Trauma and PTSD Therapists in Kinston, NC

Photo of Venita Wiley Wright, MS, LMFT, RPT, Marriage & Family Therapist
Venita Wiley Wright
Marriage & Family Therapist, MS, LMFT, RPT
Verified Verified
1 Endorsed
Kinston, NC 28501
First, congratulations on taking the first step toward healing. Recognizing a problem is the first step toward finding solutions. Depression, anxiety, insecurity, fear, doubt and other feelings can weigh you down. These feelings can stem from trauma such as any form of abuse, neglect, domestic violence, infertility, divorce, loss of loved ones, medical problems, and other forms of trauma. You want change and need someone to help. You need a partner that understands and will walk with you on the journey of growth and healing. You have made the first step and you are ready to take the next. How do you get your life back?
First, congratulations on taking the first step toward healing. Recognizing a problem is the first step toward finding solutions. Depression, anxiety, insecurity, fear, doubt and other feelings can weigh you down. These feelings can stem from trauma such as any form of abuse, neglect, domestic violence, infertility, divorce, loss of loved ones, medical problems, and other forms of trauma. You want change and need someone to help. You need a partner that understands and will walk with you on the journey of growth and healing. You have made the first step and you are ready to take the next. How do you get your life back?
(252) 775-8378 View (252) 775-8378
Photo of Berta Chavez - Strive to Thrive Counseling, MSW, LCSW, Clinical Social Work/Therapist
Strive to Thrive Counseling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Kinston, NC 28503
Waitlist for new clients
Trauma specialist. No matter what you have gone through, you have the ability to heal, achieve resilience, and sustain improvement while achieving your goals. You don’t have to deal with this alone. I’ve got your back every step of the way! Let’s start this journey together.
Trauma specialist. No matter what you have gone through, you have the ability to heal, achieve resilience, and sustain improvement while achieving your goals. You don’t have to deal with this alone. I’ve got your back every step of the way! Let’s start this journey together.
(910) 812-4125 View (910) 812-4125
Photo of Irma Abrego-Lappin, MSW, LCSWA, LCASA, Clinical Social Work/Therapist
Irma Abrego-Lappin
Clinical Social Work/Therapist, MSW, LCSWA, LCASA
Verified Verified
Kinston, NC 28501
Waitlist for new clients
As a therapist, I believe people have deep-rooted aspirations for well-being in many areas of their lives, including emotional, physical, social, and spiritual wellness. I strive to make a safe and trusting relationship with clients so that they can improve in each of these areas and feel more balanced and fulfilled. I collaboratively work with clients, valuing their unique strengths, interests, and aspirations. I enjoy working with clients dealing with anxiety, depression, trauma and PTSD, grief, life transitions, career/vocational concerns, spirituality, weight management and body image concerns, and relationship issues.
As a therapist, I believe people have deep-rooted aspirations for well-being in many areas of their lives, including emotional, physical, social, and spiritual wellness. I strive to make a safe and trusting relationship with clients so that they can improve in each of these areas and feel more balanced and fulfilled. I collaboratively work with clients, valuing their unique strengths, interests, and aspirations. I enjoy working with clients dealing with anxiety, depression, trauma and PTSD, grief, life transitions, career/vocational concerns, spirituality, weight management and body image concerns, and relationship issues.
(252) 379-0066 View (252) 379-0066
Photo of Rose Marie Lawrence - My Guiding Light Counseling Services, MS, LCMHC, NCC, Counselor
My Guiding Light Counseling Services
Counselor, MS, LCMHC, NCC
Verified Verified
Kinston, NC 28503
Rose Marie Lawrence is a Trauma-focused, Christian based counselor; and is the founder and owner of My Guiding Light Professional Counseling Services. Rose is a Licensed Clinical Mental Health Counselor (LCMHC) with over fifteen years of experienced in the mental health arena. Rose has a Masters degree in Counselor Education and also holds a Master’s degree in Human Services. In addition, Rose is a Licensed Ordained Minister. Rose clinical work experiences includes working with individuals, groups, couples, and families both online and in person. Rose firmly believes that “ with God, all things are possible".
Rose Marie Lawrence is a Trauma-focused, Christian based counselor; and is the founder and owner of My Guiding Light Professional Counseling Services. Rose is a Licensed Clinical Mental Health Counselor (LCMHC) with over fifteen years of experienced in the mental health arena. Rose has a Masters degree in Counselor Education and also holds a Master’s degree in Human Services. In addition, Rose is a Licensed Ordained Minister. Rose clinical work experiences includes working with individuals, groups, couples, and families both online and in person. Rose firmly believes that “ with God, all things are possible".
(252) 418-8457 View (252) 418-8457
Photo of Nicole Lewis, LCSW, LCAS, CCS, Clinical Social Work/Therapist
Nicole Lewis
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Verified Verified
2 Endorsed
Kinston, NC 28501
After 20 years of practice, I will bring a variety of expertise to our sessions, offering a client centered, strengths based approach, integrated with components of Cognitive, Dialectical Behavior and Trauma-Focused Therapy and Solution Focused Therapy.
How are you? No, really..what do you need right now? What are you carrying that feels to heavy? Have you been dealing with hurt and pain or do your emotions feel like that are overtaking you? If any of this sounds familiar, maybe you are in the right place to ask for what you need....a little support and a little help. We all need that sometimes. Take a deep breath and be assured that you have already taken the hardest step...looking for help and reaching out. So, if you are ready, let's get started helping you build more confidence in your ability to handle the unexpected events that have left you feeling shaken, defeated or alone.
After 20 years of practice, I will bring a variety of expertise to our sessions, offering a client centered, strengths based approach, integrated with components of Cognitive, Dialectical Behavior and Trauma-Focused Therapy and Solution Focused Therapy.
How are you? No, really..what do you need right now? What are you carrying that feels to heavy? Have you been dealing with hurt and pain or do your emotions feel like that are overtaking you? If any of this sounds familiar, maybe you are in the right place to ask for what you need....a little support and a little help. We all need that sometimes. Take a deep breath and be assured that you have already taken the hardest step...looking for help and reaching out. So, if you are ready, let's get started helping you build more confidence in your ability to handle the unexpected events that have left you feeling shaken, defeated or alone.
(252) 594-8907 View (252) 594-8907
Photo of Elizabeth B Saylors, MA, LPA, HSP-PA, Psychological Associate
Elizabeth B Saylors
Psychological Associate, MA, LPA, HSP-PA
Verified Verified
Kinston, NC 28501
I use a wide range of therapeutic interventions, including cognitive behavioral therapy, rational-emotive behavioral therapy, trauma-focused interventions, relaxation and meditation, and mindfulness training.
I opened my practice, ENC Psychological Services, in 2009, and am committed to providing my clients a wonderful therapeutic experience. I work with all ages and am able to provide a full range of psychological testing, individual and family therapy, and behavior plans. I believe that taking the first step and seeking the help you need is often the most difficult part, and I am here to help you along your path to healing.
I use a wide range of therapeutic interventions, including cognitive behavioral therapy, rational-emotive behavioral therapy, trauma-focused interventions, relaxation and meditation, and mindfulness training.
I opened my practice, ENC Psychological Services, in 2009, and am committed to providing my clients a wonderful therapeutic experience. I work with all ages and am able to provide a full range of psychological testing, individual and family therapy, and behavior plans. I believe that taking the first step and seeking the help you need is often the most difficult part, and I am here to help you along your path to healing.
(252) 509-0096 View (252) 509-0096
Photo of Tammy Whitten, MS, LMFT, CFLE, PLLC, Marriage & Family Therapist
Tammy Whitten
Marriage & Family Therapist, MS, LMFT, CFLE, PLLC
Verified Verified
Kinston, NC 28501
Waitlist for new clients
Need help figuring out why your relationship just keeps doing the same thing over and over? Do you feel like no one is actually hearing what you? Is it hard to get past something that happened a while back? We often keep repeating things because we think if we just do it again or do differently we'll finally unlock the barrier that's held us back. My people come to see me after trying something over and over and they feel defeated. Often, the secret is a small tweak from a slightly different angle that helps with trauma, anxiety, depression, communication, and/or relationships.
Need help figuring out why your relationship just keeps doing the same thing over and over? Do you feel like no one is actually hearing what you? Is it hard to get past something that happened a while back? We often keep repeating things because we think if we just do it again or do differently we'll finally unlock the barrier that's held us back. My people come to see me after trying something over and over and they feel defeated. Often, the secret is a small tweak from a slightly different angle that helps with trauma, anxiety, depression, communication, and/or relationships.
Photo of Jennifer Sanders - First Wave Coastal Counseling Services PLLC, MS, LCMHC, NCC, Counselor
First Wave Coastal Counseling Services PLLC
Counselor, MS, LCMHC, NCC
Verified Verified
Kinston, NC 28501
My specialties include the following for both adolescents and adults: • Anxiety • Depression • Trauma • Stress • Family/Parent/ New Parent • Military Life.
Do you find life overwhelming at times and afraid of the next “storm” coming? Do you sometimes wake up wishing the day was already over? Do you question if life will ever get any better than this? Do you feel misunderstood, unheard, or disconnected from other important people in your life? Life doesn’t have to be this difficult. And you shouldn’t have to walk this journey alone. Populations I primarily serve include both adolescents (ages 11+) and adults. I also identify as an LGBTQIA ally.
My specialties include the following for both adolescents and adults: • Anxiety • Depression • Trauma • Stress • Family/Parent/ New Parent • Military Life.
Do you find life overwhelming at times and afraid of the next “storm” coming? Do you sometimes wake up wishing the day was already over? Do you question if life will ever get any better than this? Do you feel misunderstood, unheard, or disconnected from other important people in your life? Life doesn’t have to be this difficult. And you shouldn’t have to walk this journey alone. Populations I primarily serve include both adolescents (ages 11+) and adults. I also identify as an LGBTQIA ally.
(252) 254-2496 View (252) 254-2496
Photo of Melissa Sugg - Clark Christian Counseling, BS, LPC Intern
Clark Christian Counseling
LPC Intern, BS
Verified Verified
Kinston, NC 28504
I counsel Individuals who may struggle with Anxiety, Depression, Grief, and Trauma.
Hello! I'm Melissa, the Counselor who works in the Goldsboro office of Clark Christian Counseling!
I counsel Individuals who may struggle with Anxiety, Depression, Grief, and Trauma.
Hello! I'm Melissa, the Counselor who works in the Goldsboro office of Clark Christian Counseling!
(984) 355-8639 View (984) 355-8639
Photo of M Deane Forsythe, LCMHC, LCAS, CSI
M Deane Forsythe
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CSI
Verified Verified
1 Endorsed
Kinston, NC 28501
Waitlist for new clients
I earned my undergraduate degree in Psychology and Drug and Alcohol Studies as well a Master of Science degree in Clinical Counseling with a Military and Trauma Certification from East Carolina University.
That idea you have in your head about what therapy is and that picture of what a therapist is supposed to be-yeah THAT one-it isn’t like that here. If you've tried therapy before and HATED it, if you're ready to make moves in your life, ready to get real and own your shit, or if you need a safe space to dump with a REAL person that doesn’t give a shit what it is you did or think you did, let me introduce myself. I prefer to see adults but I will make exceptions for adolescents age 16 and over, provided they pass the vibe check. We do real talk here and nothing less-unadulterated authenticity.
I earned my undergraduate degree in Psychology and Drug and Alcohol Studies as well a Master of Science degree in Clinical Counseling with a Military and Trauma Certification from East Carolina University.
That idea you have in your head about what therapy is and that picture of what a therapist is supposed to be-yeah THAT one-it isn’t like that here. If you've tried therapy before and HATED it, if you're ready to make moves in your life, ready to get real and own your shit, or if you need a safe space to dump with a REAL person that doesn’t give a shit what it is you did or think you did, let me introduce myself. I prefer to see adults but I will make exceptions for adolescents age 16 and over, provided they pass the vibe check. We do real talk here and nothing less-unadulterated authenticity.
(919) 897-7868 View (919) 897-7868
Photo of Ashley Cox Hurdle, MSW, LCSW, Clinical Social Work/Therapist
Ashley Cox Hurdle
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Kinston, NC 28501
I have worked with countless individuals who are navigating life with depression and anxiety, processing trauma or grief, healing relationships and interpersonal functioning, and addressing a variety of other concerns.
Accepting Clients - Welcome! You have made the first big step in taking control of your mental health by simply searching. This is big, and you should be so proud of yourself for starting this journey! As a licensed clinical social worker with nearly 10 years of experience, I would be honored to join you, and walk along side you as you lean into exploration and restoration. Life can be hard, but even when it doesn't seem possible, you can do difficult and amazing things.
I have worked with countless individuals who are navigating life with depression and anxiety, processing trauma or grief, healing relationships and interpersonal functioning, and addressing a variety of other concerns.
Accepting Clients - Welcome! You have made the first big step in taking control of your mental health by simply searching. This is big, and you should be so proud of yourself for starting this journey! As a licensed clinical social worker with nearly 10 years of experience, I would be honored to join you, and walk along side you as you lean into exploration and restoration. Life can be hard, but even when it doesn't seem possible, you can do difficult and amazing things.
(252) 599-5322 View (252) 599-5322
Photo of Debi Pickard, LCSW, Clinical Social Work/Therapist
Debi Pickard
Clinical Social Work/Therapist, LCSW
Verified Verified
Kinston, NC 28501
Hi, and welcome to my page. I'm glad you stopped by. My interest lies in helping people who are looking for real change. For 23 years I have had the privilege of witnessing adults and children gain insight, reduce unpleasant symptoms and improve functioning in all areas of life through the therapeutic process. Are you ready to take the journey to reach your goals? Peace and rest are often found in those places we've been avoiding or unable to access on our own.
Hi, and welcome to my page. I'm glad you stopped by. My interest lies in helping people who are looking for real change. For 23 years I have had the privilege of witnessing adults and children gain insight, reduce unpleasant symptoms and improve functioning in all areas of life through the therapeutic process. Are you ready to take the journey to reach your goals? Peace and rest are often found in those places we've been avoiding or unable to access on our own.
(828) 481-8553 View (828) 481-8553
Photo of Uyen Dinh, LCSWA, Clinical Social Work/Therapist
Uyen Dinh
Clinical Social Work/Therapist, LCSWA
Verified Verified
Kinston, NC 28501
My therapeutic approach encourages personal growth and provides opportunities for clients to learn information and skills to help them find a more balanced, meaningful life. I believe that the clients are the true experts in their lives, so I work with my client to establish a treatment plan that is specific to their identified needs and goals. I believe there is no “one size fits all” form of therapy. I pull from a variety of modalities so that I can tailor treatment to your specific needs. As a first-generation Asian American, I understand and have experienced mental health stigma.
My therapeutic approach encourages personal growth and provides opportunities for clients to learn information and skills to help them find a more balanced, meaningful life. I believe that the clients are the true experts in their lives, so I work with my client to establish a treatment plan that is specific to their identified needs and goals. I believe there is no “one size fits all” form of therapy. I pull from a variety of modalities so that I can tailor treatment to your specific needs. As a first-generation Asian American, I understand and have experienced mental health stigma.
(252) 231-3628 View (252) 231-3628
Photo of Colleen Cash, LCSW, Clinical Social Work/Therapist
Colleen Cash
Clinical Social Work/Therapist, LCSW
Verified Verified
Kinston, NC 28504
Hello! I am a counselor licensed in North and South Carolina with over 22 years of experience. I’ve worked with a wide variety of issues including depression, anxiety, family and parenting issues, ADHD, behavioral issues, and more. I determine effective therapy strategies for each unique client, and employ a combination of Cognitive Behavioral, Schema Focused, Narrative, and Brief Solution Focused techniques. My clients tell me they appreciate that I am direct, honest, and hold them accountable, while also being compassionate. I am very practical and teach techniques that can be applied to most all situations in life.
Hello! I am a counselor licensed in North and South Carolina with over 22 years of experience. I’ve worked with a wide variety of issues including depression, anxiety, family and parenting issues, ADHD, behavioral issues, and more. I determine effective therapy strategies for each unique client, and employ a combination of Cognitive Behavioral, Schema Focused, Narrative, and Brief Solution Focused techniques. My clients tell me they appreciate that I am direct, honest, and hold them accountable, while also being compassionate. I am very practical and teach techniques that can be applied to most all situations in life.
(704) 327-6147 View (704) 327-6147
Photo of Sara P. Culpepper - Peri Counseling, PLLC, MS, LCMHC, LCAS, Licensed Professional Counselor
Peri Counseling, PLLC
Licensed Professional Counselor, MS, LCMHC, LCAS
Verified Verified
Kinston, NC 28501
If you're unable to reach your goals because of negative behaviors and your emotions are out of control, or if you simply want a safe environment to express your feelings, then professional counseling is the answer. With my support, clients learn to replace negativity with positivity and lead more serene and emotionally stable lives. I also help clients gain freedom by teaching actionable skills to change their detrimental core beliefs, strengthen relationships, and maintain healthy boundaries. An emphasis is placed on helping people learn to build resiliency by releasing shame and increasing self-esteem.
If you're unable to reach your goals because of negative behaviors and your emotions are out of control, or if you simply want a safe environment to express your feelings, then professional counseling is the answer. With my support, clients learn to replace negativity with positivity and lead more serene and emotionally stable lives. I also help clients gain freedom by teaching actionable skills to change their detrimental core beliefs, strengthen relationships, and maintain healthy boundaries. An emphasis is placed on helping people learn to build resiliency by releasing shame and increasing self-esteem.
(252) 368-8247 View (252) 368-8247
Photo of Sarah Stein-Wolf, MA, LCMHC-S, RPT, Counselor
Sarah Stein-Wolf
Counselor, MA, LCMHC-S, RPT
Verified Verified
Kinston, NC 28501
You’re exhausted from trying desperately to balance your needs with the demands of kids, school, or work. As a parent you’re struggling to understand where your child is coming from. Does the “parent guilt” creep in while you’re trying to keep all the plates spinning? Maybe you have a child who is anxious, worried, has difficulty sleeping or going to school, or expects perfection. Perhaps you are learning how to parent differently than how you were parented. Balancing caring for you vs. others is hard. Thoughts of anxiety, self-doubt, and concern that you aren't good enough can become a negative self-talk loop in your head.
You’re exhausted from trying desperately to balance your needs with the demands of kids, school, or work. As a parent you’re struggling to understand where your child is coming from. Does the “parent guilt” creep in while you’re trying to keep all the plates spinning? Maybe you have a child who is anxious, worried, has difficulty sleeping or going to school, or expects perfection. Perhaps you are learning how to parent differently than how you were parented. Balancing caring for you vs. others is hard. Thoughts of anxiety, self-doubt, and concern that you aren't good enough can become a negative self-talk loop in your head.
(252) 544-5309 View (252) 544-5309
Photo of Joseph D Brown, MA, LCMHC, LCASA, NCC
Joseph D Brown
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCASA, NCC
Verified Verified
Kinston, NC 28504
I am versatile and have training and experience working with many different issues. I am nonjudgemental in my approach. We will work together to develop a plan that is centered to your individual needs and build goals that are achievable, so we can monitor your progress while working towards increasing your quality of life.
I am versatile and have training and experience working with many different issues. I am nonjudgemental in my approach. We will work together to develop a plan that is centered to your individual needs and build goals that are achievable, so we can monitor your progress while working towards increasing your quality of life.
(919) 584-9748 View (919) 584-9748
Photo of Elvin Peace, PhD, LCMHCA, LCASA, NCC
Elvin Peace
Lic Clinical Mental Health Counselor Associate, PhD, LCMHCA, LCASA, NCC
Verified Verified
Kinston, NC 28501
In the intricate tapestry of life, there are patches woven with heartbreak, loneliness, and profound sorrow. Such periods, although deeply unsettling, also offer an opportunity—a chance to unearth the inherent strength that often remains dormant within us. If you find yourself amidst such a challenging phase, unsure of the way forward, and contemplating therapy, I invite you to embark on a transformative journey with me. A journey where we illuminate the path, turning overwhelming emotions into unwavering fortitude.
In the intricate tapestry of life, there are patches woven with heartbreak, loneliness, and profound sorrow. Such periods, although deeply unsettling, also offer an opportunity—a chance to unearth the inherent strength that often remains dormant within us. If you find yourself amidst such a challenging phase, unsure of the way forward, and contemplating therapy, I invite you to embark on a transformative journey with me. A journey where we illuminate the path, turning overwhelming emotions into unwavering fortitude.
(252) 501-6930 View (252) 501-6930
Photo of Meghan Respess, MSW , LCSW , Clinical Social Work/Therapist
Meghan Respess
Clinical Social Work/Therapist, MSW , LCSW
Verified Verified
3 Endorsed
Kinston, NC 28501
Ever feel like everyday is akin to jumping on the hamster wheel?! You expend all your energy worrying over life's demands and it leaves you feeling empty, anxious, and overwhelmed. Whether you are a parent/caregiver, a teen trying to navigate the world, or someone that feels anxious and overloaded by life's expectations, I want to come alongside you and help you to reach your fullest potential. I believe through the power of relationship and the therapeutic alliance, you possess the tools to navigate all of the road blocks and stepping stones in your life. My hope is that you walk away from each session feeling affirmed and valued.
Ever feel like everyday is akin to jumping on the hamster wheel?! You expend all your energy worrying over life's demands and it leaves you feeling empty, anxious, and overwhelmed. Whether you are a parent/caregiver, a teen trying to navigate the world, or someone that feels anxious and overloaded by life's expectations, I want to come alongside you and help you to reach your fullest potential. I believe through the power of relationship and the therapeutic alliance, you possess the tools to navigate all of the road blocks and stepping stones in your life. My hope is that you walk away from each session feeling affirmed and valued.
(252) 302-2328 View (252) 302-2328
Photo of Krystal Joy Hall - Joy's New Beginning Counseling Services, PLLC, MS, LCAS, CCS, LCMHC
Joy's New Beginning Counseling Services, PLLC
Licensed Clinical Mental Health Counselor, MS, LCAS, CCS, LCMHC
Verified Verified
Kinston, NC 28501
Stressed, tired and/or overwhelmed? Tired of feeling like your life is out of control? Tired of feeling like you don’t belong or that you will never be good enough. Tired of everyone asking what’s wrong? Tired of hearing it will be okay? Tired of trying to find the next best thing to numb the pain. Tired of being sick and tired of trying to same things with the same results?!?!?!? No worries!! You are not alone and it’s not time to give up!! Maybe it’s just time a little assistance!!!!!
Stressed, tired and/or overwhelmed? Tired of feeling like your life is out of control? Tired of feeling like you don’t belong or that you will never be good enough. Tired of everyone asking what’s wrong? Tired of hearing it will be okay? Tired of trying to find the next best thing to numb the pain. Tired of being sick and tired of trying to same things with the same results?!?!?!? No worries!! You are not alone and it’s not time to give up!! Maybe it’s just time a little assistance!!!!!
(252) 516-4218 View (252) 516-4218
1
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.