Hi, I'mCOURTNEY.I'm a trauma therapist.

    Dr. Courtney Domenico

    I help clients build safety and connection within themselves, in their relationships, and with the world around them.

    Perhaps in many ways your life works. But something still doesn’t feel totally safe. Or at ease. And you’re wanting to feel more connected.

    The world may see you as high-functioning, but underneath there are patterns you can’t think your way out of - walls in relationships, a body that doesn’t fully relax or feels disconnected from your mind, a complicated relationship with intimacy.

    These patterns are protective. They made sense at one point. They don’t have to keep working this hard. Using EMDR, IFS, and nervous system work, we help you feel more connected, safer in your body, and more flexible in how you respond.

    WHO I WORK WITH

    High-functioning adults whose stress, pain and protective patterns keep them from feeling safe and connected.

    Some painful experiences can be overwhelming. In response, your system has learned how to brilliantly manage, perform, and hold it together. The patterns that helped you survive may now be happening automatically. And you want more choice and flexibility in how you move through your life. Here's how that often shows up:

    Connection

    You know closeness matters. But relationships can feel complicated. Maybe you’ve relied on yourself for most of your life, and vulnerability still feels risky. Maybe it’s hard to know whether what you want or need is okay to ask for. Maybe you worry you’re too needy. Or you’re starting to be curious about patterns in your relationships.

    Intimacy

    When your body has spent years focused on protection, it can be hard to access connection or pleasure. Sometimes desire feels muted. Sometimes vulnerability can feel risky. Sometimes your relationship with control can feel complicated. Part of healing from trauma is creating the conditions where you can experience intimacy naturally, without pressure or forcing anything that doesn’t feel right.

    Safety

    When you’ve lived through difficult or overwhelming experiences, your nervous system can stay on alert long after the danger has passed. You might notice tension that doesn’t fully release, difficulty relaxing, or a sense that you’re always bracing for something. Sometimes your mind and body feel on different pages. Sometimes this shows up as shame or shut down.

    WHAT IF TRAUMA DOESN'TFEEL LIKE THE RIGHT WORD?

    Not everyone who benefits from trauma-focused therapy labels their experiences that way. Often people just notice patterns in their bodies, relationships, or sense of safety that feel difficult to shift. Our work focuses on your lived experience and felt sense, not on fitting you into a diagnostic box.

    MY APPROACH

    Trauma requires specialized treatment.

    Trauma doesn’t only live in thoughts or memories. It shows up in the nervous system, in the body, and in the patterns that shape how you experience connection, safety, and desire. Because of that, insight alone often isn’t enough to create lasting change.

    This work focuses on helping the brain and nervous system shift patterns that formed during difficult experiences.

    EMDR Therapy

    Processing painful experiences

    EMDR helps the brain process traumatic experiences so they no longer carry the same emotional and physiological charge. It’s one of the most well-researched and effective treatments for trauma and PTSD. Many people notice meaningful shifts more quickly than they expected. It also allows the work to happen without needing to describe every detail of what you’ve been through.

    Certified in EMDR

    IFS-Informed EMDR

    Working with parts of self

    Many people notice different parts of themselves that developed to manage pain, vulnerability, or threat. IFS-informed EMDR helps us work with these protective patterns with curiosity rather than force, so change can happen without overwhelming the system.

    Certified in IFS-Informed EMDR

    Nervous System Work

    Supporting regulation and safety

    Trauma changes how the nervous system responds to safety, connection, and stress. This work helps the body begin to recognize and orient to safety again. Over time, it becomes easier to feel more regulated, more present, and more connected to yourself and others.

    Certificate in Polyvagal Theory

    Sex Therapy

    Sexuality and intimacy

    Trauma can shape how people experience sexuality, intimacy and their bodies. This work brings trauma treatment and sex therapy together so these experiences can be approached with more clarity, care, and choice.

    AASECT Certified Sex Therapist

    ABOUT THIS WORK

    Dr. Courtney Domenico

    Trauma shapes the ways people learn to move through the world. Protective patterns develop-ways of managing, performing, shutting down, or staying on guard in order to get through difficult experiences. These patterns often make sense in the context they developed. But later in life, they can start to interfere with connection, safety, and intimacy.

    My work is grounded in trauma-focused approaches including EMDR, IFS-informed EMDR, and polyvagal-informed nervous system work. I work primarily with high-functioning adults whose earlier experiences continue to shape how they relate to themselves, their bodies, and others.

    Many of the people I work with have done therapy before and are looking for something deeper. This work is thoughtful and collaborative. We move at a pace that feels manageable, with space for curiosity and sometimes even humor.

    The goal isn’t just to manage symptoms. It’s to feel more connected, safer in your body, and more flexible in how you respond to yourself, others, and your environment.

    REACH OUT

    READY TO TALK?

    Let's start a brief conversation.

    I offer a free 15-minute consultation when you can tell me more about what's bringing you in and ask me any questions you may have.

    BOOK A FREE CONSULTATION

    Licensed in42 STATES

    Map showing states where Dr. Courtney Domenico is licensed to practice

    States where I'm licensed and not licensed to practice

    * Licensed in Illinois and New York, and in other states through Psypact

    Alabama

    Arizona

    Arkansas

    Colorado

    Connecticut

    Delaware

    Florida

    Georgia

    Idaho

    Illinois

    Indiana

    Kansas

    Kentucky

    Maine

    Maryland

    Michigan

    Minnesota

    Mississippi

    Missouri

    Montana

    Nebraska

    Nevada

    New Hampshire

    New Jersey

    New York

    North Carolina

    North Dakota

    Ohio

    Oklahoma

    Pennsylvania

    Rhode Island

    South Carolina

    South Dakota

    Tennessee

    Texas

    Utah

    Vermont

    Virginia

    Washington

    Washington D.C.

    West Virginia

    Wisconsin

    Wyoming