Trauma and PTSD therapists & psychiatrists in Winter Park, FL

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.

As a licensed therapist with over two decades of experience, I specialize in supporting individuals through life's complex emotional landscapes. My practice centers on empowering individuals, particularly those navigating midlife transitions, multicultural experiences, and healing from challenging personal histories.

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.

Taking the first step toward therapy can feel overwhelming, especially when you're carrying anxiety, depression, mood changes, or emotions that seem difficult to manage on your own. I believe everyone deserves a space where they feel heard without judgment and supported through life's challenges. Whether you're navigating ADHD, bipolar disorder, anger management concerns, trauma, grief, relationship struggles, identity questions, or simply feeling stuck, my goal is to help you better understand yourself while building the tools you need to move forward. I work with both adolescents and adults, recognizing that every stage of life brings unique experiences and obstacles. Together, we'll create a supportive, collaborative environment where you can explore what's weighing on you, discover your strengths, and work toward meaningful, lasting change at a pace that feels right for you.

I specialize in working with couples that want a stronger relationship, kids hurting from divorce, angry teens, frustrated parents and individuals looking to find purpose in life. Also, for those whose work schedules may interfere with their availability, I do offer evenings and weekend sessions.

My area of focus is with high-achieving adults and athletes who seek self-discovery, optimal performance and skillfully practicing the art of living well. Having grown up in a high achieving environment, becoming one myself and then raising my own high achievers. I have intimate knowledge of the highs and lows and the guilt and shame that follow. There is a way to have a "balanced" life. "You can't stop the waves, but you can learn to surf." - Jon Kabat-Zinn