Trauma and PTSD Therapists in Blue Hill, ME

Photo of Tim Peper, LCPC-c, Counselor
Tim Peper
Counselor, LCPC-c
Verified Verified
1 Endorsed
Blue Hill, ME 04614
I specialize in trauma-informed, integrative therapy, drawing on Internal Family Systems, Acceptance & Commitment Therapy, and Somatic approaches to reconnect mind and body.
You’re navigating the complex and often ongoing aftermath of trauma, anxiety that gnaws at your thoughts, anger that feels like it owns you, or the relentless pressure of untimely life transitions. Maybe you're facing grief and loss that leaves a hollow ache, or you’re caught in the down-spiral of self-doubt, feeling isolated and alone, unseen, or misunderstood. You want a space that gets the weight of what you’re carrying — someone who sees past the "the problem" and helps you reclaim your story. You're looking for non-conventional therapy in Maine that blends compassion with creativity, curiosity, and maybe a little geekiness.
I specialize in trauma-informed, integrative therapy, drawing on Internal Family Systems, Acceptance & Commitment Therapy, and Somatic approaches to reconnect mind and body.
You’re navigating the complex and often ongoing aftermath of trauma, anxiety that gnaws at your thoughts, anger that feels like it owns you, or the relentless pressure of untimely life transitions. Maybe you're facing grief and loss that leaves a hollow ache, or you’re caught in the down-spiral of self-doubt, feeling isolated and alone, unseen, or misunderstood. You want a space that gets the weight of what you’re carrying — someone who sees past the "the problem" and helps you reclaim your story. You're looking for non-conventional therapy in Maine that blends compassion with creativity, curiosity, and maybe a little geekiness.
(207) 386-8518 View (207) 386-8518
Photo of Sierra Wait, PhD, Psychologist
Sierra Wait
Psychologist, PhD
Verified Verified
Blue Hill, ME 04614
I have expertise in conducting psychological/neuropsychological evaluations used for diagnosing a variety of disorders, including: Intellectual disability, autism spectrum disorder, attention-deficit/hyperactivity disorder, specific learning disorder, anxiety disorders, OCD, mood disorders, trauma and stress-related disorders, and more.
Hello! Thank you for considering me as your psychologist. I am taking new patients for both therapy and psychological evaluations. I am accepting virtual therapy patients throughout the state of Maine and in-person patients at my office in Blue Hill for therapy and evaluations. I utilize a variety of approaches based on patient needs, including cognitive behavioral therapy, mindfulness-based approaches, exposure-based interventions, solution-focused approaches and trauma-informed treatment. I believe it is important to treat the whole person and not just the diagnosis, so we will also explore factors related to overall well-being.
I have expertise in conducting psychological/neuropsychological evaluations used for diagnosing a variety of disorders, including: Intellectual disability, autism spectrum disorder, attention-deficit/hyperactivity disorder, specific learning disorder, anxiety disorders, OCD, mood disorders, trauma and stress-related disorders, and more.
Hello! Thank you for considering me as your psychologist. I am taking new patients for both therapy and psychological evaluations. I am accepting virtual therapy patients throughout the state of Maine and in-person patients at my office in Blue Hill for therapy and evaluations. I utilize a variety of approaches based on patient needs, including cognitive behavioral therapy, mindfulness-based approaches, exposure-based interventions, solution-focused approaches and trauma-informed treatment. I believe it is important to treat the whole person and not just the diagnosis, so we will also explore factors related to overall well-being.
(207) 306-2653 View (207) 306-2653
Photo of Eve M Toomey - Innerguidance Counseling, LICSW, Clinical Social Work/Therapist
Innerguidance Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
Blue Hill, ME 04614
Waitlist for new clients
I specialize in assisting with symptoms reduction for depression, anxiety, trauma, grief, and relationship struggles.
Hello! Welcome to your healing journey. I am glad you are taking the time to read this. Let me tell you a bit about me, so that you can see if I may be a fit for what you are seeking. My expertise is in holistic based therapy. This means I like to look at the whole picture; mind, body and spirit. I am trained in ACT, EMDR, NET, past life regression, meditation, guided imagery. I am a certified herbalist, and can assist in finding natural options for symptom reduction and optimal health. I provide clinical supervision for other mental health therapists. I am currently seeing clients and supervisees both virtually and in person.
I specialize in assisting with symptoms reduction for depression, anxiety, trauma, grief, and relationship struggles.
Hello! Welcome to your healing journey. I am glad you are taking the time to read this. Let me tell you a bit about me, so that you can see if I may be a fit for what you are seeking. My expertise is in holistic based therapy. This means I like to look at the whole picture; mind, body and spirit. I am trained in ACT, EMDR, NET, past life regression, meditation, guided imagery. I am a certified herbalist, and can assist in finding natural options for symptom reduction and optimal health. I provide clinical supervision for other mental health therapists. I am currently seeing clients and supervisees both virtually and in person.
(207) 515-8402 View (207) 515-8402
Photo of Daryne Rockett, LCSW, CMP, Clinical Social Work/Therapist
Daryne Rockett
Clinical Social Work/Therapist, LCSW, CMP
Verified Verified
Blue Hill, ME 04614
Waitlist for new clients
My focus is on building resilience in response to trauma, loss and hardship.
Mandala Counseling and Creative Arts is a practice built on the value of each individual’s innate ability to heal and grow. I recognize that vulnerability is a core component of the therapeutic process and that creating a trusting environment is essential for you to experience your best outcomes. I have twenty years of experience working with war zone Veterans, military sexual trauma survivors, and grieving family members using evidence-based practices and expressive arts interventions with the Department of Veterans Affairs and more recently in private practice.
My focus is on building resilience in response to trauma, loss and hardship.
Mandala Counseling and Creative Arts is a practice built on the value of each individual’s innate ability to heal and grow. I recognize that vulnerability is a core component of the therapeutic process and that creating a trusting environment is essential for you to experience your best outcomes. I have twenty years of experience working with war zone Veterans, military sexual trauma survivors, and grieving family members using evidence-based practices and expressive arts interventions with the Department of Veterans Affairs and more recently in private practice.
(207) 517-4343 View (207) 517-4343
Photo of Megan Ryan-Spofford, Pre-Licensed Professional
Megan Ryan-Spofford
Pre-Licensed Professional
Verified Verified
Blue Hill, ME 04614
As I embark on my clinical practicum and internship, I am grateful to be joining the team at Abundant Sun Counseling & Fellowship. I seek to accompany people on their journey toward self-knowledge, inner-peace, and overall balance within their lives. I work with women and older adults experiencing a myriad of challenges, including significant life transitions, anxiety, depression, grief & loss, chronic pain & illness, end-of-life preparedness, religious trauma, and moral injury.
As I embark on my clinical practicum and internship, I am grateful to be joining the team at Abundant Sun Counseling & Fellowship. I seek to accompany people on their journey toward self-knowledge, inner-peace, and overall balance within their lives. I work with women and older adults experiencing a myriad of challenges, including significant life transitions, anxiety, depression, grief & loss, chronic pain & illness, end-of-life preparedness, religious trauma, and moral injury.
(802) 276-0014 View (802) 276-0014
Photo of Dede Ragot, MSW, LCSW, Clinical Social Work/Therapist
Dede Ragot
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Blue Hill, ME 04614
Waitlist for new clients
My scope of practice includes trauma, anxiety, depression, LGBTQIA, interpersonal issues, bereavement, coping with chronic illness, grief and loss, parenting, aging, and isolation/loneliness.
Welcome to my practice! I am a licensed clinical social worker with over 25 years of varied experience in the field. I provide telehealth and traditional in office sessions. Life comes with so many stressors and challenges. I believe that everyone deserves to have support and help along the way. I provide a personalized, strength-based, and supportive environment to address whatever struggles you may be facing. I offer a safe and inclusive space in which to process, develop coping skills, and learn grounding strategies to increase resilience and wellbeing.
My scope of practice includes trauma, anxiety, depression, LGBTQIA, interpersonal issues, bereavement, coping with chronic illness, grief and loss, parenting, aging, and isolation/loneliness.
Welcome to my practice! I am a licensed clinical social worker with over 25 years of varied experience in the field. I provide telehealth and traditional in office sessions. Life comes with so many stressors and challenges. I believe that everyone deserves to have support and help along the way. I provide a personalized, strength-based, and supportive environment to address whatever struggles you may be facing. I offer a safe and inclusive space in which to process, develop coping skills, and learn grounding strategies to increase resilience and wellbeing.
(207) 436-8114 View (207) 436-8114
Photo of Veronica L Young, LC22477, Clinical Social Work/Therapist
Veronica L Young
Clinical Social Work/Therapist, LC22477
Verified Verified
Blue Hill, ME 04614
I am an experienced psychotherapist with a consulting practice designed to help you manage feelings associated with bereavement, grief, loss, trauma, anxiety and depression.
My approach is always designed for your specific needs. Sometimes short-term therapy is enough to resolve an issue but if longer term sessions are needed for a chronic or more complex challenge, I can provide that too. My specialized training and experience include dreamwork, psychoanalysis and play therapy, including an appreciation of the role of your nervous system. I am a gender-affirming and polyamory -affirming therapist committed to helping you develop insights necessary to understand your behavior, relieve your pain and move beyond whatever is holding you back. Together we will get to the root of what is bothering you.
I am an experienced psychotherapist with a consulting practice designed to help you manage feelings associated with bereavement, grief, loss, trauma, anxiety and depression.
My approach is always designed for your specific needs. Sometimes short-term therapy is enough to resolve an issue but if longer term sessions are needed for a chronic or more complex challenge, I can provide that too. My specialized training and experience include dreamwork, psychoanalysis and play therapy, including an appreciation of the role of your nervous system. I am a gender-affirming and polyamory -affirming therapist committed to helping you develop insights necessary to understand your behavior, relieve your pain and move beyond whatever is holding you back. Together we will get to the root of what is bothering you.
(207) 358-6228 View (207) 358-6228
Photo of Stephanie Chmielewski Francis, LCPC, RPT, NCC, Counselor
Stephanie Chmielewski Francis
Counselor, LCPC, RPT, NCC
Verified Verified
Blue Hill, ME 04614
My present focus is with children 4-12+ years of age. Specific areas of mental health training have included ADHD, Learning Disorders, Mood and Anxiety Disorders, Autism Spectrum Disorders, Fetal Alcohol Spectrum Disorders (ND-PAE), trauma and grief/loss as well as methods for working with angry and/or dys-regulated children. Treatment modalities include Child-Centered Play Therapy and Synergetic Play Therapy. Cognitive Behavioral approaches are utilized when deemed appropriate. Since my practice is with children, a special focus is additionally placed on working directly with the child’s parent (s)/caregiver (s).
My present focus is with children 4-12+ years of age. Specific areas of mental health training have included ADHD, Learning Disorders, Mood and Anxiety Disorders, Autism Spectrum Disorders, Fetal Alcohol Spectrum Disorders (ND-PAE), trauma and grief/loss as well as methods for working with angry and/or dys-regulated children. Treatment modalities include Child-Centered Play Therapy and Synergetic Play Therapy. Cognitive Behavioral approaches are utilized when deemed appropriate. Since my practice is with children, a special focus is additionally placed on working directly with the child’s parent (s)/caregiver (s).
(207) 517-2031 View (207) 517-2031
Photo of Jennifer Spofford, LMSW-CC, Clinical Social Work/Therapist
Jennifer Spofford
Clinical Social Work/Therapist, LMSW-CC
Verified Verified
Blue Hill, ME 04614  (Online Only)
I specialize in treating depression, anxiety, PTSD, ADHD, and more, using modalities like DBT, ACT, and Family Systems.
My ideal client is a person navigating challenges like self-esteem, identity, and relationships. They might also be dealing with anxiety, depression, or other mental health concerns. I provide a safe, supportive space to explore their thoughts and feelings without judgment. They are motivated to grow, open to new perspectives, and ready to invest in their well-being. Ultimately, they desire to build self-worth, healthy relationships, and achieve their full potential. I'm passionate about helping these clients cultivate self-awareness and reach their wellness goals through a collaborative and compassionate therapeutic approach.
I specialize in treating depression, anxiety, PTSD, ADHD, and more, using modalities like DBT, ACT, and Family Systems.
My ideal client is a person navigating challenges like self-esteem, identity, and relationships. They might also be dealing with anxiety, depression, or other mental health concerns. I provide a safe, supportive space to explore their thoughts and feelings without judgment. They are motivated to grow, open to new perspectives, and ready to invest in their well-being. Ultimately, they desire to build self-worth, healthy relationships, and achieve their full potential. I'm passionate about helping these clients cultivate self-awareness and reach their wellness goals through a collaborative and compassionate therapeutic approach.
(207) 505-6082 View (207) 505-6082
Photo of Eric Lutz, LCSW, Clinical Social Work/Therapist
Eric Lutz
Clinical Social Work/Therapist, LCSW
Verified Verified
Blue Hill, ME 04614  (Online Only)
My mindfulness-based approach incorporates psychodynamic and cognitive behavioral elements and is trauma-informed and spiritually inclusive.
I specialize in helping individuals experiencing difficult life transitions, stress, anxiety, chronic pain, burn-out, depression, and grief.
My mindfulness-based approach incorporates psychodynamic and cognitive behavioral elements and is trauma-informed and spiritually inclusive.
I specialize in helping individuals experiencing difficult life transitions, stress, anxiety, chronic pain, burn-out, depression, and grief.
(207) 806-5773 View (207) 806-5773
Photo of James Daikan Bastien, LCSW, MHD, CMTP, Clinical Social Work/Therapist
James Daikan Bastien
Clinical Social Work/Therapist, LCSW, MHD, CMTP
Verified Verified
1 Endorsed
Blue Hill, ME 04614
Are you wondering what your life would be like if you were able to align your thoughts, feelings, emotions, and actions with your values? Are you willing to learn how to take committed action in the service of what you most care about? Would you find it helpful to learn specific practices to embrace life as it is rather than the way your conceptualizing mind tells you it must be?
Are you wondering what your life would be like if you were able to align your thoughts, feelings, emotions, and actions with your values? Are you willing to learn how to take committed action in the service of what you most care about? Would you find it helpful to learn specific practices to embrace life as it is rather than the way your conceptualizing mind tells you it must be?
(207) 610-4963 View (207) 610-4963
Photo of Jill Walker - REACH Psychotherapy and Consulting, MSW, LCSW, Clinical Social Work/Therapist
REACH Psychotherapy and Consulting
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Blue Hill, ME 04614
Life’s challenges provide us an opportunity to REACH. At REACH Psychotherapy and Consulting we will engage in a collaborative process of Remembering, Exploring, Accepting, Connecting, and Healing. Our work together will support the reintegration of those inner parts that at some point in your life felt unheard, unloved, or unworthy. Our work together will assist you with developing the tools for courageous inner exploration, new insight and skills, self-compassion, and acceptance. When we reconnect with our inner parts, often a shift occurs in our outward experiences and relationships.
Life’s challenges provide us an opportunity to REACH. At REACH Psychotherapy and Consulting we will engage in a collaborative process of Remembering, Exploring, Accepting, Connecting, and Healing. Our work together will support the reintegration of those inner parts that at some point in your life felt unheard, unloved, or unworthy. Our work together will assist you with developing the tools for courageous inner exploration, new insight and skills, self-compassion, and acceptance. When we reconnect with our inner parts, often a shift occurs in our outward experiences and relationships.
(207) 891-4638 View (207) 891-4638
Photo of Eunice E Francis, Pre-Licensed Professional
Eunice E Francis
Pre-Licensed Professional
Verified Verified
Blue Hill, ME 04614
I work with clients who face challenges with managing their emotions and behavior patterns. I offer support through a blend of nature-based techniques and practical strategies to help you feel more grounded and confident.
I work with clients who face challenges with managing their emotions and behavior patterns. I offer support through a blend of nature-based techniques and practical strategies to help you feel more grounded and confident.
(855) 620-2654 View (855) 620-2654
Photo of Pandora Lee MacLean-Hoover, LICSW, LCSW, Clinical Social Work/Therapist
Pandora Lee MacLean-Hoover
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
1 Endorsed
Blue Hill, ME 04614
Clients want RESULTS. Everyone feels overwhelmed and/or doesn't know how to effect the changes they want at some point during their life. Sometimes, the job is just too big for one person. You need a team to rebuild. Results oriented: I'll work with you to help you reach your goals! My Accelerated 3-Day Events are held in scenic Down East Maine. Clients who meet the criteria for these experience remarkable breakthroughs. This is especially true for COUPLES! More often than not, weekly 60 minutes sessions are counter productive. If you feel ready, contact me to learn more about my GREEN2TEE events.
Clients want RESULTS. Everyone feels overwhelmed and/or doesn't know how to effect the changes they want at some point during their life. Sometimes, the job is just too big for one person. You need a team to rebuild. Results oriented: I'll work with you to help you reach your goals! My Accelerated 3-Day Events are held in scenic Down East Maine. Clients who meet the criteria for these experience remarkable breakthroughs. This is especially true for COUPLES! More often than not, weekly 60 minutes sessions are counter productive. If you feel ready, contact me to learn more about my GREEN2TEE events.
(207) 690-6687 View (207) 690-6687
Photo of Holly Khiel, LCPC-c, Counselor
Holly Khiel
Counselor, LCPC-c
Verified Verified
1 Endorsed
Blue Hill, ME 04614
Fall 2024: limited openings for couples and individuals! Perhaps you’re here to get unstuck. You’re dismayed by the way your problems feel repetitive and difficult to break away from. You spin your wheels in frustration, or are stifled under the weight of a nagging depression. Even in some of your closest relationships, you feel disconnection. You might attempt to numb the pain with substances, TV binges, or endless scrolling, and your attempts to change seem to fade away or just not work. The result is that you often feel hopeless.
Fall 2024: limited openings for couples and individuals! Perhaps you’re here to get unstuck. You’re dismayed by the way your problems feel repetitive and difficult to break away from. You spin your wheels in frustration, or are stifled under the weight of a nagging depression. Even in some of your closest relationships, you feel disconnection. You might attempt to numb the pain with substances, TV binges, or endless scrolling, and your attempts to change seem to fade away or just not work. The result is that you often feel hopeless.
(207) 407-5710 View (207) 407-5710
Photo of Ellen Landrum, LCSW, Clinical Social Work/Therapist
Ellen Landrum
Clinical Social Work/Therapist, LCSW
Verified Verified
Blue Hill, ME 04614  (Online Only)
My practice focuses on perinatal and maternal mental health. I specialize in treating perinatal mood disorders (PMADs), including postpartum depression and anxiety. I also have experience supporting clients with infertility, the IVF process and grief/miscarriage. I also see a small number of transgender clients and have supported clients through transition, including surgery and hormone therapy.
My practice focuses on perinatal and maternal mental health. I specialize in treating perinatal mood disorders (PMADs), including postpartum depression and anxiety. I also have experience supporting clients with infertility, the IVF process and grief/miscarriage. I also see a small number of transgender clients and have supported clients through transition, including surgery and hormone therapy.
(207) 218-0254 View (207) 218-0254
Nancy Plouffe
Clinical Social Work/Therapist, LCSW
Verified Verified
Blue Hill, ME 04614  (Online Only)
Not accepting new clients
I am trained in EMDR (Eye Movement Desensitization Response) and find it very helpful when dealing with trauma, long standing or recent.
I am a Licensed Clinical Social Worker with over 30 years of experience. During this time I have worked in school settings, home health and hospice, as well as my private practice. I am offering telehealth services to older teenagers and adults at this time.
I am trained in EMDR (Eye Movement Desensitization Response) and find it very helpful when dealing with trauma, long standing or recent.
I am a Licensed Clinical Social Worker with over 30 years of experience. During this time I have worked in school settings, home health and hospice, as well as my private practice. I am offering telehealth services to older teenagers and adults at this time.
(207) 805-7697 View (207) 805-7697
Photo of Amy Tunney, MSW, LCSW, Clinical Social Work/Therapist
Amy Tunney
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Blue Hill, ME 04614
Not accepting new clients
I specialize in Eye Movement Desensitization and Reprocessing (EMDR) which is effective in treating trauma and other mental health challenges.
I approach my work with others with warmth, acceptance and compassion. It is my belief that every person has the ability to heal from whatever stressful life events one has experienced and/or challenge one is currently facing. My treatment methods are diverse and creative, individualized to meet a person’s unique qualities, developmental age/stage and therapeutic needs.
I specialize in Eye Movement Desensitization and Reprocessing (EMDR) which is effective in treating trauma and other mental health challenges.
I approach my work with others with warmth, acceptance and compassion. It is my belief that every person has the ability to heal from whatever stressful life events one has experienced and/or challenge one is currently facing. My treatment methods are diverse and creative, individualized to meet a person’s unique qualities, developmental age/stage and therapeutic needs.
(207) 203-6779 View (207) 203-6779
Photo of Jody Gillen-Worden, LCSW, Clinical Social Work/Therapist
Jody Gillen-Worden
Clinical Social Work/Therapist, LCSW
Verified Verified
Blue Hill, ME 04614  (Online Only)
Not accepting new clients
I am a Licensed Clinical Social Worker with almost 30 years experience. My work is collaborative, strength based and often playful. I have an extensive background in working with family systems through the lens of attachment theory. Over the past several years I have shifted from family to individual work with adults, utilizing a model of psychotherapy called Internal Family Systems. I find this model an empowering and dynamic way of helping individuals get to know parts of themselves, thus taking charge of their own healing.
I am a Licensed Clinical Social Worker with almost 30 years experience. My work is collaborative, strength based and often playful. I have an extensive background in working with family systems through the lens of attachment theory. Over the past several years I have shifted from family to individual work with adults, utilizing a model of psychotherapy called Internal Family Systems. I find this model an empowering and dynamic way of helping individuals get to know parts of themselves, thus taking charge of their own healing.
(207) 477-7499 View (207) 477-7499

Online Therapists

Photo of Alaina Willson, LCSW, Clinical Social Work/Therapist
Alaina Willson
Clinical Social Work/Therapist, LCSW
Verified Verified
Calais, ME 04619
Waitlist for new clients
Hey there, I'm Alaina, fellow fallible human being. I am a Clinical Social Worker with 16+ years of experience in the mental health field, and 8+ years as a clinician. In that time, I gained knowledge in child and family welfare, postpartum and parenting, chronic illness, agoraphobia and anxiety of all kinds and flavors, end of life, anger/irritability, life transitions, LGBTQ+, incarceration and re-entry, employee assistance, trauma treatment, crisis intervention, grief, and more.
Hey there, I'm Alaina, fellow fallible human being. I am a Clinical Social Worker with 16+ years of experience in the mental health field, and 8+ years as a clinician. In that time, I gained knowledge in child and family welfare, postpartum and parenting, chronic illness, agoraphobia and anxiety of all kinds and flavors, end of life, anger/irritability, life transitions, LGBTQ+, incarceration and re-entry, employee assistance, trauma treatment, crisis intervention, grief, and more.
(207) 436-8913 View (207) 436-8913

See more therapy options for Blue Hill

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.