Trauma and PTSD Psychiatrists in El Cajon, CA
KMG Psychiatry (Dr. Ankur Bindal)
Psychiatrist, MD, MPH, FAPA, FAASM
Verified Verified
El Cajon, CA 92020 (Online Only)
KMG Psychiatry uses a combination of traditional and innovative treatments to target a wide range of conditions, including anxiety and depression, bipolar disorder, attention-deficit/hyperactivity disorder (ADHD), post-traumatic stress disorder ( PTSD), and sleep disorders.
KMG Psychiatry is an integrative psychiatry practice (with 3 offices in Vista, Sorrento Valley and Chula Vista areas providing convenient access) delivering high-quality, comprehensive care to the communities of San-Diego County, with a multi-faceted approach, striving to help individuals heal, energize, and become aware of their inner strengths, creating an individualized treatment plan for every patient, using a combination of traditional and innovative treatments. We offer medication management, psychotherapy and state of the art Neurostar Transcranial Magnetic Stimulation (TMS).
KMG Psychiatry uses a combination of traditional and innovative treatments to target a wide range of conditions, including anxiety and depression, bipolar disorder, attention-deficit/hyperactivity disorder (ADHD), post-traumatic stress disorder ( PTSD), and sleep disorders.
KMG Psychiatry is an integrative psychiatry practice (with 3 offices in Vista, Sorrento Valley and Chula Vista areas providing convenient access) delivering high-quality, comprehensive care to the communities of San-Diego County, with a multi-faceted approach, striving to help individuals heal, energize, and become aware of their inner strengths, creating an individualized treatment plan for every patient, using a combination of traditional and innovative treatments. We offer medication management, psychotherapy and state of the art Neurostar Transcranial Magnetic Stimulation (TMS).
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
Jordan Blaine
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
El Cajon, CA 92019 (Online Only)
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, and OCD.
ACCEPTING NEW PATIENTS - We know asking for help is not an easy thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be.
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, and OCD.
ACCEPTING NEW PATIENTS - We know asking for help is not an easy thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be.
Leslie Sweere
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
El Cajon, CA 92020 (Online Only)
Hello, I'm Dr Leslie Sweere and I am a psychiatric nurse practitioner. I focus mainly on ensuring that you are well informed about your possible condition and the available treatments for that. In my practice, you are in charge and as long as you are safe I will support any decision that you make. My main focus is doing whatever possible to have a positive impact on your day-to-day life. We are here to make you feel better and ensure you are well-informed. While I treat many conditions effectively my primary specialty is in mood disorders including depression and bipolar disorder with and without the complication of dual diagnosis.
Hello, I'm Dr Leslie Sweere and I am a psychiatric nurse practitioner. I focus mainly on ensuring that you are well informed about your possible condition and the available treatments for that. In my practice, you are in charge and as long as you are safe I will support any decision that you make. My main focus is doing whatever possible to have a positive impact on your day-to-day life. We are here to make you feel better and ensure you are well-informed. While I treat many conditions effectively my primary specialty is in mood disorders including depression and bipolar disorder with and without the complication of dual diagnosis.
Kimberley Durr
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
El Cajon, CA 92020 (Online Only)
Hello, my name is Kimberley Durr. I am a board-certified Psychiatric Mental Health Nurse Practitioner with over 8 years of experience. I specialize in treating mood disorders (i.e. depression and bipolar), anxiety, ADHD, and schizophrenia but have experience evaluating and providing medication management in other neurodevelopmental, eating, and substance use disorders. I offer a supportive, compassionate, and gentle approach to patient care and provide evidence-based guidance. I treat each person individually and holistically and will incorporate your life narratives and preferences when developing your treatment plan.
Hello, my name is Kimberley Durr. I am a board-certified Psychiatric Mental Health Nurse Practitioner with over 8 years of experience. I specialize in treating mood disorders (i.e. depression and bipolar), anxiety, ADHD, and schizophrenia but have experience evaluating and providing medication management in other neurodevelopmental, eating, and substance use disorders. I offer a supportive, compassionate, and gentle approach to patient care and provide evidence-based guidance. I treat each person individually and holistically and will incorporate your life narratives and preferences when developing your treatment plan.
Jack Mkroyan
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
3 Endorsed
El Cajon, CA 92020
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Telepsychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Telepsychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Leah Haddad
Psychiatric Nurse Practitioner, MSN, PMHNP, FNP
Verified Verified
1 Endorsed
El Cajon, CA 92022
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Jonathan Allotey
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
El Cajon, CA 92022 (Online Only)
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
15 Second Videos
Catalina Villa
Uchenna Okoye
Jordan Blaine
Leslie Sweere
Kimberley Durr
Jack Mkroyan
Leah Haddad
Jonathan Allotey
Anne Phan-Huy
Zachary Gilliam
Jack Mkroyan
Jessica Vermeulen
Leah Haddad
Jonathan Allotey
Ryan Thebo
Ryan Thebo
Dr. Phan-Huy's philosophy of care is all about you. Your beliefs, your experiences, your goals. By partnering with Dr. Phan-Huy, you will be empowered with the tools necessary to achieve fulfilment. That’s because – with Board certification in psychiatry and specialty training from the University of Michigan – Dr. Phan-Huy is a beacon of clarity in the complex world of mental health.
Dr. Phan-Huy's philosophy of care is all about you. Your beliefs, your experiences, your goals. By partnering with Dr. Phan-Huy, you will be empowered with the tools necessary to achieve fulfilment. That’s because – with Board certification in psychiatry and specialty training from the University of Michigan – Dr. Phan-Huy is a beacon of clarity in the complex world of mental health.
Zachary Gilliam
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
El Cajon, CA 92022 (Online Only)
Hello! My name is Zac Gilliam, and I am a dual board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) and Adult-Gerontology Acute Care Nurse Practitioner (ACNPC-AG). In working with patients, I strive for a holistic approach to care that encompasses eating healthy, staying active, sleeping well, spending time with people you love, and doing the work and activities you enjoy, all of which are so important to mental health. Working on all of the things that contribute to well-being creates a synergistic effect to help patients achieve lasting and meaningful improvements.
Hello! My name is Zac Gilliam, and I am a dual board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) and Adult-Gerontology Acute Care Nurse Practitioner (ACNPC-AG). In working with patients, I strive for a holistic approach to care that encompasses eating healthy, staying active, sleeping well, spending time with people you love, and doing the work and activities you enjoy, all of which are so important to mental health. Working on all of the things that contribute to well-being creates a synergistic effect to help patients achieve lasting and meaningful improvements.
Jack Mkroyan
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
1 Endorsed
El Cajon, CA 92020
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Telepsychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Telepsychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Unsure if medication is right for you or need help optimizing your current treatment? While medication can be beneficial, the most effective approach to mental health challenges often combines the right medications with holistic treatments. Sadly, the profit-driven mental healthcare system may not always prioritize your well-being. My goal is to help you thrive through holistic psychiatry, enabling you to achieve optimal wellness. Easily schedule an online appointment for personalized medication management at www.pwpsychiatry.com/CA and take the first step towards a healthier you.
Unsure if medication is right for you or need help optimizing your current treatment? While medication can be beneficial, the most effective approach to mental health challenges often combines the right medications with holistic treatments. Sadly, the profit-driven mental healthcare system may not always prioritize your well-being. My goal is to help you thrive through holistic psychiatry, enabling you to achieve optimal wellness. Easily schedule an online appointment for personalized medication management at www.pwpsychiatry.com/CA and take the first step towards a healthier you.
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Jonathan Allotey
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
1 Endorsed
El Cajon, CA 92022 (Online Only)
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Ryan Thebo
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP, CICP
Verified Verified
El Cajon, CA 92020
Unsure if medication is right for you or need help optimizing your current treatment? While medication can be beneficial, the most effective approach to mental health challenges often combines the right medications with holistic treatments. Sadly, the profit-driven mental healthcare system may not always prioritize your well-being. My goal is to help you thrive through holistic psychiatry, enabling you to achieve optimal wellness. Easily schedule an online appointment for personalized medication management at www.pwpsychiatry.com/CA and take the first step towards a healthier you.
Unsure if medication is right for you or need help optimizing your current treatment? While medication can be beneficial, the most effective approach to mental health challenges often combines the right medications with holistic treatments. Sadly, the profit-driven mental healthcare system may not always prioritize your well-being. My goal is to help you thrive through holistic psychiatry, enabling you to achieve optimal wellness. Easily schedule an online appointment for personalized medication management at www.pwpsychiatry.com/CA and take the first step towards a healthier you.
Ryan Thebo
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP, CICP
Verified Verified
El Cajon, CA 92020
Unsure if medication is right for you or need help optimizing your current treatment? While medication can be beneficial, the most effective approach to mental health challenges often combines the right medications with holistic treatments. Sadly, the profit-driven mental healthcare system may not always prioritize your well-being. My goal is to help you thrive through holistic psychiatry, enabling you to achieve optimal wellness. Easily schedule an online appointment for personalized medication management at www.pwpsychiatry.com/CA and take the first step towards a healthier you.
Unsure if medication is right for you or need help optimizing your current treatment? While medication can be beneficial, the most effective approach to mental health challenges often combines the right medications with holistic treatments. Sadly, the profit-driven mental healthcare system may not always prioritize your well-being. My goal is to help you thrive through holistic psychiatry, enabling you to achieve optimal wellness. Easily schedule an online appointment for personalized medication management at www.pwpsychiatry.com/CA and take the first step towards a healthier you.
Penny Greaves
Psychiatric Nurse Practitioner, FNP, PMHNP
Verified Verified
2 Endorsed
El Cajon, CA 92020 (Online Only)
Not accepting new clients
Penny Greaves has over twenty years of Nursing experience and received her bachelor's in nursing in 2007 and a Master of Nursing with a primary care nurse practitioner certificate in 2010 from Ryerson University, in Toronto, Canada. She obtained her Psychiatric Nurse Practitioner (PMHNP) degree in 2021 from National University and is dual certified with the ANCC in psychiatry and the AANP in family practice. She is currently pursuing a psychology doctorate degree (PsyD) to improve health outcomes. She is experienced with adults, adults with addictions, complex mental health problems, geriatrics and dementia.
Penny Greaves has over twenty years of Nursing experience and received her bachelor's in nursing in 2007 and a Master of Nursing with a primary care nurse practitioner certificate in 2010 from Ryerson University, in Toronto, Canada. She obtained her Psychiatric Nurse Practitioner (PMHNP) degree in 2021 from National University and is dual certified with the ANCC in psychiatry and the AANP in family practice. She is currently pursuing a psychology doctorate degree (PsyD) to improve health outcomes. She is experienced with adults, adults with addictions, complex mental health problems, geriatrics and dementia.
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Trauma and PTSD Psychiatrists
When should I seek treatment for trauma?
Not everyone who undergoes trauma needs therapy to heal, but many do. If, after experiencing a traumatic event, you find yourself struggling with symptoms such as nightmares, dissociation, irritability, or emotional numbness—especially if these symptoms last more than a month and are severe enough to interfere with your daily functioning—you may benefit from seeking out therapy with a trauma-informed provider.
How long does trauma therapy take?
Different types of therapy for trauma unfold on different timelines. Prolonged exposure therapy and cognitive processing therapy, for example, each take about three months, while trauma-informed CBT may last anywhere from 8 to 25 sessions. Other approaches, especially those that are less structured or that incorporate elements from multiple modalities, may be more open-ended, though many patients report feeling better within the first few months of treatment.
What happens if trauma is left untreated?
Unaddressed trauma can have serious—even devastating—effects on relationships, career, and day-to-day functioning. Post-Traumatic Stress Disorder (PTSD) can lead people to distrust or lash out at others, making it difficult to maintain intimate relationships; it can also trigger symptoms such as flashbacks or hyperreactivity that can interfere with a person’s ability to function effectively, personally and/or professionally. Some sufferers turn to drugs to find relief. Symptoms may lessen on their own with time, but there is no guarantee that PTSD will resolve on its own.
Can PTSD come back after treatment?
It is possible for PTSD symptoms to recur months or years after successful treatment. This is because, like most mental health disorders, it is not possible to “cure” PTSD, and stressful life events may cause symptoms to recur in even the most resilient individuals. There is no shame in re-experiencing PTSD symptoms nor in returning to therapy when such relapses occur; indeed, many forms of trauma therapy explicitly encourage periodic “maintenance sessions” to reinforce coping skills and ensure that symptoms stay manageable.