Erica Tompkins

I’m a therapist with a background in treating depression, anxiety, trauma, and suicidality, with experience working across higher levels of care including residential treatment and partial hospitalization settings. My work is grounded in supporting clients through periods of acute distress as well as longer-term patterns that impact mood, relationships, and sense of self.

I specialize in trauma-focused work, including EMDR, and often work with individuals navigating complex trauma, emotional dysregulation, and persistent depressive symptoms. I also have experience supporting clients undergoing adjunctive treatments such as ketamine-assisted therapy, and I prioritize close monitoring, collaboration, and individualized care during these processes.

My approach is integrative and tailored to each client. I draw from evidence-based modalities while emphasizing a strong therapeutic relationship, helping clients build insight, develop coping skills, and process difficult experiences at a pace that feels manageable and safe.

I work with adults facing depression, anxiety, trauma-related concerns, and life transitions, including those who may feel stuck, overwhelmed, or disconnected. I aim to create a space that is both supportive and direct, where clients can explore challenges honestly while working toward meaningful and sustainable change.

My approach to therapy is trauma-informed, integrative, and relational. I draw from evidence-based practices while tailoring treatment to each individual’s needs, with a strong focus on safety, pacing, and building a solid foundation before moving into deeper work.

I prioritize stabilization, especially when working with clients experiencing high levels of distress, suicidality, or major life disruption. I pay close attention to each client’s window of tolerance and adjust the pace of therapy to support emotional safety and effectiveness.

I incorporate trauma-focused modalities such as EMDR to help clients process underlying experiences, not just manage symptoms. At the same time, I remain flexible—slowing down, strengthening coping skills, or shifting focus when needed to prevent overwhelm or disengagement.

I have a strong focus on mood and anxiety disorders, including more persistent or treatment-resistant presentations. I’m comfortable collaborating alongside other treatments, including ketamine-assisted therapy, and I emphasize close monitoring of progress, side effects, and overall functioning.

In our work together, I aim to be both supportive and direct. I strive to create a space where clients feel understood while also gently challenging patterns that may be keeping them stuck. My goal is to help clients build insight, improve coping, and make meaningful, sustainable changes in their daily lives.

In our first session, you can expect a supportive, structured space where we begin getting to know each other. I’ll ask questions about what’s bringing you in, your current concerns, and any relevant history to better understand the full picture of what you’re going through.

We’ll talk about your goals for therapy and what you’re hoping will feel different or improved. I’ll also ask some questions about mood, anxiety, coping, and safety so I can get a sense of how to best support you—this is a standard part of care and helps guide treatment.

You don’t need to have everything figured out or know exactly what to say. We’ll go at a pace that feels manageable, and you’re always in control of what you choose to share.

By the end of the session, we’ll start to outline a plan for working together, including areas of focus and what next steps might look like. I’ll also leave space for any questions you have about the process so you feel clear and comfortable moving forward.