Trauma and PTSD Therapists in Gladstone, MO
![Photo of Jenni Noel, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/487b1da9-024a-40a2-97df-54e6c5a59191/3/320x400.jpeg)
Jenni Noel
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Gladstone, MO 64118 (Online Only)
Waitlist for new clients
I will provide encouragement through life changes and challenges; support to restore peace and joy as you learn to cope with day-to-day stressors brought on by school, work, or relationships; and help you access and build personal strengths to process unresolved trauma or grief.
I work with both adults and adolescents using a strengths-based approach and a variety of therapy techniques, based on your individual needs to help you reach your goals. My goal is to help you identify your needs and customize your therapy journey based on those needs.
I will provide encouragement through life changes and challenges; support to restore peace and joy as you learn to cope with day-to-day stressors brought on by school, work, or relationships; and help you access and build personal strengths to process unresolved trauma or grief.
I work with both adults and adolescents using a strengths-based approach and a variety of therapy techniques, based on your individual needs to help you reach your goals. My goal is to help you identify your needs and customize your therapy journey based on those needs.
![Photo of Johanna Roten, LCSW, LSCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a90607ab-2d2a-4d1e-82b4-941a7627154f/1/320x400.jpeg)
Johanna Roten
Clinical Social Work/Therapist, LCSW, LSCSW
Verified Verified
1 Endorsed
Gladstone, MO 64118
Your first step to being in control of your happiness and life, is by being vulnerable enough to seek treatment. I am a licensed clinical social worker in Gladstone MO. I have found joy in helping individuals find purpose in life, by tackling their anxiety, depression or trauma history. I believe every client has strengths that can assist them in their healing journey. I am a compassionate listener with healthy communication skills. Therapy can be emotionally difficult and it’s important to have a therapist who will provide support and encouragement while you become mentally restored.
Your first step to being in control of your happiness and life, is by being vulnerable enough to seek treatment. I am a licensed clinical social worker in Gladstone MO. I have found joy in helping individuals find purpose in life, by tackling their anxiety, depression or trauma history. I believe every client has strengths that can assist them in their healing journey. I am a compassionate listener with healthy communication skills. Therapy can be emotionally difficult and it’s important to have a therapist who will provide support and encouragement while you become mentally restored.
![Photo of Tarisha Starks, MA, PLPC, Pre-Licensed Professional](https://photos.psychologytoday.com/d81cef1a-de28-4777-a5f1-7be589ee6526/3/320x400.jpeg)
Engaging in therapy and choosing a therapist is a daunting process. I am proud of you, this is one of the bravest decisions you will make. Therapy can be the catalyst for uncovering layers of pain, happiness, laughter, and tears. This journey takes an immense amount of faith. We together will work on creating new ways for you to think and act to reach this sometimes overwhelming goal. I have experience working with depression, anxiety, and trauma. I practice from the Cognitive Behavioral model and use different interventions to best assist with creating the change you desire. I am trained in EMDR and TBRI.
Engaging in therapy and choosing a therapist is a daunting process. I am proud of you, this is one of the bravest decisions you will make. Therapy can be the catalyst for uncovering layers of pain, happiness, laughter, and tears. This journey takes an immense amount of faith. We together will work on creating new ways for you to think and act to reach this sometimes overwhelming goal. I have experience working with depression, anxiety, and trauma. I practice from the Cognitive Behavioral model and use different interventions to best assist with creating the change you desire. I am trained in EMDR and TBRI.
![Photo of Megan Palmer, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/417893b9-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I have in depth- experience, and currently work with, life transitions, OCD, EAP related issues, anxiety, depression, PTSD, pandemic trauma, and teen issues.
Seeking help from someone you have never met and discussing your most challenging life obstacles can be very uncomfortable and scary. However, at some point in our lives, searching for guidance and support outside of our friends and family may be needed in order to get you to your desired goal in life. Or maybe you are on the right path, but simply need validation and support. Whether your goals are decreasing anxiety, assisting with family conflict, or guidance with trauma, I can assist you with your desired outcome. I work with all ages from diverse backgrounds.
I have in depth- experience, and currently work with, life transitions, OCD, EAP related issues, anxiety, depression, PTSD, pandemic trauma, and teen issues.
Seeking help from someone you have never met and discussing your most challenging life obstacles can be very uncomfortable and scary. However, at some point in our lives, searching for guidance and support outside of our friends and family may be needed in order to get you to your desired goal in life. Or maybe you are on the right path, but simply need validation and support. Whether your goals are decreasing anxiety, assisting with family conflict, or guidance with trauma, I can assist you with your desired outcome. I work with all ages from diverse backgrounds.
![Photo of Kathleen Ralph, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/458e8a5b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Hi. How are you doing? Do you seem to be experiencing more bad days than good? Have you suffered a trauma, or significant loss in your life? Do you experience anger, anxiety, or depression that interferes in your daily activities? Are you just not happy with how things are going?
Hi. How are you doing? Do you seem to be experiencing more bad days than good? Have you suffered a trauma, or significant loss in your life? Do you experience anger, anxiety, or depression that interferes in your daily activities? Are you just not happy with how things are going?
![Photo of Traci Smith, MA, LPC, LCPC, CDRM, Licensed Professional Counselor](https://photos.psychologytoday.com/51af8b67-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Traci Smith
Licensed Professional Counselor, MA, LPC, LCPC, CDRM
Verified Verified
1 Endorsed
Gladstone, MO 64118
Waitlist for new clients
I have experience, and specialized training in the areas of anxiety, depression, PTSD, trauma, relationship issues, blended families and couples.
Grab a cup of coffee and let's chat! I am a seasoned therapist with a desire to be a support for client's that are ready to change their lives. Are you ready to feel different, think different, and act different? If the old ways aren't working, then it's time to make sustainable changes to get different results. I am trained in specialties to help client's get moving in the right direction! Let's look at different ways I can help you create a new, improved sense of selves for both individuals and couples not feeling like are reaching their highest potential start moving towards progress! I am licensed in both Missouri and Kansas.
I have experience, and specialized training in the areas of anxiety, depression, PTSD, trauma, relationship issues, blended families and couples.
Grab a cup of coffee and let's chat! I am a seasoned therapist with a desire to be a support for client's that are ready to change their lives. Are you ready to feel different, think different, and act different? If the old ways aren't working, then it's time to make sustainable changes to get different results. I am trained in specialties to help client's get moving in the right direction! Let's look at different ways I can help you create a new, improved sense of selves for both individuals and couples not feeling like are reaching their highest potential start moving towards progress! I am licensed in both Missouri and Kansas.
![Photo of Tom Hawley, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/48669e71-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Tom Hawley
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Gladstone, MO 64118 (Online Only)
Focuses on depression, anxiety, trauma healing, family and couple conflict.
Providing Telehealth to clients in New Mexico. In our lives, we all have suffering, traumas, and grief to endure or be healed from, habits in need of changing, relationships in need of reconciling. Often we need someone to walk with us on life's difficult journeys. Licensed in 1990, Tom Hawley is honored to accompany, validate, and encourage families, couples, and individuals in all stages of life.
Focuses on depression, anxiety, trauma healing, family and couple conflict.
Providing Telehealth to clients in New Mexico. In our lives, we all have suffering, traumas, and grief to endure or be healed from, habits in need of changing, relationships in need of reconciling. Often we need someone to walk with us on life's difficult journeys. Licensed in 1990, Tom Hawley is honored to accompany, validate, and encourage families, couples, and individuals in all stages of life.
Amanda Frederick
Clinical Social Work/Therapist, LCSW, CRAADC, MARS
Verified Verified
Gladstone, MO 64118 (Online Only)
I am a clinical social worker licensed in Missouri with over 20 years of experience working as a therapist, leading and directing behavioral health clinics and specialty programs. I have provided comprehensive counseling and case management services for a full spectrum of mental health needs including depression and anxiety, substance use disorders, post-traumatic stress disorder, relationship concerns, parenting and child issues, career challenges, transition and change, resiliency, stress management, sleep hygiene, and health concerns.
I am a clinical social worker licensed in Missouri with over 20 years of experience working as a therapist, leading and directing behavioral health clinics and specialty programs. I have provided comprehensive counseling and case management services for a full spectrum of mental health needs including depression and anxiety, substance use disorders, post-traumatic stress disorder, relationship concerns, parenting and child issues, career challenges, transition and change, resiliency, stress management, sleep hygiene, and health concerns.
![Photo of Anastasia Castle, MA, LPC, NCC, SATP, CTP, Counselor](https://photos.psychologytoday.com/880edcad-9854-4c54-8804-5944c20b9bbd/1/320x400.jpeg)
Anastasia Castle
Counselor, MA, LPC, NCC, SATP, CTP
Verified Verified
3 Endorsed
Gladstone, MO 64118
I specialize in trauma/PTSD, sexual addiction, partner betrayal, and difficult family situations.
If you are looking for a down-to-earth counselor to help you reach your goals, then that's me! I am passionate about helping people with their mental health and navigating life's uncertainties. There is much we struggle with, and you deserve someone who listens and cares about your story. I want to help you succeed and find happiness, offering support and compassion as you find your way. If you are ready for a positive change, I am ready to help!
I specialize in trauma/PTSD, sexual addiction, partner betrayal, and difficult family situations.
If you are looking for a down-to-earth counselor to help you reach your goals, then that's me! I am passionate about helping people with their mental health and navigating life's uncertainties. There is much we struggle with, and you deserve someone who listens and cares about your story. I want to help you succeed and find happiness, offering support and compassion as you find your way. If you are ready for a positive change, I am ready to help!
![Photo of Jesse Masson - Connected Counseling, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/bf4d2501-3690-4469-bc09-66c7b3950aca/2/320x400.jpeg)
Connected Counseling
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Gladstone, MO 64118
We exist to help you find hope and healing. We provide care for anxiety, depression, grief, marriage/relationships, infidelity, trauma/PTSD. Our competent & caring counselors are able to connect with you, via in-person or virtual sessions.
We exist to help you find hope and healing. We provide care for anxiety, depression, grief, marriage/relationships, infidelity, trauma/PTSD. Our competent & caring counselors are able to connect with you, via in-person or virtual sessions.
![Photo of Alex Coulter - Align Counseling, Licensed Professional Counselor](https://photos.psychologytoday.com/1f9a29a3-f924-4be8-8bc7-8396a4fbac11/1/320x400.jpeg)
Align Counseling
Licensed Professional Counselor
Verified Verified
4 Endorsed
Gladstone, MO 64119
Waitlist for new clients
Your alarm clock is going off, and that sense of dread sits in the pit of your stomach. You slept but you don’t feel rested. Brushing your teeth and getting dressed leaves you drained. The idea of “peopling” makes you want to curl in a ball. You have thoughts popping into your head that you aren’t “good enough,” are “an imposter,” or “a failure.” Everyday tasks can feel overwhelming, and you can be your own worst critic when struggling with life transitions, trauma, anxiety or depression. Asking for help can be daunting, as we are often taught to face those internal battles quietly and alone.
Your alarm clock is going off, and that sense of dread sits in the pit of your stomach. You slept but you don’t feel rested. Brushing your teeth and getting dressed leaves you drained. The idea of “peopling” makes you want to curl in a ball. You have thoughts popping into your head that you aren’t “good enough,” are “an imposter,” or “a failure.” Everyday tasks can feel overwhelming, and you can be your own worst critic when struggling with life transitions, trauma, anxiety or depression. Asking for help can be daunting, as we are often taught to face those internal battles quietly and alone.
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You hope to overcome anxiety, depression, marital distress, infidelity, divorce, addiction, trauma, etc.
You wonder how things got this way, you used to feel connected with your partner. You feel alone, confused, frustrated, misunderstood, rejected etc. You reach out, you are trying…it turns to an argument or distancing. It often seems like a blame game with defensive reactions. How do you turn this around and feel safe with your partner again, or other loved ones? You are concerned about the outcome, yet it’s not getting better. Something needs to change but you’re unsure how to approach things.
You hope to overcome anxiety, depression, marital distress, infidelity, divorce, addiction, trauma, etc.
You wonder how things got this way, you used to feel connected with your partner. You feel alone, confused, frustrated, misunderstood, rejected etc. You reach out, you are trying…it turns to an argument or distancing. It often seems like a blame game with defensive reactions. How do you turn this around and feel safe with your partner again, or other loved ones? You are concerned about the outcome, yet it’s not getting better. Something needs to change but you’re unsure how to approach things.
![Photo of Grace Stegall, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/6d8f6da7-3f92-49d9-974b-2b65fdd0eacc/1/320x400.jpeg)
Grace Stegall
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Gladstone, MO 64118 (Online Only)
Hello! Welcome to my Psychology Today profile. I’m so happy you’re here. Taking steps to care for your mental health can seem like a daunting task. My aim is to offer you a safe, compassionate, and non-judgmental space where you can freely explore and work toward the goals that hold significance for you. My focus is on trauma recovery, and I provide therapy to individuals aged 14 and above. I am trained in Dialectical Behavioral Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR), and I incorporate Cognitive Behavioral Therapy (CBT) and mindfulness practice into my work.
Hello! Welcome to my Psychology Today profile. I’m so happy you’re here. Taking steps to care for your mental health can seem like a daunting task. My aim is to offer you a safe, compassionate, and non-judgmental space where you can freely explore and work toward the goals that hold significance for you. My focus is on trauma recovery, and I provide therapy to individuals aged 14 and above. I am trained in Dialectical Behavioral Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR), and I incorporate Cognitive Behavioral Therapy (CBT) and mindfulness practice into my work.
![Photo of Laurie Schulte, LCSW, LSCSW, SEP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/905034e2-6af6-4add-b20f-1c6d680d988c/1/320x400.jpeg)
Laurie Schulte
Clinical Social Work/Therapist, LCSW, LSCSW, SEP
Verified Verified
3 Endorsed
Gladstone, MO 64119
Discover compassionate support on your journey through grief, loss, and trauma. My ideal client seeks a safe space to navigate emotions, find healing, and embrace self-discovery. With warmth and and over 20 years of mental health experience, I offer personalized tools to guide you towards resilience and growth. Let me be your companion on the path to renewed well-being.
Discover compassionate support on your journey through grief, loss, and trauma. My ideal client seeks a safe space to navigate emotions, find healing, and embrace self-discovery. With warmth and and over 20 years of mental health experience, I offer personalized tools to guide you towards resilience and growth. Let me be your companion on the path to renewed well-being.
![Photo of Holly L. Ramaeker, MA, LPC, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/c006baf9-3665-4ea4-84e9-18f4ca12bd10/2/320x400.jpeg)
Holly L. Ramaeker
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
Gladstone, MO 64118
The primary areas of focus include trauma, life transitions, pregnancy/post partum, & relationship stress.
Life is a journey, a journey that is most difficult when traveled alone. I strive to walk with clients on their path towards healing and happiness. Working from a client-centered approach, it is essential for me to understand each client as an individual to develop trust and a partnership in therapy. Relationships, trauma, careers and other stressors take a toll on a person's ability to flourish. I believe that each person has potential for growth from those experiences. My goal is to help you regain your footing on your path to living a full and vibrant life.
The primary areas of focus include trauma, life transitions, pregnancy/post partum, & relationship stress.
Life is a journey, a journey that is most difficult when traveled alone. I strive to walk with clients on their path towards healing and happiness. Working from a client-centered approach, it is essential for me to understand each client as an individual to develop trust and a partnership in therapy. Relationships, trauma, careers and other stressors take a toll on a person's ability to flourish. I believe that each person has potential for growth from those experiences. My goal is to help you regain your footing on your path to living a full and vibrant life.
![Photo of Casey Britt, LCSW, LSCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/56b8fbcd-179e-4899-9e6e-7616b385d4a4/3/320x400.jpeg)
Casey Britt
Clinical Social Work/Therapist, LCSW, LSCSW
Verified Verified
Gladstone, MO 64118 (Online Only)
Whether you are seeking support for anxiety, depression, grief, trauma, work or relationship issues, or navigating difficult transitions in your life, I am here to create a safe space where you can explore your emotions and experiences without fear of judgment.
Life’s challenges can often leave us feeling overwhelmed, alone, or stuck. If you are experiencing these struggles, know that you’re not alone. I’m here to offer support and guidance to help navigate these difficult times together. Seeking help can be daunting, but I am so glad you are here to take the first steps toward progress and healing. I am a Licensed Clinical Social Worker practicing in both Missouri and Kansas, bringing over a decade of experience working with diverse adult populations.
Whether you are seeking support for anxiety, depression, grief, trauma, work or relationship issues, or navigating difficult transitions in your life, I am here to create a safe space where you can explore your emotions and experiences without fear of judgment.
Life’s challenges can often leave us feeling overwhelmed, alone, or stuck. If you are experiencing these struggles, know that you’re not alone. I’m here to offer support and guidance to help navigate these difficult times together. Seeking help can be daunting, but I am so glad you are here to take the first steps toward progress and healing. I am a Licensed Clinical Social Worker practicing in both Missouri and Kansas, bringing over a decade of experience working with diverse adult populations.
![Photo of Dr. Susan Howard-Perry, PsyD, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4e1196f1-0e3b-424d-ba1a-3bbc7cf7ebdf/3/320x400.jpeg)
Dr. Susan Howard-Perry
Licensed Professional Counselor, PsyD, MA, LPC
Verified Verified
Gladstone, MO 64118
I specialize in the treatment of depression, anxiety, trauma/PTSD, psychosis, grief and loss, bipolar disorder, and anti-social behaviors.
Some clients seek treatment not because they have a mental health issue but because they are experiencing a situation, relationship, or life event that is causing them emotional distress. Therefore, I am a goal-oriented therapist that uses an eclectic approach to treatment. I do not believe that one size fits all as each human being is unique and so are their circumstances. I use many different theoretical frames of reference such as Cognitive Behavioral Therapy, Solution Focused, Attachment Theory, Behavioral, Trauma Focused CBT, and others to assist my clients develop insight and change behaviors.
I specialize in the treatment of depression, anxiety, trauma/PTSD, psychosis, grief and loss, bipolar disorder, and anti-social behaviors.
Some clients seek treatment not because they have a mental health issue but because they are experiencing a situation, relationship, or life event that is causing them emotional distress. Therefore, I am a goal-oriented therapist that uses an eclectic approach to treatment. I do not believe that one size fits all as each human being is unique and so are their circumstances. I use many different theoretical frames of reference such as Cognitive Behavioral Therapy, Solution Focused, Attachment Theory, Behavioral, Trauma Focused CBT, and others to assist my clients develop insight and change behaviors.
![Photo of Andrea Pittman, LCSW, RPT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c35807df-2dd1-4a27-baf9-91d0b9824e33/2/320x400.jpeg)
I specialize in Cognitive-Behavioral Therapy, Trauma Processing, Play Therapy, & Mindfulness Practices.
Hi, I’m Andrea, a Licensed Clinical Social Worker and Registered Play Therapist. Having worked in a variety of mental health settings and within the public school system, I have 20 years of experience supporting children & adolescents. My passion is helping children discover & build upon their strengths and abilities in order to overcome obstacles, learn new skills, and establish healthy relationships. I believe the therapy process should be engaging and collaborative in a safe and supportive environment.
I specialize in Cognitive-Behavioral Therapy, Trauma Processing, Play Therapy, & Mindfulness Practices.
Hi, I’m Andrea, a Licensed Clinical Social Worker and Registered Play Therapist. Having worked in a variety of mental health settings and within the public school system, I have 20 years of experience supporting children & adolescents. My passion is helping children discover & build upon their strengths and abilities in order to overcome obstacles, learn new skills, and establish healthy relationships. I believe the therapy process should be engaging and collaborative in a safe and supportive environment.
![Photo of Kevin Carpenter, PsyD, Psychologist](https://photos.psychologytoday.com/e91c1d83-6bff-425a-b5bb-7336bdcd7b77/1/320x400.jpeg)
Through psychotherapy, I can help you address a variety of concerns, including anxiety, depression, trauma, sexual identity, gender identity, significant life transitions, and other important issues.
Life is hard, sometimes seemingly for no reason. If you find yourself struggling with completing everyday tasks, faltering in relationships, or even questioning whether it is worth it to carry on, please reach out. I love working with people of all backgrounds and helping them discover meaning and purpose in life, satisfaction with relationships, and joy in daily living. While life is hard, it can also be incredibly rewarding. I hope I can play a small part in helping you find this for yourself.
Through psychotherapy, I can help you address a variety of concerns, including anxiety, depression, trauma, sexual identity, gender identity, significant life transitions, and other important issues.
Life is hard, sometimes seemingly for no reason. If you find yourself struggling with completing everyday tasks, faltering in relationships, or even questioning whether it is worth it to carry on, please reach out. I love working with people of all backgrounds and helping them discover meaning and purpose in life, satisfaction with relationships, and joy in daily living. While life is hard, it can also be incredibly rewarding. I hope I can play a small part in helping you find this for yourself.
![Photo of Abby Wiggins, MSW, LCSW, RPT-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/88dc3518-f8be-49f6-8f5a-708accabbca6/1/320x400.jpeg)
I am a Registered Play Therapist as well as certified in both TF-CBT (Trauma Focused- Cognitive Behavioral Therapy) and Theraplay.
Much of my experience as a therapist is with individuals and families who have experienced traumatic events, family conflict, depression, anxiety, self-esteem and attachment challenges. I use a variety of evidence-based therapies based on the needs of my clients.
I am a Registered Play Therapist as well as certified in both TF-CBT (Trauma Focused- Cognitive Behavioral Therapy) and Theraplay.
Much of my experience as a therapist is with individuals and families who have experienced traumatic events, family conflict, depression, anxiety, self-esteem and attachment challenges. I use a variety of evidence-based therapies based on the needs of my clients.
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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.