Something happened, and part of you is still there. It might have been last month, or years ago, something you thought you’d dealt with. Your body keeps going back there, and the rest of your life works around that.
You may never have used the word trauma about yourself. Plenty of people who come to us haven’t either. They come because something changed after a particular event and hasn’t changed back. You don’t need the right words to begin.
What this can look like
PTSD can follow a single event: an accident, an assault, a medical emergency, a sudden loss. People assume it has to be something enormous, or that it only happens to soldiers, and rule themselves out because theirs wasn’t bad enough. If it left this kind of mark, it counts.
Symptoms often arrive weeks or months after the event, later than people expect. You got through the thing itself, and the trouble started afterward. That’s one reason the connection gets missed.
Common signs include:
- Memories that arrive uninvited, sometimes as vivid as the moment itself
- Being permanently on alert: watching exits, startling at small sounds, never fully relaxed, even at home
- Arranging life to avoid reminders: a street, a smell, a kind of conversation
- Sleep that doesn’t restore you, whether it won’t come or keeps breaking
If several of these are familiar and shaping your days, that’s reason enough to talk to someone. Most people who come in have no diagnosis. They have a pattern they want to understand.
You set the pace
Many people put off getting help for one reason: they’re afraid therapy will mean describing the event in detail right away, before they feel ready. That’s a reasonable fear. It isn’t how we work.
Nothing gets raised before you’re ready. You decide what comes up, and when. Early sessions can focus on sleep, on the parts of daily life that have become difficult, and on getting your feet back under you. The event itself enters the conversation when you bring it, in as much or as little detail as you choose. Some people work up to it over months. Some only ever give the outline. Both are workable.
What you bring is treated as confidential, within the legal limits that apply to any licensed psychologist.
What happens when you get in touch
You can call or write, whichever is easier. Plenty of first messages are a couple of lines: a name, a rough sense of what’s going on, a good time to reply.
You’d be working with Dr. Mason, an American psychotherapist licensed in the United States, with over 20 years in practice, 14 of them in Bangkok. The first session is a conversation about what’s been happening and what you’d like to be different. Going further can wait until after it.
A first message commits you to nothing. If part of your hesitation is who might find out, say so when you write. That concern is common here, and it gets taken seriously.
Privacy, plainly stated
What you tell us stays with us.
What you share is protected under the same professional confidentiality standards that govern licensed psychologists and counsellors. We don’t confirm to anyone, including family or employers, that you’re a client here.
If you’d rather not share your full name at first, that’s fine, tell us what to call you and we’ll go from there. Read more about confidentiality
Get in touch
Reach out, at your own pace.
A message here doesn’t commit you to anything. Ask a question, describe what’s going on, or just say hello, we’ll take it from there.