Therapists in Surf City, NC
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I see clients with depression, anxiety, ASD, PTSD, Bipolar, individual, couples and families. I will work with you to focus on your needs, your goals and how to achieve them. Addressing struggles in life is difficult and seeking support from a therapist is a great start to gain clarity, peace and making choices for yourself.
I see clients with depression, anxiety, ASD, PTSD, Bipolar, individual, couples and families. I will work with you to focus on your needs, your goals and how to achieve them. Addressing struggles in life is difficult and seeking support from a therapist is a great start to gain clarity, peace and making choices for yourself.
Ashley Eldridge
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
2 Endorsed
Hampstead, NC 28443
I provide an affirming space for clients who are LGBTQIA+, autistic, or neurodivergent, have experienced religious trauma, chronic/terminal health conditions, caregiving for others, loss in their life, or are seeking acknowledgment and acceptance.
I am a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist. I have worked for 20 years in mental health, addiction, and disability services with people of all ages in home, community, inpatient, and office settings. Clients contact me with a variety of needs. Some have never been in therapy or have had negative experiences with therapists, whom they feel didn't adequately address their needs. I strive to provide a safe atmosphere of empathy and compassion where you can finally feel accepted and heard. I offer tools, coping skills, and resources to help you tackle current challenges and meet your goals.
I provide an affirming space for clients who are LGBTQIA+, autistic, or neurodivergent, have experienced religious trauma, chronic/terminal health conditions, caregiving for others, loss in their life, or are seeking acknowledgment and acceptance.
I am a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist. I have worked for 20 years in mental health, addiction, and disability services with people of all ages in home, community, inpatient, and office settings. Clients contact me with a variety of needs. Some have never been in therapy or have had negative experiences with therapists, whom they feel didn't adequately address their needs. I strive to provide a safe atmosphere of empathy and compassion where you can finally feel accepted and heard. I offer tools, coping skills, and resources to help you tackle current challenges and meet your goals.
Kristin Jones
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Hampstead, NC 28443
Are you unsure of where to turn or what to do next? Life can feel overwhelming at times—whether it’s work stress, personal challenges, or a mix of everything. It’s common to feel like things are impossible. I’m here to help you navigate through these difficult moments. As a Licensed Clinical Social Worker and a Licensed Clinical Addiction Specialist, I offer a compassionate space where we can work together to develop coping skills and strategies tailored to your needs. We’ll focus on identifying your triggers and learning how to regain control over them.
Are you unsure of where to turn or what to do next? Life can feel overwhelming at times—whether it’s work stress, personal challenges, or a mix of everything. It’s common to feel like things are impossible. I’m here to help you navigate through these difficult moments. As a Licensed Clinical Social Worker and a Licensed Clinical Addiction Specialist, I offer a compassionate space where we can work together to develop coping skills and strategies tailored to your needs. We’ll focus on identifying your triggers and learning how to regain control over them.
Online Therapists
Roots to Blooms Counseling PLLC
Counselor, LCMHCS , LCAS, CCS, LPC
Verified Verified
New Bern, NC 28562 (Online Only)
I provide individual and couple therapy for anxiety, depression, trauma and relationship issues.
I HAVE OPENINGS FOR NEW CLIENTS!! Are you feeling stuck? Do you feel trapped by your strong emotional reactions? Are you feeling alone and disconnected in your relationship? Anxious or not good enough? We all have moments in our lives when we need support, and we are not meant to suffer alone. There is no shame in reaching out for help. I help clients work through current struggles & emotional pain by so they can experience calm, self-compassion, freedom and meaning in their lives.
I provide individual and couple therapy for anxiety, depression, trauma and relationship issues.
I HAVE OPENINGS FOR NEW CLIENTS!! Are you feeling stuck? Do you feel trapped by your strong emotional reactions? Are you feeling alone and disconnected in your relationship? Anxious or not good enough? We all have moments in our lives when we need support, and we are not meant to suffer alone. There is no shame in reaching out for help. I help clients work through current struggles & emotional pain by so they can experience calm, self-compassion, freedom and meaning in their lives.
Maria Donaty-Gurba
Clinical Social Work/Therapist, LCSW, LCAS, RN
Verified Verified
1 Endorsed
Jacksonville, NC 28546
Reaching out & asking for help can be really hard. If you are struggling with Anxiety, Depression, Trauma, Medical issues, Relationship/Marital Issues, problem behaviors, maintaining sobriety, unwanted change or navigating & adjusting to difficult decisions it is important to seek help. Whether you're going through a painful transition like divorce, having difficulty in your relationships, self-medicating with substances, or have debilitating anxiety or depression- guidance from a qualified, objective person is necessary. I will help you gain insight into the root cause of what is keeping you stuck.
Reaching out & asking for help can be really hard. If you are struggling with Anxiety, Depression, Trauma, Medical issues, Relationship/Marital Issues, problem behaviors, maintaining sobriety, unwanted change or navigating & adjusting to difficult decisions it is important to seek help. Whether you're going through a painful transition like divorce, having difficulty in your relationships, self-medicating with substances, or have debilitating anxiety or depression- guidance from a qualified, objective person is necessary. I will help you gain insight into the root cause of what is keeping you stuck.
Elizabeth Clay Doxey
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCS, MAC
Verified Verified
Wilmington, NC 28411 (Online Only)
I have post graduation training in EMDR, Gestalt, Trauma and Addictions.
Looking for an experienced, confidential therapist to begin with to help with anxiety or depression? Are you tired of trying to get through life without serenity and purpose? Are financial worries, addiction issues, or problems about how you look bothering you? I have 23 years in the field of mental health and substance abuse, and I would love to work with you. Confidentially. For only $77 a session, and NO information will go to your insurance company. That's important, because if you use your insurance with mental health or addictions, information IS recorded on your insurance record, including your diagnosis.
I have post graduation training in EMDR, Gestalt, Trauma and Addictions.
Looking for an experienced, confidential therapist to begin with to help with anxiety or depression? Are you tired of trying to get through life without serenity and purpose? Are financial worries, addiction issues, or problems about how you look bothering you? I have 23 years in the field of mental health and substance abuse, and I would love to work with you. Confidentially. For only $77 a session, and NO information will go to your insurance company. That's important, because if you use your insurance with mental health or addictions, information IS recorded on your insurance record, including your diagnosis.
I have spent over 15 years developing my clinical skills with a focus on mood disorders, anxiety, and trauma.
I look forward to meeting clients who seek a calm, home-like environment in which to safely explore the various ways their lives may be improved. I can help anyone who is inspired to engage in self-exploration and insight-building in order to release what is old and not working and develop new habits that increase function and improve quality of life. My goal is to meet you where you are and help you to get where you would like to go.
I have spent over 15 years developing my clinical skills with a focus on mood disorders, anxiety, and trauma.
I look forward to meeting clients who seek a calm, home-like environment in which to safely explore the various ways their lives may be improved. I can help anyone who is inspired to engage in self-exploration and insight-building in order to release what is old and not working and develop new habits that increase function and improve quality of life. My goal is to meet you where you are and help you to get where you would like to go.
Monica Brown
Licensed Professional Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Fayetteville, NC 28303
My specialties include depression, PTSD, marital/relationship issues, anxiety, stress, mood disorders, grief/loss, parenting, adolescent peer relations, coping skills and more on the list to the right of this profile.
I am a Licensed Clinical Mental Health Counselor with over 25 years of experience in the mental health field. I have experience in counseling children, adolescents, adults, and couples. My expertise in counseling active duty service members to include special forces soldiers and their families along with veterans have given me the confidence in addressing your specific mental health needs. My treatment approaches are eclectic as everyone has different needs. My approach includes CBT, DBT, trauma-focused, family systems, solution focused, client-centered as well as other evidenced based therapeutic practices.
My specialties include depression, PTSD, marital/relationship issues, anxiety, stress, mood disorders, grief/loss, parenting, adolescent peer relations, coping skills and more on the list to the right of this profile.
I am a Licensed Clinical Mental Health Counselor with over 25 years of experience in the mental health field. I have experience in counseling children, adolescents, adults, and couples. My expertise in counseling active duty service members to include special forces soldiers and their families along with veterans have given me the confidence in addressing your specific mental health needs. My treatment approaches are eclectic as everyone has different needs. My approach includes CBT, DBT, trauma-focused, family systems, solution focused, client-centered as well as other evidenced based therapeutic practices.
Thrive Counseling & Consulting PLLC
Marriage & Family Therapist, LCMHC, LMFT, MSW, LCAS, RPT
Verified Verified
3 Endorsed
Fayetteville, NC 28304
Our caregivers work extensively with PTSD & trauma, and we have a special heart for our military and first-responder communities.
Our goal is to help you uncover your true potential and lead a life that is worth celebrating. We all experience moments that leave us feeling hopeless, sad, frustrated, angry, or frightened. However, life is not meant to be lived in that place of darkness. While we can't change the past, we can work together to better understand and resolve challenges in your life. Using complementary therapy approaches and techniques, we will help unearth old behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life. If you're ready to take steps forward, we are ready to help.
Our caregivers work extensively with PTSD & trauma, and we have a special heart for our military and first-responder communities.
Our goal is to help you uncover your true potential and lead a life that is worth celebrating. We all experience moments that leave us feeling hopeless, sad, frustrated, angry, or frightened. However, life is not meant to be lived in that place of darkness. While we can't change the past, we can work together to better understand and resolve challenges in your life. Using complementary therapy approaches and techniques, we will help unearth old behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life. If you're ready to take steps forward, we are ready to help.
I utilize knowledge of Anime and video games with children, teenagers, and adults as a tool to process trauma less directly.
My clients can expect an environment free of judgment, full of understanding and empathy, where they can face the challenges that they have in a supportive environment. My personal background allows me to look at client issues from a different view and offer real world healing that meets the client where they are. My client’s come from various backgrounds, but all seeking to better understand themselves and a better way of coping. Because I’m seeing clients virtually, they feel freer to share more intimate and personal concerns that might be harder to talk about in person.
I utilize knowledge of Anime and video games with children, teenagers, and adults as a tool to process trauma less directly.
My clients can expect an environment free of judgment, full of understanding and empathy, where they can face the challenges that they have in a supportive environment. My personal background allows me to look at client issues from a different view and offer real world healing that meets the client where they are. My client’s come from various backgrounds, but all seeking to better understand themselves and a better way of coping. Because I’m seeing clients virtually, they feel freer to share more intimate and personal concerns that might be harder to talk about in person.
Teresa Vaughan
Licensed Clinical Mental Health Counselor, LCMHC, LPC, LCPC
Verified Verified
1 Endorsed
New Bern, NC 28562 (Online Only)
Welcome to Gaining Clarity Counseling Services! All are welcome here! I take pride in being real. While techniques and interventions are important, the relationship between therapist and client is essential for positive outcomes. I have particular interest and experience in working with those impacted by traumatic experiences. I have come to recognize that much of client distress stems from unresolved trauma (grief, abuse, mistreatment, etc.). Together, we will address root causes and equip you with the tools necessary for sustainable lifestyle change. Please note services are 100% virtual at this time.
Welcome to Gaining Clarity Counseling Services! All are welcome here! I take pride in being real. While techniques and interventions are important, the relationship between therapist and client is essential for positive outcomes. I have particular interest and experience in working with those impacted by traumatic experiences. I have come to recognize that much of client distress stems from unresolved trauma (grief, abuse, mistreatment, etc.). Together, we will address root causes and equip you with the tools necessary for sustainable lifestyle change. Please note services are 100% virtual at this time.
Freedom Counseling
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
2 Endorsed
Fayetteville, NC 28311 (Online Only)
I specialize in marital relationship issues, military family life issues, management of chronic mental health disorders such as severe depression, anxiety, bipolar disorder, and post traumatic stress disorder.
Everyone experience’s struggles in their lives that can feel too overwhelming at times. Even though you are doing the best you can to cope, you just might need a little help getting things on track. I am interested in providing you with the tools to understand your issues and to reach your life goals.
I specialize in marital relationship issues, military family life issues, management of chronic mental health disorders such as severe depression, anxiety, bipolar disorder, and post traumatic stress disorder.
Everyone experience’s struggles in their lives that can feel too overwhelming at times. Even though you are doing the best you can to cope, you just might need a little help getting things on track. I am interested in providing you with the tools to understand your issues and to reach your life goals.
Dana Peterson Dorsett
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Wilmington, NC 28403
Specialties: Anxiety, stress, depression, relationship, infertility, body-mind & health issues, trauma, grief & transitions.
Hi.My goal is to help you grow, to find more peace, more joy, & create more ease in your relationships; with you, others & your world. Clients come to me due to anxiety, fears, discomfort, uncertainty about the past, present & future. Some feel stuck, others hard to accept or simply a need for change, movement, healing, evolution. I understand that it's super difficult to figure out the HOW when we are caught up in life's challenges. I will hold up a mirror to you and life. Together we will cultivate Trust and Clarity. You will learn tools. As you practice, your life will gently unfold and you will create the life you desire.
Specialties: Anxiety, stress, depression, relationship, infertility, body-mind & health issues, trauma, grief & transitions.
Hi.My goal is to help you grow, to find more peace, more joy, & create more ease in your relationships; with you, others & your world. Clients come to me due to anxiety, fears, discomfort, uncertainty about the past, present & future. Some feel stuck, others hard to accept or simply a need for change, movement, healing, evolution. I understand that it's super difficult to figure out the HOW when we are caught up in life's challenges. I will hold up a mirror to you and life. Together we will cultivate Trust and Clarity. You will learn tools. As you practice, your life will gently unfold and you will create the life you desire.
Oceanside Counseling
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Jacksonville, NC 28540
Specialties include: -Marriage Counseling, Relationship Issues, Communication Problems, Divorce, Separation, Child Custody, Split Parenting, Infidelity, Narcissism, Sociopathy, Psychopathy, Post Traumatic Stress Disorder/ PTSD, Abuse, Military Families, PCS, Deployment, Retirement, Combat Stress, Addiction, Substance Abuse, Porn Addiction, Mood Disorders.
Oceanside Counseling was created to give you hope and to help you feel listened to and supported in your pursuit of health and healing. At Oceanside you are not just another number. Your mental health matters to us and we value and treat you like we would want to be treated ourselves. Recent events have increased stress for people throughout the world and many people are struggling with overwhelming emotions and fears. If you are in need, please reach out to us. We are currently providing virtual services (video/telephone) to anyone living in North Carolina and we are accepting new patients.
Specialties include: -Marriage Counseling, Relationship Issues, Communication Problems, Divorce, Separation, Child Custody, Split Parenting, Infidelity, Narcissism, Sociopathy, Psychopathy, Post Traumatic Stress Disorder/ PTSD, Abuse, Military Families, PCS, Deployment, Retirement, Combat Stress, Addiction, Substance Abuse, Porn Addiction, Mood Disorders.
Oceanside Counseling was created to give you hope and to help you feel listened to and supported in your pursuit of health and healing. At Oceanside you are not just another number. Your mental health matters to us and we value and treat you like we would want to be treated ourselves. Recent events have increased stress for people throughout the world and many people are struggling with overwhelming emotions and fears. If you are in need, please reach out to us. We are currently providing virtual services (video/telephone) to anyone living in North Carolina and we are accepting new patients.
James A Barbour
Licensed Professional Counselor, MS, LCMHCS, LCAS, CCS, CHT
Verified Verified
3 Endorsed
Greenville, NC 27834 (Online Only)
Thank you for visiting my page. I know that finding the right counselor can be a challenge and I hope you will find information on this page to help you feel more comfortable and confident in making that decision. Since 2002 I've been helping people enhance the quality of their lives through the use of sound therapeutic interventions including: Cognitive Behavioral Therapy (CBT), Redecision Therapy, Solution-Focused Brief Therapy, Hypnotherapy, Trauma Resolution Energy Therapy, Reality Therapy and Imago Therapy. I am a perpetual student of personal and professional development and I provide education and tools in proven techniques.
Thank you for visiting my page. I know that finding the right counselor can be a challenge and I hope you will find information on this page to help you feel more comfortable and confident in making that decision. Since 2002 I've been helping people enhance the quality of their lives through the use of sound therapeutic interventions including: Cognitive Behavioral Therapy (CBT), Redecision Therapy, Solution-Focused Brief Therapy, Hypnotherapy, Trauma Resolution Energy Therapy, Reality Therapy and Imago Therapy. I am a perpetual student of personal and professional development and I provide education and tools in proven techniques.
Clinical Counseling and Consulting Services, PLLC
Clinical Social Work/Therapist, LCSW, LCASA, CSOTP, TFCBT, NCCPE
Verified Verified
1 Endorsed
Fayetteville, NC 28303
Clinical Counseling and Consulting Services, PLLC (CCCS) is a counseling and consulting agency dedicated to clinician development and mental health treatment. Although CCCS specializes in treatment for sex offenders, individuals with problematic sexualized behavior, and victims of trauma, the agency also provides specialized outpatient therapy, employee assistance services, and services for individuals suffering from addiction. Parenting education classes are also available to assist parents with managing and coping with their children and/or adolescent behavioral deficits, addictions, and/or mental health disorder(s).
Clinical Counseling and Consulting Services, PLLC (CCCS) is a counseling and consulting agency dedicated to clinician development and mental health treatment. Although CCCS specializes in treatment for sex offenders, individuals with problematic sexualized behavior, and victims of trauma, the agency also provides specialized outpatient therapy, employee assistance services, and services for individuals suffering from addiction. Parenting education classes are also available to assist parents with managing and coping with their children and/or adolescent behavioral deficits, addictions, and/or mental health disorder(s).
Amy G Therriault
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC, BSN, RN
Verified Verified
1 Endorsed
Dunn, NC 28334 (Online Only)
I draw from experiential, trauma sensitive, and mindful based practices using tools from a variety of theories that are individualized, for what you need, not one-size-fits-all.
What thoughts race through your mind as you go through the day? What thoughts have become obstacles? Do those thoughts hold you captive in states of anxiety and depression? Do they make you feel unsafe, insecure, and isolated, even when we are surrounded by others? Do these thoughts make relationships complicated and responsibilities seem impossible? Are your mental and emotional stressors effecting your physical well-being in ways like physical pain, fatigue, sensory intolerance, brain fog, and inability to focus? Exploring your thoughts and feelings can be difficult, but you do not have to walk through this process alone.
I draw from experiential, trauma sensitive, and mindful based practices using tools from a variety of theories that are individualized, for what you need, not one-size-fits-all.
What thoughts race through your mind as you go through the day? What thoughts have become obstacles? Do those thoughts hold you captive in states of anxiety and depression? Do they make you feel unsafe, insecure, and isolated, even when we are surrounded by others? Do these thoughts make relationships complicated and responsibilities seem impossible? Are your mental and emotional stressors effecting your physical well-being in ways like physical pain, fatigue, sensory intolerance, brain fog, and inability to focus? Exploring your thoughts and feelings can be difficult, but you do not have to walk through this process alone.
Crystal Ridlon
Licensed Professional Counselor, LPC, LMHC, MA
Verified Verified
Wilmington, NC 28409
I am trained and equipped to treat mental health and spiritual conditions! I specialize in treating anxiety, depression, PTSD, couples and family therapy, and adolescent, women’s, and men’s issues! I utilize an integrative approach consisting of psychology, the Holy Spirit, and God’s word! .
Life is a mix of joy and sorrow! Walking through the difficult times is tough emotionally, physically, and spiritually! There is no need to suffer through these hard times alone! God offers comfort and unconditional love in the midst of hardship! Thankfully, He equips His followers with guidance, wisdom, and love to help endure our hardships victoriously. God called me into the counseling field to walk with you through the painful areas of your life! I am well-trained in psychological techniques and approaches! In addition, I have a special love and compassion for people, and utilize a Biblical and Christ-centered approach.
I am trained and equipped to treat mental health and spiritual conditions! I specialize in treating anxiety, depression, PTSD, couples and family therapy, and adolescent, women’s, and men’s issues! I utilize an integrative approach consisting of psychology, the Holy Spirit, and God’s word! .
Life is a mix of joy and sorrow! Walking through the difficult times is tough emotionally, physically, and spiritually! There is no need to suffer through these hard times alone! God offers comfort and unconditional love in the midst of hardship! Thankfully, He equips His followers with guidance, wisdom, and love to help endure our hardships victoriously. God called me into the counseling field to walk with you through the painful areas of your life! I am well-trained in psychological techniques and approaches! In addition, I have a special love and compassion for people, and utilize a Biblical and Christ-centered approach.
Karen R Liddell
Pastoral Counselor, PhD, LCPC, Rev
Verified Verified
1 Endorsed
New Bern, NC 28560 (Online Only)
My program is most successful with people who recognize they need change, are ready to change, and believe it’s possible. They can identify at least one problem or unreached goal and are committed to learning something new. The clients that experience the fastest changes are those most willing to consider new perspectives about their pain or people and try new approaches. We're not going to talk a lot about the whys, we'll address the what - what is wrong and what you want instead. If you're ready to release the trauma and embrace joy, forgiveness, and freedom, you're a great fit!
My program is most successful with people who recognize they need change, are ready to change, and believe it’s possible. They can identify at least one problem or unreached goal and are committed to learning something new. The clients that experience the fastest changes are those most willing to consider new perspectives about their pain or people and try new approaches. We're not going to talk a lot about the whys, we'll address the what - what is wrong and what you want instead. If you're ready to release the trauma and embrace joy, forgiveness, and freedom, you're a great fit!
I am trained in trauma protocol therapies as well as expressive arts therapy.
My extensive experience includes working with service members/veterans and their families as well as children ages birth-five and their families. I enjoy working with adults with infertility issues and women or men who have experienced sexual trauma. I also work with adolescents who have different mental health challenges. My desire is to help you and your family learn how to express who you are and to experience growth. I hope to help you and your family with developing good intuition, creating healthy connections, and becoming more of your authentic self (selves). I want you to experience more joy and peace within your life.
I am trained in trauma protocol therapies as well as expressive arts therapy.
My extensive experience includes working with service members/veterans and their families as well as children ages birth-five and their families. I enjoy working with adults with infertility issues and women or men who have experienced sexual trauma. I also work with adolescents who have different mental health challenges. My desire is to help you and your family learn how to express who you are and to experience growth. I hope to help you and your family with developing good intuition, creating healthy connections, and becoming more of your authentic self (selves). I want you to experience more joy and peace within your life.
See more therapy options for Surf City
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.