Trauma and PTSD Therapists in Millbury, MA

Photo of Linnea Maselli, MA, LMHC, PMH-C, Counselor
Linnea Maselli
Counselor, MA, LMHC, PMH-C
Verified Verified
4 Endorsed
Millbury, MA 01527
Now accepting new clients for daytime openings! Intake appointments available within a week or two. Life can be challenging and complicated. Choosing a therapist doesn't have to be. I believe that building a genuine, open, and honest therapeutic relationship with my clients provides a strong foundation for successful treatment. Together, we will work to explore areas of your life that may be challenging, difficult, or unpleasant in order to set you on a path of growth, confidence, happiness, and satisfaction. My practice focuses largely on anxiety disorder treatment,the perinatal population, trauma, stress and life transitions.
Now accepting new clients for daytime openings! Intake appointments available within a week or two. Life can be challenging and complicated. Choosing a therapist doesn't have to be. I believe that building a genuine, open, and honest therapeutic relationship with my clients provides a strong foundation for successful treatment. Together, we will work to explore areas of your life that may be challenging, difficult, or unpleasant in order to set you on a path of growth, confidence, happiness, and satisfaction. My practice focuses largely on anxiety disorder treatment,the perinatal population, trauma, stress and life transitions.
(508) 353-1256 View (508) 353-1256
Photo of Stephanie Stilla-Petrie, MA, LMHC, Counselor
Stephanie Stilla-Petrie
Counselor, MA, LMHC
Verified Verified
Millbury, MA 01527
Not accepting new clients
Working in a variety of settings over many years, I have developed an expertise in many different areas including but not limited to trauma, autism spectrum disorders, developmental transitions, depression, anxiety, parenting, grief, prenatal and postnatal loss, and sexual identity.
Everyday living is not without stressors. How we react to events or interact in relationships can be a struggle as well as puzzling. Why do we feel the way we do? Why do we continue to make the same mistakes over and over again? How can our perceptions be so different from others? How do early experiences impact our perceptions, feelings, and behaviors? I provide a safe, comforting environment for you to explore and reflect on your past and recent experiences, feelings, and relationships. My approach is to facilitate change based on your expressed needs and goals.
Working in a variety of settings over many years, I have developed an expertise in many different areas including but not limited to trauma, autism spectrum disorders, developmental transitions, depression, anxiety, parenting, grief, prenatal and postnatal loss, and sexual identity.
Everyday living is not without stressors. How we react to events or interact in relationships can be a struggle as well as puzzling. Why do we feel the way we do? Why do we continue to make the same mistakes over and over again? How can our perceptions be so different from others? How do early experiences impact our perceptions, feelings, and behaviors? I provide a safe, comforting environment for you to explore and reflect on your past and recent experiences, feelings, and relationships. My approach is to facilitate change based on your expressed needs and goals.
(508) 401-7291 View (508) 401-7291
Photo of Jennifer Bruinsma, MA, LMHC, Counselor
Jennifer Bruinsma
Counselor, MA, LMHC
Verified Verified
Millbury, MA 01527  (Online Only)
I have over 10 years of experience working in the mental health field as a Licensed Mental Health Clinician. Over the years I have successfully treated a wide variety of mental health concerns including anxiety, stress, depression, adjustment disorders and trauma. Mental health is equally as important as physical health and I will help you begin your journey to investing in yourself in order to find the best version of you and work through any of the stress or changes life has thrown your way.
I have over 10 years of experience working in the mental health field as a Licensed Mental Health Clinician. Over the years I have successfully treated a wide variety of mental health concerns including anxiety, stress, depression, adjustment disorders and trauma. Mental health is equally as important as physical health and I will help you begin your journey to investing in yourself in order to find the best version of you and work through any of the stress or changes life has thrown your way.
(508) 422-4770 View (508) 422-4770
Photo of Tatiana Martins - Black Rock Counseling and Wellness, LMHC, Counselor
Black Rock Counseling and Wellness
Counselor, LMHC
Verified Verified
1 Endorsed
Millbury, MA 01527  (Online Only)
Are you feeling overwhelmed by anxiety, stress, or depression? Struggling with relationship difficulties, trauma, or self-esteem issues? If you're ready to commit to personal growth and mental well-being, I’m here to help you navigate these challenges and find your path to a healthier, happier life. For the past 12 years, I've been dedicated to supporting individuals from diverse cultures and backgrounds in exploring their inner worlds and making positive changes. My clients can expect a compassionate, client-centered approach.
Are you feeling overwhelmed by anxiety, stress, or depression? Struggling with relationship difficulties, trauma, or self-esteem issues? If you're ready to commit to personal growth and mental well-being, I’m here to help you navigate these challenges and find your path to a healthier, happier life. For the past 12 years, I've been dedicated to supporting individuals from diverse cultures and backgrounds in exploring their inner worlds and making positive changes. My clients can expect a compassionate, client-centered approach.
(508) 452-2785 View (508) 452-2785
Photo of Andrea R Culross, LMHC, Counselor
Andrea R Culross
Counselor, LMHC
Verified Verified
Millbury, MA 01527
Andrea's areas of specialty are anxiety and depression, women's emotional health, family therapy, trauma treatment, spectrum disorders, and self harm. Andrea is able to work with families both on the individual and relationship level. She takes the approach that in order for the family to interact with one another in a healthy way, the individual members must feel respected, heard, and valued. I use a holistic approach to support the When past trauma interferes in our ability to balance our lives, we need to learn the tools that can help to support the whole person and allow healing.
Andrea's areas of specialty are anxiety and depression, women's emotional health, family therapy, trauma treatment, spectrum disorders, and self harm. Andrea is able to work with families both on the individual and relationship level. She takes the approach that in order for the family to interact with one another in a healthy way, the individual members must feel respected, heard, and valued. I use a holistic approach to support the When past trauma interferes in our ability to balance our lives, we need to learn the tools that can help to support the whole person and allow healing.
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Photo of Melissa Fijol - Melissa L. Fijol, LMHC, LMHC, MS, Counselor
Melissa L. Fijol, LMHC
Counselor, LMHC, MS
Verified Verified
2 Endorsed
Millbury, MA 01527
Not accepting new clients
I have extensive experience in the areas of trauma, grief, attachment, mood and adjustment disorders, dissociative disorders, anxiety, and managing life stressors.
Current hours of practice-Mon thru Thurs, 7a.m.-2 p.m./Fri-7-12. Clients must be able to meet during this time frame; no afternoon or evening sessions. Adults/Individuals only. (Combination of telehealth and in person sessions; platform Doxy.me is utilized for telehealth). Treatment focus includes CBT, mindfulness, trauma informed care (PTSD/complex/developmental/attachment trauma); other treatment modalities are utilized based on client's needs; eclectic range of therapeutic interventions used.
I have extensive experience in the areas of trauma, grief, attachment, mood and adjustment disorders, dissociative disorders, anxiety, and managing life stressors.
Current hours of practice-Mon thru Thurs, 7a.m.-2 p.m./Fri-7-12. Clients must be able to meet during this time frame; no afternoon or evening sessions. Adults/Individuals only. (Combination of telehealth and in person sessions; platform Doxy.me is utilized for telehealth). Treatment focus includes CBT, mindfulness, trauma informed care (PTSD/complex/developmental/attachment trauma); other treatment modalities are utilized based on client's needs; eclectic range of therapeutic interventions used.
(508) 863-4446 View (508) 863-4446
Photo of Shizuyo Ichikawa-Ha, LMHC, Counselor
Shizuyo Ichikawa-Ha
Counselor, LMHC
Verified Verified
2 Endorsed
Millbury, MA 01527  (Online Only)
Not accepting new clients
I am able to work with issues related to: grief/loss, depression, anxiety, caregiver/parent support, relationships, trauma, and life changes.
Not Accepting New Clients. Life can be overwhelming. There are many things to address, or things we want to work on, but we often don’t know where to start. You don’t have to figure out it all out overnight. You don’t have to feel ashamed for being where you are. All you have to focus on is one small thing you can do today to get closer to where you want to be in life. Slowly, one step at a time, you can get there. That one step could be reaching out to a therapist to have non-judgmental support through this process. This is where I can help. I provide a therapeutic space to explore struggles in a relaxed manner.
I am able to work with issues related to: grief/loss, depression, anxiety, caregiver/parent support, relationships, trauma, and life changes.
Not Accepting New Clients. Life can be overwhelming. There are many things to address, or things we want to work on, but we often don’t know where to start. You don’t have to figure out it all out overnight. You don’t have to feel ashamed for being where you are. All you have to focus on is one small thing you can do today to get closer to where you want to be in life. Slowly, one step at a time, you can get there. That one step could be reaching out to a therapist to have non-judgmental support through this process. This is where I can help. I provide a therapeutic space to explore struggles in a relaxed manner.
(508) 691-8832 View (508) 691-8832
Photo of Kate McCann, MA, LMHC, Counselor
Kate McCann
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Millbury, MA 01527  (Online Only)
Jul 2024: accepting new private pay, or Aetna, Optum (UHC, UBH), Tufts (public & commercial), Harvard Pilgrim & BCBS insrnc. Are you looking for change but don’t know where to start? Let’s get to work! We can define and prioritize your short and long term goals, and develop steps to accomplish them. We will build on your strengths and experiences, while utilizing a combination of both traditional cognitive behavioral therapy (CBT), assertive communication skills, and holistic wellness approaches (mindfulness, breath practice, yoga) in order to address anxiety, trauma, stress management, time management, and relationship issues.
Jul 2024: accepting new private pay, or Aetna, Optum (UHC, UBH), Tufts (public & commercial), Harvard Pilgrim & BCBS insrnc. Are you looking for change but don’t know where to start? Let’s get to work! We can define and prioritize your short and long term goals, and develop steps to accomplish them. We will build on your strengths and experiences, while utilizing a combination of both traditional cognitive behavioral therapy (CBT), assertive communication skills, and holistic wellness approaches (mindfulness, breath practice, yoga) in order to address anxiety, trauma, stress management, time management, and relationship issues.
(774) 226-9343 View (774) 226-9343
Photo of Agata Dyrda-Gacek, LCSW-R, LICSW, CASAC-G, Clinical Social Work/Therapist
Agata Dyrda-Gacek
Clinical Social Work/Therapist, LCSW-R, LICSW, CASAC-G
Verified Verified
Millbury, MA 01527
I help to address a variety of challenges, including depression, anxiety and fears, childhood and sexual trauma, self-esteem issues, addiction, gambling disorders, relationship problems, identity issues and loneliness, adjustment to life's transitions, work stress, creativity blocks; adult children of alcoholics/addicts and individuals in advanced sobriety are welcome.
I believe successful psychotherapy relies on a unique relationship between a client and a therapist that is jointly created; together we discover and nurture the client's needs. I provide insight-oriented therapy with the belief that you, the client, are the expert on your own life. My role is to provide guidance and understanding of your journey. I believe in authenticity in the therapeutic relationship, where I create a safe, warm and empathetic environment for exploration of past and present emotional struggles and psychological blockages to lead you toward your own healing and personal growth.
I help to address a variety of challenges, including depression, anxiety and fears, childhood and sexual trauma, self-esteem issues, addiction, gambling disorders, relationship problems, identity issues and loneliness, adjustment to life's transitions, work stress, creativity blocks; adult children of alcoholics/addicts and individuals in advanced sobriety are welcome.
I believe successful psychotherapy relies on a unique relationship between a client and a therapist that is jointly created; together we discover and nurture the client's needs. I provide insight-oriented therapy with the belief that you, the client, are the expert on your own life. My role is to provide guidance and understanding of your journey. I believe in authenticity in the therapeutic relationship, where I create a safe, warm and empathetic environment for exploration of past and present emotional struggles and psychological blockages to lead you toward your own healing and personal growth.
(508) 290-5108 View (508) 290-5108
Photo of Johanna Almestica, LMHC, Counselor
Johanna Almestica
Counselor, LMHC
Verified Verified
Millbury, MA 01527
Most recently, Johanna has become increasingly interested in the treatment of trauma and PTSD symptoms, which are often very debilitating.
Mrs. Johanna Almestica is a Licensed Mental Health Counselor in Massachusetts who has been practicing since 2000. She possesses a Bachelor’s degree in Psychology from the University of Massachusetts at Boston and a Master’s of Science degree in Counseling Psychology from Our Lady of the Lake University in San Antonio, Texas. Johanna is committed as a therapist to be an instrument of change, so that her patients can become empowered and knowledgeable in handling challenging situations in life. Johanna’s clinical experience includes working with patients who struggle with depression, anxiety, and other mental health disorders.
Most recently, Johanna has become increasingly interested in the treatment of trauma and PTSD symptoms, which are often very debilitating.
Mrs. Johanna Almestica is a Licensed Mental Health Counselor in Massachusetts who has been practicing since 2000. She possesses a Bachelor’s degree in Psychology from the University of Massachusetts at Boston and a Master’s of Science degree in Counseling Psychology from Our Lady of the Lake University in San Antonio, Texas. Johanna is committed as a therapist to be an instrument of change, so that her patients can become empowered and knowledgeable in handling challenging situations in life. Johanna’s clinical experience includes working with patients who struggle with depression, anxiety, and other mental health disorders.
(508) 501-1919 View (508) 501-1919
Photo of Linda Cook, LMHC, Counselor
Linda Cook
Counselor, LMHC
Verified Verified
Millbury, MA 01527  (Online Only)
Linda Cook is a Licensed Mental Health Counselor in Massachusetts who has been practicing since 2022. She has a Master's in Professional Counseling. Linda works with trauma, stress, depression, and anxiety. Among other methods, Linda uses mindfulness, IFS, EMDR, and talk therapy. Outside of work, Linda enjoys crocheting, time with her children, and loving her pug.
Linda Cook is a Licensed Mental Health Counselor in Massachusetts who has been practicing since 2022. She has a Master's in Professional Counseling. Linda works with trauma, stress, depression, and anxiety. Among other methods, Linda uses mindfulness, IFS, EMDR, and talk therapy. Outside of work, Linda enjoys crocheting, time with her children, and loving her pug.
(508) 960-7824 View (508) 960-7824
Photo of Sue Henrickson - Pathways Counseling, LMHC, Counselor
Pathways Counseling
Counselor, LMHC
Verified Verified
1 Endorsed
Millbury, MA 01527
The decision to seek counseling is a decision to make change happen in your life! While the idea of counseling can be frightening to a person, the process of counseling is often rewarding and quite meaningful. Whether you are struggling with decisions that need to be made, or a personal behavior you wish to change, or a view on your life circumstances that would benefit from an adjustment, counseling can be helpful and can assist you in changing the path of your life to a more rewarding and joyful one.
The decision to seek counseling is a decision to make change happen in your life! While the idea of counseling can be frightening to a person, the process of counseling is often rewarding and quite meaningful. Whether you are struggling with decisions that need to be made, or a personal behavior you wish to change, or a view on your life circumstances that would benefit from an adjustment, counseling can be helpful and can assist you in changing the path of your life to a more rewarding and joyful one.
(978) 631-2399 View (978) 631-2399
Photo of Terry Peters - Total Wellness Inc., MA, NBC-HWC
Total Wellness Inc.
MA, NBC-HWC
Verified Verified
Millbury, MA 01527  (Online Only)
As a mental health & wellness coach, I help my clients move forward & live in a positive mindset, balance & a place of overall well-being. This is done utilizing proven tools & techniques that help with forward momentum so my clients achieve their personal short & long term goals (solid habit change). If you have been feeling stuck and/or lost and have found it difficult moving forward, please don't hesitate to reach out, especially if you're at that point in your life where you've had enough of the quick fixes that don't last & want more for yourself and your life. The past is over we can learn from it & move forward with momentum!
As a mental health & wellness coach, I help my clients move forward & live in a positive mindset, balance & a place of overall well-being. This is done utilizing proven tools & techniques that help with forward momentum so my clients achieve their personal short & long term goals (solid habit change). If you have been feeling stuck and/or lost and have found it difficult moving forward, please don't hesitate to reach out, especially if you're at that point in your life where you've had enough of the quick fixes that don't last & want more for yourself and your life. The past is over we can learn from it & move forward with momentum!
(774) 633-2262 View (774) 633-2262
Photo of Leonard Jusme - R.E.S.T. Counseling Services, LMHC, Counselor
R.E.S.T. Counseling Services
Counselor, LMHC
Verified Verified
1 Endorsed
Millbury, MA 01527
People start therapy for different reasons. Sometimes people come in to see me during a period of transition - starting or ending a relationship or school, moving to a new city, beginning a new job! Maybe you feel as though you're on a constant treadmill, always moving but never seeing anything change around you. I'll work with you to find what's getting in the way of you getting what you really want from your life.
People start therapy for different reasons. Sometimes people come in to see me during a period of transition - starting or ending a relationship or school, moving to a new city, beginning a new job! Maybe you feel as though you're on a constant treadmill, always moving but never seeing anything change around you. I'll work with you to find what's getting in the way of you getting what you really want from your life.
(508) 388-1765 View (508) 388-1765
Photo of Amy Alves - Mind. Body. PowHER., LLC, LICSW, SAC, Clinical Social Work/Therapist
Mind. Body. PowHER., LLC
Clinical Social Work/Therapist, LICSW, SAC
Verified Verified
5 Endorsed
Millbury, MA 01527
Mind. Body. PowHER., LLC is a mental health counseling practice dedicated to supporting women in their journey towards health, wellness, and reclaiming their powHER. Are you are a mom constantly trying to balance the varying roles you take on each day and still never feel like you're doing enough? Are you a woman struggling in your relationships, managing stress, dealing with anxiety and perfectionism ? We want to support you!
Mind. Body. PowHER., LLC is a mental health counseling practice dedicated to supporting women in their journey towards health, wellness, and reclaiming their powHER. Are you are a mom constantly trying to balance the varying roles you take on each day and still never feel like you're doing enough? Are you a woman struggling in your relationships, managing stress, dealing with anxiety and perfectionism ? We want to support you!
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Photo of Maya Gengarelli Ribot, MSW, LICSW, Clinical Social Work/Therapist
Maya Gengarelli Ribot
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Millbury, MA 01527
Not accepting new clients
You’re an over thinker and a deep feeler. You have a habit of putting others first and it's starting to take a toll on your body - Racing thoughts, sleepless nights, dwelling on things from yesterday, that flutter in your belly...You know all the things that should make it better but you feel frozen and unable to take action. Maybe you've tried talk therapy before but you still don’t FEEL different. You’ve been feeling this yuck in your body for a while now and you’re finally ready to do something about it.
You’re an over thinker and a deep feeler. You have a habit of putting others first and it's starting to take a toll on your body - Racing thoughts, sleepless nights, dwelling on things from yesterday, that flutter in your belly...You know all the things that should make it better but you feel frozen and unable to take action. Maybe you've tried talk therapy before but you still don’t FEEL different. You’ve been feeling this yuck in your body for a while now and you’re finally ready to do something about it.
(508) 348-7043 View (508) 348-7043
Photo of Alison Perry, LICSW, Clinical Social Work/Therapist
Alison Perry
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Millbury, MA 01527
Do you ever feel a tug-of-war inside, with different parts of you pulling in various directions? This inner dialogue can be confusing, but a completely natural part of being human. We all have different parts of ourselves, some carrying difficult emotions like shame or anger, while others step in to protect us from those feelings. Therapy is not about fixing something “wrong” with you. Often, our emotional reactions or behaviors are understandable responses to past experiences. What might have once been self-protective or even life-saving can become challenging when our circumstances change, yet the feelings or behaviors linger.
Do you ever feel a tug-of-war inside, with different parts of you pulling in various directions? This inner dialogue can be confusing, but a completely natural part of being human. We all have different parts of ourselves, some carrying difficult emotions like shame or anger, while others step in to protect us from those feelings. Therapy is not about fixing something “wrong” with you. Often, our emotional reactions or behaviors are understandable responses to past experiences. What might have once been self-protective or even life-saving can become challenging when our circumstances change, yet the feelings or behaviors linger.
(508) 504-1993 View (508) 504-1993
Photo of Cheryl Whitney - Cheryl Whitney, LMHC, MA, LMHC, Counselor
Cheryl Whitney, LMHC
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Millbury, MA 01527
Do you ever feel like all you can do is throw your arms up in the air? Do you just want to feel like a whole person again? Whether it is work, school, finances, relationships, children or some other source of stress, an excellent way to get back on confident feet is to work with a skilled clinician such as myself. Therapy can help build coping skills to manage life challenges, gain skills to redirect misguided or distorted thoughts and process emotions in order to have a better understanding of personal needs and how to meet them.
Do you ever feel like all you can do is throw your arms up in the air? Do you just want to feel like a whole person again? Whether it is work, school, finances, relationships, children or some other source of stress, an excellent way to get back on confident feet is to work with a skilled clinician such as myself. Therapy can help build coping skills to manage life challenges, gain skills to redirect misguided or distorted thoughts and process emotions in order to have a better understanding of personal needs and how to meet them.
(508) 413-3168 View (508) 413-3168
Photo of Karine Johnston, LICSW, CCA, Clinical Social Work/Therapist
Karine Johnston
Clinical Social Work/Therapist, LICSW, CCA
Verified Verified
Millbury, MA 01527  (Online Only)
Perhaps you are an incredibly caring person who puts other people’s needs first. You enjoy giving your time and energy towards making others feel happy, and perhaps you’ve been playing on the sidelines in your own life. But, you secretly fear you won’t get love or respect back if you did not do so. So perhaps, you keep doing and giving and playing quietly. Truth is, this depletes you and leaves you not living the life you were truly meant to live. As head of household or business, you feel tired, stressed and perhaps not as happy as you’d like to be. And, you’ve neglected your own needs in mind, body and spirit for some time now.
Perhaps you are an incredibly caring person who puts other people’s needs first. You enjoy giving your time and energy towards making others feel happy, and perhaps you’ve been playing on the sidelines in your own life. But, you secretly fear you won’t get love or respect back if you did not do so. So perhaps, you keep doing and giving and playing quietly. Truth is, this depletes you and leaves you not living the life you were truly meant to live. As head of household or business, you feel tired, stressed and perhaps not as happy as you’d like to be. And, you’ve neglected your own needs in mind, body and spirit for some time now.
(508) 715-8392 View (508) 715-8392
Photo of Pauline Cerone, LICSW, Clinical Social Work/Therapist
Pauline Cerone
Clinical Social Work/Therapist, LICSW
Verified Verified
Millbury, MA 01527
I believe one of the bravest things you can do is to begin to understand your own story, and I would love to help you on this journey. Life can be overwhelming at times, things can seem unmanageable and you may not know where to start. If this sounds like you, I am glad you're here. We can take these steps together, to help you heal old wounds and bring new insights to the barriers that may be preventing you from making the changes you desire in your life.
I believe one of the bravest things you can do is to begin to understand your own story, and I would love to help you on this journey. Life can be overwhelming at times, things can seem unmanageable and you may not know where to start. If this sounds like you, I am glad you're here. We can take these steps together, to help you heal old wounds and bring new insights to the barriers that may be preventing you from making the changes you desire in your life.
(508) 590-9466 View (508) 590-9466

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Trauma and PTSD Therapists

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.