PTSD & Trauma Treatment When the Past Keeps Showing Up in the Present
Flashbacks, nightmares, hypervigilance, rage that arrives out of nowhere—trauma rewires how safe the world feels. Many people numb it with alcohol or drugs until both problems grow. Our outpatient trauma program builds safety first, then helps you process what happened at a pace your nervous system can handle—while you stay at home in the Dallas area or San Antonio.
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- Dual Diagnosis Experts
- Open Every Day, 8–8
- 4.8★ · 62 Google reviews
We Accept Most Insurance Plans:
We’ll verify your mental health benefits in minutes — 100% confidential.
Trauma changes the nervous system—treatment can retrain it
PTSD isn’t weakness or failure to “move on.” After violence, combat, accidents, abuse, or sudden loss, the brain can stay stuck in threat mode—scanning, startling, replaying, shutting down. Sleep breaks. Relationships strain. Substances become a way to turn the volume down.
Outpatient trauma care offers more structure than weekly therapy without removing you from the life you’re rebuilding. Our PHP and IOP programs integrate trauma-focused therapy with psychiatric support and dual diagnosis care when substance use is involved.
FlashbacksNightmaresHypervigilanceNumbing with substances
Signs trauma may be driving the crisis
Not everyone who lived through something hard develops PTSD—but when these patterns persist, structured care helps.
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Intrusive memories or flashbacks
Unwanted replays of the event that feel like it’s happening again.
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Nightmares and sleep disruption
Sleep avoidance, terror at night, or waking exhausted and on edge.
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Hypervigilance and startle
Constant scanning for danger, jumpiness, difficulty relaxing in ordinary settings.
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Avoidance
Steering clear of places, people, conversations, or feelings connected to the trauma.
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Emotional numbness or rage
Feeling cut off from others—or sudden anger that doesn’t match the moment.
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Substance use to cope
Drinking or using to sleep, forget, or feel something different—which often compounds trauma symptoms.
Safety first, then processing at your pace
Trauma therapy isn’t reliving the worst day on session one. We stabilize, build skills, then work through memory in structured ways.
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Stabilization and grounding
DBT-informed skills to tolerate distress, regulate emotion, and stay present when triggered.
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Trauma-focused CBT
Structured work on trauma-related beliefs, avoidance, and fear in a controlled clinical setting.
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Prolonged exposure principles
Gradual, supported exposure to avoided memories and situations so fear loses its monopoly.
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Psychiatric medication management
Support for depression, anxiety, sleep disruption, and other symptoms that often follow trauma.
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Group therapy
Connection with others who understand—without having to explain why certain things are hard.
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Dual diagnosis integration
When substances are part of coping, we treat trauma and use together.
Heal in the environment you have to live in
Residential trauma programs have their place, but many people need to stay with children, jobs, or partners while getting serious help. Outpatient care lets you practice grounding and exposure in the settings where triggers actually appear—with clinicians available when it goes sideways.
Recovery isn’t forgetting what happened. It’s reducing how much power the past has over your present.
Stay with familyPractice where triggers liveEvening IOP availableTrauma-informed teamHow much support your nervous system needs right now
Severity, safety, and substance use all factor into the recommendation.
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Partial Hospitalization (PHP)
Daily structure when symptoms are acute, sleep is broken, or safety needs close monitoring.
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Intensive Outpatient (IOP)
Flexible sessions once stabilization begins, with morning or evening options.
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Step-down and maintenance
Reduced frequency with relapse-of-symptom planning as you stabilize.
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Family education
With consent, helping loved ones understand trauma responses and support recovery.
Treatment that respects your timeline
Early weeks often focus on safety, sleep, and skills—not diving into the worst memories. As stabilization builds, individual and group work incorporate trauma processing at a pace you help set.
You won’t be pushed to disclose details before you’re ready. Trust and predictability are part of the medicine.
Stabilization firstSkills before processingYou set the paceDual diagnosis when needed
Our Texas clinics
Two Texas outpatient clinics—same clinical team, same hours, same phone number.
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Dallas & Richardson, TX
1251 S. Sherman St., Suites #101–#103, Richardson, TX 75081—serving the Dallas–Fort Worth metro. Open every day 8am–8pm.
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San Antonio, TX
11318 Sir Winston St, San Antonio, TX 78216—serving San Antonio and South Texas. Open every day 8am–8pm.
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Call 469-747-1201
Confidential assessment and free insurance verification—often same-day or next-day start.
How to get started
Four steps, and a real person with you at every one.
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Confidential assessment
A licensed clinician learns your history and recommends the honest level of care.
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Insurance verified for you
We confirm your benefits and explain coverage before you commit.
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Build skills that last
Relapse prevention and step-down planning so progress holds after treatment.
What clients say
Rated 4.8 out of 5 across 62 Google reviews from clients across North and South Texas.
“Real Deal is without a doubt the most structured and therapeutic rehab program I have ever attended. It has brought me to one year in sobriety and I don't know what I would have done had I not participated in the program. I highly recommend Real Deal to anyone struggling with alcohol and/or drugs. It's amazing. Just try it and you will see for yourself!”
“Realdeal wellness and therapy will always have a special place in my heart for all the opportunities and care they've provided. They helped pave the way for me to achieve sobriety and build a better life for myself and when I needed them the most they were there in a heartbeat. Extremely grateful for their services and the environment they provide for recovery.”
“Real deal is a truly rare place that has instrumental in my rehabilitation. The staff truly cares deeply about you and wants you to succeed. Also Real Deal is one of not many outpatient rehab places that takes primary mental health cases. Highly recommend this place and thank you to everyone who helped me.”
“I love all of these guys. These guys made me feel better. They made me think better. I don't feel those ways anymore. Before I came here, I was certain I wouldn't be alive for much longer. These guys fixed that.”
“The Real Deal is an incredible program that prioritizes accessibility more than almost any other PHP, IOP, and Housing program. With housing fees at lower price point than a majority of sober livings, the option to have your pet with you, and a supportive recovery community, they really do try to eliminate barriers to care as much as possible.”
“Real Deal is different then the others. It offers flexible support for recovery, allowing you to live at home while attending therapy and counseling sessions. It's designed to fit your schedule and provides tools to maintain sobriety and prevent relapse. The focus on mental health is a great way to get to the root of what's gone wrong time and time again. Cannot recommend enough!”
“Real Deal is full of people who are passionate in helping others obtain and maintain their sobriety. They are always willing to lend a helping hand without judgement. They also have employees with real world experience using their own experiences to help others heal.”
Related treatment pages
- 01
Depression Treatment
Mood symptoms after trauma
- 02
Anxiety Treatment
Hypervigilance and panic
- 03
Mental Health Treatment
Full mental health overview
- 04
Dual Diagnosis
Trauma and substance use together
- 05
PHP
Intensive daytime structure
- 06
IOP
Flexible morning or evening tracks
Common questions about trauma care
Straight answers before you call.
Yes. We prioritize stabilization and safety before trauma processing, using evidence-based approaches at a pace that doesn’t re-traumatize.
Combat trauma, assault, accidents, childhood abuse, domestic violence, sudden loss, and complex or repeated trauma.
Yes. Substance use is common when trauma feels unbearable. Dual diagnosis care treats both in one plan.
Trauma-focused CBT, exposure-based approaches, DBT skills for emotion regulation, and psychiatric support when needed.
Many people do, especially in evening IOP once stabilization begins.
Timelines vary widely. Some people need several weeks of intensive outpatient care; others step down gradually over months.
Most major plans cover outpatient mental health and trauma therapy. We verify benefits for free.
Call 469-747-1201 for a confidential assessment.