A lot of patients request EMDR because it's widely known and often mentioned in popular media. While EMDR is popular, it is not first-line in most practice guidelines and has less evidence than other therapies. 

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At Nema, all of our therapists are trauma specialists cross-trained in CPT, PE, and EMDR. We always start with CPT first because it doesn’t require re-exposure like PE or EMDR, and it has data to show that symptom improvements last for 5-10 years or longer. 

Yes, we do. From current research, C-PTSD is a variant of PTSD that includes personality changes, attention issues, and struggles such as substance use or self-harm due to prolonged interpersonal trauma. Our program supports patients through grounding, DBT skills, case management, meds, peer support and 1:1 trauma therapy. 

CPT can work particularly well for C-PTSD because it focuses on processing the impact of trauma across life domains, including safety, trust, self-esteem and intimate relationships.

Trauma occurs when you experience or witness something life-threatening or overwhelming that exceeds your ability to cope. Common traumas include domestic violence, sexual assault, physical violence, medical trauma, childhood abuse, car accidents, natural disasters, war and combat, pregnancy loss, and gun violence.

These experiences can lead to PTSD, C-PTSD, acute stress disorder, adjustment disorder, and other trauma and stress-related disorders. If you've been through something difficult and are struggling, we're here to help—schedule a free information call to learn more.

Not sure if that sounds like you? Common symptoms our patients report include:

• Intrusive thoughts & flashbacks: Flashbacks, nightmares, and unwanted thoughts or emotions that surface without warning, including strong reactions to reminders of the trauma.

• Avoidance: Steering clear of people, places, or thoughts that are reminders of what happened.

• Hyperarousal: Persistent tension, feeling on edge, irritability, sleep disturbances, or difficulty concentrating.

• Negative changes in mood: Hopelessness, disinterest in life, feeling disconnected from yourself or distant from loved ones.

Nema's treatment is built around Cognitive Processing Therapy (CPT), a first-line treatment for PTSD with a large randomized evidence base. Unlike some other trauma therapies, CPT doesn't require you to relive or recount every detail of what happened — instead, it helps you identify and work through the beliefs trauma left behind, like guilt, self-blame, and fear. Research shows symptom improvements from CPT last 5–10 years or longer.

Here's what to expect:

• Sessions: 2–3 virtual therapy sessions per week with your dedicated therapist
• Assignments: Short exercises between sessions to help you apply what you're working on in therapy
• Peer support: In addition to your therapist sessions, you’ll have regular check-ins with a peer navigator who has lived experience with trauma recovery‍
• Duration: Most patients complete intensive treatment in 12 sessions over 4-6 weeks

CPT works by helping you examine the beliefs trauma left behind — the guilt, the self-blame, the fear—rather than requiring you to relive every detail of what happened. It's designed to be both effective and sustainable, so you can heal at a pace that feels safe and supported.

We hear this a lot—and it's a fair question. CPT is specifically designed to be a structured, time-limited treatment, and that's actually part of what makes it so effective. 93% of patients who complete Nema's program no longer meet the criteria for a PTSD diagnosis. The research shows that more sessions don't necessarily mean better outcomes—in fact, a focused, structured approach tends to produce more lasting results than open-ended therapy.

That said, Nema support doesn't stop at 12 sessions. After completing intensive treatment, patients can transition into our third phase of care — Rise. Rise is Nema's ongoing care program, which provides continued peer support, skills-based groups, and one-on-one check-ins for up to 10 months. It's designed to help you build on the progress you've made and support your long-term recovery.

While Nema’s first two phases of care focus on diagnosis and symptom alleviation, our third phase is for Ongoing Care, also known as Rise. Rise’s goal is to support your recovery by building skills and connections for you to thrive. As you near the end of Phase 2: Intensive Care, your therapist and peer navigator will work with you to build a Rise Care Plan built off of your personal goals and preferences. As you transition from Intensive Care to Rise, you will have access to 1:1 sessions, peer support groups, skills-based groups and more. Throughout Rise, we build in 1:1 check-ins to ensure you are getting the most of this program. 

Nema is a fully virtual program, so all sessions are conducted online. This also means you can access care from the comfort of your home, wherever you are in the states we serve.

Yes. Your Nema treatment includes an option for medication management if necessary. Our psychiatrists provide medication evaluation and management as part of your integrated treatment plan, not as a standalone service.

PTSD responds best to therapy, but medication can be helpful for managing co-occurring symptoms like depression, anxiety, or sleep challenges. Your psychiatrist and therapist work together to determine whether medication would support your recovery and ensure everything is coordinated as part of your care plan.

You and your therapist will work together to build a schedule that fits your needs and availability. Part of what makes Nema effective is the concentrated, intensive delivery of evidence-based treatment — but we understand that life isn't always predictable, and we're flexible when weekly schedules need to shift.

Our primary focus is trauma treatment. After completing treatment, we offer up to 10 months of continued support to help you transition from active treatment into long-term recovery. This third phase of Nema, called “Rise” is designed to empower you with tools, confidence, and stability as you move forward.

If you're looking specifically for ongoing weekly talk therapy focused on general life stressors rather than trauma treatment, we’re happy to help connect you with an outpatient talk therapist toward the end of Phase 2: Intensive Care to ensure you have the right long-term support in place.

Because trauma affects each person differently — even when two people experience the same event — our treatment is highly individualized. Each person goes through their own program, though partners can go through treatment at the same time if both are seeking care.

We also offer support system sessions for loved ones who want to understand your treatment and learn how to best show up for you. Many partners come to Nema after seeing the progress their loved one has made and wanting to be more equipped to help.

Not at this time — Nema currently treats adults 18 and older. If you're looking for care for a younger patient, we're happy to help point you toward appropriate resources.