Personalized Trauma-Informed Care

Individual therapy at SOMA is not open-ended talk therapy. It is a structured, clinically directed process rooted in how your nervous system actually presents. Every session draws on EMDR, somatic experiencing, and polyvagal theory, calibrated to where your system is that day rather than to a fixed manual. Your initial evaluation maps your autonomic baseline, trauma history, and goals, and from there we build a personalized pathway. The pace respects both the complexity of what you carry and what your nervous system can genuinely integrate. This is precision care for clients ready for deep change, not surface-level coping.

We work with adults navigating complex trauma and PTSD, anxiety and depression, burnout and nervous-system dysregulation, narcissistic abuse recovery, life transitions and identity, and women's mental health. Dr. Aday also works with somatic trauma and sex therapy concerns such as vaginismus and sexual abuse recovery. Our clinicians integrate EMDR, somatic experiencing, and polyvagal-informed regulation into a cohesive framework. If you have a layered or treatment-resistant history, care can be matched to that complexity. During your consultation we help you understand which clinician and approach fit your specific presentation and goals.

SOMA is private pay and out of network with insurance. Sessions with Sheila Santos, RMHCI are 120 dollars and available to Florida residents. Sessions with Dr. Reyna Aday, PhD are 200 dollars and available across Florida, New Jersey, Pennsylvania, Texas, and New Mexico. We can provide a superbill you submit to your insurer for possible out-of-network reimbursement, and many clients use HSA or FSA funds. Coverage varies by plan, so check your out-of-network mental health benefits before starting. We confirm current rates and options during your consultation.

Both options are available. We see clients in person at our Coral Gables office and virtually by telehealth. Where you live determines which clinician can see you, since therapists are licensed by state. Sheila Santos sees Florida clients. Dr. Aday is licensed in Florida, New Jersey, Pennsylvania, Texas, and New Mexico and sees clients across all five states. Virtual sessions use the same structured, nervous-system-informed approach as in-person work. During your consultation we help you choose the format that best supports your care and schedule.

Your first session is an Initial Clinical Assessment, about 75 minutes. It is a comprehensive intake that maps your nervous-system history, presenting concerns, relational patterns, and treatment goals. This session establishes the clinical foundation for your entire pathway, so the work that follows is built around your actual presentation rather than a generic protocol. From there, ongoing standard sessions run about 50 minutes and use your personalized combination of EMDR, somatic experiencing, and polyvagal-informed interventions. Brief 30-minute check-in sessions are available by clinical recommendation for maintenance phases or targeted support.

It depends on your needs and where you live. Sheila Santos, RMHCI specializes in trauma processing and EMDR for anxiety, depression, complex trauma, and life transitions, and is an excellent fit for clients beginning or deepening their trauma work in Florida. Her work is supervised by Dr. Aday within SOMA's framework. Dr. Reyna Aday, PhD works with complex trauma, narcissistic abuse recovery, somatic trauma, sex therapy, and burnout, and is suited to layered or treatment-resistant presentations across all five licensed states. Schedule a consultation and we will match you to the right clinician and session format.