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Business Details
20 Years
experience
Expert Anxiety & Trauma Therapy for Women
Ralston, Tyler is a board-certified clinical psychologist specializing in evidence-based treatments for adult women experiencing anxiety, trauma, and related challenges. With over 15 years of private practice experience since 2006, I utilize Cognitive Behavioral Therapy (CBT), Prolonged Exposure (PE), and Exposure & Response Prevention (ERP) to address PTSD, panic disorders, social anxiety, and trauma-related guilt.

My practice focuses on empowering clients through personalized telehealth therapy, serving individuals across Hawaii and beyond via secure online sessions. I prioritize client safety, confidentiality, and long-term well-being, offering complimentary phone consultations to discuss treatment options and ensure the best fit for each individual's needs.
Services
PTSD Treatment Cognitive Behavioral Therapy Trauma Therapy Panic Disorder Treatment Social Anxiety Therapy Exposure & Response Prevention Telehealth Counseling Trauma-Related Guilt Counseling
Details
  • Year established: 2006
Highlights and features
  • Board-certified in Cognitive and Behavioral Psychology by ABPP
  • Specializes in trauma-related guilt and PTSD treatment since 2006
  • Offers secure telehealth therapy across Hawaii and beyond
  • Utilizes proven evidence-based practices for anxiety and trauma
  • Provides complimentary phone consultations for treatment matching
Associations and certifications
  • American Board of Professional Psychology
Services
PTSD Treatment
Specialized treatment for posttraumatic stress disorder using evidence-based methods like Prolonged Exposure and Cognitive Trauma Therapy. Addresses symptoms from domestic violence, sexual assault, and other traumatic events. Focuses on reducing avoidance behaviors, managing trauma-related guilt, and rebuilding self-esteem through structured telehealth sessions.
Cognitive Behavioral Therapy
Evidence-based approach targeting anxiety and trauma symptoms by modifying unhelpful thought patterns and behaviors. Includes education about condition maintenance, skill-building for stress management, and between-session practice assignments. Delivered through weekly telehealth sessions with personalized treatment plans.
Trauma-Related Guilt Counseling
Specialized intervention addressing 'should have' or 'could have' guilt patterns following traumatic experiences. Combines cognitive restructuring with behavioral experiments to challenge self-blame narratives. Focuses on developing self-compassion and realistic responsibility assessments during structured telehealth therapy.
Exposure & Response Prevention
Proven treatment for anxiety disorders and PTSD involving gradual exposure to trauma reminders. Helps reduce avoidance behaviors and build tolerance for distressing memories. Includes psychoeducation about fear conditioning and structured practice assignments between sessions to reinforce progress.
Telehealth Counseling
Secure video-based therapy sessions accessible from any device with internet connectivity. Follows the same evidence-based protocols as in-person therapy while offering greater accessibility. Includes structured treatment planning, progress monitoring, and flexible scheduling for clients across multiple islands.
People
Tyler Ralston
Clinical Psychologist
Ralston, Tyler is a board-certified clinical psychologist with over 15 years of experience treating anxiety and trauma disorders. He earned his PsyD from Argosy University Hawaii and completed APA-accredited training at the VA National Center for PTSD. Specializes in evidence-based therapies for adult women, with publications on trauma-related guilt and PTSD treatment.
Questions
What services does Dr. Ralston specialize in?
Dr. Ralston specializes in treating PTSD, anxiety disorders, trauma-related guilt, panic attacks, social anxiety, and generalized anxiety using evidence-based methods like CBT and PE.
Do you offer telehealth therapy sessions?
Yes, all therapy sessions are conducted via secure telehealth platforms for clients in Hawaii and beyond.
What populations do you work with?
Dr. Ralston works exclusively with adult women (18+ years) who have experienced trauma, anxiety, or related mental health challenges.
How long does treatment typically last?
Most clients engage in weekly therapy sessions for 1-6 months, with treatment duration tailored to individual needs and progress.
Is there a complimentary consultation available?
Yes, Dr. Ralston offers free phone consultations to discuss your needs and determine if his services are a good fit.