk About Complex Trauma?

Our admissions team can walk you through what treatment looks like, verify insurance benefits, and answer questions. Conversations are confidential.

Call us confidentially at (747) 888-3000 — or request a consultation online.

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