Trauma and PTSD Therapists in Hixson, TN

Photo of Brittanie Estes, MFT-I, Marriage & Family Therapist Intern
Brittanie Estes
Marriage & Family Therapist Intern, MFT-I
Verified Verified
Hixson, TN 37343
Working with complex trauma, anxiety, Autism, and ADHD at an all girls facility has highlighted my passion in continuing to work with children, women, and families.
“Feelings of worth can flourish only in an atmosphere where individual differences are appreciated, mistakes are tolerated, communication is open, and rules are flexible...” Is a statement Magnolia Tree Therapy hopes to offer in addition to building resilience, strength, love and joy. Magnolia Tree Therapy was created to offer a warm, genuine, and collaborative approach for children to build hope, families to find connection, and women to find themselves again.
Working with complex trauma, anxiety, Autism, and ADHD at an all girls facility has highlighted my passion in continuing to work with children, women, and families.
“Feelings of worth can flourish only in an atmosphere where individual differences are appreciated, mistakes are tolerated, communication is open, and rules are flexible...” Is a statement Magnolia Tree Therapy hopes to offer in addition to building resilience, strength, love and joy. Magnolia Tree Therapy was created to offer a warm, genuine, and collaborative approach for children to build hope, families to find connection, and women to find themselves again.
(706) 934-2904 View (706) 934-2904
Photo of Ashley Dillon, MA, LPC, MHSP, AS, Licensed Professional Counselor
Ashley Dillon
Licensed Professional Counselor, MA, LPC, MHSP, AS
Verified Verified
6 Endorsed
Hixson, TN 37343
Waitlist for new clients
I have a passion for helping families and young people. Parenting in all stages of life can be difficult, which is why I seek to provide support, understanding, and tools to help enhance your family relationships. I work directly with caregivers to manage behaviors of toddlerhood. I connect well with middle schoolers who find it difficult to connect with others. I also enjoy helping teenagers find hope and healing while overcoming depression and trauma. I’m like a teacher in that you should learn something from me, like a doctor in that you should overcome symptoms, and like a firefighter in that I help keep kids safe.
I have a passion for helping families and young people. Parenting in all stages of life can be difficult, which is why I seek to provide support, understanding, and tools to help enhance your family relationships. I work directly with caregivers to manage behaviors of toddlerhood. I connect well with middle schoolers who find it difficult to connect with others. I also enjoy helping teenagers find hope and healing while overcoming depression and trauma. I’m like a teacher in that you should learn something from me, like a doctor in that you should overcome symptoms, and like a firefighter in that I help keep kids safe.
(423) 709-8311 View (423) 709-8311
Photo of Melanie DeWerff, LPC, MHSP, LPCC, CPC, LMHC, Licensed Professional Counselor
Melanie DeWerff
Licensed Professional Counselor, LPC, MHSP, LPCC, CPC, LMHC
Verified Verified
2 Endorsed
Hixson, TN 37343
Waitlist for new clients
My experience covers trauma, sexual abuse victims, depression, anxiety, PTSD, domestic abuse victims, anger management, dysfunctional family systems, suicide, and negative core beliefs.
Eclectic, spiritually bent, and sacredly genuine. I utilize creativity and work from an embodied healing approach. I will lovingly challenge you; while lovingly supporting you. I want to help you connect to, and operate from, your True Self. Out of the box thinker; life does not fit in a box; therefore, therapy does not fit in a box. Connect to what a fulfilled life looks like for you; and, then how to live that life. Shedding of old patterns and transition into your genuine self. Also, offer energy work.
My experience covers trauma, sexual abuse victims, depression, anxiety, PTSD, domestic abuse victims, anger management, dysfunctional family systems, suicide, and negative core beliefs.
Eclectic, spiritually bent, and sacredly genuine. I utilize creativity and work from an embodied healing approach. I will lovingly challenge you; while lovingly supporting you. I want to help you connect to, and operate from, your True Self. Out of the box thinker; life does not fit in a box; therefore, therapy does not fit in a box. Connect to what a fulfilled life looks like for you; and, then how to live that life. Shedding of old patterns and transition into your genuine self. Also, offer energy work.
(865) 346-2935 View (865) 346-2935
Photo of Jessica Mangano, MEd, Pre-Licensed Professional
Jessica Mangano
Pre-Licensed Professional, MEd
Verified Verified
2 Endorsed
Hixson, TN 37343
You may be in the midst of a life transition or experiencing manifestations of anxiety, depression, grief, or trauma.
Are you ready to live differently? Therapy is a process that allows you to engage in conversation with the truest version of yourself, the one who has the power to transform your life. With the presence of an empathetic witness, you can express what was once left unexpressed. Our emotions are ancestral instruments for living. My purpose is to provide a safe space where you can engage with your emotions to evoke and sustain positive change. It will be my privilege to learn what experiences have shaped you and travel alongside you as you find balance within your inner world and the world around you.
You may be in the midst of a life transition or experiencing manifestations of anxiety, depression, grief, or trauma.
Are you ready to live differently? Therapy is a process that allows you to engage in conversation with the truest version of yourself, the one who has the power to transform your life. With the presence of an empathetic witness, you can express what was once left unexpressed. Our emotions are ancestral instruments for living. My purpose is to provide a safe space where you can engage with your emotions to evoke and sustain positive change. It will be my privilege to learn what experiences have shaped you and travel alongside you as you find balance within your inner world and the world around you.
(423) 761-3390 View (423) 761-3390
Photo of Brandi Santiwan, MA, Pre-Licensed Professional
Brandi Santiwan
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Hixson, TN 37343
I have walked with clients through experiences including sexual abuse, family disruptions, childhood trauma, and more.
Sometimes your own mind can be the hardest place to exist. I believe that every individual deserves access to the tools necessary to feel comfortable and safe within themselves. I have history working with children, adolescents, and adults who have experienced life-altering traumas and navigating a path forward. There are so many things in our worlds outside of our control. My passion is helping individuals gain, or take back, their sense of control over their own lives.
I have walked with clients through experiences including sexual abuse, family disruptions, childhood trauma, and more.
Sometimes your own mind can be the hardest place to exist. I believe that every individual deserves access to the tools necessary to feel comfortable and safe within themselves. I have history working with children, adolescents, and adults who have experienced life-altering traumas and navigating a path forward. There are so many things in our worlds outside of our control. My passion is helping individuals gain, or take back, their sense of control over their own lives.
(423) 401-6474 View (423) 401-6474
Photo of Brian Clinton, LPC, MHSP, Licensed Professional Counselor
Brian Clinton
Licensed Professional Counselor, LPC, MHSP
Verified Verified
Hixson, TN 37343  (Online Only)
I utilize Trauma Informed Hypnotherapy and other solution-oriented strategies to resolve symptoms that come from past traumatic experiences.
My goal is to help people discover their own ability to achieve change in their lives. Many times I hear people describe themselves as broken or damaged because they are unable to just "get over it". Often, these degrading narratives overwhelm and we can find ourselves experiencing anxiety, depression and even substance abuse issues. The good news is that using modern, evidence-based techniques we can not only resolve the issues that have led you to seek counseling, but make you better equipped in the future to handle life challenges as they arise.
I utilize Trauma Informed Hypnotherapy and other solution-oriented strategies to resolve symptoms that come from past traumatic experiences.
My goal is to help people discover their own ability to achieve change in their lives. Many times I hear people describe themselves as broken or damaged because they are unable to just "get over it". Often, these degrading narratives overwhelm and we can find ourselves experiencing anxiety, depression and even substance abuse issues. The good news is that using modern, evidence-based techniques we can not only resolve the issues that have led you to seek counseling, but make you better equipped in the future to handle life challenges as they arise.
(423) 290-0358 View (423) 290-0358
Photo of Kendal McDaniel, MA, MFTI, Pre-Licensed Professional
Kendal McDaniel
Pre-Licensed Professional, MA, MFTI
Verified Verified
Hixson, TN 37343
I am trauma informed and utilize evidence-based therapies such as CBT, EFT, and Attachment-Based Therapy.
As a member of the LGBTQ+ community, I am passionate about working with our community and can personally relate to how religious, childhood, relational, and societal trauma can impact sexuality and sexual orientation. Sexuality is a unique spectrum and is a beautiful part of who we are. In therapy together, you will find an accepting and safe space to explore all questions related to sexuality, sexual orientation and gender, non-traditional relationships, and sense of self, all with compassion and care. At Affirming Therapy Services, you are free to be who you are and to continue to discover your most authentic self.
I am trauma informed and utilize evidence-based therapies such as CBT, EFT, and Attachment-Based Therapy.
As a member of the LGBTQ+ community, I am passionate about working with our community and can personally relate to how religious, childhood, relational, and societal trauma can impact sexuality and sexual orientation. Sexuality is a unique spectrum and is a beautiful part of who we are. In therapy together, you will find an accepting and safe space to explore all questions related to sexuality, sexual orientation and gender, non-traditional relationships, and sense of self, all with compassion and care. At Affirming Therapy Services, you are free to be who you are and to continue to discover your most authentic self.
(423) 592-8149 View (423) 592-8149
Photo of Laura Salazar, LMFT, Marriage & Family Therapist
Laura Salazar
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Hixson, TN 37343
My background in treating childhood trauma has shifted into working with pregnant and postpartum families.
You envisioned your birth to be a beautiful beginning to your baby's life, and are now wondering how this could have happened. People say "at least you're okay and the baby is safe now." But it's not that comforting. You don't feel safe or confident that your baby is okay and you doubt yourself. Of course hormones are raging, but are all these feelings normal? You may be feeling helpless, scared, or grieving the freedom you had before becoming a parent. You have a constant voice asking you if you really are good enough and reminding you that everyone’s judging you for every decision you make as a parent.
My background in treating childhood trauma has shifted into working with pregnant and postpartum families.
You envisioned your birth to be a beautiful beginning to your baby's life, and are now wondering how this could have happened. People say "at least you're okay and the baby is safe now." But it's not that comforting. You don't feel safe or confident that your baby is okay and you doubt yourself. Of course hormones are raging, but are all these feelings normal? You may be feeling helpless, scared, or grieving the freedom you had before becoming a parent. You have a constant voice asking you if you really are good enough and reminding you that everyone’s judging you for every decision you make as a parent.
(423) 799-2043 View (423) 799-2043
Photo of Michelle Waldrop (Johnson), MA-CMHC, Pre-Licensed Professional
Michelle Waldrop (Johnson)
Pre-Licensed Professional, MA-CMHC
Verified Verified
4 Endorsed
Hixson, TN 37343
I am passionate about story, visual arts, paying attention to attachment wounds, and a holistic view of the person as emotional, spiritual, and physical. I enjoy using therapeutic art practices with my clients to explore many aspects of hurt and healing. I have several years of experience working in mental and behavioral health treatment, with a variety of ages. I currently desire to work with adolescents and adults struggling with anxiety, depression, OCD, codependency, trauma post-traumatic stress, and other life stressors. I believe we are formed by both the things we have experienced and the relationships we have been a part of.
I am passionate about story, visual arts, paying attention to attachment wounds, and a holistic view of the person as emotional, spiritual, and physical. I enjoy using therapeutic art practices with my clients to explore many aspects of hurt and healing. I have several years of experience working in mental and behavioral health treatment, with a variety of ages. I currently desire to work with adolescents and adults struggling with anxiety, depression, OCD, codependency, trauma post-traumatic stress, and other life stressors. I believe we are formed by both the things we have experienced and the relationships we have been a part of.
(423) 250-9433 View (423) 250-9433
Photo of Jerelyn Gentry Lee, MHSP, Licensed Professional Counselor
Jerelyn Gentry Lee
Licensed Professional Counselor, MHSP
Verified Verified
1 Endorsed
Hixson, TN 37343
I am convinced that there is incredible power and healing in experiencing genuine, authentic relationships. Struggles related to life transitions, grief, trauma, sexuality/gender identity, spirituality (specifically involving church hurt, spiritual trauma, deconstruction, and reconstruction of faith) might be weighing on you.
I am convinced that there is incredible power and healing in experiencing genuine, authentic relationships. Struggles related to life transitions, grief, trauma, sexuality/gender identity, spirituality (specifically involving church hurt, spiritual trauma, deconstruction, and reconstruction of faith) might be weighing on you.
(423) 561-8703 View (423) 561-8703
Photo of Marci Weaver, LCSW, Clinical Social Work/Therapist
Marci Weaver
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Hixson, TN 37343
Stress and struggle is part of the human condition, but we don't have to face these challenges alone. I am honored and delighted to witness your story with compassion and empathy. I typically work with adults 18 years and older who are motivated to navigate life's challenges including unexpected changes, grief & loss, anxiety & panic, depression, attachment & relationship difficulties, and symptoms commonly related to trauma.
Stress and struggle is part of the human condition, but we don't have to face these challenges alone. I am honored and delighted to witness your story with compassion and empathy. I typically work with adults 18 years and older who are motivated to navigate life's challenges including unexpected changes, grief & loss, anxiety & panic, depression, attachment & relationship difficulties, and symptoms commonly related to trauma.
(731) 341-8759 View (731) 341-8759
Photo of Linden Turner, MS, Marriage & Family Therapist
Linden Turner
Marriage & Family Therapist, MS
Verified Verified
6 Endorsed
Hixson, TN 37343
Waitlist for new clients
I specialize in processing trauma through techniques such as EMDR & Somatic Experiencing - with special interests pertaining to female empowerment, maternal well-being, couples, & parenting struggles.
Life's challenges can lead us to a place where recognizing the person in the mirror becomes foreign. The fights with your partner, the fear of the future, or desiring a sense of direction and meaningful connection can leave us feeling frozen, overwhelmed, and distanced from where we’d like to be. Your unique experience matters - which is why I work to foster empathy, openness, authenticity, safety, and caring challenges within therapy - to meet you where you are and journey beside you as you seek to find yourself and your relationships again.
I specialize in processing trauma through techniques such as EMDR & Somatic Experiencing - with special interests pertaining to female empowerment, maternal well-being, couples, & parenting struggles.
Life's challenges can lead us to a place where recognizing the person in the mirror becomes foreign. The fights with your partner, the fear of the future, or desiring a sense of direction and meaningful connection can leave us feeling frozen, overwhelmed, and distanced from where we’d like to be. Your unique experience matters - which is why I work to foster empathy, openness, authenticity, safety, and caring challenges within therapy - to meet you where you are and journey beside you as you seek to find yourself and your relationships again.
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Photo of Lynn Helwig, MA , LPC, MHSP, Licensed Professional Counselor
Lynn Helwig
Licensed Professional Counselor, MA , LPC, MHSP
Verified Verified
2 Endorsed
Hixson, TN 37343
My focus includes PTSD, trauma, domestic violence, narcissistic abuse, mood disorders/depression, anxiety and thinking disorders.
Are you struggling to heal after leaving a toxic relationship? Do you feel as though you’ve lost yourself or you don’t even know who you are? Is it difficult to express your feelings or thoughts? Perhaps you are experiencing tension or communication problems in your relationships? If you have, or are experiencing any of these issues, I would be honored to walk with you and help you navigate your way to confidence, freedom and healing. I work with adults and approach therapy from a Christian worldview. I integrate faith into the counseling process by request.
My focus includes PTSD, trauma, domestic violence, narcissistic abuse, mood disorders/depression, anxiety and thinking disorders.
Are you struggling to heal after leaving a toxic relationship? Do you feel as though you’ve lost yourself or you don’t even know who you are? Is it difficult to express your feelings or thoughts? Perhaps you are experiencing tension or communication problems in your relationships? If you have, or are experiencing any of these issues, I would be honored to walk with you and help you navigate your way to confidence, freedom and healing. I work with adults and approach therapy from a Christian worldview. I integrate faith into the counseling process by request.
(423) 481-8987 View (423) 481-8987
Photo of Sasha Self, LPC, MHSP, Counselor
Sasha Self
Counselor, LPC, MHSP
Verified Verified
Hixson, TN 37343
I offer support in facing and gaining mastery over life’s many struggles, including but not limited to the following areas: trauma, depression, anxiety, grief, relationship issues, and addiction. I also provide encouragement and collaborated direction for those desiring to become the best possible version of themselves.
I offer support in facing and gaining mastery over life’s many struggles, including but not limited to the following areas: trauma, depression, anxiety, grief, relationship issues, and addiction. I also provide encouragement and collaborated direction for those desiring to become the best possible version of themselves.
(423) 799-2706 View (423) 799-2706
Photo of Patricia Grady Stinnett, LMFT, Marriage & Family Therapist
Patricia Grady Stinnett
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Hixson, TN 37343  (Online Only)
Patricia received her Master of Science from Lee University in 2016. She is a Licensed Marriage and Family Therapist (LMFT) in the State of Tennessee. Patricia's counseling services are available via telehealth. Patricia is trained and experienced in trauma, grief, depression, anxiety and simply adjusting to life. Her treatment model is trauma-informed and integrative psychotherapy including clinical training in TF-CBT (Trauma Focused Cognitive Behavioral Therapy) and Level 1 Complex Trauma Treatment Professional Training, current training telehealth trauma certification.
Patricia received her Master of Science from Lee University in 2016. She is a Licensed Marriage and Family Therapist (LMFT) in the State of Tennessee. Patricia's counseling services are available via telehealth. Patricia is trained and experienced in trauma, grief, depression, anxiety and simply adjusting to life. Her treatment model is trauma-informed and integrative psychotherapy including clinical training in TF-CBT (Trauma Focused Cognitive Behavioral Therapy) and Level 1 Complex Trauma Treatment Professional Training, current training telehealth trauma certification.
(423) 205-4259 View (423) 205-4259
Photo of Gladson Andrews, LMFT, Marriage & Family Therapist
Gladson Andrews
Marriage & Family Therapist, LMFT
Verified Verified
Hixson, TN 37343
I am a licensed Marriage & Family Therapist who has practiced therapy since 2008. I prefer to counsel from Christian perspective but will adjust to my client's needs. I have significant experience working with trauma, anxiety, and chronic mental illness. I enjoy working with married couples and helping individuals overcome past trauma especially. I am trained to work with individuals, families, or couples on a variety of issues.
I am a licensed Marriage & Family Therapist who has practiced therapy since 2008. I prefer to counsel from Christian perspective but will adjust to my client's needs. I have significant experience working with trauma, anxiety, and chronic mental illness. I enjoy working with married couples and helping individuals overcome past trauma especially. I am trained to work with individuals, families, or couples on a variety of issues.
(865) 730-0167 View (865) 730-0167
Photo of Carrie Lynn Schambers, MA, LPC , MHSP, Licensed Professional Counselor
Carrie Lynn Schambers
Licensed Professional Counselor, MA, LPC , MHSP
Verified Verified
1 Endorsed
Hixson, TN 37343
Carrie received her masters in counseling from regent university Virginia Beach, Virginia in 2016. She is licensed in Tennessee as a licensed professional counselor (LPC-MHSP) and has worked in the counseling field for 5 years treating a variety of mental health issues in children, adolescents, and adults. Carrie has worked in residential and outpatient treatment settings. She has experience with, and is passionate about, working with adolescents, young adults, and adults with eating disorders. Carrie also has experience providing therapy to adolescents and adults with anxiety, depression, and trauma, substance abuse, and more.
Carrie received her masters in counseling from regent university Virginia Beach, Virginia in 2016. She is licensed in Tennessee as a licensed professional counselor (LPC-MHSP) and has worked in the counseling field for 5 years treating a variety of mental health issues in children, adolescents, and adults. Carrie has worked in residential and outpatient treatment settings. She has experience with, and is passionate about, working with adolescents, young adults, and adults with eating disorders. Carrie also has experience providing therapy to adolescents and adults with anxiety, depression, and trauma, substance abuse, and more.
(423) 205-6174 View (423) 205-6174
Photo of Tabitha A Shumate, MFT-I, MS, Marriage & Family Therapist Intern
Tabitha A Shumate
Marriage & Family Therapist Intern, MFT-I, MS
Verified Verified
1 Endorsed
Hixson, TN 37343
At times symptoms from anxiety, post-traumatic stress disorder and depression that follows, can hinder our ability from living the life we want, especially when feeling vulnerable and misunderstood. This affects our relationships, parenting, friendships, marriages, career, social life, and living out our fullest potential. If your struggling with a thought life that leans more on the negative side and doesn't line up with who you are or who you want to be, I can help.
At times symptoms from anxiety, post-traumatic stress disorder and depression that follows, can hinder our ability from living the life we want, especially when feeling vulnerable and misunderstood. This affects our relationships, parenting, friendships, marriages, career, social life, and living out our fullest potential. If your struggling with a thought life that leans more on the negative side and doesn't line up with who you are or who you want to be, I can help.
(423) 648-3150 View (423) 648-3150
Photo of Mollie Sykes, LPC, Licensed Professional Counselor
Mollie Sykes
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Hixson, TN 37343
I have training in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Dialectical Behavior Therapy (DBT).
Helping others has always been a part of my heart. I enjoy working with all ages but particularly enjoy working with the adolescent population. Adolescents is such a pivotal and impressionable stage of life where they are learning and exploring their own beliefs and ideas. No matter what I believe in being transparent, kind, honest, and genuine within the therapeutic relationship. I strive to make sure my clients have answers about the therapeutic process and feel comfortable.
I have training in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Dialectical Behavior Therapy (DBT).
Helping others has always been a part of my heart. I enjoy working with all ages but particularly enjoy working with the adolescent population. Adolescents is such a pivotal and impressionable stage of life where they are learning and exploring their own beliefs and ideas. No matter what I believe in being transparent, kind, honest, and genuine within the therapeutic relationship. I strive to make sure my clients have answers about the therapeutic process and feel comfortable.
(423) 454-2793 View (423) 454-2793
Photo of Leslie Davis, MA, LPC, MHSP, Licensed Professional Counselor
Leslie Davis
Licensed Professional Counselor, MA, LPC, MHSP
Verified Verified
Hixson, TN 37343  (Online Only)
I work with men and women of diverse backgrounds in the clinical areas of anxiety, depression, loss, trauma, low self-esteem, sexuality and relationships.
My philosophy combines a non-judgmental, compassionate approach to therapy, with honest, direct feedback. I specialize in EMDR to help clients overcome past issues which are keeping them stuck. I welcome people of all perspectives. I will be an active participant in working with you as you seek to address personal and relationship issues.
I work with men and women of diverse backgrounds in the clinical areas of anxiety, depression, loss, trauma, low self-esteem, sexuality and relationships.
My philosophy combines a non-judgmental, compassionate approach to therapy, with honest, direct feedback. I specialize in EMDR to help clients overcome past issues which are keeping them stuck. I welcome people of all perspectives. I will be an active participant in working with you as you seek to address personal and relationship issues.
(423) 377-4975 View (423) 377-4975
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.