Therapy for Relational Trauma, Grief & Everyday Struggles

Therapy for Relational Trauma, Grief & Everyday StrugglesTherapy for Relational Trauma, Grief & Everyday StrugglesTherapy for Relational Trauma, Grief & Everyday Struggles

Therapy for Relational Trauma, Grief & Everyday Struggles

Therapy for Relational Trauma, Grief & Everyday StrugglesTherapy for Relational Trauma, Grief & Everyday StrugglesTherapy for Relational Trauma, Grief & Everyday Struggles
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— Insight changes everything —

Shirley Elrod Therapy Services, LLC

Shirley Elrod Therapy Services, LLCShirley Elrod Therapy Services, LLCShirley Elrod Therapy Services, LLC

 

Serving adults across Pennsylvania through teletherapy


Therapy from the comfort of home

— Insight changes everything —

Shirley Elrod Therapy Services, LLC

Shirley Elrod Therapy Services, LLCShirley Elrod Therapy Services, LLCShirley Elrod Therapy Services, LLC

 

Serving adults across Pennsylvania through teletherapy


Therapy from the comfort of home

About Shirley Elrod, LMFT, FT

 Shirley Elrod, Licensed  grief and relational trauma therapist in Pennsylvania

My Professional Background:

Contact information: 

Email- shirley@selrodtherapy.com

Phone: 215-650-3034


I work as a licensed marriage and family therapist in Pennsylvania and hold a Master of Arts in Clinical Counseling from LaSalle University in Philadelphia. My background includes over 25 years of experience, beginning with my early work in a hospital setting as a crisis worker for psychiatric emergencies. Missing the ongoing therapeutic connection I was initially trained in, I returned to therapy work at a community clinic, where I had the opportunity to support a diverse population with a wide range of therapeutic needs. I truly value the long-term relationships I build with my clients — it creates the space for us to explore concerns more fully throughout our work together.


Early in my career, I developed a deep interest in grief and loss — not only because of the lack of services available for grieving individuals, but also from a growing curiosity about how we, as a society,  

cope with the one experience we all inevitably face:  death — of those we love, those we once loved, those with whom we had complicated relationships, and eventually, our own. This passion led me to specialize in death, dying and bereavement, earning the credential of Fellow in Thanatology from the Association for Death Education and Counseling as well as co-founding a comprehensive grief center in the greater Philadelphia area.


Over time, my work with grieving people led me to a deeper understanding of how relational trauma can shape and complicate the grieving process. Many people find themselves suffering even more with their grief when difficult past experiences — often rooted in childhood or significant relationships — continue to surface, making it challenging to fully integrate the loss and live with ease. This evolving interest led me to pursue extensive training in relational trauma (complex interpersonal trauma) through The Kiln School, a training program in Portland, Oregon, where I continue to engage in ongoing education. 

 

I offer therapy through telehealth to individuals located anywhere in Pennsylvania. Whether you are seeking to make sense of unresolved traumas, need support with grief or a place to talk about daily struggles, I am here with empathy, dedication, and a genuine commitment to hold space for your healing with care and intention.


Have questions about how therapy works or what to expect? You can find more details in the FAQ section.

What Therapy Services Are Offered?

Connecting with nature and finding calm — symbolic of grief and trauma healing through therapy.

Specialized and General Support

I work with adults seeking support for a range of emotional challenges — whether you’re feeling stuck, overwhelmed, or working to make sense of past experiences that still shape the present.


You don’t need a "big" reason to begin therapy — just a willingness to explore and care for your inner world. Whether you’re facing something concrete or simply yearning for space to reflect and grow, therapy can be a meaningful step.

 

Connected to this type of support, I also have a deep interest in grief and relational trauma  — which often underlies or intersects with the emotional challenges people carry. You can read more about these focus areas below or if you're interested in scheduling a consultation or starting therapy, you can reach out here.

What Is Grief Therapy?

Sunrise symbolizing hope, clarity, and emotional growth in Pennsylvania.

Grief Therapy

Grief therapy is a form of support that helps individuals navigate the pain of loss — not only through death, but also through significant life transitions. These may include the end of a relationship, changes in one’s sense of identity, aging, or other profound shifts that alter how a person experiences themselves and their world. This type of therapy gives one a safe space to talk about feelings, understand emotions, and find ways to heal at their own pace. 


When dealing with grief from a death, change presents itself in many ways; it’s an upheaval that can leave one untethered. Sometimes there is unfinished business with the person that died that needs to be worked through. A review of the relationship may be necessary to figure out what was lost and what remains.  


At times, the loss feels too big to make sense of, and we may wonder how — or even if — we can carry on. But by allowing space for grief to be expressed, we open the possibility of release: from old struggles, lingering questions, and unspoken feelings. The goal isn’t to forget the person or the relationship, but to integrate the loss into our lives, to find a way forward that honors both the past and the present.                          

What Is Relational Trauma Therapy?

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Relational Trauma Therapy

Relational trauma occurs when someone experiences deep emotional wounds within important relationships, often due to betrayal, neglect, or abuse by a trusted person. Since relational trauma is rooted in relationships, it deeply affects emotional regulation, self-perception, and interpersonal dynamics, often leaving emotional scars. Unlike single-event traumas, which can have a profound and lasting impact, relational trauma is typically ongoing and can deeply influence how a person 

understands themselves, their capacity to trust others, and their perception of the world


By sharing traumatic memories in a structured way with guidance from a professional, people  

can gain greater insight into their emotions and learn how to manage them more effectively, thus reducing distress associated with traumatic memories. This leads to rebuilding trust, developing emotional resilience, and forming healthier connections with oneself and others. 


In relational trauma, grief is necessary and allows us to process the loss of what we needed but didn’t receive — love, safety, or trust. Mourning the relationships that harmed us, as well as the versions of ourselves shaped by that pain, creates space for acceptance and growth. 

Connecting all parts of self in  healing from relational trauma, grief and everyday struggles.

Grief needs space, and our stories need a witness. Being seen and heard is an essential part of healing from relational trauma, death, and the inevitable transitions that shape our lives.

Frequently Asked Questions (FAQs)

If you'd like to get in touch directly, please contact me here for any answers to questions you may have.

I provide teletherapy (virtual/online) sessions through a secure Zoom platform across the state of Pennsylvania, with occasional in-person opportunities.  If you are wondering if virtual therapy really works, the good news is it does. Studies have shown that teletherapy is just as effective as in-person sessions for things like anxiety, depression, and stress- all of which are part of relational trauma, grief and everyday struggles. Teletherapy offers increased accessibility, convenience, and flexibility, making it a reliable and evidence-based option for individuals seeking mental health support.

Although teletherapy is conducted through a secure HIPAA protected platform, privacy risks exist. Both therapist and client are responsible for ensuring a private and confidential setting for sessions, with only people involved in the session being present. Please note, sessions cannot take place if you are driving or in a moving vehicle, including as a passenger when others are present. A private, stationary setting is required.

 

To have a successful teletherapy experience, it’s important to have a basic understanding of how to use Zoom and access to reliable equipment. A stable internet connection, current email, a working camera and microphone, and a private, quiet space all help create a setting where you can feel present and supported in the work. Being prepared with the right tools ensures we can focus on your therapy, without unnecessary interruptions.  


Sessions are 50 minutes long, and I strive to honor this time frame so that each client receives the same focused attention and care. If you arrive late, I will not be able to extend the session, as I want to remain present and timely for the next person. While I aim to be flexible with scheduling, I may not always be able to offer a consistent weekly day and time due to the demands of my broader schedule. However, I will do my best to accommodate your needs.

 

After we get to know each other, we’ll make a plan for how often to meet. Starting with weekly sessions is often helpful in building a strong, trusting therapeutic relationship. As our work progresses, we can decide together if it makes sense to move to biweekly sessions or gradually space them out, depending on what feels right for you.


Your first session is a chance for us to begin getting to know each other. We’ll talk about what brings you to therapy, explore your hopes and goals, and go over any questions you might have about the process. I’ll ask some questions to better understand your history and what’s currently going on in your life. 


Most importantly, this first session is about creating a space that feels safe, supportive, and grounded in trust as we begin this work together. Ongoing sessions will build on this foundation, allowing us to explore your concerns more deeply over time and work towards new insights, healing and growth.


Therapy looks different for everyone, but over time, you may begin to notice subtle shifts — feeling more grounded, gaining clarity, responding to challenges differently, or becoming more connected to yourself and others. Progress doesn’t always happen in a straight line, but small changes often signal meaningful growth. 


We’ll check in regularly about how things are going, and you’re always welcome to share what’s feeling helpful — or not — so we can adjust our work to best support you. Therapy is a collaborative process, and your voice is a vital part of it.


I am licensed in through the Pennsylvania State Board (license # MF000192) and can work with anyone who resides in the state. Unfortunately, I am unable to provide therapy to out-of-state clients due to restrictions from the state board. 

  

I only work with adults. My focus is primarily on grief and relational trauma, but I also help those who are navigating the quiet struggles — anxiety, low motivation, or a sense that something just doesn’t feel right — those who are ready to explore their inner world with honesty and curiosity and compassion. You don’t need to have everything figured out to begin — just a willingness to show up and engage in the process.


I begin with a free 15-minute consultation to explore your needs, answer any questions, and see how we can best work together. This allows us to see whether the relationship feels like a good fit — no pressure, no commitment.


If you decide to schedule an appointment, I offer personalized care that is both supportive and thoughtful. My aim is to create a space where you feel understood and cared for as we work together toward your goals. A standard 50-minute therapy session is priced at $140.00.


I’m mindful that therapy is a financial commitment, and I do my best to make support available to those for whom cost may be a barrier. A limited number of sliding scale spots are available — please feel free to ask about current availability during your consultation.


Prior to or at our first session, I’ll collect your contact and payment information for billing and communication purposes. 


Most sessions are held online, therefore payment by credit or debit card is required. After each session, you’ll receive an email with a secure payment link, processed through Square Payment Processing. Payment is due upon receipt of the invoice, and you can pay directly through the link — no account is needed. All major credit and debit cards, including HSA and FSA cards, are accepted.


If you are uncomfortable paying online, I can securely store your credit card information through Square and process the payment on your behalf. You will still receive an email receipt from Square for your records.


For in-person sessions, payment can be made the same way as above, with credit cards or checks. If paying by check, your cleared check will serve as your receipt.


If a payment is not received — for example, due to a declined card, a check that does not clear, or an unpaid invoice — future appointments will need to be placed on hold until the issue is resolved.


There are several reasons I choose not to work directly with insurance companies. My decision is based on a commitment to providing personalized care while protecting your privacy and autonomy:


• Limited treatment options: Insurance companies may dictate the type of therapy, number of sessions, and treatments they will cover — limiting a therapist’s ability to offer care that truly meets your needs.


• Session flexibility: Without insurance restrictions, there are no preset limits on how many sessions you can attend. You and I can decide together what pace and duration best support your goals.


• Privacy concerns: Insurance reimbursement typically requires detailed clinical information, which I believe compromises client confidentiality.


• Diagnostic requirements: Most insurance plans require a mental health diagnosis to approve coverage. While there are times when a diagnosis is appropriate, I’m cautious about assigning one when it’s not clinically necessary.


• Long-term impact of diagnoses: A mental health diagnoses becomes part of your permanent medical record and may be considered a pre-existing condition. This could affect future eligibility for disability benefits, life insurance, or health insurance coverage.


If you’d like to use out-of-network benefits or have questions about this process, I’m happy to talk more when we connect.


Yes, you’re welcome to ask for a superbill at any time.  Upon request, I’ll provide a superbill for you to submit to your private insurance company. This document will include such things as session dates, a diagnosis code, and payments made — details typically required by insurance companies for out-of-network reimbursement.


Please note that reimbursement with a superbill is not guaranteed, and I do not communicate directly with or submit your information to insurance companies to rectify this. Regardless of your insurance coverage, invoices must be paid in full at the time of service.

  

As a licensed marriage and family therapist, I’ve chosen to opt out of the Medicare system to preserve the privacy and flexibility that are central to my approach. While I don’t bill Medicare, I can still work with you through a private agreement, which you’ll need to sign if you are enrolled in Medicare or expect to be. This means no claims are submitted to Medicare, and our work remains private—supporting both your confidentiality and your care.


If you’re interested in using your out-of-network benefits, it’s a good idea to call your insurance provider and ask the following questions:


• Do I have out-of-network coverage for mental health services?

• Is teletherapy covered under my plan?

• What percentage of the session fee is reimbursed?

• Do I need to meet a deductible first?

• Are there any limits on the number of sessions covered per year?

• What documentation is required for reimbursement?



I typically schedule sessions between 10:00 AM and 4:00 PM, Monday through Thursday, with limited evening availability offered on select days.


The best way to reach me is by email or phone.  I try to respond within 24 hours on weekdays. I’m not available over the weekend, but I’ll follow up as soon as possible once the new work week begins. That said, I appreciate your patience if it occasionally takes a bit longer. 


Finding the right therapist is an important part of the healing process. I offer a 15 minute consultation at no-charge — a chance for us to connect, talk about what’s been weighing on you, and explore whether my approach aligns with your needs. It’s a chance to see if working together feels like a good next step.

 

If you’re interested in setting up a consultation, feel free to reach out by email at shirley@selrodtherapy.com or give me a call at 215-650-3034. We’ll find a time that works well for both of us to connect.


I take your privacy and confidentiality seriously. I do not use an Electronic Health System (EHS).  I follow HIPAA requirements to protect your health information, including secure communication, private record keeping, and encrypted data storage.  While I use secure systems, email communication can still carry some risks beyond my control — so I encourage using it thoughtfully and for non-sensitive matters.


All client information is stored securely and handled with great care. Notes are kept in a locked, secure location, including encrypted computer storage, and are never shared without your written consent, except in rare situations where disclosure is required by law (such as concerns of imminent harm or abuse). 


Any communication, including email or phone contact, is kept as private as possible, and I use secure, HIPAA-compliant platforms for teletherapy sessions. If you have questions about how your information is protected, I’m always happy to discuss this further.


Your privacy is important. I follow all federal HIPAA guidelines to protect your Personal Health Information (PHI). You’ll receive a full Notice of Privacy Practices, outlining how your information is handled when we begin working together.


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“Even when it feels like everything is falling apart, something new is quietly coming together.”

Whether you’re grieving, healing from relational wounds or just trying to find your footing again—I’m here for you. You don’t have to navigate this alone.

Shirley Elrod Therapy Services, LLC

License #MF000192

P.O. Box 3

Earlington, PA 18918-0003

Email: shirley@selrodtherapy.com

Phone: 215-650-3034


Copyright © 2025 Shirley Elrod Therapy Services - All Rights Reserved. 


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