686,000 people sought help with Thriveworks in the last year

Discover how starting therapy with a Trauma/PTSD can support your own journey toward a happier, more fulfilling life.

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Marie MoriartyPuggi

Hear from Marie MoriartyPuggi, Licensed Associated Professional Counselor (LAPC)

View Marie MoriartyPuggi's profile

What is your go-to approach for PTSD/trauma therapy?

My go-to approach for helping people in PTSD/trauma therapy is EMDR (eye movement desensitization and reprocessing therapy). I find the best benefit in EMDR because it helps clients reprocess traumatic memories relatively quickly.

My go-to approach for helping people in PTSD/trauma therapy is taking a compassionate and empathic approach and being present to support them in their healing journey. I prefer using trauma-informed approaches and evidence-based practices, grounding, identifying and understanding triggers, CBT, and changing the schemas. I will never push a client where they are not ready to go, as that can be more damaging than healing.

What tools do you teach in PTSD/trauma therapy?

I teach the following tools in PTSD/trauma therapy:

  • Grounding/regulation skills: A great deal of our stored in and recalled through our bodies. I frequently teach clients ways to help ground themselves and regulate their bodies through visualization and breathing techniques.
  • Container exercise: Some clients find it helpful at the end of a session to imagine a container: a secure place where they can temporarily and safely store the things that are bothering them. The container is not meant to hold things forever, but it can be a helpful way to temporarily let go of upsetting material.

I teach the following tools in PTSD/trauma therapy: Exploring self as a child, adolescent, and adult; identifying and understanding triggers and how to manage them vs. them controlling you; grounding; psychoeducation on the impact trauma has had on views of self, others, and the world with the end goal of healing and rediscovering self.

How do you know when a client is making meaningful progress in PTSD/trauma therapy?

I know a client is making meaningful progress in PTSD/trauma therapy when their relationship to their traumatic memories has changed. PTSD/trauma therapy techniques like EMDR therapy will not erase traumatic memories, or make them pleasant, but it can change how we react to them. Sometimes a client will say that they can now “touch” a memory safely in a way they never could before, or that they were finally able to tell their spouse about what happened to them when they were younger. These are powerful indicators of meaningful progress.

I know a client is making meaningful progress in trauma therapy when they are better able to control and manage triggers, more open to asking for help and support, able to ground using their five senses, and frequently revisit the treatment plan goals along with self-reporting and session observations.

What can clients do in their personal time to supplement PTSD/trauma therapy?

Clients can supplement their time in PTSD/trauma therapy with group therapy (led by a qualified clinician). Trauma can be very isolating, so the experience of group therapy can be powerfully validating and can be an important aspect of healing.

Clients can supplement their time in trauma therapy by utilizing group therapy and EMDR to process and move to a level of healing that they might have seen as impossible when they first entered therapy. I find that self-care is crucial, along with being open to exercises that will challenge the negative schemas and work toward positive self-talk to realize their goodness and potential.

What should someone do to prepare for starting PTSD/trauma therapy?

To prepare for their first PTSD/trauma therapy session, a client can practice self-care. I recommend good sleep, a healthy diet, and regular exercise.

To prepare for your first trauma session, you can be open as much as you are comfortable without any pressure to share everything in that first session. Time and trust will build from session to session. It is important to remind yourself coming in that you are not being judged, blamed, or shamed but rather supported around rediscovering yourself as you navigate your road to healing.

Starting Trauma/PTSD therapy

What is PTSD/trauma therapy?

At Thriveworks, Trauma/PTSD therapy involves dedicated efforts to address and navigate through past and/or recent traumatic events. Therapists specializing in trauma create a secure environment to process and heal from these experiences, aiming to reduce trauma-related symptoms and enhance overall quality of life.

How does PTSD/trauma therapy work?

Our Thriveworks providers use Trauma/PTSD therapy treatments like eye movement desensitization and reprocessing EMDR, CBT, and exposure therapy with the goal of helping clients process the traumatic events they have experienced so that they can to start feeling safe and secure again.

Symptoms of PTSD

The symptoms of post-traumatic stress disorder (PTSD) can vary but often include:

  • Flashbacks and distressing memories of the traumatic event
  • Nightmares and sleep disturbances
  • Intense anxiety and irritability
  • Avoidance of reminders of the trauma
  • Negative changes in mood and thought patterns
  • Increased arousal, like difficulty concentrating or exaggerated startle response

How do you overcome PTSD triggers?

The best way to overcome PTSD triggers is to seek the assistance of a professional therapist, such as those at Thriveworks, who can help you to understand and treat your PTSD triggers.

What type of therapist is best for PTSD?

In most cases, a therapist who specializes in Trauma/PTSD therapy is the best type of mental health professional to address the symptoms of PTSD.

Is PTSD/trauma therapy conducted in person or online?

PTSD/trauma therapy at Thriveworks is conducted both in person and online by video. We encourage you to choose the option that works best for you.

How long should you go to therapy for PTSD?

If a client is working through a single traumatic event that occurred as an adult, trauma or PTSD therapy may only take a few months, but in general, it can take a year or more to effectively treat trauma symptoms and PTSD. The duration of treatment is highly dependent on the client and the severity of their symptoms.

How successful is therapy for PTSD?

The success rate of therapy for PTSD depends entirely on the individual’s symptoms, commitment to attending sessions, and personal abilities.

Pricing & insurance

Our therapists accept most major insurances. We accept 585+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our Philadelphia therapists and counselors accept 40 insurance plans

  • Aetna

  • Ambetter from Pennsylvania Health and Wellness

  • AmeriHealth Administrators

  • AmeriHealth Medicare Advantage

  • AmeriHealth Pennsylvania

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Carelon

  • Cigna | Evernorth

  • Cigna | Evernorth EAP

  • Cigna | Evernorth Medicare Advantage

  • Compsych

  • First Health Network

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Self-pay costs at Philadelphia
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

5.0 Learn about verified reviews
★★★★★
Rob is great! Making progress.
Brian Dec 2023
Thriveworks.com verified review
★★★★★
I had the pleasure of working alongside Marie for years. Her work with her clients is unparalleled. She is clinically exceptional, while somehow maintaining an authenticity that makes working with her in any capacity a wonderfully positive experience. I would recommend Marie to anyone who is serious about helping themselves, and particularly those with a history of trauma.
Read more I had the pleasure of working alongside Marie for years. Her work with her clients is unparalleled. She is clinically exceptional, while somehow maintaining an authenticity that makes working with her in any capacity a wonderfully positive experience. I would recommend Marie to anyone who is serious about helping themselves, and particularly those with a history of trauma.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie is the best around. So knowledgeable and supportive with her clients. She helped me through many traumatic situations without judgment. If you are looking for an amazing therapist to help you, she is who you need.
Read more Marie is the best around. So knowledgeable and supportive with her clients. She helped me through many traumatic situations without judgment. If you are looking for an amazing therapist to help you, she is who you need.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie Moriarty Puggi is a fantastic clinician. She’s very person centered and empathetic. She goes above and beyond for her clients and their families. They have shown a great deal of appreciation for the efforts she makes with her clients. They want to talk with her and engage and do the work in order to heal. Highly recommended.
Read more Marie Moriarty Puggi is a fantastic clinician. She’s very person centered and empathetic. She goes above and beyond for her clients and their families. They have shown a great deal of appreciation for the efforts she makes with her clients. They want to talk with her and engage and do the work in order to heal. Highly recommended.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie is an excellent Therapist. She assisted me with various ways to change my perspective. Marie's assistant me with positive ways to view situations and how to be accountable for my behavior. Marie is very kind and personable. She made me feel important and that I should matter to me first.
Read more Marie is an excellent Therapist. She assisted me with various ways to change my perspective. Marie's assistant me with positive ways to view situations and how to be accountable for my behavior. Marie is very kind and personable. She made me feel important and that I should matter to me first.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie has an excellent communication skills. She displayed active listening skills when engaging with her clients and coworkers. Marie is dependable, accountable and reliable. Marie is a team player who goes beyond her expectations to meet the need of her consumer. Marie is non judgemental, observant and respectful. Marie is a very patient therapist.
Read more Marie has an excellent communication skills. She displayed active listening skills when engaging with her clients and coworkers. Marie is dependable, accountable and reliable. Marie is a team player who goes beyond her expectations to meet the need of her consumer. Marie is non judgemental, observant and respectful. Marie is a very patient therapist.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie is a compassionate, hard working, supportive, empathetic therapist that I would recommend to clients. She offers an environment conducive for a therapeutic relationship. She works well individually and is a great team member.
Read more Marie is a compassionate, hard working, supportive, empathetic therapist that I would recommend to clients. She offers an environment conducive for a therapeutic relationship. She works well individually and is a great team member.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie Moriarty-Puggi a clinician at the Walnut St site in Philadelphia is one of the most caring, dynamic, person centered therapists that I’ve ever had the pleasure of knowing and working with. Marie always goes the extra mile for her clients, going above and beyond to help her clients reach their maximum potential. I would recommend Marie without hesitation.
Read more Marie Moriarty-Puggi a clinician at the Walnut St site in Philadelphia is one of the most caring, dynamic, person centered therapists that I’ve ever had the pleasure of knowing and working with. Marie always goes the extra mile for her clients, going above and beyond to help her clients reach their maximum potential. I would recommend Marie without hesitation.
Philadelphia Aug 2022
Review left on Thriveworks.com

Where to find us

Getting here

Thriveworks Counseling Providence is located at 245 Waterman St Suite 504A, Providence, RI 02906, between Wayland Ave. and Butler Ave.

Phone number

(215) 642-8968

Languages spoken by PA providers

  • English
Sunday 8:00am - 9:00pm
Monday 8:00am - 9:00pm
Tuesday 8:00am - 9:00pm
Wednesday 8:00am - 9:00pm
Thursday 8:00am - 9:00pm
Friday 8:00am - 9:00pm
Saturday 8:00am - 9:00pm

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Sunday 8:00am - 5:00pm
Monday 7:00am - 9:30pm
Tuesday 7:00am - 9:30pm
Wednesday 7:00am - 9:30pm
Thursday 7:00am - 9:30pm
Friday 7:00am - 9:30pm
Saturday 7:00am - 6:00pm

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