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Childhood Trauma Therapist in Arlington, VA

Stop Living From Childhood Pain. Start Relating to Yourself Differently

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Hi, I’m Micah Fleitman, LPC.

I’m a childhood trauma therapist in Arlington, and I work with adults who are still carrying what happened to them as children. Maybe it was a toxic family, emotional neglect, or years of feeling like you weren’t safe being yourself. I offer online trauma therapy across Virginia to help you work through what’s still affecting you and build a relationship with yourself that isn’t shaped by old pain.

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Why People Seek Childhood Trauma Therapy

Patterns From Childhood That Still Shape How You Feel

Most people who come to me for childhood trauma therapy have been getting by for years. They’ve built careers, relationships, and lives that look functional from the outside. But something underneath still doesn’t feel right. The anxiety that never fully goes away. The sense of waiting for the other shoe to drop. The way certain relationships bring out reactions you don’t understand and can’t seem to stop.

What happened in childhood gets organized into how your nervous system reads safety, connection, and your own worth. That organization doesn’t dissolve just because you understand it. Insight helps, but the patterns keep running until the underlying material gets direct attention. That’s where childhood trauma therapy comes in.

People come here when they notice that managing it isn’t the same as healing it. They want something that goes deeper than coping.

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Who Childhood Trauma Therapy Is For

Childhood trauma doesn’t always look dramatic. It often shows up as patterns you can’t quite explain:

The patterns make sense once you understand what shaped them.

How Childhood Trauma Therapy Changes What You Carry

Before Childhood Trauma Therapy

After Childhood Trauma Therapy

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How I Work With Childhood Trauma

Going beneath the patterns to what created them

I integrate several trauma-focused approaches to meet your nervous system where it is. EMDR helps reprocess memories that are still activating your stress response. IFS helps you build a compassionate relationship with the protective parts that developed in childhood. Somatic therapy addresses what your body is still holding. And trauma-focused CBT helps shift the beliefs about yourself that formed before you could question them.

We move at a pace your system can tolerate. Early sessions focus on building safety and understanding what’s actually driving the patterns before we approach the more difficult material. The goal isn’t to relive your childhood. It’s to help your nervous system recognize that the danger is over.

What I Offer

  • EMDR to reprocess childhood memories that are still running your stress response
  • IFS to work with the protective parts that were developed early
  • Somatic therapy to release what your body has been holding
  • Trauma-focused CBT to shift the beliefs that childhood created
  • A pace that matches what your nervous system can handle

The patterns you’ve been managing can actually start to shift

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Hello. I’m Micah.

Therapist for Childhood Trauma

I’m a licensed professional counselor specializing in childhood trauma therapy, with advanced training in complex trauma and dissociation through the International Society for the Study of Trauma and Dissociation. I hold a Master’s in Counseling from William and Mary and have worked with trauma across multiple levels of mental health care, from crisis response to outpatient therapy.

I’ve been in therapy myself. For years, I was driven by fears of inadequacy and rejection, and I didn’t know how to let people care for me. That experience shapes how I work now, with honesty, patience, and genuine investment in helping you find what feels true. I believe healing from childhood trauma is possible, and I’ve seen it happen.

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Understanding Childhood Trauma and Its Impact

Childhood trauma includes a wide range of experiences that overwhelmed your capacity to cope when you were young. It’s not limited to dramatic events. Emotional neglect, toxic family dynamics, and chronic stress during childhood can shape your nervous system just as profoundly as acute incidents. Understanding how these early experiences still affect you is part of how healing becomes possible.

Childhood trauma refers to overwhelming experiences that happened before you had the resources to process them:

  • Childhood abuse, whether physical, emotional, or sexual
  • Childhood neglect and childhood emotional neglect
  • Growing up in chaotic, unpredictable, or unsafe environments
  • Experiences your developing nervous system couldn’t integrate

Many people seeking childhood trauma therapy grew up in what’s often called a toxic family:

  • Toxic parents who were critical, controlling, or emotionally unavailable
  • Narcissistic parent abuse, where one parent’s needs consumed the emotional oxygen
  • Emotionally immature parents who couldn’t provide consistent attunement
  • Emotionally unavailable parents who were physically present but emotionally absent
  • Growing up with an alcoholic parent, including unpredictability and role reversal

Childhood trauma often organizes into specific roles within the family system:

  • Parentification, when a child takes on adult responsibilities
  • Being the scapegoat child, absorbing the family’s blame and criticism
  • Growing up in an enmeshed family, difficulty knowing where you end and others begin
  • Living with controlling parents or authoritarian parents

Not all childhood trauma happens at home:

  • Childhood bullying
  • Social rejection and persistent loneliness
  • Experiences of exclusion or not belonging
  • Chronic experiences of being left out, targeted, or made to feel different

Childhood trauma often shows up in adulthood as patterns rather than memories:

  • Difficulty regulating emotions
  • Relationships that follow the same painful script
  • Chronic anxiety or hypervigilance
  • A harsh inner critic that started before you had words for it
  • Emotional numbness or disconnection
  • Boundaries that are either too porous or too rigid

Childhood trauma changes the brain and nervous system during the periods when they’re most formative:

  • The stress response system becomes calibrated to threat
  • Chronic activation or shutdown becomes the default
  • Areas involved in emotion regulation, memory, and self-awareness are affected
  • The brain remains plastic throughout life, which is why healing is possible
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Therapeutic Approaches I Use for Childhood Trauma

I integrate several modalities to address childhood trauma at different levels, from the beliefs it created to what your body is still holding. We tailor the approach to what you need rather than following a fixed protocol.

EMDR helps reprocess memories from childhood that are still activating your nervous system. By using bilateral stimulation, we help your brain complete the processing that couldn’t happen when the events first occurred. You don’t have to narrate every detail. EMDR reaches what talk alone often can’t.

How EMDR supports healing from childhood trauma:

  • Reprocesses early memories that are still emotionally charged
  • Shifts negative beliefs about yourself that formed in childhood
  • Reduces the intensity of triggers connected to early experiences
  • Helps the nervous system recognize that the past is over

Internal Family Systems therapy helps you build a relationship with the protective parts that developed during childhood. These parts, whether they show up as the inner critic, the people-pleaser, or the part that shuts down, are trying to help. IFS creates the conditions for them to release what they’ve been carrying.

How IFS supports healing from childhood trauma:

  • Develops compassion for protective parts that formed early
  • Accesses the exiled parts carrying childhood pain
  • Reduces internal conflict and self-criticism
  • Creates internal cooperation rather than internal war

Somatic therapy addresses what your body is still holding from childhood. Chronic tension, shutdown, and difficulty feeling safe in your own skin are common when trauma happened early. We work with body awareness, breath, and nervous system regulation to help your body learn that safety is possible now.

How somatic therapy supports healing from childhood trauma:

  • Releases tension and holding patterns from early experiences
  • Builds capacity to tolerate emotions without flooding
  • Reconnects you to your body as a source of information
  • Helps the nervous system learn to settle

Trauma-focused CBT addresses the beliefs about yourself that childhood created. “I’m not enough.” “I have to earn love.” “My needs don’t matter.” These beliefs formed early and became automatic. CBT helps identify and shift them, not through forced positive thinking, but through examining what’s actually true now.

How trauma-focused CBT supports healing from childhood trauma:

  • Identifies the core beliefs that childhood created
  • Examines evidence for and against those beliefs
  • Develops more accurate ways of seeing yourself
  • Reduces the grip of automatic negative thoughts
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Other Approaches to Childhood Trauma Treatment

When researching childhood trauma therapy, you may come across approaches I don’t currently offer. Understanding what draws people to these methods can help clarify what you’re looking for and how what I offer addresses similar needs.

Play therapy is primarily used with children, allowing them to process experiences through play rather than language. Adults searching for play therapy often want an approach that doesn’t require extensive verbal processing. While I don’t offer play therapy, the modalities I use, including EMDR and somatic therapy, work with the brain and body in ways that don’t require reliving trauma through detailed storytelling.

Art therapy uses creative expression to access and process traumatic material. People drawn to art therapy often want an approach that bypasses the limitations of language. While I don’t offer art therapy specifically, IFS works with imagery and internal experience in ways that access what words alone can’t reach. EMDR similarly works below the level of narrative.

Attachment-based approaches focus specifically on relational wounds from early caregiving. Much of what I do is informed by attachment theory, particularly when working with people whose childhood trauma was primarily relational, involving emotional neglect, unavailable caregivers, or early disruptions in safety. The therapeutic relationship itself becomes part of the healing.

What to Expect in Your First Childhood Trauma Therapy Session

The first session is about understanding what’s been happening and building enough safety to do real work. We move at a pace your nervous system can handle. You’re in control of what you share and when.

  • We’ll talk about what’s bringing you in now and what you’re hoping to change.
  • I’ll ask about your history to understand the context, but you share only what feels manageable.
  • We’ll identify what patterns are most present and what might be driving them.
  • I’ll explain how I work and answer any questions you have about the process.
  • We’ll decide together whether this feels like a good fit.
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A safe space can make room for what needs to be processed.

Frequently Asked Questions About Childhood Trauma Therapy in Arlington, VA

Childhood trauma refers to experiences during childhood that overwhelmed your capacity to cope. This includes events commonly recognized as traumatic, and also chronic conditions that shaped your development.

Examples of Childhood Trauma

  • Childhood abuse, whether physical, emotional, or sexual
  • Childhood neglect and childhood emotional neglect
  • Toxic family environments with toxic parents
  • Narcissistic parent abuse, emotionally immature parents, or emotionally unavailable parents
  • Growing up with an alcoholic parent
  • Living with controlling parents or authoritarian parents
  • Parentification, being the scapegoat child, or growing up in an enmeshed family
  • Childhood bullying, rejection, loneliness, exclusion, and not belonging

Why Early Experiences Matter

What makes childhood trauma different from adult trauma is that it happens during the periods when your brain and nervous system are still forming. The experiences get organized into how you understand yourself, relationships, and safety. That organization persists into adulthood, even when the circumstances have completely changed.

Signs of childhood trauma in adults often appear as patterns rather than explicit memories. You may not connect current struggles to childhood, but the connection becomes clearer in therapy.

How Childhood Trauma Shows Up Later in Life

  • Difficulty trusting others or trusting yourself
  • Chronic anxiety, hypervigilance, or feeling unsafe even in safe situations
  • Relationship patterns that repeat painful dynamics
  • Harsh self-criticism that feels like it’s always been there
  • Emotional reactions that seem bigger than the situation warrants
  • Difficulty setting boundaries or knowing what you need
  • People-pleasing, perfectionism, or overworking
  • Numbness, disconnection, or difficulty feeling present
  • Struggles with intimacy, vulnerability, or letting people close

Childhood trauma affects adulthood because it shapes the brain and nervous system during its most formative periods. The patterns that developed to survive childhood become automatic and continue running long after childhood ends.

How Early Experiences Organize Present Behavior

  • Your nervous system learned to read certain situations as dangerous
  • Certain emotions became labeled as overwhelming
  • Certain needs became unacceptable
  • Those readings became your default
  • Without direct attention, the default keeps operating even when it no longer applies.

Childhood trauma is connected to a range of mental health conditions, though not everyone who experiences childhood trauma develops a diagnosable disorder.

Conditions Linked to Childhood Trauma

  • Anxiety disorders
  • Depression
  • PTSD and complex PTSD
  • Dissociative disorders
  • Personality disorders
  • Substance use disorders
  • Attachment difficulties

Childhood trauma often involves experiences of grief and loss that were never fully processed. Having a diagnosis isn’t required to benefit from childhood trauma therapy.

Childhood trauma affects brain development and nervous system regulation. The changes are real, and they’re also not permanent.

How the Brain Responds to Early Trauma

  • Brain structures involved in emotion regulation, memory, and stress response are affected.
  • The amygdala may become overactive, reading threat where there isn’t one
  • The prefrontal cortex, which helps regulate emotions and make decisions, may be affected
  • The stress response system can become calibrated to chronic activation or shutdown

Neuroplasticity and Healing

The brain remains capable of change throughout life. Trauma therapy works because the nervous system can reorganize around new experiences of safety and connection. This is why healing childhood trauma is possible at any age.

Memory works differently when trauma is involved. Some people have always remembered what happened. Others recover memories later. Both experiences are valid.

How Memory Works With Trauma

  • Overwhelming experiences may not be encoded as coherent narratives
  • Memories may be stored as fragments, body sensations, or emotional states
  • As the nervous system develops more capacity, previously inaccessible memories can surface
  • This doesn’t mean the memories aren’t real; it means your system is becoming ready to process them

Effective childhood trauma treatment addresses both what you think and what your nervous system is holding.

Therapeutic Approaches for Childhood Trauma

  • EMDR to reprocess memories that are still activating your stress response
  • IFS to develop compassion for the parts that formed to protect you
  • Somatic therapy to address what your body is holding
  • Trauma-focused CBT to shift the beliefs that childhood created
  • A pace your system can tolerate

You may have unresolved childhood trauma if you notice patterns in your present life that don’t seem to match your current circumstances.

Signs That Trauma May Be Unresolved

  • Emotional reactions that feel too big or too fast for the situation
  • Difficulty in relationships that follows a familiar script
  • Chronic anxiety or hypervigilance without a clear cause
  • A harsh inner critic that started early
  • Difficulty trusting others or yourself
  • Patterns you understand intellectually but can’t seem to change
  • A sense that something is wrong even when things are objectively fine

The duration of childhood trauma therapy varies based on what you’re carrying and how your nervous system responds.

Factors That Affect Treatment Length

  • Processing a specific set of memories may take several months
  • Complex or developmental trauma often benefits from longer-term work
  • The goal is lasting change, not rushing
  • We reassess progress regularly and adjust the approach as needed

You don’t need a crisis or a diagnosis to benefit from childhood trauma therapy.

Good Candidates for Childhood Trauma Therapy

  • People who notice patterns in their present life connected to early experiences
  • People struggling with relationships, emotional regulation, or self-worth
  • People with a persistent sense that something from the past is still affecting them
  • People who have tried other forms of therapy and felt like something deeper wasn’t being reached

Childhood trauma can affect anyone, but some factors increase vulnerability.

Factors That Influence Impact

  • Trauma that occurs earlier tends to have more pervasive effects
  • Trauma that lasts longer has a greater impact
  • Trauma involving caregivers affects attachment and relational patterns
  • Lack of supportive relationships during or after trauma increases impact
  • Having one stable, caring adult can be protective
  • People with extensive early trauma can heal, and people with “less severe” experiences can be significantly affected.

There’s no wrong time to address childhood trauma if it’s affecting your life now.

Signs It Might Be Time

  • You’re noticing patterns you can’t seem to change
  • Past experiences are affecting your relationships or sense of self
  • You’re ready to understand what’s been driving your reactions
  • You’re stable enough to do the deeper work, not in crisis but ready for change

Yes. Healing from childhood trauma is possible. I’ve seen it happen.

What Healing Looks Like

  • The past loses its grip on your present
  • Your nervous system learns to recognize safety
  • The patterns that developed for survival become more flexible
  • You gain access to parts of yourself that were protected or hidden
  • Relationships become less fraught
  • The inner critic softens
  • You feel more like yourself

Therapy is effective for childhood trauma in adults. Research supports this, and so does my clinical experience.

Why Therapy Works for Adults With Childhood Trauma

  • The brain remains capable of change throughout life
  • Trauma therapy helps the nervous system reorganize around new experiences of safety
  • It helps you develop a different relationship with the parts that formed to protect you
  • It happens in a relational context, which is often what was missing

Many people question whether their experiences were “bad enough” to justify treatment. That questioning itself is often part of what childhood taught you.

How to Think About What Counts

  • Trauma isn’t only about dramatic events
  • Chronic emotional neglect can be as formative as acute incidents
  • Growing up without consistent attunement matters
  • Environments where you learned to suppress your needs leave a mark
  • If your childhood is still affecting your present, that matters

A skilled trauma therapist doesn’t push you into material before you’re ready.

How We Approach Difficult Material

  • We build capacity before approaching the harder content
  • We develop grounding skills and understand your protective parts first
  • We establish safety in the therapeutic relationship
  • You remain in control of pacing
  • If something surfaces that feels overwhelming, we have tools to help you regulate

Some increased awareness of difficult feelings is normal as you turn toward what’s been avoided.

What to Expect During the Process

  • There may be periods where you feel more aware of old pain
  • This is different from getting worse; it’s a sign that the material is becoming accessible
  • We monitor this closely and adjust pacing as needed
  • The goal is to stay within what your nervous system can integrate

Childhood trauma, especially relational trauma, shapes how you approach closeness and trust.

Common Relationship Patterns Connected to Childhood Trauma

  • Anxious attachment, constantly seeking reassurance
  • Avoidant attachment, pulling away when closeness feels threatening
  • Oscillating between anxious and avoidant patterns
  • Difficulty trusting that people are safe, reliable, and attuned
  • Therapy helps recognize these patterns and develop more flexibility in how you connect

Childhood trauma therapy uses specialized approaches that address how trauma is stored in the brain and body.

What Makes Trauma Therapy Different

  • Standard talk therapy focuses primarily on insight and behavior change
  • Trauma therapy also works with the nervous system, the body, and implicit memory
  • Approaches like EMDR, IFS, and somatic therapy access material that verbal processing alone often doesn’t reach
  • Pacing and safety are handled differently
  • Trauma therapists are trained to recognize signs of overwhelm and regulate the intensity of the work

Session Rates

  • $300 for a 53-minute session (out-of-network)
  • $200 for a 53-minute session (in-network with Anthem or Blue Cross Blue Shield)

Insurance and Out-of-Network Benefits

  • In-network with most Anthem and Blue Cross Blue Shield plans
  • Out-of-network with all other insurance
  • Out-of-network plans may reimburse 50-80% of the session cost
  • I provide a superbill you can submit for reimbursement
  • Check your estimated out-of-network benefits through a HIPAA-secure tool on my website

Submitting Insurance Claims

  • Mentaya, 5% of the session fee, I submit for you
  • Reimbursify, $3-4 per claim, you submit
  • Direct superbill submission to your insurance, free

Office Location

  • 1550 Wilson Blvd Ste. 700 #226, Arlington, VA 22209
  • Radnor/Fort Myer Heights neighborhood
  • Near Rosslyn, Courthouse, and Clarendon

Yes. All of my sessions are conducted online through secure video. I provide childhood trauma therapy to adults across Virginia, including Alexandria, Arlington, Chesapeake, Hampton, Harrisonburg, Leesburg, Lynchburg, Manassas, Newport News, Norfolk, Portsmouth, Reston, Richmond, Roanoke, Suffolk, and Virginia Beach.

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