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Areas of Specialization

Welcome to Lukomsky Therapy, where healing begins with understanding and compassion. As a dedicated trauma therapist, I specialize in providing support for individuals navigating the complexities of childhood PTSD/complex PTSD, Bipolar Disorder, as well as gender-affirming care for the LGBTQ+ community. With a commitment to fostering a safe and inclusive environment, I am here to guide you on your journey towards resilience and empowerment. Let’s collaborate to build a path towards healing and embracing your authentic self.

Childhood PTSD

Complex-PTSD occurs because of prolonged exposure to traumatic experiences. In my practice, I treat all forms of complex-PTSD, but I primarily specialize in working with adult survivors of childhood abuse and neglect, or childhood-PTSD. Folks living with this type of trauma experience a myriad of symptoms such as difficulties with emotion regulation, dissociation, flashbacks, hypervigilance, a constant nagging low mood, a negative shame-based self-concept, difficulties with addictions, difficulties with relationships, codependency, procrastination, isolation, or excessive socialization and risk taking. The crux of the issue is that this type of trauma is very nuanced, individual and complex. As such, many adult survivors of childhood abuse and neglect have struggled to find the right support for them. In fact, their trauma histories will often exclude them from services. But this is for a good reason. Working with trauma is a highly specialized skill. Trauma requires a delicate and thoughtful approach.

 

Through my many years of training in trauma-specific therapy approaches, I can help clients understand their trauma, unravel problematic family dynamics and work directly with the body to help heal the detrimental effects of trauma from the inside out. These approaches offer gentle and compassionate methods that help clients feel safe in their bodies and in the world once more.

women doing inner child work
women suffering from bipolar disorder

Bipolar Disorder

Receiving a Bipolar Disorder diagnosis can be a heavy and life-changing event that can leave many people feeling hopeless about their future as they are often told by well-meaning health professionals that they will remain at the mercy of their mood fluctuations for the rest of their lives. I work with people to break this unhelpful messaging and empower them to reconnect with their sense of agency and mastery in the world.

 

When treating Bipolar Disorder, I combine interpersonal social rhythm therapy, emotion-focused therapy, shame-resilience, and somatic therapy to create a unique treatment approach that helps individuals get to the root of their mood fluctuations and create a life in which they can feel stable again. Drawing from my experience on an early psychosis intervention team, I understand the complexities of addressing mental health challenges from both the medical and trauma-informed perspectives, and most importantly, I understand how both approaches can work together to create lasting positive change. With the right support, it is possible to stop mood fluctuations and live a full and fulfilling life.

Gender-Affirming Care

I have always been passionate about providing care to the LGBTQ+ and  in providing gender-affirming care and supporting gender-diverse individuals through their process of transitioning. My work in a primary healthcare clinic specializing in gender diversity allowed me the opportunity to support individuals in their pre and post-operative care for various gender-affirming surgeries.

 

This experience motivated me to seek training with Rainbow Health Ontario, enhancing my ability to be an ally and guide individuals through their unique transition journeys. It brings me great joy to see people fully realize and embrace their gender expression and move freely through the world as their authentic selves. I offer my services as a safe and supportive space for individuals at any stage of this incredible journey.

 

I encourage individuals 16 and over seeking gender-affirming healthcare in the York Region to reach out to the Gender Affirming Health Clinic at CMHA-York. Their services are free and confidential.

transgender person smiling
Meeting

Clinical Consultation & Mentorship

I provide individual and group consultation to registered therapists who work in private-practice or agency settings.

I work with therapists who are new to the field and looking for guidance, and with established clinicians or clinical teams looking to deepen their skills in treating complex-PTSD, bipolar disorder, and in providing gender affirming care. 

I help with:

  • Strategies for managing burnout and compassion fatigue 

  • Case conceptualization and treatment planning

  • Transference and countertransference, otherwise known as therapeutic enactments

  • Deepening therapeutic skills in trauma-specific, somatic and experiential modalities (tri-phasic model, parts-work, Sensorimotor Psychotherapy, Emotion Focused Therapy)

  • Developing competency in the treatment and understanding of complex-PTSD, bipolar disorder, and gender affirming care

  • Creating an anti-oppressive and trauma-informed practice

 

I also offer workshops to teams and agencies on the topics of:

  • Trauma/Complex-PTSD 

  • Bipolar Disorder

  • Preventing burnout and compassion fatigue

  • Trauma-Informed care

  • Gender affirming care

  • Sensorimotor Psychotherapy 

 

My approach to mentorship and consultation is empowerment based and rooted in anti-oppressive structural theory. I have a great passion for this field and love to share it with others and love to work with others who share the same passion as me. It is my privilege to offer and safe and secure space for clinicians to grow their skills and feel supported in their professional development journey.

 

Consultation fee: $150 for 1 hour of individual consultation

 $170 for 1 hour of group consultation divided among all individuals

lukomsky office

Book A Consultation

Ready to take control of your mental health journey? Book a consultation with Anna at Lukomsky Therapy today. Specializing in support for complex PTSD, bipolar disorder, and gender-affirming care, Anna provides personalized guidance to help you thrive. Schedule your free phone consultation now and start your path towards healing and empowerment.

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