Feeling Better Matters. Living Differently Matters Too.

01

Clinical Outcomes

How are your symptoms changing?

We may monitor changes in:

  • Trauma symptoms
  • Anxiety
  • Depression
  • Dissociation
  • Avoidance
  • Intensity of triggers
  • Frequency of distress
  • Safety concerns

Clinical outcomes help us understand whether treatment is reducing the immediate symptom burden that brought you into care.

02

Functional Outcomes

How is your participation in daily life changing?

We may monitor changes in:

  • Work or school
  • Relationships
  • Parenting or caregiving
  • Self-care
  • Sleep and daily routines
  • Decision-making
  • Community involvement
  • Meaningful activities
  • Quality of life

Recovery should increasingly appear in what you are able to do—not only in how you feel internally.

03

Recovery Outcomes

Are you building what you need to sustain progress?

We may monitor changes in:

  • Nervous-system regulation
  • Emotional flexibility
  • Self-trust
  • Healthier attachment patterns
  • Adaptive coping
  • Boundaries and communication
  • Independent skill use
  • Confidence managing future stress
  • Values-based living
  • Meaningful life participation

Your Body Recovers More Quickly

Progress does not necessarily mean that you never become activated. You may begin to:

  • Recognize activation sooner
  • Remain within your Window of Tolerance more often
  • Experience less intense physical reactions
  • Recover more quickly
  • Stay present during difficult conversations
  • Use regulation skills with less outside support

The Past Feels Less Present

Trauma processing does not erase memory. Progress may include:

  • Less distress when remembering what happened
  • Reduced physical reactivity to reminders
  • Less avoidance
  • Fewer intrusive reactions
  • Reduced shame
  • More adaptive beliefs
  • A stronger sense that the experience is over

You Have More Choice

Relationships Begin to Feel Different

As you build greater safety and self-trust, relationships may begin to feel less driven by fear, overfunctioning, or the need to protect yourself. Progress may include:

  • Healthier boundaries
  • Clearer communication
  • Greater trust
  • Less automatic withdrawal
  • Less people-pleasing
  • More ability to tolerate conflict
  • Increased capacity for repair
  • More ability to stay connected without losing yourself

Your Life Become Larger

Trauma can gradually narrow your life around avoiding distress. Recovery may create more room to:

  • Return to work or school
  • Reconnect with other people
  • Pursue interests
  • Rest without as much guilt
  • Try something new
  • Make plans for the future
  • Participate in your community
  • Take healthy risks
  • Make decisions with greater confidence

Progress is reviewed using:

  • Standardized assessment trends
  • Your experience of treatment
  • Changes in daily functioning
  • Clinical observations
  • Progress toward treatment goals
  • Independent use of skills
  • Relationship and boundary changes
  • Your current Recovery Stage
  • Recent life events
  • Clinical judgment

A score may improve significantly.

Sometimes scores change more slowly while a person’s functioning, relationships, decision-making, or participation in life changes considerably.

Both matter.

  • Symptoms temporarily increase
  • An old pattern returns
  • You need additional support
  • Trauma processing pauses
  • Treatment returns to capacity-building
  • A loss or life transition changes 

These changes do not automatically mean treatment has stopped working. Recovery is evaluated through longer-term trends and increasing flexibility—not the permanent absence of distress.