Trauma-Focused Counseling
A Different Way to Approach Traumatic Memories
Traumatic experiences can continue to affect how we feel, think, and respond long after the event itself has passed. Reconsolidation of Traumatic Memories is an emerging therapeutic approach that focuses on how distressing memories may be updated when they are recalled in a safe and structured context.
In-Person Counseling in East Islip & Bay Shore • Secure Telehealth Across New York
Understanding Traumatic Memories
When the Past Still Feels Present
Some memories remain emotionally powerful even when we know that the original event is in the past. A person may continue to experience intrusive images, strong emotional reactions, nightmares, avoidance, or a heightened sense of threat.
Reconsolidation-based approaches are designed around the idea that when an emotionally charged memory is recalled, it may become temporarily open to modification or updating before it is stored again.
The goal is not to erase what happened. Rather, the therapeutic aim is to help reduce the intensity or distress associated with the memory so that it can be remembered without the same level of emotional activation.
What is Reconsolidation?
How Memory Reconsolidation Works
Memory reconsolidation refers to the process by which an established memory can become temporarily changeable when it is recalled and then updated with new information.
Recall
A distressing memory is brought to mind in a structured and supported therapeutic setting.
Update
New information, perspectives, or experiences are introduced as the memory is being revisited.
Reintegrate
The goal is for the memory to become less emotionally distressing when recalled in the future.
Who may Benefit
When This Approach May Be Appropriate
Reconsolidation-based approaches may be considered for individuals experiencing distress connected to specific traumatic or emotionally overwhelming memories.
Intrusive Memories
When unwanted memories, images, or reminders continue to create distress.
Emotional Reactivity
When reminders of past experiences trigger intense emotional or physical responses.
Nightmares & Re-experiencing
When traumatic experiences continue to appear through recurring dreams or other forms of re-experiencing.
Avoidance
When avoiding people, places, conversations, or situations connected to a past experience limits daily life.
Persistent Fear
When the nervous system continues to respond as though a past threat is still occurring.
Traumatic Experiences
When one or more difficult experiences continue to affect emotional well-being, relationships, or everyday functioning.
Our approach
Safety, Structure, and Individualized Care
Working with traumatic memories requires care, pacing, and attention to each person’s individual response. Sessions are structured to help you remain oriented to the present while working with difficult material in a supportive environment.
Treatment decisions are based on your needs and goals rather than assuming that one approach will work for everyone.
01
— Safety First
Your therapist will consider your current stability, support system, symptoms, and readiness before working with difficult memories.
02
— Structured Work
Sessions follow a deliberate process rather than requiring prolonged or uncontrolled retelling of traumatic experiences.
03
— Present-Moment Orientation
The work emphasizes the distinction between what happened then and what is happening now.
04
— Ongoing Evaluation
Your response to treatment is monitored throughout the process so the approach can be adjusted when needed.
What to Expect
A Structured and Supportive Experience
Your first session will focus on understanding what brings you to counseling, learning about your history and current concerns, and discussing what you hope to accomplish.
Before beginning trauma-focused work, your clinician can explain the approach, answer your questions, and determine whether reconsolidation-based work is appropriate for you.
The process may involve recalling aspects of a difficult memory in a controlled way and working with how that memory is experienced in the present.
What Makes This Appoach Different?
Working With the Memory Without Staying Stuck in the Past
Less Focus on Repeated Retelling
The approach can involve brief, structured recall rather than repeatedly discussing every detail of a traumatic event.
Updating the Emotional Experience
The therapeutic process focuses on helping the brain and body experience the memory differently in the present.
Moving Toward the Present
The broader goal is to reduce the way past experiences continue to interfere with your current life.
Client Experiences
RTM helped ease the reactionary trauma I had surrounding the death of a loved one. Going through the RTM treatment process allowed me to gain control over my PTSD symptoms and ease into the grief process and begin to heal fully from my trauma.
— K.S.
AN EVIDENCE-INFORMED APPROACH
Understanding Where This Approach Fits
Research into memory reconsolidation has generated a growing body of clinical and peer-reviewed evidence supporting Reconsolidation of Traumatic Memories (RTM) as a brief, structured intervention for post-traumatic symptoms. Published studies and clinical outcomes reported in the RTM Global research library describe significant reductions in PTSD symptoms across multiple populations.
For this reason, RTM is increasingly being offered as a standalone or adjunctive trauma-focused approach within integrative care settings. As with all trauma therapies, suitability depends on individual needs, and clinicians may consider RTM alongside other evidence-based modalities to determine the best fit for each client.
Frequently Asked Questions
It is a different therapeutic approach that draws on research into how emotionally significant memories may be changed or updated after they are recalled. Your clinician can explain how it differs from other trauma-focused approaches.
The goal is not to erase memories or change historical facts. The intended goal is to reduce the distress or emotional intensity associated with a memory.
The specific process depends on the approach being used and your individual circumstances. Your therapist can explain what to expect and work at a pace that supports your safety and readiness.
RTM treatment typically consists of 3–4 sessions, with each session lasting approximately 90 minutes. Sessions are typically held on a weekly basis, although the exact schedule may be adjusted based on your individual needs, comfort level, and progress throughout treatment.
If you are currently participating in weekly CBT (Cognitive Behavioral Therapy), it is generally recommended to pause CBT during RTM treatment until the RTM process has been completed, in order to allow for continuity and focus within the RTM protocol.
Yes, RTM can be offered via telehealth. However, in-person sessions are preferred for this type of trauma-focused work when possible.
No. Reconsolidation of Traumatic Memories (RTM) is provided as an out-of-pocket service.
At this time, there is no dedicated CPT code for RTM, and the available psychotherapy billing codes do not appropriately cover the structure and length of RTM sessions. Because of this, insurance companies do not typically reimburse for this service.
RTM is offered as an out-of-pocket service at $150 per session. Treatment typically consists of 3–4 sessions, each approximately 90 minutes, although the length and number of sessions may vary from person to person. Your treatment plan is individualized to your comfort, needs, and progress throughout the process.
Your treatment should always be collaborative. You can discuss any concerns with your therapist at any point and decide together whether to continue, modify the approach, or consider a different treatment option. Beginning RTM does not mean you are committed to completing the entire process. Your therapist can help you understand other approaches that may better fit your needs and goals.
You Don’t Have to Keep Carrying the Same Pain
If past experiences continue to affect the way you feel today, reaching out for support can be an important first step. We can help you understand your options and determine what approach may best fit your needs.
631-666-1615