People often ask me, “How do you find the strength to do grief therapy? It must be so heavy, hearing about death all the time.”

What they don’t see is that grief work, when done gently and honestly, isn’t only about death. It’s about life — the life that remains, and the courage it takes to keep choosing it.

Not all of my grieving clients have lost someone to death. Some have lost relationships, roles, health, or a sense of identity. But those who have lost a loved one, a child, a parent, a partner, a friend, even a beloved pet, share one truth: grief can feel like being suspended between worlds. The world before, and the one after.

The world after loss

Grief doesn’t arrive all at once. It seeps in quietly, filling the spaces between what was and what remains.

For a long time, many people feel trapped, unable to imagine that joy could coexist with loss.

I often hear, “If I allow myself to be happy again, it means I’ve stopped loving them.”

That belief, that love demands suffering, can hold someone in pain long after the moment of loss has passed.

But love doesn’t need our suffering to stay alive. It needs our presence.

 

The paradox of love

I sometimes invite my grieving clients to imagine reversing the roles.

“If your loved one were here, and you were gone,” I ask, “what would you want for them?”

Would you tell them, ‘Be depressed if you love me’?

Or would you whisper, ‘Live fully. Laugh loudly. Love again.’

Almost every person answers without hesitation: I would want them to be happy.

And in that moment, something inside them softens, as if permission has finally been given to live again.

The transformation of grief

Grief is not something we get over; it’s something we integrate.

When we allow it to move through us, it becomes a source of vitality rather than paralysis.

I’ve seen clients who once felt broken begin to draw from their loss a strength they didn’t know they possessed.

Their love doesn’t fade, it expands. It begins to express itself in how they live, how they give, how they notice beauty again.

Ten years later, they might say,

“What gives me strength today is knowing that every step I take honors the one I lost. Each time I do something for myself, I do it for both of us.”

This is the quiet miracle of grief: that it transforms absence into presence, pain into purpose, and memory into motion.

Living between worlds

To grieve is to live between two worlds: the one that ended and the one still unfolding.

You learn to hold conversations with silence, to love what is invisible, to find belonging even in the spaces that ache.

Grief doesn’t disappear; it evolves. It becomes the bridge between who we were and who we are becoming.

f you’re moving through grief — whether fresh or years old — you don’t have to do it alone.

At Horizon Online Therapy, we help people honor what they’ve lost while gently finding their way back to life.

Therapy can help you live between what was and what’s becoming, with gentleness and truth. Schedule a free consultation.

Trauma doesn’t only live in our memories. It lives in the way we connect.

Even long after a painful event has passed, trauma impacts relationships. Its echo can shape how we trust, communicate, and love. At Horizon Online Therapy, many of our clients don’t come to therapy saying, “I want to heal trauma.” They come saying, “I keep shutting down,” or “I don’t know why I get so anxious when someone gets close.”

Understanding how trauma impacts relationships can be the first step toward creating safer, more fulfilling connections.

The Nervous System’s Role in Connection

When we’ve experienced trauma, whether from childhood experiences, loss, abuse, neglect, or ongoing stress, our nervous system learns to protect us.

It becomes finely tuned to danger, scanning constantly for cues of threat.

In relationships, this can look like:

     – Feeling anxious or on edge when someone withdraws or disagrees.

     – Avoiding closeness because it feels overwhelming.

     – Struggling to believe someone truly cares, even when they show it.

Our body doesn’t distinguish between emotional risk and physical danger — both activate the same protective systems. Therapy can help you learn what safety feels like again.

Common Patterns in Trauma-Influenced Relationships

Trauma can show up in many ways, depending on what we’ve lived through. Some patterns include:

     – Avoidance and withdrawal: Keeping distance to stay safe, even from those we love.

     – Hypervigilance: Interpreting neutral actions (a tone, a pause, a delay in reply) as signs of rejection.

     – Caretaking or people-pleasing: Over-adapting to others’ needs to prevent conflict or abandonment.

     – Emotional shutdown: Disconnecting during moments of stress or closeness.

Trauma symptoms can gradually erode relationship closeness and trust over time, especially when one partner experiences persistent reactivity or emotional withdrawal. A 2023 study on trauma and romantic relationships found strong links between early trauma and adult difficulties with closeness, communication, and attachment security.

These aren’t personality flaws. They’re protective strategies your nervous system developed to keep you safe.

How Healing Begins

Healing trauma isn’t about “fixing” yourself. It’s about helping your body and mind learn that the present is not the past.

Therapy provides a safe, regulated space to practice new ways of relating. Over time, that might mean:

     – Learning to recognize when your body goes into defense mode.

     – Developing tools to calm and ground yourself during conflict.

     – Allowing connection and care to feel safe again.

     – Building relationships rooted in choice, not survival.

At Horizon Online Therapy, our therapists use evidence-based, trauma-informed approaches such as EMDR, somatic therapy, DBT, and mindfulness to help you process old wounds and strengthen your capacity for connection.

Relationships Can Heal, Too

The good news is that relationships, when safe and consistent, can also heal trauma.

When you’re met with understanding instead of judgment, when someone stays even when you expect them to leave, your nervous system learns something new:

“It’s safe to be here.”

With time, you begin to respond instead of react, to communicate instead of protect, to trust instead of brace.

Finding Support

If trauma has made it hard to feel safe in your relationships, you’re not alone — and healing is possible.

Working with a trauma-informed therapist can help you understand your patterns, find regulation, and experience closeness without fear.

Schedule a free consultation to learn how therapy at Horizon can help you reconnect with others and with yourself. One breath, one story, one moment at a time.

I chose to offer my services online because everyone who needs therapy should have access to the counselor of their choice, no matter their schedule, geographic location, or their lifestyle. My clients have continuously expressed their preference for virtual sessions. They like that they can meet with me from the comfort of their home or from their office during their lunch break. They enjoy not to have to worry about transportation.

Many people are desperate for mental health services

In the United States, one in five adults experience depression, anxiety, or another mental illness. Untreated mental health disorders can seriously impact the lives of those affected. They increase the risk of developing cardiovascular and metabolic diseases, can lead to unemployment and high medical bills, and drain the energy and emotional resources of family members and caregivers.

With appropriate psychiatric care and mental health therapy, however, individuals can experience partial or full recovery. They can learn how to manage symptoms that would otherwise interfere greatly with their family life, their job duties, and their other endeavors. Treatment can help them to heal and build a fulfilling life.

However, less than half of the people suffering from a mental illness, a personality disorder, or emotional challenges due to life circumstances receive adequate treatment. There are several reasons why people struggling with mental health issues may not receive the services they need. The symptoms of mental health disorders are frequently overlooked or dismissed by those affected and their families. Some people hide their mental health issues for fear of social stigma, while others do not receive treatment simply because they cannot access it. Online mental health therapy, also called telehealth, can help those who may have access issues. 

Online therapy is easy

Online therapy can be done from home

The main advantage of online therapy services is that it can be completed from home. This is particularly valuable to people who have transportation challenges. Some households don’t have a vehicle or share one among multiple family members. People with mental health issues or those taking sedating psychiatric medications may not be able to drive. In Oregon, public transportation services are well developed in the Portland area, but outside of major cities bus frequency is low. Mental health users may spend several hours in transportation—the entire day when they live in rural areas—simply to attend one healthcare appointment. Additionally, for those with chronic pain, mobility issues, or mental health challenges, riding the bus can be a difficult undertaking.

Online therapy saves time

Receiving therapy at home is not only helpful to those who do not have access to a vehicle, but also saves precious time. Many adults accumulate all sorts of responsibilities. While a busy lifestyle is often seen as a hallmark of success, a full schedule can generate stress, anxiety, and depression. Sadly, when attempting to free space in their schedule, people often first eliminate self-care activities, increasing their risk of experiencing burnout and emotional breakdowns. Too often when people come to see me they are already at a stage where they have had to take time off work. They are concerned by the impact their repeated absences will have on their career and their financial situation. This added stress could often be avoided by engaging in counseling earlier.  

Unfortunately, for busy adults, lack of time is the barrier. “With my job and the kids, I simply have no time to go to therapy”, a former patient told me.  She explained that for one hour of mental health counseling, she must find a two to three hour chunk of free time to account for travel. Meeting with a therapist online saves her valuable time; she can do it from home and be done in just an hour, the duration of her online therapy session.

There is a need for online therapy

Online therapy is less intimidating

For some people, the challenge to access mental health care does not come from a lack of time or transportation. It originates from their own symptoms. For people with PTSD, extreme anxiety, depression-related lack of energy and motivation, or paranoid delusions, just getting out of the house may be a challenge. Some mental health counselors, myself included, believe that patients forcing themselves to leave the house and come to an appointment is part of the treatment itself. By successfully exposing ourselves to what we fear, we become more self-confident, retrieve a sense of control, and see ourselves as capable. Getting some fresh air and being around people can bring the stimulation necessary to break the depressive cycle, but this only works for individuals who can gather enough strength to get up and go out. Individuals with more severe symptoms can benefit from an intermediary step: meeting with a therapist online and learning the coping skills they need to consider stepping out of their bubble of safety.

Online therapy increase services available in undeserved areas

Finally, online mental health services offer access to therapists in different geographic locations. Did you know that 60% of US counties do not have a psychiatrist? Many areas are severely deprived of mental health professionals. Most mental health services are concentrated in urban centers and it can be challenging for people living in rural areas to find a counselor. In small communities where everyone knows each other, it can be uncomfortable to share personal information with the local mental health therapist. Ultimately, technology gives individuals a broader choice of mental health professionals. Choosing a counselor who specializes in the appropriate treatment modality; someone who is a good fit in terms of style, personality, school of thought, and whose gender, language, and culture makes us feel comfortable, is crucial to the therapeutic process. So even those who have access to behavioral health care in their area can benefit from the diversity of online therapists.

Online therapy is just as effective as in-person therapy

If you have concerns about the effectiveness of online therapy, you can relax. During the recent pandemic, many therapists started to provide their services online. Researchers were thus able to compare the results of online and in-person therapy. They found that both are equally effective. This is why it is increasingly easier to find online therapy covered by insurance.

Online therapy platforms are making it safe and straight forward and easy to use. You don’t need to be tech savy or own special devices. You can access it from you phone, tablet, or laptop.

So what about giving it a try?