Dr. Julia Armbruster in Carlsbad Village is a licensed clinical psychologist (CA PSY22526, issued 2009) trained in four distinct evidence-based trauma protocols: Cognitive Processing Therapy, Prolonged Exposure, EMDR, and Acceptance and Commitment Therapy. Her caseload centers on post-traumatic stress resulting from military combat, sexual assault, childhood abuse, vehicular accidents, and natural disasters — conditions that frequently co-present with the chronic pain cases treated at RISE Physical Therapy on El Camino Real. Training with veteran populations and active-duty military families at Department of Defense installations informs a clinical approach built around prolonged exposure sequencing rather than single-modality CBT. Complex cases involving medication management alongside psychotherapy coordinate with board-certified psychiatrists at Mindpath Health on Palomar Airport Road for integrated pharmacological support. Prolonged Exposure Therapy protocols typically run eight to fifteen sessions of 90-minute imaginal and in-vivo exposure sequences targeting specific trauma-linked stimuli.