After a traumatic experience, distressing memories, nightmares or a constant sense of alertness can disrupt daily life and sleep. Therapy can help you understand these reactions and work toward feeling safer.
Our North Carolina clinicians provide care for trauma-related concerns and can include treatment for insomnia when needed.
Book An AppointmentSymptoms may continue after a traumatic event has ended. At night, you might experience:
Nightmares that recur or leave you feeling distressed. Hypervigilance at bedtime such as repeatedly checking locks or finding it hard to relax in bed. Waking suddenly with a sense of alarm or a racing heart. Avoiding sleep because you are worried about nightmares.
During the day, symptoms may include unwanted memories, avoiding reminders, feeling detached from others, irritability or persistent guilt. A clinician can help assess what these experiences mean for you.
When symptoms last more than a month and interfere with daily life, a clinician may assess for PTSD. Duration alone does not establish a diagnosis, and you can seek support even if you do not meet all the criteria.
Our clinicians use cognitive behavioral approaches and discuss the pace and goals of treatment with you. Insomnia care can be included when appropriate. We do not currently offer EMDR.
Early sessions focus on understanding your symptoms, recognizing triggers and learning ways to manage distress. You and your clinician discuss how sleep and daily routines are affected.
Sleep difficulties may need attention alongside other trauma symptoms. CBT-I addresses insomnia, including habits and alertness at bedtime. When appropriate, a clinician may also use rehearsal-based techniques for recurring nightmares.
Therapy can help you examine beliefs related to blame, safety or trust. You and your clinician discuss how to approach this work and review how you are responding.
Later sessions help you plan for reminders, anniversaries and setbacks, using the skills that have been most useful to you.
Most patients attend video sessions with North Carolina-licensed clinicians. Limited in-person appointments are available; confirm availability when booking.
Our therapy and counseling page describes the other concerns we treat alongside sleep difficulties.
Kalia is a North Carolina-licensed clinician based in Raleigh. She treats trauma and PTSD using cognitive behavioral therapy, motivational interviewing and solution-focused. She is also trained in CBT-I and can address coexisting insomnia.
Kalia Lapomarel is a Licensed Clinical Social Worker (LCSW) and Licensed Clinical Addiction Specialist Associate (LCASA) with expertise in mental health and substance use disorders. She takes an integrative, evidence-based approach, drawing on Cognitive Behavioral Therapy (CBT), person-centered therapy, and motivational interviewing, to help clients challenge unhelpful thought patterns and develop lasting coping strategies. Kalia has specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I), equipping her to address the sleep-related concerns that often intersect with mental health and addiction recovery. She is committed to providing a compassionate, judgment-free environment where clients feel heard, understood, and supported at every stage of their journey.
All 5 North Carolina clinicians taking new patients are trained in CBT-I. If you need help with insomnia, visit the full roster to review their credentials and specialties.
Trauma therapy is billed as outpatient behavioral health care. We are in network with Aetna, Blue Cross Blue Shield, Cigna / Evernorth, Medicare, UnitedHealthcare / Optum, UnitedHealthcare Medicare Advantage and Veterans Affairs Community Care Network. Benefits and out-of-pocket costs depend on your plan.
VA Community Care Network authorization must be in place before the first visit. If you have questions about insurance, contact us to check your benefits.
You do not need to describe the event in detail at the first appointment. Early sessions can focus on current symptoms, sleep and coping skills. Your clinician will explain the treatment approach and discuss what you feel ready to work on.
We do not currently offer EMDR. Our North Carolina clinicians use cognitive behavioral approaches. If you specifically want EMDR, ask about finding an appropriately trained provider before booking.
Yes. Our clinicians are trained in CBT-I and can address insomnia within the same plan as trauma-related concerns. Your clinician will discuss which symptoms to work on first and whether additional care is needed.
We are in network with the Veterans Affairs Community Care Network. Coverage requires VA eligibility and authorization, with a referral in place before the first session. Tell us when booking so we can check the requirements with you.