Trauma-focused therapy is an umbrella for evidence-based treatments specifically designed to resolve the impact of acute and complex trauma. As of April 2026, 4,855 Oregon therapists on this directory specialize in trauma-focused approaches. 136 offer telehealth, 46 accept Oregon Health Plan, 33 offer sliding-scale fees, and 153 are currently accepting new clients. The major modalities include EMDR (Eye Movement Desensitization and Reprocessing), Cognitive Processing Therapy (CPT), Prolonged Exposure (PE), Trauma-Focused CBT (especially for children and teens), Somatic Experiencing, Sensorimotor Psychotherapy, and Internal Family Systems trauma protocols. All trauma-focused work shares core principles: phase-based pacing (stabilize first, then process, then integrate), titration (work in tolerable doses), and meeting the client's nervous system where it is rather than pushing through. The standard of care has moved firmly toward integrating cognitive, somatic, and parts-based methods rather than picking one.