Serving Lufkin & Nacogdoches, Texas

Veterans’ Mental Health Services

Military service can leave lasting effects that extend well beyond the period of active duty.
Combat exposure, traumatic loss, military sexual trauma, repeated exposure to life-threatening situations, difficult transitions to civilian life, and the cumulative stress of service can affect emotional health, relationships, sleep, work, and overall quality of life. Pathways Forensic & Mental Health Services provides individual and family therapy, trauma-informed cognitive behavioral therapy (CBT), and Eye Movement Desensitization and Reprocessing (EMDR) to veterans experiencing posttraumatic stress disorder (PTSD), trauma-related symptoms, anxiety, depression, relationship difficulties, and adjustment concerns. Treatment is individualized, respectful of the veteran’s experiences and values, and focused on helping each person regain a greater sense of control, connection, and well-being.
EMDR is an evidence-based, trauma-focused psychotherapy with a substantial body of research supporting its effectiveness for PTSD. The Department of Veterans Affairs and Department of Defense (VA/DoD) Clinical Practice Guideline for PTSD identifies EMDR, Cognitive Processing Therapy (CPT), and Prolonged Exposure (PE) among the trauma-focused psychotherapies with the strongest evidence for the treatment of PTSD. Research involving military-affiliated clients and veterans has also demonstrated meaningful reductions in PTSD symptoms following EMDR treatment. (VA/DoD, 2023; VA National Center for PTSD; Liu et al., 2025).

Frequently Asked Questions

We provide individualized mental health services for veterans and their families, including individual psychotherapy, family therapy, trauma-informed cognitive behavioral approaches, and EMDR. Treatment may address PTSD and other trauma-related symptoms, anxiety, depression, anger, grief and loss, relationship difficulties, sleep problems, adjustment to civilian life, and other concerns associated with military experiences. Treatment recommendations are based on the veteran’s individual needs rather than assuming that every veteran has experienced service in the same way.

Eye Movement Desensitization and Reprocessing (EMDR) is a structured, trauma-focused psychotherapy designed to help individuals process distressing experiences that continue to produce emotional, cognitive, or physiological reactions. During EMDR, the veteran works with the therapist to identify traumatic memories and associated thoughts, emotions, and physical responses while using bilateral stimulation, such as guided eye movements.

The goal is not to erase the memory. Rather, treatment is intended to help the memory become less emotionally overwhelming so that reminders of the experience no longer produce the same level of distress or disruption in daily life.

EMDR is recognized by the VA/DoD Clinical Practice Guideline as one of the most strongly supported trauma-focused treatments for PTSD. The VA National Center for PTSD describes EMDR as one of the most effective psychotherapies available for PTSD. Research with veterans and military-affiliated populations has also found significant reductions in PTSD symptoms following EMDR treatment.

Not necessarily. One feature of EMDR is that a person generally does not have to provide a detailed verbal account of every aspect of the traumatic event. The veteran must be able to identify and mentally access the experience being addressed, but much of the processing occurs internally.

Treatment proceeds at a pace appropriate for the individual, and preparation, emotional regulation, and stabilization are important components of the process. EMDR is not simply beginning with the most difficult traumatic memory during the first session.

Yes. Military experiences and PTSD can affect the entire family system. Symptoms such as emotional withdrawal, irritability, hypervigilance, sleep disturbance, avoidance, depression, or difficulty communicating can place considerable stress on marriages and family relationships.

Family therapy can help veterans and their loved ones better understand trauma-related reactions, improve communication, rebuild emotional connection, develop healthier ways of managing conflict, and strengthen the family’s ability to support recovery. Family services may be provided independently or in conjunction with the veteran’s individual treatment when clinically appropriate.

No. Veterans may seek treatment for a variety of concerns whether or not they have been formally diagnosed with PTSD. Some individuals experience anxiety, depression, grief, anger, relationship difficulties, sleep disruption, isolation, difficulties adjusting to civilian life, or other problems associated with military experiences without meeting full diagnostic criteria for PTSD.

Treatment begins with understanding the veteran’s concerns, experiences, strengths, and goals. From there, an individualized treatment plan can be developed using the therapeutic approach most appropriate for that individual.

Ready to get started?

Call our office or request an appointment online. Fax: (936) 238-3867

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Whether you need confidential counseling or a court-related evaluation, our team in Lufkin and Nacogdoches is here to help.