Despite decades of research into the field of psychology and mental health, we’re still learning so much about how mental health issues develop and what can be done to support those that are struggling with them. An example of this is intergenerational trauma, a field of study that has only recently become a priority within the mental health community.

Intergenerational trauma, also known as transgenerational trauma, occurs when the effects of trauma experienced by one generation are passed down to subsequent generations. This can occur through a variety of pathways – a parent that overcame war or poverty might parent in such a way that it creates trauma on the next child, who parents in such a way that it creates trauma to the next child, and so on.

Trauma may be transmitted through many pathways, not just parenting, including learned behaviors, emotional responses, and even biological changes such as epigenetic modifications. But no matter how they’re passed down, these mechanisms can shape an individual’s psychological development and coping strategies, often making it difficult to address mental health challenges without professional intervention.

How Intergenerational Trauma Affects Mental Health

Trauma is heavy. It is life altering. And, as we’re finding now, it is capable of being passed on to the next generation. The lingering effects of trauma can manifest in several ways, impacting both individuals and families in ways that include, but are not limited to:

  • Increased Anxiety and Depression – Trauma-related stress can increase the likelihood of a person developing anxiety, depression, and similar mental health issues.
  • Difficulty Trusting Others – Families affected by trauma may develop patterns of mistrust or isolation, which can hurt social connections and make it harder to get the right help.
  • Maladaptive Coping Mechanisms – Behaviors such as substance use or emotional withdrawal can become ingrained over generations when struggling with this type of trauma.
  • Shame and Stigma – Individuals that experience generational trauma may feel reluctant to seek help due to cultural or familial attitudes toward mental health, or because they cannot find a therapist that they can relate to.

These effects can make it challenging for those impacted by intergenerational trauma to recognize their need for psychiatric care or feel comfortable pursuing it and, even if a person does seek help, it is going to take work to break the cycle.

How Psychiatrists Can Help

Psychiatrists are one of many important figures that can play a role in addressing the effects of intergenerational trauma. Their training allows them to provide targeted interventions that consider the complex interplay of biological, psychological, and social factors. Strategies they may employ include:

  • Psychiatric Medication – Prescribing medications to manage symptoms of anxiety, depression, or other conditions stemming from trauma.
  • Trauma-Informed Care – Using a compassionate approach that prioritizes understanding and validating the impact of trauma while fostering safety and trust.
  • Comprehensive Assessment – Identifying how trauma has shaped emotional, behavioral, and physical health across generations.
  • Referral to Therapy – Collaborating with therapists who specialize in trauma-focused interventions, such as cognitive-behavioral therapy (CBT) or eye movement desensitization and reprocessing (EMDR).
  • Family Interventions – Addressing family dynamics and communication patterns to promote healing at the systemic level.

Great psychiatrists can also take the time to listen and understand, and make sure that they’re coming up with solutions that fit your specific needs. With the right approach, it may be possible to break this cycle of trauma and help improve your overall mental health – and those of the next generations.

Help for the Psychiatric Needs of Generational Trauma

Intergenerational trauma can feel overwhelming, but psychiatric care offers a pathway to recovery. By addressing the root causes and their manifestations, psychiatrists can help individuals and families work toward breaking the cycle of trauma and building resilience.

Acknowledging the impact of trauma is a powerful first step. Seeking psychiatric help can transform lives, fostering healthier relationships and improving overall well-being for current and future generations. For more information about receiving psychiatric help for anxiety, depression, and other mental health conditions, please reach out to Skycloud Mental Health, today.

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The potential patient, or their parent/guardian, must fill out this form. Identification will be requested during the process. If they are not available, please direct the potential patient to this page at a later time. Health care providers can find referral information here.

We are taking patients ages 13-17 with certain specified insurance panels in OR, WA, and UT. “You” in the following slides refers to the potential patient.

Are you seeking psychotherapy, medication management, or another evaluation type?

We are currently accepting new clients for psychiatric evaluations. Our psychotherapy caseload is full but you can contact us to learn more and join the waitlist.

Contact Us

Our psychotherapy caseload is full. Patients in OR, WA and UT can join our waitlist by clicking the button below.

Learn more about psychiatric evaluations, which can help you determine a treatment plan. Call us at 503-694-3391 or email admin@skycloudhealth.com with any questions.

Limitations of Skycloud:

  • – We do not offer evaluations for disability or legal reasons.
  • – Opioid use disorder treatment is only offered in Oregon, Washington, and Utah.
  • – We do not see clients under 13.
Resources

Have you attempted suicide in the past?

When was your most recent suicide attempt?

Unfortunately we do not have clinicians who are able to treat you via telehealth at this time. Please contact clinic at (503) 694-3381 with questions and check our list of resources.

Have you ever been hospitalized in a psychiatric unit or stayed in a residential mental health facility?

When was your most recent hospitalization or stay in a residential mental health facility?

Where do you reside?

We are only offering services in Oregon, Washington, Utah, New Mexico, Arizona, Minnesota, and Nevada at this time.

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

We prescribe controlled substance medications (i.e. stimulants, benzodiazepines) only to patients in OR, WA and UT with a required minimum once yearly in-office visit in Clackamas OR, Issaquah WA, Lehi UT, or Layton UT when clinically appropriate (please view our stimulant policy). It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Xanax, Ativan, Klonopin). Contact admin@skycloudhealth.com with questions.

In-office visits are required once a year in Clackamas OR, Issaquah WA, Lehi UT, or Layton UT for patients who are prescribed controlled substances. Click “Okay” to continue.

We prescribe controlled substance medications (i.e. stimulants, benzodiazepines) only to patients in OR, WA and UT with a required minimum once yearly in-office visit in Clackamas OR, Issaquah WA, Lehi UT, or Layton UT when clinically appropriate (please view our stimulant policy). It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Xanax, Ativan, Klonopin). Contact admin@skycloudhealth.com with questions.

In-office visits are required once a year in Clackamas OR, Issaquah WA, Lehi UT, or Layton UT for patients who are prescribed controlled substances. Click “Okay” to continue.

 

 

We do not prescribe stimulant, benzodiazepines, Suboxone, or other controlled substances in Minnesota. If you would still like to schedule, click Okay. To see other Resources, click “Resources.”

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

Our provider is in process of panelling with your insurance. You can see him at a discounted self pay rate until he is contracted. Click below to schedule.

Resources

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Schedule Appointment

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Dose/Med

Our providers will review your submission to determine if we are a good fit for your needs. Please submit the following required information for the potential patient (yourself or your child): insurance, age, current medications names and dosages. If the potential patient is taking a benzodiazepine, specify if they are looking to taper off of the medication. If the potential patient is a minor, please specify whether or not they have a history of self-harm. *It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g., Ativan, Xanax, Klonopin).

Name(Required)
Name(Required)

Med/Dose

Our providers will review your submission to determine if we are a good fit for your needs. Please submit the following required information for the potential patient (yourself or your child): insurance, age, current medications names and dosages. If the potential patient is taking a benzodiazepine, specify if they are looking to taper off of the medication. If the potential patient is a minor, please specify whether or not they have a history of self-harm. *It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g., Ativan, Xanax, Klonopin).

Name(Required)
Name(Required)

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

We do not prescribe stimulant, benzodiazepines, Suboxone, or other controlled substances in Arizona. If you would still like to schedule, click Okay. To see other Resources, click “Resources.”

Which insurance plan do you have?

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

Our psychotherapy caseload is open for patients located in Oregon. Patients in Washington and Utah can sign up for our waitlist by clicking the button below.

Learn more about psychiatric evaluations, which can help you determine a treatment plan. Call us at 503-694-3391 or email admin@skycloudhealth.com with any questions.

Resources

Psychotherapy Consultation (OR)

We are accepting Aetna, PacificSource, United, and self-pay patients for psychotherapy in Oregon. Our provider, Amber Rose Dullea LCSW, is also in process of credentialing with other insurance panels - Cigna, BCBS, UHC, Medicaid, Medicare, First Choice Health and Moda, and more. Please provide your contact information for a 15 minute free consultation phone call. Note: Do not use this form in an emergency.

Name(Required)

Psychotherapy Waitlist (WA & UT)

Our psychotherapy caseload is currently open for Oregon patients. Patients in Washington and Utah can sign up for our waitlist, which is currently 1-12 months out, depending on age, state and insurance. Please provide the information requested below. Note: Do not use this form in an emergency.

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Para agendar una cita, favor contactarnos al (503) 694-3381.

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Phone Number: (503) 694-3381

Phone Hours: 3:00pm-6:30pm (PT) TWTh / 11am-2pm (PT) Sat and Sun

Phone Registration

Register below for a phone call, or call our office number (503) 694-3381 ext. 2 to register. Please only request for a phone call for yourself.

Must be a legal guardian of the potential patient.

Thanks for submitting this form! We will contact you during the specified times.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Schedule Appointment

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

We prescribe controlled substance medications (i.e. stimulants, benzodiazepines) only to patients in OR, WA , UT, and NM with a required minimum once yearly in-office visit in Clackamas OR, Issaquah WA, Lehi UT, Layton UT, Albuquerque NM when clinically appropriate (please view our stimulant policy). It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Xanax, Ativan, Klonopin). Contact admin@skycloudhealth.com with questions.

Which insurance plan do you have?

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

 

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

*All times are in Pacific Standard Time (PST).

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

*All times are in Pacific Standard Time (PST).

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We prescribe controlled substance medications (i.e. stimulants, benzodiazepines) only to patients in OR, WA , UT, and NM with a required minimum once yearly in-office visit in Clackamas OR, Issaquah WA, Lehi UT, Layton UT, Albuquerque NM when clinically appropriate (please view our stimulant policy). It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Xanax, Ativan, Klonopin). Contact admin@skycloudhealth.com with questions.

In-office visits are required once a year in Clackamas OR, Issaquah WA, Lehi UT, or Layton UT for patients who are prescribed controlled substances. Click “Okay” to continue.

Which insurance plan do you have?

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Dose/Med (UT)

Our providers will review your submission to determine if we are a good fit for your needs. Please submit the following required information for the potential patient (yourself or your child): insurance, age, current medications names and dosages. If the potential patient is taking a benzodiazepine, specify if they are looking to taper off of the medication. If the potential patient is a minor, please specify whether or not they have a history of self-harm. *It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g., Ativan, Xanax, Klonopin).

Name(Required)
Name(Required)

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

*All times are in Pacific Standard Time (PST).

Schedule Appointment

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Schedule Appointment

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We do not see clients under 13.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

*All times are in Pacific Standard Time (PST).

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Which insurance plan do you have?

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

We do not prescribe stimulant, benzodiazepines, Suboxone, or other controlled substances in Nevada. If you would still like to schedule, click Okay. To see other Resources, click “Resources.”

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

We do not see clients under 13.

In-office visits are required once a year in Clackamas OR, Issaquah WA, Lehi UT, Layton UT, or Albuquerque NM for patients who are prescribed controlled substances. Click “Okay” to continue.

Which insurance plan do you have?

Dose/Med (NM)

Our providers will review your submission to determine if we are a good fit for your needs. Please submit the following required information for the potential patient (yourself or your child): insurance, age, current medications names and dosages. If the potential patient is taking a benzodiazepine, specify if they are looking to taper off of the medication. If the potential patient is a minor, please specify whether or not they have a history of self-harm. *It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g., Ativan, Xanax, Klonopin).

Name(Required)
Name(Required)

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We do not see clients under 13.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

 

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

 

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

 

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Your information is kept confidential and helps us ensure we can provide you with care. Assistance: 503-694-3381admin@skycloudhealth.com

If you are in a mental health crisis, do not use this form, call 988.

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