Trauma and PTSD Therapists in Londonderry, NH

Photo of Ryan Aquilina - Bodhi Counseling Services, LLC, Counselor
Bodhi Counseling Services, LLC
Counselor
Verified Verified
Londonderry, NH 03053
We offer both short-term and long-term therapy and am trained in EMDR, Trauma-focused therapy for children, and dialectical-behavioral therapy.
We work with clients who are ready to change their lives and awaken. We work with clients who have experienced depression, anxiety, trauma, or difficult change, big or small. We work with clients of all ages, and some of our specialties include gender therapy, work with adolescents, parenting support, play therapy, among others. We are a diverse practice and a core tenet of our work is that we embrace the diversity that each client brings to therapy. We look forward to working with you!
We offer both short-term and long-term therapy and am trained in EMDR, Trauma-focused therapy for children, and dialectical-behavioral therapy.
We work with clients who are ready to change their lives and awaken. We work with clients who have experienced depression, anxiety, trauma, or difficult change, big or small. We work with clients of all ages, and some of our specialties include gender therapy, work with adolescents, parenting support, play therapy, among others. We are a diverse practice and a core tenet of our work is that we embrace the diversity that each client brings to therapy. We look forward to working with you!
(603) 255-3877 View (603) 255-3877
Photo of Amy McNally, Clinical Social Work/Therapist
Amy McNally
Clinical Social Work/Therapist
Verified Verified
Londonderry, NH 03053
I’m here to help as we walk together on your chosen path, to guide you to make the best decisions for yourself, to heal from past or current trauma, and to help you to build a life worth living.
You’re looking for self acceptance and healing through support and validation in a confirming and safe space. I work through a trauma informed lens, and provide a compassionate environment to manage anxiety, depression, and to process past experiences that may be holding you back.
I’m here to help as we walk together on your chosen path, to guide you to make the best decisions for yourself, to heal from past or current trauma, and to help you to build a life worth living.
You’re looking for self acceptance and healing through support and validation in a confirming and safe space. I work through a trauma informed lens, and provide a compassionate environment to manage anxiety, depression, and to process past experiences that may be holding you back.
(855) 643-8532 View (855) 643-8532
Photo of Susan Wright, LCMHC
Susan Wright
Clinical Mental Health Counselor, LCMHC
Verified Verified
Londonderry, NH 03053  (Online Only)
White Stone Counseling is dedicated to helping women experiencing trauma, grief, or loss in a safe & comforting environment.
Not accepting new clients at this time. I am New Hampshire's only Certified Grief Counselor & Educator. If for any reason you are lost in Depression, Anxiety, Perpetual Sadness, I am the artist who can help. My work is dedicated to helping adult women experience high quality care in a compassionate and caring environment. I answer each phone call personally & return calls promptly - always. I invite you to look at my WebSite - White Stone Counseling of New Hampshire - for more information. Practice limited to adult women only.
White Stone Counseling is dedicated to helping women experiencing trauma, grief, or loss in a safe & comforting environment.
Not accepting new clients at this time. I am New Hampshire's only Certified Grief Counselor & Educator. If for any reason you are lost in Depression, Anxiety, Perpetual Sadness, I am the artist who can help. My work is dedicated to helping adult women experience high quality care in a compassionate and caring environment. I answer each phone call personally & return calls promptly - always. I invite you to look at my WebSite - White Stone Counseling of New Hampshire - for more information. Practice limited to adult women only.
(603) 718-3951 View (603) 718-3951
Photo of Samuel Sobel - Center for Post-Traumatic Growth at C.R.E.A.T.E!, Clinical Social Work/Therapist
Center for Post-Traumatic Growth at C.R.E.A.T.E!
Clinical Social Work/Therapist
Verified Verified
Londonderry, NH 03053  (Online Only)
It is hard to believe there can be a life after trauma, childhood abuse, neglect, distrust, infidelity, loss, grief.
Immediate openings for adults, teens, and couples looking to find strengths, process trauma, and move into post-traumatic growth. There is more to life than where you are. Our counselors will help guide you to the richness you can feel when you approach hard events from a place of strength. With over 20 clinicians, arts-based therapists, and interns, we will look at those strengths while viewing the whole person. Then, we will help create a plan to move you towards your goals and successes.
It is hard to believe there can be a life after trauma, childhood abuse, neglect, distrust, infidelity, loss, grief.
Immediate openings for adults, teens, and couples looking to find strengths, process trauma, and move into post-traumatic growth. There is more to life than where you are. Our counselors will help guide you to the richness you can feel when you approach hard events from a place of strength. With over 20 clinicians, arts-based therapists, and interns, we will look at those strengths while viewing the whole person. Then, we will help create a plan to move you towards your goals and successes.
(603) 625-0010 View (603) 625-0010
Photo of For Appointment - Center for Expressive Arts, Therapy and Education, Counselor
Center for Expressive Arts, Therapy and Education
Counselor
Verified Verified
Londonderry, NH 03053
Immediate openings! C.R.E.A.T.E! combines the benefits of traditional mental health counseling with arts-based interventions when appropriate for the client. We offer a wide variety of services, experience, and specialties, with over 20 clinicians, arts-based therapists, and interns. Whether you are looking for therapy, trauma resolution or simply want to do some creative personal development, the counselors at C.R.E.A.T.E! believe you have strengths which can help you through your present situation. We can help create a plan to move you towards your goals and for your success.
Immediate openings! C.R.E.A.T.E! combines the benefits of traditional mental health counseling with arts-based interventions when appropriate for the client. We offer a wide variety of services, experience, and specialties, with over 20 clinicians, arts-based therapists, and interns. Whether you are looking for therapy, trauma resolution or simply want to do some creative personal development, the counselors at C.R.E.A.T.E! believe you have strengths which can help you through your present situation. We can help create a plan to move you towards your goals and for your success.
(603) 625-0010 View (603) 625-0010
Photo of Ann Bastille, MA, LCMHC, Counselor
Ann Bastille
Counselor, MA, LCMHC
Verified Verified
Londonderry, NH 03053
Please don't continue to live with the discomfort and unpredictability of PTSD, Grief or other hurtful experiences that resonate in the present.
With 30 years of experience treating trauma and grief, I find that Eye Movement Desensitization and Reprocessing provides relief more rapidly than traditional talk therapies. I see adults at my location in Campton, NH or via Telehealth to adults in NH. Clients usually have disproportionate disturbance (anxiety, grief, depression) in the present that was conditioned by negative experiences in the past. Clients with symptoms of Chronic Complex PTSD or Substance Use Disorder maintain treatment with a primary therapist and my services are an adjunct treatment as long as symptoms are stabilized.
Please don't continue to live with the discomfort and unpredictability of PTSD, Grief or other hurtful experiences that resonate in the present.
With 30 years of experience treating trauma and grief, I find that Eye Movement Desensitization and Reprocessing provides relief more rapidly than traditional talk therapies. I see adults at my location in Campton, NH or via Telehealth to adults in NH. Clients usually have disproportionate disturbance (anxiety, grief, depression) in the present that was conditioned by negative experiences in the past. Clients with symptoms of Chronic Complex PTSD or Substance Use Disorder maintain treatment with a primary therapist and my services are an adjunct treatment as long as symptoms are stabilized.
(603) 452-7708 View (603) 452-7708
Photo of Ara Heghinian, MDiv, DMin, LPP, Pastoral Counselor
Ara Heghinian
Pastoral Counselor, MDiv, DMin, LPP
Verified Verified
2 Endorsed
Londonderry, NH 03053
I work with adults and youth, couples, individuals and families. I focus on helping individuals as they seek knowledge about themselves and search for meaning in their relationships with others. I have worked extensively with couples in marital counseling, with families in conflict and with individuals dealing with the aftermath of trauma and abuse.
I work with adults and youth, couples, individuals and families. I focus on helping individuals as they seek knowledge about themselves and search for meaning in their relationships with others. I have worked extensively with couples in marital counseling, with families in conflict and with individuals dealing with the aftermath of trauma and abuse.
(603) 253-2234 View (603) 253-2234
Photo of Desmond Stern, MS, LCMHC
Desmond Stern
Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Londonderry, NH 03053  (Online Only)
Waitlist for new clients
I currently have a waitlist for new clients. It's okay to be a work in progress. Whether you’re healing from trauma, seeking LGBTQIA+ and gender affirming care, looking for help with depression or anxiety, coping with life’s stressors, or something else, I’m here to help. I am an LGBTQIA+-identifying licensed clinical mental health counselor in the state of NH, and an out-of-state telehealth provider for the state of FL (flhealthsource.gov/telehealth). I work with adults (ages 18+) who are seeking care to create lasting change and wellness.
I currently have a waitlist for new clients. It's okay to be a work in progress. Whether you’re healing from trauma, seeking LGBTQIA+ and gender affirming care, looking for help with depression or anxiety, coping with life’s stressors, or something else, I’m here to help. I am an LGBTQIA+-identifying licensed clinical mental health counselor in the state of NH, and an out-of-state telehealth provider for the state of FL (flhealthsource.gov/telehealth). I work with adults (ages 18+) who are seeking care to create lasting change and wellness.
(301) 202-4495 View (301) 202-4495
Photo of Sarah Ahearn, MA, Pre-Licensed Professional
Sarah Ahearn
Pre-Licensed Professional, MA
Verified Verified
Londonderry, NH 03053
I work with adults and elders and have experience in working with people with anxiety, depression, life adjustments, mood disorders, trauma, PTSD, women's issues, stress, recovery from mental illness, and other issues.
I believe that creativity and the imagination can help us heal. The arts are a powerful tool that can offer us a way to find ourselves and create transformation. I offer a safe place without judgment that is welcoming to people from all walks of life. I use a collaborative, client-centered, strength-based approach that allows each person to be able to feel comfortable in their own discovery and journey to well being.
I work with adults and elders and have experience in working with people with anxiety, depression, life adjustments, mood disorders, trauma, PTSD, women's issues, stress, recovery from mental illness, and other issues.
I believe that creativity and the imagination can help us heal. The arts are a powerful tool that can offer us a way to find ourselves and create transformation. I offer a safe place without judgment that is welcoming to people from all walks of life. I use a collaborative, client-centered, strength-based approach that allows each person to be able to feel comfortable in their own discovery and journey to well being.
(603) 625-0010 View (603) 625-0010
Photo of Jessica Leonard, PhD, Psychologist
Jessica Leonard
Psychologist, PhD
Verified Verified
Londonderry, NH 03053
She is trained as a generalist psychologist and specializes in treating trauma, including childhood, sexual, combat, and complex trauma.
Dr. Jes Leonard is a psychologist who has been practicing since 2016. She currently serves as the Training Director for the post-doc and practicum training program at Lifestance NH and as the Regional Clinical Assessment Director for Lifestance NH/ME. She graduated from West Virginia University with a doctoral degree in counseling psychology and Ithaca College with a masters of science degree with a concentration in sport psychology. Dr. Leonard believes in the resilience of all humans and has a client-centered approach in assisting clients live a more purposeful and meaningful life and providing tools to manage life stressors.
She is trained as a generalist psychologist and specializes in treating trauma, including childhood, sexual, combat, and complex trauma.
Dr. Jes Leonard is a psychologist who has been practicing since 2016. She currently serves as the Training Director for the post-doc and practicum training program at Lifestance NH and as the Regional Clinical Assessment Director for Lifestance NH/ME. She graduated from West Virginia University with a doctoral degree in counseling psychology and Ithaca College with a masters of science degree with a concentration in sport psychology. Dr. Leonard believes in the resilience of all humans and has a client-centered approach in assisting clients live a more purposeful and meaningful life and providing tools to manage life stressors.
(888) 299-2854 View (888) 299-2854
Photo of Robin McKinley - Awaken, NP
Awaken
NP
Verified Verified
1 Endorsed
Londonderry, NH 03053
Clients with treatment failure to SSRI's for Depression, Anxiety and PTSD.
Ketamine Healing Studio offering Integrative work that focuses on the Mind, Body and Spirt
Clients with treatment failure to SSRI's for Depression, Anxiety and PTSD.
Ketamine Healing Studio offering Integrative work that focuses on the Mind, Body and Spirt
(603) 404-8705 View (603) 404-8705
Photo of Patricia Genest, LCMHC, MLADC, Counselor
Patricia Genest
Counselor, LCMHC, MLADC
Verified Verified
Londonderry, NH 03053
She has worked most of her career at Greater Nashua Mental Health where she worked as an outpatient therapist and went on to become the Coordinator for Substance Use Disorders Services. Trish considers it a privilege and honor to walk with those on their path to recovery, healing and overall wellness. Services and Specializations: Trish specializes in working with adults living with co-occurring mental health and substance use disorders as well as trauma survivors and PTSD, Anxiety/Panic Disorders, Major Depressive Disorder, and interpersonal relationship challenges.
She has worked most of her career at Greater Nashua Mental Health where she worked as an outpatient therapist and went on to become the Coordinator for Substance Use Disorders Services. Trish considers it a privilege and honor to walk with those on their path to recovery, healing and overall wellness. Services and Specializations: Trish specializes in working with adults living with co-occurring mental health and substance use disorders as well as trauma survivors and PTSD, Anxiety/Panic Disorders, Major Depressive Disorder, and interpersonal relationship challenges.
(888) 669-6251 View (888) 669-6251
Photo of Christine Penta - LifeStance Health, LICSW, Clinical Social Work/Therapist
LifeStance Health
Clinical Social Work/Therapist, LICSW
Verified Verified
Londonderry, NH 03053
Our team of psychiatrists, therapists, psychologists, and advanced practice nurses specializes in treating in a wide range of mental health conditions, including anxiety, depression, ADHD, addiction, trauma, PTSD, and more.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Our team of psychiatrists, therapists, psychologists, and advanced practice nurses specializes in treating in a wide range of mental health conditions, including anxiety, depression, ADHD, addiction, trauma, PTSD, and more.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(833) 882-0139 View (833) 882-0139
Photo of Candace Iannotti, MS,  LCMHC, Counselor
Candace Iannotti
Counselor, MS, LCMHC
Verified Verified
Londonderry, NH 03053
She specializes in providing therapy utilizing a range of approaches, tailored to individual need, including Somatic Experiencing, Trauma Focused Cognitive Behavioral Therapy, Motivational Interviewing, Solution Focused Therapy, Progressive Muscle Relaxation, Mindfulness and Stress/Anger Management and more.
Prior to joining The Counseling Center, Candace was a Clinical Supervisor and Adult Clinician at the Center for Life Management (CLM), a community mental health agency in Derry, NH providing outpatient counseling, assessment and crisis stabilization to adults struggling with a range of short term and long-term mental health conditions. She has also has experience working with cancer patients and their families through Dana Farber Cancer Institute. Candace has worked with older adolescents, adults, and elders. She maintains comfort working with various populations with a diverse range of clinical issues.
She specializes in providing therapy utilizing a range of approaches, tailored to individual need, including Somatic Experiencing, Trauma Focused Cognitive Behavioral Therapy, Motivational Interviewing, Solution Focused Therapy, Progressive Muscle Relaxation, Mindfulness and Stress/Anger Management and more.
Prior to joining The Counseling Center, Candace was a Clinical Supervisor and Adult Clinician at the Center for Life Management (CLM), a community mental health agency in Derry, NH providing outpatient counseling, assessment and crisis stabilization to adults struggling with a range of short term and long-term mental health conditions. She has also has experience working with cancer patients and their families through Dana Farber Cancer Institute. Candace has worked with older adolescents, adults, and elders. She maintains comfort working with various populations with a diverse range of clinical issues.
(866) 857-8878 View (866) 857-8878
Photo of Alexandra Baltimore, LICSW, PMH-C, Clinical Social Work/Therapist
Alexandra Baltimore
Clinical Social Work/Therapist, LICSW, PMH-C
Verified Verified
Londonderry, NH 03053
I also provide Accelerated Resolution Therapy to help you recover from trauma in as little as one session.
A therapist is a keeper of secrets, a steady presence in one’s life, there to provide support, validation, healing, perspective, guidance, a nudge, or simply listen. A safe space where no topic is off limits, no pain is too great, where there is no judgment or fear. This is what I provide. And forget cold, clinical waiting rooms and blank expressions. I am here to provide you a human experience.
I also provide Accelerated Resolution Therapy to help you recover from trauma in as little as one session.
A therapist is a keeper of secrets, a steady presence in one’s life, there to provide support, validation, healing, perspective, guidance, a nudge, or simply listen. A safe space where no topic is off limits, no pain is too great, where there is no judgment or fear. This is what I provide. And forget cold, clinical waiting rooms and blank expressions. I am here to provide you a human experience.
(781) 630-6089 View (781) 630-6089
Photo of Matthew Stone, PsyD, Psychologist
Matthew Stone
Psychologist, PsyD
Verified Verified
Londonderry, NH 03053
Stone's treatment and assessment approach is attachment-based and trauma-informed, with a significant focus on integrating neuropsychological research and new scientific developments in the mental health field.
Dr. Matthew Stone is a Psychologist in New Hampshire who has been practicing since 2013. "Hailing from the north shore of Massachusetts, Dr. Stone received his undergraduate degree in biopsychology from Tufts University in Massachusetts. He subsequently received his doctorate in clinical psychology from John F. Kennedy University, in California. Dr. Stone is a specialist in child, adolescent, and family therapy, with focus on assessing and treating autism spectrum disorder, attention-deficit/hyperactivity disorder, and obsessive-compulsive disorder.
Stone's treatment and assessment approach is attachment-based and trauma-informed, with a significant focus on integrating neuropsychological research and new scientific developments in the mental health field.
Dr. Matthew Stone is a Psychologist in New Hampshire who has been practicing since 2013. "Hailing from the north shore of Massachusetts, Dr. Stone received his undergraduate degree in biopsychology from Tufts University in Massachusetts. He subsequently received his doctorate in clinical psychology from John F. Kennedy University, in California. Dr. Stone is a specialist in child, adolescent, and family therapy, with focus on assessing and treating autism spectrum disorder, attention-deficit/hyperactivity disorder, and obsessive-compulsive disorder.
(888) 491-5017 View (888) 491-5017
Photo of Debra LaMalfa - Debra A LaMalfa, MS, LCMHC
Debra A LaMalfa
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Londonderry, NH 03053
I have worked with individuals who feel depressed, anxious and who are coping with PTSD.
I realize that considering therapy may provoke all sorts of assumptions about the process. Reaching out can feel intimidating and you may put it off. I will provide you with an emotionally safe environment where you and I will explore your reasons for contacting me. You may be feeling sad most days or have experienced anxiety attacks that are preventing you from experiencing your best life. I understand the difficulties of trying to feel put together. We will explore the versions of what may be preventing you from experiencing inner peace while encouraging the emergence of your true self.
I have worked with individuals who feel depressed, anxious and who are coping with PTSD.
I realize that considering therapy may provoke all sorts of assumptions about the process. Reaching out can feel intimidating and you may put it off. I will provide you with an emotionally safe environment where you and I will explore your reasons for contacting me. You may be feeling sad most days or have experienced anxiety attacks that are preventing you from experiencing your best life. I understand the difficulties of trying to feel put together. We will explore the versions of what may be preventing you from experiencing inner peace while encouraging the emergence of your true self.
View
Photo of Barry Lewis, PsyD,  LCMHC, Counselor
Barry Lewis
Counselor, PsyD, LCMHC
Verified Verified
Londonderry, NH 03053
Dr. Lewis specializes in depression, anxiety, trauma, insomnia, and substance use disorders. He uses an integrated approach involving cognitivebehavior therapy (CBT), dialectical behavior therapy (DBT), personcentered therapy, and motivational interviewing. Dr. Lewis enjoys dogs and turtles, nature photography, history, and reading.
Dr. Lewis specializes in depression, anxiety, trauma, insomnia, and substance use disorders. He uses an integrated approach involving cognitivebehavior therapy (CBT), dialectical behavior therapy (DBT), personcentered therapy, and motivational interviewing. Dr. Lewis enjoys dogs and turtles, nature photography, history, and reading.
(844) 595-9385 View (844) 595-9385
Photo of Heather Andonucci-Hill, PsyD, Psychologist
Heather Andonucci-Hill
Psychologist, PsyD
Verified Verified
Londonderry, NH 03053
Dr. Andonucci-Hill specializes in treating clients with mood and anxiety disorders, trauma related issues, personality disorders, attention deficit hyperactivity disorders, family challenges, and women’s issues. She works with adolescents, and adults across the life span. Her strength based individual and family approach to treatment is eclectic, specifically drawing from psychoanalytic, family relations, relational and cognitive behavioral theories. In her spare time, Dr. Andonucci-Hill enjoys spending time with her family, animals and being active outdoors.
Dr. Andonucci-Hill specializes in treating clients with mood and anxiety disorders, trauma related issues, personality disorders, attention deficit hyperactivity disorders, family challenges, and women’s issues. She works with adolescents, and adults across the life span. Her strength based individual and family approach to treatment is eclectic, specifically drawing from psychoanalytic, family relations, relational and cognitive behavioral theories. In her spare time, Dr. Andonucci-Hill enjoys spending time with her family, animals and being active outdoors.
(855) 340-7803 View (855) 340-7803
Photo of Cara Casey, LICSW, Clinical Social Work/Therapist
Cara Casey
Clinical Social Work/Therapist, LICSW
Verified Verified
Londonderry, NH 03053
She utilizes a variety of evidence-based approaches including Solution Focused Therapy, Insight Oriented Psychotherapy, Cognitive Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, Exposure Response Prevention Therapy, and Mindfulness-Based Stress Reduction.
Cara Casey is a Licensed Independent Clinical Social Worker in New Hampshire. Cara has experience in treating children, adolescents, young adults, and families struggling with a range of emotional and behavioral challenges. She specializes in working with Posttraumatic Stress Disorder, Bereavement, Depression, Anxiety, Obsessive Compulsive Disorder, and Conduct Disorders. She has worked in outpatient community mental health, residential treatment programs, and within multiple school districts. Cara also taught seminars for the Child Impact Program to support parents going through divorce.
She utilizes a variety of evidence-based approaches including Solution Focused Therapy, Insight Oriented Psychotherapy, Cognitive Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, Exposure Response Prevention Therapy, and Mindfulness-Based Stress Reduction.
Cara Casey is a Licensed Independent Clinical Social Worker in New Hampshire. Cara has experience in treating children, adolescents, young adults, and families struggling with a range of emotional and behavioral challenges. She specializes in working with Posttraumatic Stress Disorder, Bereavement, Depression, Anxiety, Obsessive Compulsive Disorder, and Conduct Disorders. She has worked in outpatient community mental health, residential treatment programs, and within multiple school districts. Cara also taught seminars for the Child Impact Program to support parents going through divorce.
(603) 420-2130 View (603) 420-2130
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.