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Online PTSD & Single Incident Trauma Therapy

Online PTSD & Trauma Therapy (UK-wide)

Evidence-based trauma treatment via secure video

Online therapy for PTSD and trauma across the UK using trauma-focused CBT/ACT, CFT and EMDR, to reduce distress and the impact of unwanted & intrusive thoughts, memories, and feelings.

Fees:£125 / 60 mins appointments via secure video. 

What single incident PTSD and trauma-related difficulties are 

Post-Traumatic Stress Disorder (PTSD) can follow exposure to actual or threatened death, serious injury, or sexual violence—whether directly, as a witness, or through repeated exposure (e.g., frontline roles). Core features are intrusions (flashbacks, nightmares, sensory fragments), avoidance of reminders, negative alterations in mood and beliefs (guilt, shame, detachment), and hyperarousal (sleep problems, startle, irritability). 

 

Some people meet criteria for Complex PTSD (C-PTSD)—typically after prolonged or repeated trauma—where difficulties with emotion regulation, self-concept, and relationships are more prominent. You can read more about an appropriate treatment for C-PTSD here.

What this feels like (common presentations)

  • Unwanted & Intrusive memories, vivid sensory fragments, nightmares, or sudden “time-travel” flashbacks.

  • Feeling constantly on edge, scanning rooms/exits, poor sleep, concentration difficulties.

  • Avoiding people, places, media, or conversations that trigger memories.

  • Guilt, shame, anger, or a collapsed sense of trust in ones self or others.

  • Numbness or emotional “shut-down,” difficulty connecting with partners/family.

  • For some, moral injury themes: distress from actions/inactions or perceived betrayals that conflict with ones core moral values.

Why PTSD persists (the maintenance loop)

Avoidance and control strategies bring short-term relief but block memory processing and reinforce threat appraisals (“I can’t handle this”). Over time, the nervous system stays mobilised; life narrows around safety behaviours. Effective treatment helps you approach safely and flexibly, so the memory can update and the threat system can stand down.

The plan: phased, evidence-based therapy (what we’ll do)

Evidence-based treatments include Trauma-Focused CBT (TF-CBT) and EMDR, often supported by ACT or CFT consistent skills that help us to manage difficult experiences whilst doing more of what matters to you in your life. Treatment is typically phased: stabilisation and safety → trauma processing → consolidation and reconnection, where we move through stages of building new skills to manage difficult thoughts and feelings, processing painful and distressing memories, and actively move to taking steps to reconnect with meaning and purpose in important areas of your life, which PTSD often interferes with.

What we’ll target

We tailor treatment to your unique circumstances but typical treatment focuses on the following experiences;.

  • Intrusions, nightmares, flashbacks

  • Anxiety, anger, and distress

  • Avoidance, numbing, shutdown

  • Hypervigilance, startle, sleep disturbance

  • Shame, guilt, and stuck beliefs (“It was my fault”, “I’m not safe”)

Format: Weekly 60-minute sessions (Stourbridge or online UK-wide), drawing from a range of evidence-based interventions.

Intensive EMDR blocks available on request where clinically suitable.

What changes (realistic outcomes)

  • Intrusions reduce in frequency and intensity.

  • Reduced impact of anxiety, hyperawareness, and startle response

  • Improvements in emotional regulation - e.g., reduction in anger and irritation

  • Better sleep, reduced nightmares, and improved concentration

  • Shame/guilt appraisals update; self-trust and agency increase.

  • Avoided activities resume; relationships feel possible again.

Fees & logistics
  • Individual therapy: £125 per 60-minute session

  • Location: Stourbridge (West Midlands) & online across the UK

  • Availability: Daytime and limited early evenings

  • Suitability: not for acute crisis/active risk—if present, we’ll signpost urgent support.

FAQs

  • Is trauma therapy possible online?
    Yes—online therapy can be as effective as face-to-face therapy

  • EMDR or CBT—how do we choose?
    We decide based on your goals, history, and response to preparation, as well as your preferences.

  • How long will it take?
    Treatment varies by complexity; For single incident trauma, we would aim to see significant progress in 12-20 sessions, although all clients are individuals with different circumstances.  Multiple incidents or long-standing traumas may require more time.  We review progress regularly to ensure we stay on track and treatment is effective..

  • Do I have to tell my story in detail?
    Not necessarily. EMDR can work with minimal verbal detail; TF-CBT uses targeted work on memories.  In either case, we always start with appropriate preparation to manage any difficult experiences that may arise during the work. We choose the approach that fits you and your goals but you will never be forced to do more than you are willing or able to do.

  • What if I dissociate or get overwhelmed?
    We install grounding and pacing strategies first and keep exposures tolerable. The goal is engagement, not white-knuckle endurance.

  • How long does therapy take?
    It varies. Many single-event PTSD cases see strong gains within 12 sessions of focused work; complex histories usually take longer with more time in stabilisation and reconnection.

  • Is medication required?
    Not required. Some people benefit from medication alongside therapy—I don't prescribe but I encourage you to speak with your GP about your options.

  • What’s the difference between PTSD and Complex PTSD?
    C-PTSD includes PTSD symptoms plus persistent problems with emotion regulation, self-concept, and relationships. Treatment remains phased, with proportionally more time on stabilisation and relational work.

  • I have an ongoing legal/occupational process—can we still treat?
    Yes, with care. We’ll plan around evidential requirements and timing, balancing symptom relief with any medico-legal constraints.

  • Do you work with veterans or frontline professionals?
    Yes—my NHS background includes specialist complex treatment service and I served as a uniformed clinician in the British Armed forces, so have substantial experience in this area. Therapy remains individualised and not limited to any one population.

Next Steps:

You can book an assessment online, using the button below,

If you would prefer a face-to-face appointment, please enquire about availability for in-person appointments by clicking the button below

Tel: 01384 931 056
Email: hello@christiankhughes.com

If you are in immediate crisis or at risk of harm to yourself or others, please contact NHS 111, your GP, or attend your nearest emergency department. This is not an emergency service.

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