specialized, evidence-based PTSD recovery in minneapolis + online across 43 states (psypact)

When PTSD makes your world feel smaller, reclaim the life you’ve put on hold.

Move past avoidance, challenge stuck beliefs, and find your way back to confidence in 8 to 15 sessions.

A Private-Pay, Out-of-Network Practice Focused on Personalized, expert Trauma Recovery.

specialized trauma therapy for PTSD in minneapolis + online across 43 states

When you’ve experienced a traumatic event—whether combat, sexual assault, or an accident—your brain’s natural instinct is to protect you. It often does this in two powerful ways: through avoidance and by rewriting what you believe.

To stay safe, you might start skipping social gatherings, steering clear of certain places, and pushing down memories the moment they surface. Eventually, this survival mechanism backfires, making your world feel smaller and full of "no-go" zones. At the same time, your natural search for meaning can get stuck in deeply painful places: It was my fault. I can't trust anyone.

These thoughts don't feel like mere beliefs—they feel like absolute facts. Together, the avoidance and the stuck thoughts quietly shape everything: how you relate to others, whether you feel secure, and whether you think healing is even possible for you.

You don’t have to manage these symptoms forever. There is a structured path out.

Real recovery requires more than just talking about the past; it requires untangling the specific mechanisms keeping you stuck. At Polusny Therapy, we use specialized, time-limited protocols designed to target both sides of the trauma response: the behaviors that restrict your life, and the beliefs that heavy your mind. Learn about evidence-based treatments for PTSD.

A Private-Pay, Out-of-Network Practice Focused on Personalized, expert trauma Recovery.

expert trauma therapy in minneapolis + online across 43 states

Rooted in Science. Dedicated to Recovery.

You aren’t looking for a generalist. You’re looking for a specialist who intimately understands the complex mechanisms of trauma, resilience, and recovery.

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Meet Dr. Melissa Polusny

Experiencing trauma can leave you feeling disconnected from your life, your relationships, and your sense of safety. But effective, lasting recovery is possible. As a board-certified clinical psychologist, my practice is dedicated to providing gold-standard, evidence-based trauma treatments that help you reclaim your life from PTSD.

I specialize in Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT)—highly focused, scientifically proven protocols designed to help you process traumatic experiences, reduce avoidance, challenge stuck points that keep you trapped, and break free from the cycle of fear.

Clinical Expertise & Leadership

My approach integrates decades of advanced clinical research with deeply compassionate, individualized care. Beyond my private practice, I am actively involved in training the next generation of mental health professionals and advancing the science of trauma recovery.

  • Board-Certified Clinical Psychologist: Specialty board certification by the American Board of Professional Psychology (ABPP), representing the highest level of professional peer review in the field.

  • Certified PE Therapist & National Consultant: Individually trained and certified in Prolonged Exposure (PE) by Dr. Edna Foa and Dr. Elizabeth Hembree—the original developers of the protocol. I serve as a nationally recognized PE trainer and clinical consultant, teaching these life-saving frameworks to other mental health professionals.

  • Certified CPT Quality Provider: Credentialed as an advanced Quality Provider in Cognitive Processing Therapy (CPT), ensuring strict adherence to the highest standards of evidence-based clinical delivery.

  • Academic Leadership & Published Researcher: Professor of Psychiatry and Behavioral Sciences at the University of Minnesota Medical School. As a leading expert in traumatic stress, military mental health, and resilience, I have published over 145 peer-reviewed scientific papers advancing the field of trauma recovery.

  • Nationwide Telehealth Authorization: Authorized to practice teletherapy across more than 40 states via the PSYPACT Commission, allowing for seamless, continuous care nationwide.

online therapy for trauma + PTSD

Proven Protocols, Not Just “Talk Therapy”

Evidence-based. Results-focused. Time-limited.

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Prolonged Exposure (PE) Therapy

Going from avoiding your life to living it. PE is a structured, time-limited therapy (typically 8-15 sessions) that helps your brain process traumatic memories so they lose their emotional charge. We focus on two main components:

In Vivo Exposure: We don't just talk about your fears—we map out a concrete plan for you to safely re-enter the world. Whether it’s driving a specific route, navigating a crowded space, or staying present at a family dinner, you will learn to gradually reclaim your daily life.

Imaginal Exposure: In the safety of our sessions, we process the traumatic memory out loud. By confronting the story rather than running from it, your brain begins to categorize the event as a past memory rather than a present threat.

The Outcome: You won't forget what happened, but the memory will no longer hijack your nervous system. You become the narrator of your story again.

Cognitive Processing Therapy (CPT)

Dismantle the narratives keeping you stuck. CPT is a highly structured, 12-session cognitive protocol that shifts the focus from the memory itself to the lasting, distorted meaning the trauma left behind. We target recovery through two primary mechanisms:

Pinpointing Stuck Points: We bypass circular conversations and systematically locate the exact, repetitive thoughts—like "It was my fault" or "I can't trust anyone"—that drive your anxiety and stall your daily life.

Challenging the Narrative: Together, we put those thoughts on trial. You’ll learn to step back and evaluate your beliefs using a disciplined, logical framework rooted in objective facts rather than forced positivity or trauma-driven assumptions.

The Outcome: You cannot change the past, but you can strip it of its power to distort your present. CPT gives you a realistic, reality-based perspective so you can move forward securely.

specialized, trauma therapy or PTSD | Minneapolis or Online nationwide

FAQs

Your world doesn’t have to stay this small.

Reclaiming your life from PTSD doesn't happen all at once, but it does start with a single, manageable step. Here is exactly what the path forward looks like:

1. Schedule a Free Consultation

We will start with a brief, 20-minute phone consultation. This is a completely no-obligation conversation where we’ll discuss what you’re experiencing, outline how specialized trauma protocols work, and determine if my practice is the right fit for your goals. All consultations are strictly confidential.

2. Complete Your Initial Intake

If we decide to move forward together, we will schedule a comprehensive initial evaluation. In this session, we will look closely at your specific symptoms, map out your unique "stuck points" and patterns of avoidance, and personalize a time-limited protocol (PE or CPT) best suited to your recovery.

3. Begin Your Healing Journey

From there, we dive into active, structured treatment. Over the course of 8 to 15 targeted sessions, we will work systematically to dismantle the impact of trauma, untangle heavy narratives, and build a concrete foundation for lasting resilience.