“Caroline Pegram is a Licensed Clinical Social Worker & Trauma Center Trauma Sensitive Yoga Facilitator. I completed my graduate studies at UNC Chapel Hill. She received her 300 hour Yoga Teacher Certification from Asheville Community Yoga – a nonprofit, donation-based studio in Asheville, NC. She has had the great fortune of putting both her educational studies and personal trauma recovery to use in her private practice.”
About Caroline Pegram
I value the ability to support individuals from a variety of different therapeutic approaches, but the one consistent piece you will find in my services is an embodied, relational and person centered approach to therapy. This means that I value human relationships as the most important piece of our healing. I hope to support you in re-connecting with your natural strengths and passions. We will work together using an array of therapies to build a trusting relationship, increase intuitive movement and dismantle harmful power dynamics to work through challenges that you may face.
My practice is centered around embodied presence, empathy, connection, and deep listening. I have a lot of experience working within the continuum of addiction treatment, this was my introduction into trauma work. Through working with individuals whose relationship with substances brought them to my door, I quickly learned that at the heart of the “addiction symptoms” were deep emotional and physical wounds. I would say most of the clients I have worked with have been on the receiving end of sexual violence ranging from pre-verbal assault to actively being assaulted in a current relationship. It was in these relationships that I started to see the huge potential for resilience, as well as a need for integrating safety and embodiment into the more traditional modalities.
My Interest in Working with Survivors
I am interested in working with survivors because I am also a survivor of sexual/relational trauma throughout my life span. While my personal trauma is not at the forefront when working with individuals and their unique experiences, it is where I draw my empathy and deep connection from when supporting others who are in their healing. I believe survivors, I align with providing space and a voice for survivors to express themselves without judgment.
My Approach to Trauma-Informed Care
Trauma-informed care means meeting people where they are, rather than where I believe they might be. Trauma-informed care means sharing of power, offering people choices and autonomy to make choices that are self-directed. Trauma-informed care means considering the larger systems at play that influence the individuals that work with me. Trauma-informed care means every person experiences their life, their pain, their trauma and their recovery very differently. Trauma-informed care means intention, consent and the ability to be human with others. Trauma-informed care means creating space for the whole self to integrate and thrive.
I offer a range of approaches in my practice, including the following:
Attachment-focused EMDR (AF-EMDR) is client-centered and emphasizes a reparative therapeutic relationship using a combination of (1) Resource Tapping™ (Parnell, 2008) to strengthen clients and repair developmental deficits, (2) EMDR to process traumas, and (3) talk therapy to help integrate the information from EMDR sessions and to provide the healing derived from therapist-client interactions. AF-EMDR extends the use and benefits of EMDR and bilateral stimulation for use with clients who have been typically less responsive to traditional EMDR protocols, due to acute or chronic relational trauma and attachment deficits. Those deficits include the effects of childhood physical or sexual abuse, neglect, early losses, birth trauma, medical trauma, parental drug or alcohol abuse, caregiver misattunement, secondary trauma, and the cumulative effects of all.
Tension Stress and Trauma Release Exercise (TRE) – TRE is a body-based (somatic) process which, when done properly, through a Certified TRE Provider can allow the individual to discharge tension from the body, which often does not require “revisiting the story”. (i.e. verbally describing or talking about the traumatic experience) TRE is designed to be a self-help tool that once learned, can be used as needed, throughout one’s life, thereby continuously supporting and promoting personal health and wholeness.
Trauma Center Trauma Sensitive Yoga (TCTSY) – Developed at the Center for Trauma and Embodiment at Justice Resource Institute, TCTSY employs physical forms and movements, the emphasis is not on the external expression or appearance (i.e. doing it “right”), or receiving the approval of an external authority. Rather, the focus is on the internal experience of the participant. This shift in orientation, from the external to the internal, is a key attribute of TCTSY as a complementary treatment for complex trauma. With our approach, the power resides within the individual, not the TCTSY facilitator (TCTSY-F). Further, by focusing on the felt sense of the body to inform choice-making, TCTSY allows participants to restore their connection of mind and body and cultivate a sense of agency that is often compromised as a result of trauma.
Systems Theory – Systems theory in social work is based on the idea that behavior is influenced by a variety of factors that work together as a system. These factors include family, friends, social settings, economic class, and the environment at home. I utilize this framework to better address the varying depths that individuals show up in therapy with. In addition, I use systems theory to inform how I live my life outside of the therapy setting, including what I advocate for, how I spend my money and where I stand politically.
I also offer an eclectic collection of skills to practice that derive from therapies such as cognitive behavioral therapy, dialectic behavioral therapy, compassionate mind training, acceptance and commitment therapy, mindfulness-based stress reduction.
How My Practice Holistically Addresses the Impacts of Sexual Trauma
My modality brings the whole person into the session – the cognitive mind, the subconscious, the body, neurobiology, genetics and lived experience are all brought into consideration when going on this healing journey. I actively strive to learn therapies that individuals can learn in session, then take outside of the therapeutic space to use. I help amplify the power within someone that was diminished or hidden due to trauma experiences. The modalities I offer aim to be accessible and require only a few sessions before the person is able to practice these techniques on their own. Additionally, the modalities I use provide co-regulation as the individual begins to develop more confidence in their voice and ability to feel safe in their own skin.
Modifications for Survivors
I am open to modifying prices to meet people where they are at by offering donation slots.
I am also open to engaging in sessions via telehealth, phone or even texting. I encourage my clients to reach out for coaching calls – which essentially is an opportunity to connect when things are getting hard before the point of a crisis. I find that allowing people to reach out in between sessions helps sustain emotion regulation and distress tolerance. The act of going into what some call a “mental health crisis” is intimating, draining and often scary for individuals. By using coaching calls, I have found that we are often able to collaborate to find supports and solutions in the moment.
Additional Areas of Expertise and Interest
I have a history of working with folks who use substances through a harm reduction and recovery lens. I have worked with individuals who are unsheltered and largely uninsured. I have experience working with members of the BIPOC, LGBTQIAA and HAES community. I have supported folks during faith crises and religious trauma of all backgrounds including LDS, Judaism, Catholicism and Protestantism. I have experience working with individuals of the Navajo Nation, Cherokee and Lumbee tribes. I have worked with those who identify with other earth based spiritual practices and I am open to inviting any spiritual rituals/ideas into the therapeutic setting.
I offer a number of sliding-scale spots within my practice.