Logo with the words "Pretend Trauma" in script font and "THERAPY" in uppercase sans-serif font underneath.

Finally feel comfortable

A young girl wearing a pink helmet skateboarding on a skate park ramp under a cloudy sky.

Telehealth Trauma Therapy in Aliso Viejo, CA & across California

AGES 9-12

When Your Preteen Isn’t “Just Being Dramatic”

A young child with a black Nike cap and a shirt with bear and mountain patterns is at a coffee shop counter, looking up at a woman making coffee. The woman is drinking from a cup behind the counter, which has coffee grinders and equipment on top. The background shows brick walls and other customers.

If symptoms have lasted longer than a month, your child’s nervous system may be stuck in survival mode.

The preteen years are a bridge between childhood and adolescence.
They are more aware than younger children, but they don’t yet have the emotional regulation of teens.

When trauma happens during this stage, it can look confusing.

You might notice:

  • Sudden mood swings

  • Irritability or anger

  • “Not caring” attitude

  • Shutting down or isolating

  • Racing or flood thoughts

  • Hyper-awareness

  • Trouble sleeping or nightmares

  • Poor performance in school

  • Replaying events over and over

  • Replaying trauma through play or storytelling

  • Impulsivity

  • Anxiety that doesn’t make sense

Trauma in Preteens

*

Trauma in Preteens *

Preteens often understand what happened.
But they don’t fully understand how to process what happened.

Their bodies may:

  • Feel jumpy

  • Have stomach aches or headaches

  • Struggle to fall asleep

  • Wake from nightmares

Their brains may:

  • Blank under stress

  • Assume they’re in trouble

  • Expect the worst

  • Stay on high alert

Common Trauma Experiences

*

Common Trauma Experiences *

Trauma at this age can include:

  • Bullying

  • Medical procedures

  • Accidents

  • Family conflict or divorce

  • Loss of a loved one

  • Emotional neglect

  • Witnessing violence

  • School-related humiliation or social rejection

A person's hand reaching out towards the setting or rising sun over a calm body of water.

How trauma therapy helps

In preteen trauma therapy, we focus on helping your child:

  • Feel safe in their body again

  • Understand what happened without reliving it

  • Regulate big emotions

  • Reduce anxiety and hyper-awareness

  • Improve sleep

  • Build confidence

  • Strengthen attachment and connection at home

    I use an attachment-focused approach and incorporate Eye Movement Desensitization and Reprocessing (EMDR) when appropriate.

    EMDR helps the brain reprocess traumatic memories so they no longer feel like they’re happening right now.

    Instead of being “stuck in the past,” your child can feel present again.

A small wooden boat floating on a calm lake with mirror-like reflections of the surrounding green mountains and cloudy sky.

Therapy looks like:

Therapy at this age is structured but developmentally appropriate.

We may include:

  • Talking through experiences

  • Creative expression

  • Regulating the nervous system

  • Resourcing skills

  • EMDR reprocessing (when ready)

  • Parent sessions for support and strategy

    Parents are part of the process.
    You will not be left out of your child’s healing.

A white ceramic vase with a distressed finish holds green leafy branches, set against a textured white wall background.
A cozy living space corner with a white modern chair, black and white patterned cushion, large green potted plants, a gold arc floor lamp, and a round mirror on a white wall.

The goal

The goal isn’t to erase what happened.

The goal is to help your preteen:

  • Think clearly under stress

  • Sleep through the night

  • Feel less reactive

  • Trust themselves

  • Stay connected to you

  • Move forward without their body constantly bracing for impact

Trauma does not have to define this stage of their life.

Preteens are incredibly resilient, when given the right support.

Person making a peace sign with their hand at sunset or sunrise, with their face blurred in the background.

Your Questions, Answered

  • EMDR therapy is an evidence-based approach that helps the brain process traumatic or overwhelming experiences so they no longer feel as distressing. EMDR does not require retelling every detail of your past. Sessions are paced, collaborative, and focused on building safety while reducing emotional intensity.