Virtual trauma care for adults
Trauma Therapy Intensives
Focused time to work through painful experiences with Progressive Counting.
Virtual trauma therapy intensives for eligible adults located in Ohio, New York, and Florida.
You may understand what happened and still find yourself reacting as though it is happening now. An upsetting memory, loss, or experience may continue to affect your relationships, confidence, or sense of safety.
A virtual trauma therapy intensive provides an extended appointment or planned series of longer appointments for focused therapeutic work. At Balderman Wellness, Lisa uses Progressive Counting when it fits your needs, with time for preparation, processing, breaks, and a plan for what comes next.
What is Progressive Counting?
Progressive Counting, or PC, is a structured trauma-processing approach developed by psychologist Ricky Greenwald. With your therapist’s guidance, you imagine a brief movie of a selected memory while the therapist counts aloud. The counting periods gradually lengthen, and your feedback guides the work.
The goal is to reduce the distress connected with the memory. Preparation and pacing are part of the process. You can let Lisa know when you need to pause or adjust the work.
Learn About Progressive CountingWhy consider an intensive?
A standard therapy appointment has to make room for checking in, working on your concerns, and closing the session. An intensive gives you a larger block of time to stay with a specific treatment goal, with fewer appointment endings interrupting that work.
The extended time also creates room for preparation, breaks, and grounding before you return to your day. For some people, setting aside one longer appointment is easier than arranging several separate appointments around work or caregiving. An intensive can also complement ongoing therapy, with your permission to coordinate care. Faster relief may be possible, but the amount of treatment you need remains individual.
Who may be a good fit?
This service is for adults seeking help with distress connected to difficult experiences, such as medical events, loss, relationship experiences, or earlier life trauma. You do not need to choose a memory or know exactly what approach you need before reaching out.
We begin with an assessment of your goals, history, current supports, and readiness for focused work. Some people need additional preparation or a different treatment format first. An intensive is not emergency care or a substitute for a higher level of treatment when that is needed.
Meet your therapist
Lisa Balderman, LISW-S and LCSW-R, is a licensed clinical social worker and Certified Progressive Counting therapist. She is also Certified in Brainspotting and trained in EMDR. Lisa works with adults and tailors treatment to the person, rather than using the same approach for everyone.
About Lisa BaldermanWhat to expect
- 01
Inquiry
Start with an inquiry to discuss your goals and the next step.
- 02
Assessment
Complete a required 60-minute pre-intensive assessment ($200) to review your history, readiness, and treatment plan.
- 03
Your appointment
Attend your appointment for preparation, Progressive Counting when appropriate, breaks, and closure.
- 04
What comes next
Attend a post-intensive debrief ($200) to review your experience, next steps, and any coordination with your current therapist.
Appointment options
Pre-intensive assessment
60 minutes · $200
Before scheduling an intensive, Lisa reviews your goals, history, current supports, and readiness for focused trauma work. Together, you decide whether an intensive is a suitable next step or whether another format or additional preparation would serve you better.
Three-hour Progressive Counting intensive
3 hours · $600
A reserved virtual appointment for focused trauma therapy, including preparation, processing when appropriate, breaks, and closure. The entire appointment is not continuous trauma processing. Additional appointments may be recommended based on your goals and response.
A separate pre-intensive assessment is required. The assessment, one three-hour intensive, and post-intensive debrief total $1,000. Any additional appointments and fees will be discussed before booking.
Ask About an IntensivePost-intensive debrief
$200
Time to reflect on your experience, review next steps, and plan ongoing support or coordination with your current therapist, with your written permission.
Preparing for a virtual intensive
Before an intensive, it can help to think about the practical conditions that let you give yourself unhurried attention. A private setting, dependable internet connection, water, and a way to step away from immediate demands afterward can all make the appointment feel more manageable. You do not need to create a perfect environment. The assessment is the place to talk through what is realistically available to you and what would help you feel supported.
It can also be useful to consider who is in your support system and how you usually care for yourself after an emotionally demanding day. Some people plan a quiet evening. Others prefer to connect with a trusted person, take a walk, rest, or return to an ordinary routine. There is no required response. The goal is to build a plan that respects your needs and gives the work time to settle.
If you are currently in therapy, you can discuss whether an intensive would fit alongside that work. With your written permission, Lisa can coordinate with your current therapist so that goals and follow-up feel connected. You remain in control of what information is shared and with whom.
Focused care with room for follow-up
An intensive is not a promise that a difficult experience will be resolved in a single day. Trauma can affect memory, relationships, sleep, attention, and the sense of safety in ways that deserve thoughtful care. The purpose of longer focused time is to create more room for a specific treatment goal, while staying attentive to your capacity throughout the appointment.
Some goals are easier to name than others. You may want less intensity around a particular memory, more freedom in a relationship, or a clearer understanding of a reaction that keeps returning. The assessment gives you space to describe what has been difficult and decide whether focused work is the right next step. You do not have to be certain about the outcome before you reach out.
The post-intensive debrief is part of that care. It is a chance to notice what felt meaningful, what needs continued support, and what next steps make sense. For some people, that may include returning to ongoing therapy, using grounding practices that are already familiar, or checking in with a current therapist. If more intensive work is appropriate, Lisa will discuss that with you before anything is scheduled.
Your response to the work helps guide the plan. Lisa does not ask you to push through distress to prove that treatment is working. Pausing, slowing down, changing direction, or deciding that a different format is a better fit are all valid parts of responsible trauma care.
Common questions
Is this the same as EMDR?
No. Progressive Counting and EMDR are different trauma-processing approaches. They do not have identical evidence bases or work the same way for everyone.
Can I keep my current therapist?
An intensive may be considered alongside ongoing therapy. With your written permission, Lisa can coordinate with your therapist about goals and follow-up.
Will one intensive resolve my trauma?
There is no guaranteed number of appointments or outcome. Your history, goals, readiness, and response to treatment help determine the plan.
Do you offer virtual intensives?
Yes. Lisa offers virtual trauma therapy intensives for eligible adults located in Ohio, New York, and Florida. Florida services are provided through her Florida Out-of-State Telehealth Provider registration. Your physical location during each appointment matters when determining whether she can provide care.
How much does an intensive cost?
A three-hour intensive is $600. The required 60-minute pre-intensive assessment is $200, and the post-intensive debrief is $200. Together, the assessment, one intensive, and debrief total $1,000. The intensive includes breaks, preparation, and closure. Any additional appointments and fees will be discussed before booking.
Does insurance cover an intensive?
Coverage for an intensive can differ from coverage for a standard therapy session. Fees, payment arrangements, and any applicable insurance benefits will be reviewed before you schedule. Reimbursement cannot be guaranteed.
Explore whether an intensive is right for you
Ask about a Progressive Counting intensive and share your state and preferred contact method. Save detailed clinical information for a secure intake.
Ask About an Intensive