TeleTherapy for Adults in North Carolina
Your story is uniquely your own.
Your therapy should be too.
Specialized Trauma, PTSD & C-PTSD Treatment
You've been carrying something heavy for a long time. You've tried to push it down, stay busy, work through it on your own, or simply keep moving because stopping felt too risky. You've gotten good at surviving. At holding it together. At showing up for everything and everyone while quietly struggling beneath the surface.
But something keeps pulling you back. Into the memories, the reactions, the feelings you can't quite explain to the people around you. No matter how hard you try to outrun it or attempt to avoid it, it finds its way back.
You don't have to keep white-knuckling it alone. There is another way forward and it starts here.
I'm Dr. Cierra Listermann, a licensed psychologist specializing in trauma, PTSD, and C-PTSD treatment— though please, call me Cierra.
If something in those words above stopped you, even for a moment, I want you to know that wasn't an accident. I wrote them for you. The person who has been carrying something heavy and quietly wondering if it's finally time to put some of it down.
I've had the privilege of walking alongside some of the most courageous people I've ever met who were desperately trying to get their lives back after trauma left them feeling broken. I have worked with survivors of trauma who came to me exhausted, guarded, and unsure if anything could really help. I've watched them heal and have the opportunity to come back to themselves in a genuine and meaningful way.
That is what I'm here to do for you.
My practice is built differently by design. At Carolina Trauma Recovery, I offer 90-minute extended therapy sessions. A depth of care that goes beyond what most therapy practices provide, as I believe that healing from trauma requires adequate time, intentional space, and cannot be rushed. You deserve more than a session that ends just when things are getting somewhere.
For those ready for a more focused path, I also offer Cognitive Processing Therapy (CPT) Intensives that moves through the full treatment process in weeks rather than months. Whatever pace is right for you, there is a way forward here.
If you've landed on this page, something in you is already reaching toward something better. I'd be honored to help you get there.
Walk with me for a moment.
Something happened to you.
It could have been long ago or more recently. One specific event, or many. Unfolding over years in ways that felt impossible to name. You've done everything you could to keep going: stayed busy, stayed quiet, stayed strong. But something keeps surfacing. And no matter how hard you push it down, it finds its way back.
Symptom Check— Does any of this sound familiar?
Overwhelming emotions (anxiety, anger, sadness, etc.) that feel impossible to control
Triggers, flashbacks, or nightmares that disrupt your daily life
Guilt, shame, or self-blame that you can't seem to shake
Feeling unsafe in your body or disconnected from yourself
A fractured sense of trust in others and within yourself
Low self-worth, or a lost sense of who you are
Isolation, relationship strain, or pulling away from people you love
Feelings of numbness, or the opposite, being perpetually on edge
A deep need to make sense of what happened, but not knowing where to start
If any of this resonates — I'm here, and I can help.
I believe every person who has experienced trauma deserves a space to tell their story fully, without judgment, and without comparison. There is no hierarchy of suffering here.
Your experiences matter.
Your pain is valid.
You are worthy of healing.
How This Works
I specialize in trauma, PTSD & C-PTSD.
I also support clients navigating: anxiety, depression, chronic stress and burnout, traumatic grief, stressful life transitions, women’s issues, and provide LGBTQIA+ affirming care.
I provide a personalized therapy experience for adults in North Carolina through 90-minute extended sessions and Cognitive Processing Therapy (CPT) Intensives.
I use proven approaches to support your healing, growth, and goals at a pace that feels right for you.
I offer teletherapy services for adult residents of North Carolina.
Teletherapy provides comfort, convenience, and accessibility, offering a safe, flexible, and private environment for trauma recovery.
Ready to Take the First Step?
Therapy intentionally designed to give you room to breathe.
Trauma often teaches you to shrink yourself, to rush through your feelings, minimize your experiences, or believe you need to "hold it together."
I believe that therapy shouldn't reinforce any of that.
When you work with me, you'll find a curated space where you don't have to rush to fit your story into a 50-minute appointment or worry about saying the "right" thing to not waste time. We slow down. We make sense of what happened. We stay with the moments that deserve more attention and care instead of watching the clock.
True healing isn't about getting through your story as quickly as possible. It's about finally having enough space to understand it.
That's why my practice is intentionally built around 90-minute extended therapy sessions and Cognitive Processing Therapy Intensives that offer personalized treatment that adapts to your needs, not the other way around.
The Process
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The first step is to schedule a complimentary, confidential 20-minute consultation call. We'll get to know each other, talk through what you're navigating, and explore whether we'd be a good fit to work together. No pressure, no commitment.
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Research shows that the therapeutic relationship matters more than any treatment technique or modality for successful therapy outcomes, which is why I prioritize it. During the consultation call, we'll make sure my approach, areas of specialty, and availability align with what you need. If I'm not the right fit, I'll help you find someone who is.
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Once we've connected and confirmed we're a good match, we'll schedule your 90-minute intake session and begin therapy services. We will start with weekly sessions and adjust the cadence from there as your progress unfolds. If you are interested in completing a Cognitive Processing Therapy Intensive, we will select which package option you prefer and schedule the intake session to get started.
Monthly Newsletter
Let’s Talk Trauma
A monthly newsletter with compassionate insights, practical tools, and evidence-based resources for your healing journey no matter where you are in the process. This newsletter is helpful whether you're currently in therapy, considering it, or supporting someone you love.
Frequently Asked Questions
Starting therapy can bring up a lot of questions. That's completely normal. Whether you're wondering what to expect, if you're "ready," or whether this is the right fit, you'll find answers to some of the most common questions below. If you don't see what you're looking for, I'm always happy to answer your questions during a complimentary consultation call.
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Your first session is a chance for us to get to know each other. We'll talk about what has brought you to therapy, the challenges you're currently facing, and what you hope will be different as a result of our work together. You'll also have the opportunity to ask questions and learn more about my approach.
There is no expectation that you'll share every detail of your story during your first appointment. We move at a pace that feels manageable while gathering the information needed to create a treatment plan that fits your unique needs.
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Absolutely. Many people wait months, or even years, before reaching out for therapy. It's common to wonder if you'll know what to say, whether you'll become overwhelmed, or if therapy will actually help.
My goal is to create a space where you don't have to have everything figured out before you begin. You don't need the "perfect" words or a neatly organized story. We simply start where you are.
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Therapy may be helpful if you're feeling stuck, overwhelmed, emotionally exhausted, or noticing that past experiences continue to affect your relationships, work, or daily life. You don't have to be in crisis to benefit from therapy.
Many of my clients come to therapy because they're tired of surviving and are ready to begin healing.
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No. Therapy isn't about forcing you to revisit painful experiences before you're ready.
We'll spend time building an understanding of your experiences, identifying patterns, and developing skills that help you feel supported throughout the process. Healing happens through collaboration and support, not pressure.
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I specialize exclusively in working with adults recovering from trauma, PTSD, and C-PTSD and related concerns. Rather than providing general mental health treatment for every issue, my practice is intentionally focused on helping trauma survivors heal.
I also offer 90-minute therapy sessions, allowing us to move beyond feeling rushed. Weekly extended therapy sessions provide more time for meaningful processing, evidence-based treatment, and thoughtful discussion so you can leave each appointment feeling like you've made real progress.
Weekly therapy is an excellent fit for many clients I work with. But for some trauma survivors—especially those who are highly motivated or have limited availability—a concentrated format, like my Cognitive Processing Therapy Intensives can reduce the time between sessions, maintain momentum, and allow skills learned to be applied without feeling disjointed waiting for the next session the following week to promote faster relief and recovery.
Every treatment plan is individualized and tailored along the way because your story, your goals, and your recovery are uniquely your own.
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I primarily work with adults in North Carolina experiencing trauma, PTSD, complex trauma (C-PTSD), such as emotional abuse, sexual trauma/ sexual assault, and relationship trauma, anxiety, depression, traumatic grief, chronic stress and burnout, challenging, stressful, or traumatic life transitions, women’s issues, and provide LGBTQIA+ affirming care.
Even if you're unsure whether what you've experienced "counts" as trauma (spoiler: Trauma is defined not by the event itself, but by how your nervous system responds to an experience that completely overwhelms your ability to cope) we can explore that together through a complimentary consultation call.
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Cognitive Processing Therapy (CPT) is one of the most effective, research-supported treatments for trauma & PTSD. Rather than asking you to simply "move on," CPT helps you understand how traumatic experiences have affected the way you think about yourself, other people, and the world.
Together, we'll identify the beliefs that may be keeping you stuck and work toward developing more balanced, flexible perspectives that support long-term recovery.
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Yes. In addition to weekly therapy, I offer Cognitive Processing Therapy (CPT) Intensives for clients who want to complete treatment over a shorter period of time.
My structured intensive packages provide therapy sessions over several consecutive days per week (2 days, 3 days or 4 days), allowing many clients to make meaningful progress in an accelerated way to feel better faster.
CPT Intensives are ideal for clients who:
have plateaued in weekly therapy and want a more immersive and focused approach to help move the needle
live in rural areas with limited access to providers specializing in trauma, PTSD, and C-PTSD
travel frequently with time and location constraints
are professionals who can't commit to attend weekly sessions long-term
are highly motivated
want to finish evidence-based PTSD treatment before returning to work or before a major life transition
are on leave from work
are college students on break
military members between assignments
Book a complimentary consultation call with me to determine whether an intensive is the right fit.
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Yes. All appointments are conducted through a secure HIPAA-compliant telehealth platform. This allows you to attend therapy from the comfort and privacy of your own space while receiving specialized trauma treatment.
Because I am licensed in North Carolina, clients must be physically located within North Carolina at the time of each appointment.
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I am an out-of-network provider and do not bill insurance directly.
Many clients choose to use their out-of-network benefits, and I can provide a superbill that you may submit to your insurance company for possible reimbursement. Because every insurance plan is different, I recommend contacting your insurance carrier to learn about your specific out-of-network mental health benefits.
Click here to review my services & pricing.
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The first step is scheduling a complimentary 20-minute consultation. During this call, we'll discuss what brings you to therapy, determine whether we're a good fit, and decide whether weekly extended sessions or a CPT Intensive best aligns with your goals.
If we decide to move forward together, we'll schedule your intake appointment and begin creating a personalized treatment plan designed around your unique story and recovery goals.
Your Healing Starts Here
Choosing to begin caring for yourself is one of the most courageous things you can do. You've been surviving long enough. You deserve to heal. I'd be honored to walk that path with you.