COLUMBIA UNIVERSITY TRAINED  JOHNS HOPKINS TRAINED  BOARD CERTIFIED PMHNP

GARDEN CITY OFFICE

Conditions

Trauma & PTSD

Trauma does not always come from one obvious event, and it does not always announce itself. For many high-functioning people, it shows up long after the fact: sleep that will not settle, a startle response that feels out of proportion, a habit of steering around certain places, people, or memories, or a sense of being braced even when nothing is wrong. You can be doing well on paper and still be carrying something that has not been dealt with.

The Lieberman Center provides trauma-informed psychiatric care as a private practice built for demanding professionals. Care is delivered directly by Brad Lieberman, PMHNP-BC. The person who evaluates you is the person who treats you, with no intake coordinator and no rotating provider.

What trauma and PTSD can look like

  • Intrusive memories, vivid recollections, or nightmares that pull you back
  • Avoiding places, people, conversations, or reminders tied to what happened
  • Feeling on guard, easily startled, or unable to fully relax
  • Sleep problems, irritability, or difficulty concentrating
  • Emotional numbness, detachment, or a sense of distance from people close to you

Trauma also frequently overlaps with anxiety and depression, which is one reason a careful, unhurried evaluation matters.

If you are ever in immediate crisis or thinking about harming yourself, please call or text 988, the Suicide and Crisis Lifeline, or go to your nearest emergency room. A Discovery Call is not the right route in an emergency.

How evaluation works here

The first task is to understand what you are carrying and how it is affecting you now, at your own pace. Trauma can stem from a single event or from something cumulative, and its effects can look like anxiety, depression, or sleep problems, each of which points to a different plan. Evaluation begins with a thorough clinical conversation about your history and your current symptoms, guided by what you are ready to discuss. Nothing about it is designed to push you faster than is useful.

Treatment approach

Treatment is individualized, trauma-informed, and by design conservative. For most people, psychotherapy is central to working through trauma, and it sets the pace of care. Where it is appropriate, carefully monitored medication can help with specific symptoms such as sleep or heightened anxiety, and whether it has any role at all is decided together and reviewed over time. The goal is steady, durable recovery, not reopening the past for its own sake.

Privacy that stays private

Many of the professionals the practice works with care about where their information goes. Because care is private-pay, no insurance claim is filed, so your diagnosis is not coded into a payer’s claims database or the data-broker networks that draw from it. Your care stays a direct relationship between you and your provider, not a data trail moving through third parties you never chose.

Common questions

Do I need one obvious traumatic event to have trauma?

No. Trauma can come from a single event, but it can also build up over time from sustained stress, loss, or repeated difficult experiences. What matters is not how the cause looks from the outside, but how it is affecting you now. An evaluation starts there.

Will treatment mean reliving everything?

No. Good trauma care does not force you to relive the worst moments to make progress, and it moves at a pace you set. The work is about reducing the hold trauma has on your present, not reopening it for its own sake.

Take the First Step

Start with a Discovery Call

The first step is a brief fifteen-minute Discovery Call to discuss what you are experiencing and confirm the practice is the right fit. There is no charge and no obligation. Most new patients are seen within roughly forty-eight hours of that first conversation.

Discovery Call