Trauma and PTSD therapists & psychiatrists in Orlando, FL

My background in both education and counseling allows me to support clients with a blend of clinical insight, trauma‐informed care, and practical skill‐building. I currently serve as a facilitator with the Peace and Justice Institute and work as a contract therapist with Families First of Florida. I also have my own private practice named Here and Now Counseling Center. My clinical approach is grounded in compassion, cultural responsiveness, and evidence‐based practices tailored to each client’s needs.

Carmen Arrufat Ives is a board-certified Psychiatric Mental Health Nurse Practitioner who brings both heart and expertise to her work. She’s passionate about trauma-informed, developmentally thoughtful care—blending psychotherapy, medication management, and holistic strategies to help patients heal, grow, and truly thrive.

She completed advanced clinical training with the U.S. Department of Veterans Affairs, where she specialized in treating PTSD, military sexual trauma, and complex psychiatric conditions. Carmen is also a graduate of The REACH Institute’s Evidence-Based Treatment for Pediatric Primary Care program, giving her specialized expertise in working with children and adolescents navigating anxiety, ADHD, mood, and behavioral challenges.

With advanced training in cognitive behavioral therapy (CBT), trauma-focused CBT, and EMDR, Carmen integrates neuroscience, preventive mental health, and whole-person care to support individuals and families across every stage of life.

Outside of work, Carmen enjoys spending quality time with her family, friends, and her beloved “furry family,” recharging through connection, laughter, and everyday moments that matter most.

If you are struggling with depression, anxiety, ADHD, and more, we are here to support you. Seeking help and opening up to someone new can be intimidating, but it's a brave step towards healing. I understand the importance of a supportive and personalized approach, which enables me to offer effective treatment plans tailored to your unique circumstances. I treat a variety of mental health conditions including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, among others. My extensive experience in a variety of mental health settings has equipped me to address both common and complex mental health needs with compassion and expertise.

I received my PhD in Clinical Psychology from Pacifica Graduate Institute in 2016. I am a Florida licensed psychotherapist and have maintained a private practice for 17 years in Orlando and Winter Park. I have specialized training in the following: Clinical Trauma Professional and Clinical Hypnotherapist, and Qualified Clinical Supervisor. I am also a certified Psychedelic-Assisted Therapist through Integrative Psychiatry Institute, and MAPS.

I have been serving Orlando and surrounding areas in private practice for over 5 years after first gaining experience in residential crisis and substance abuse. I received my BS in psychology from UCF and my MS in Clinical Mental Health Counseling from Stetson University in Deland!

At Sivana Counseling, I work with my clients across a wide range of emotional concerns including depression, anxiety, stress, trauma, and general life transitions. I strive to create a space that feels safe, respectful, and genuinely supportive for you.

I earned my Bachelor of Arts in Psychology with a minor in Sociology, followed by a Master of Arts in Mental Health Counseling; both from the University of Central Florida. I am a licensed mental health counselor in the state of Florida and have been in practice for 15 years. I work with both adolescents and adults and tailor my approach to meet each client’s individual needs.