Trauma Therapy in Boston
Specialized psychotherapy for adults whose patterns haven't shifted through talk therapy alone. Weekly therapy, EMDR intensives, and Ketamine-Assisted Psychotherapy.
Twenty-five years of trauma practice in Boston's Financial District. Available in-person and via telehealth across Massachusetts.
When understanding isn't enough
Many of the people I work with arrive having done significant therapy already. They understand their patterns. They can trace them to childhood. They've talked about them for years. And the patterns still run — pulling away when someone good gets close, freezing in conversations that matter, choosing what's familiar over what's actually healthy.
This is what trauma often looks like in adult life. Not necessarily a single dramatic event, but a way of being that was useful in childhood and outlived its usefulness in adulthood. The kind of pattern that talk therapy can illuminate but rarely fully resolves — because the pattern doesn't live in your reasoning. It lives in your nervous system.
How I work:
My approach is psychodynamic at its core. I work from the assumption that we are our experiences — and that the strategies we developed in childhood, while often brilliant for surviving what we faced then, frequently don't serve the adult lives we're trying to live now. The work is to recognize those strategies, understand what they protected, and find new ways of being that come from your own ground rather than from what you think you should want.
Where talk alone reaches its limit, I use EMDR and Ketamine-Assisted Psychotherapy — two approaches with strong evidence bases for reaching trauma material that lives below where language can get to it. I'm trained in EMDR and offer KAP in partnership with Journey Clinical, which provides specialized medical oversight for the ketamine component.
Three ways we can work together
Weekly Psychotherapy — ongoing 50-minute sessions. The default format. Best for sustained work, especially when there's no specific endpoint in mind and the work wants room to develop over time.
EMDR Intensives — packages of three or six 90-minute sessions over several weeks. Best for clients who want an accelerated arc and have specific material they want to move, or who have plateaued in weekly work and want a different rhythm.
Ketamine-Assisted Psychotherapy (KAP) — clinical psychotherapy combined with ketamine, in partnership with Journey Clinical's medical team. Best for clients whose work has reached the limits of conventional approaches, or whose nervous system is too defended for trauma material to surface through talk alone.
Welcome, I´m Guy Croteau
I am Guy Croteau, LICSW, CGP — a licensed clinical social worker in independent practice in Boston since 2002. My training is in psychodynamic psychotherapy, with additional training in EMDR, group psychotherapy (American Group Psychotherapy Association, Northeastern Society of Group Psychotherapy), and Ketamine-Assisted Psychotherapy. My practice focuses primarily on trauma, including PTSD, complex trauma, and the kinds of attachment and relational patterns that often persist beyond what talk therapy alone can shift.
I work with adults across the gender and sexual orientation spectrum, with particular experience supporting gay men navigating attachment wounds, late coming-out, and relational patterns rooted in early experiences. I see clients in person in downtown Boston Tuesday through Thursday, and via secure telehealth Monday through Friday across Massachusetts.
Take the next step:
If what you've read here describes something you recognize, I'd welcome a conversation about whether my approach is a fit for what you're working with. The first step is a free 15-minute phone consultation — no pressure, no obligation. If it's a fit, we'll talk about next steps. If it isn't, I'll say so and we can both move on.
What I Offer
