Andrea Lynn Piazza

Putting the pieces in order.

Trauma narrative work helps you build a clear, complete account of what happened, so the memory becomes something you remember rather than relive.

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A notebook beside a window

What it is

Traumatic memories are often stored in fragments: an image, a sound, a feeling with no context. A trauma narrative pulls those fragments into a story with a beginning, middle and end, including what you thought and felt at the time and what you understand now.

It is part of several evidence-based approaches, including trauma-focused CBT and narrative exposure therapy. Done carefully, it reduces the intensity of the memory and gives you back authorship of your own history.

How we do it

We only start once you have tools to stay grounded. You can write, speak or draw the narrative, and we build it over several sessions, a little at a time. We stop and regulate whenever we need to. The goal is integration, not reliving.

Who it suits

  • Childhood trauma with patchy or confusing memories
  • People who keep "telling the story" to themselves without it settling
  • People who want to make sense of their history, not just manage symptoms

Cost

Sessions are $180 for 60 minutes after a $200 initial assessment. I am in network with Anthem, Aetna and United through Alma, and provide superbills for other plans. See all fees.

Questions

Do I have to write it down?

No. Many people write it, but speaking or drawing works too.

What if I do not remember much?

You work with what you have. The narrative can include gaps and uncertainty.

Will it make things worse?

It can feel harder for a short time. Preparation and pacing keep it manageable.

Ready to make sense of it?

Book a free 15-minute consult and we can talk about pacing.

Book a free consult