Bespoke Psychiatry | Individualized Trauma-Informed Mental Health Services
Each June, PTSD Awareness Month reminds us that trauma is not just a past event, it’s a present reality for millions. Post-Traumatic Stress Disorder (PTSD) affects people from all walks of life: survivors of violence, accidents, displacement, and, prominently, military veterans.
At Bespoke Psychiatry, we go beyond symptom checklists. We offer evidence-based, trauma-informed psychiatric care that respects the complexity of each patient’s story. Whether in our outpatient clinic or through psychiatric services provided in nursing homes, including care for aging veterans, we are committed to delivering personalized, dignified care for PTSD and related disorders. Reach out to us!
Understanding PTSD: Beyond the Trauma
Post-Traumatic Stress Disorder is a psychiatric condition that can develop after exposure to trauma—combat, assault, natural disasters, medical trauma, or prolonged abuse. But PTSD is more than a memory problem or a fear response. It reshapes the nervous system, alters emotional processing, and erodes the ability to feel safe.
Symptoms may include:
- Intrusive memories or flashbacks
- Avoidance of reminders or triggers
- Negative thoughts about self or others
- Sleep disruption, hypervigilance, irritability
Yet these symptoms often overlap with depression, anxiety, or even dementia in older adults—leading to underdiagnosis or misdiagnosis, especially in long-term care settings.
At Bespoke Psychiatry, we approach each patient with clinical precision and narrative humility, understanding that trauma can present in subtle or masked forms. This is especially true for veterans, who may carry decades of unspoken wounds.
Veterans and PTSD: Stories That Still Need Telling
Our team provides psychiatric care in nursing homes and long term care living facilities, where many residents are aging veterans. These individuals often endured battlefield trauma before PTSD was recognized as a medical condition. They may never have received treatment—or may have learned to hide symptoms to protect their families, reputations, or sense of control.
We’ve cared for veterans in their 70s, 80s, and 90s who still flinch at loud noises, who carry survivor’s guilt, or who struggle with chronic insomnia and nightmares. One Korean War veteran, diagnosed only recently, shared that he had spent years being told to “toughen up.” His relief when finally receiving an accurate diagnosis and gentle, nonjudgmental treatment was profound.
At Bespoke Psychiatry, we recognize that healing is possible at any age. Our trauma-informed services are adapted to the unique neuropsychiatric needs of older adults, combining compassion, clinical rigor, and innovative tools. Click here to become a new patient!
Innovative PTSD Treatment Approaches
PTSD treatment has advanced significantly in recent years. At Bespoke Psychiatry, we incorporate:
- Trauma-focused pharmacotherapy using SSRIs, SNRIs, and prazosin (especially effective for nightmares).
- Sleep-focused interventions, critical for restoring neurobiological balance.
- Whole-person care models for elderly patients, integrating trauma support with dementia assessments, fall prevention, and behavioral management in skilled nursing facilities.
Personalized Psychiatry: A Path Toward Safety and Recovery
PTSD care must be as individualized as trauma itself. Our psychiatric evaluations go beyond standard intakes, exploring trauma exposure history, functional decline, relational stress, and co-occurring conditions like substance use, major depression, or moral injury. Whether we’re working with a retired veteran in a nursing home, a survivor of interpersonal violence in outpatient care, or a healthcare worker with pandemic-related trauma, our message is consistent: You are not broken. You are surviving. And healing is possible—with the right care.
We also support caregiver education—especially in nursing homes—offering staff consultation to reduce re-traumatization and to promote trauma-informed communication.
Your Partner in Trauma Recovery
At Bespoke Psychiatry, we’re proud to stand with those living with PTSD—not only during Awareness Month but every day. Our practice is built on a foundation of clinical integrity, personalization, and humanity.
If you or a loved one is struggling with trauma-related symptoms—no matter how long ago the event occurred—reach out. Let’s create a space where healing can begin.
Bespoke Psychiatry — Compassionate, Trauma-Informed Psychiatric Care Wherever You Are.
