Holly Altson, Psy.D.

Clinical Psychologist, Licensed in Oregon and Washington

Trauma-Informed Therapy for Complex PTSD and Attachment Issues

Healing from what happened — and what didn't happen — at your own pace, in a space where safety is real.

Working with Complex Trauma

Approach & Methods

I work with complex trauma through a trauma-informed lens, drawing on attachment theory, intersubjective approaches, and somatic and neurobiological methods to understand how your experiences are rooted in your history and relational patterns. I meet you where you are: if you need immediate coping skills, we focus there first, and explore deeper patterns when you're ready—or we stay with what works for you. My toolkit includes Acceptance and Commitment Therapy (ACT), which can be especially helpful for quieting the struggle against your own mind, along with somatic and neurobiological approaches—breathing, movement, co-regulation—because some experiences live in the body and nervous system in ways that talk alone cannot reach. I'm interested in both what you think and what you feel, and I believe that insight can be powerful for some people, while others benefit most from concrete skills and changed patterns.

Complex trauma often begins not with a single overwhelming event, but with the slow erosion of safety—emotional neglect, inconsistent caregiving, or the feeling of being alone in a world that doesn't feel safe. What matters is not just what happened, but who was there (or wasn't) to help you make sense of it.

Because trauma lives in the body and the nervous system—not just in memory—we focus on regulation and coping alongside understanding. Grounding techniques, somatic awareness, and nervous system work help you find calm when dysregulation happens. Insight matters, but it's only part of the picture. Sometimes your body needs to know it's safe before your mind can fully believe it.

I move slowly and deliberately. Retraumatization has no place in this work. We go at your pace, responding to where you are in each moment—not according to a fixed protocol.

My Philosophy

One of my core strengths is creating a tangible sense of safety. People often tell me they feel calmer in our sessions—a steadiness that communicates, without words, that everything is going to be okay. This happens even in virtual sessions, and I believe it's the result of coregulation: my regulated nervous system can help regulate yours. Over time, this becomes an internalized experience. You learn what safety actually feels like because you've felt it with me.

I also hold deep respect for your own timeline and wisdom about what you need. Some people benefit from exploring the roots of their trauma; others need coping skills first. Some find medication helpful; others prefer not to take it. All of these choices are valid. If medication comes up, I think it's worth an honest conversation with a competent prescriber—not as a permanent solution, but sometimes as a temporary bridge that makes the deeper work more possible.

Complex trauma is often invisible or minimized—even by the people who experienced it. You might not have language for what happened because it was "just" how things were, or because it didn't look like abuse in obvious ways. Naming it doesn't diminish your parents or caregivers; it honors your experience and what your nervous system learned to do to survive. From there, we can build something different.

Other Areas I Work With

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