Trauma and PTSD Therapists in Floresville, TX

Photo of Mayra Alejandra Nieto, MS, LPC, Licensed Professional Counselor
Mayra Alejandra Nieto
Licensed Professional Counselor, MS, LPC
Verified Verified
Floresville, TX 78114  (Online Only)
My specialty is that I have a heart and mind that is strong and compassionate; I have been told the most severe trauma experiences as well as have endured some also myself; first and foremost I work to help others, to share that you are not alone.
I will be sincere, genuine and compassionate as I listen to your needs and help guide you through the storm. I have 10 plus years of experience serving children, teens and adults who had or were suffering from trauma at all levels; daily and chronic stress; mental health disorders, spiritual warfare, anger, anxiety, grief, depression and more. I use a variety of techniques to help you navigate life and not only survive it but have growth from any challenge. I enjoy using art, play, narrative, music, spiritual and holistic techniques. interventions.
My specialty is that I have a heart and mind that is strong and compassionate; I have been told the most severe trauma experiences as well as have endured some also myself; first and foremost I work to help others, to share that you are not alone.
I will be sincere, genuine and compassionate as I listen to your needs and help guide you through the storm. I have 10 plus years of experience serving children, teens and adults who had or were suffering from trauma at all levels; daily and chronic stress; mental health disorders, spiritual warfare, anger, anxiety, grief, depression and more. I use a variety of techniques to help you navigate life and not only survive it but have growth from any challenge. I enjoy using art, play, narrative, music, spiritual and holistic techniques. interventions.
(956) 398-5955 View (956) 398-5955
Photo of Mary Ann Sieracki - New Directions Counseling Services, LLC, MS, LPC, LSOTP, Licensed Professional Counselor
New Directions Counseling Services, LLC
Licensed Professional Counselor, MS, LPC, LSOTP
Verified Verified
Floresville, TX 78114
I have assisted clients with an array of issues including depression, anxiety, anger, trauma, family violence, abuse of children and adults as well as substance abuse on an individual or family basis.
Deciding to seek counseling is difficult, but it is the first step towards making positive changes in your life. It is a means to develop insight that can then help you grow in new, positive ways. As a Licensed Professional Counselor and Licensed Sex Offender Treatment Provider, I can help guide you towards the resolution of problems of an emotional or interpersonal nature. I can assist you towards gaining empowerment over your life and your decisions in a safe, therapeutic and supportive atmosphere.
I have assisted clients with an array of issues including depression, anxiety, anger, trauma, family violence, abuse of children and adults as well as substance abuse on an individual or family basis.
Deciding to seek counseling is difficult, but it is the first step towards making positive changes in your life. It is a means to develop insight that can then help you grow in new, positive ways. As a Licensed Professional Counselor and Licensed Sex Offender Treatment Provider, I can help guide you towards the resolution of problems of an emotional or interpersonal nature. I can assist you towards gaining empowerment over your life and your decisions in a safe, therapeutic and supportive atmosphere.
(830) 637-7593 View (830) 637-7593
Photo of Jessica Behne, MA, LMFT, Veteran, EMDR, Marriage & Family Therapist
Jessica Behne
Marriage & Family Therapist, MA, LMFT, Veteran, EMDR
Verified Verified
1 Endorsed
Floresville, TX 78114  (Online Only)
I am a licensed Marriage and Family Therapist and a Military Veteran. I served thirteen years in the military and found a passion for helping others. Once I received my degree, I knew I was called to work with those who are working through challenging life events, trauma, or relationship difficulties—ultimately empowering them to find their strength and resilience again. I work from a client-centered, holistic approach, believing each person's mental, emotional, physical, spiritual, and relational health is intimately intertwined. My typical clients are Military Veterans, or Couples.
I am a licensed Marriage and Family Therapist and a Military Veteran. I served thirteen years in the military and found a passion for helping others. Once I received my degree, I knew I was called to work with those who are working through challenging life events, trauma, or relationship difficulties—ultimately empowering them to find their strength and resilience again. I work from a client-centered, holistic approach, believing each person's mental, emotional, physical, spiritual, and relational health is intimately intertwined. My typical clients are Military Veterans, or Couples.
(830) 293-4395 View (830) 293-4395
Photo of Heather Danielle Vest - The Unscripted Therapist , MS, LPC, NCC, Licensed Professional Counselor
The Unscripted Therapist
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
Floresville, TX 78114  (Online Only)
Whether you are overwhelmed by the stressors of your job, grieving, dealing with trauma in your history, noticing maladaptive behaviors/ thoughts, or suffering from challenges in your current relationships, we can learn one another and develop a treatment plan that works best for your circumstances.
I serve as a companion for those who seek to find peace and empowerment through healing and growth. Many do not realize when we are operating in an unhealthy mind/ body state because we believe the environment is the lone cause of our unease. The prevalent cause of our misery and frustration usually lies in: unresolved pain, unhealthy thought processes, and lack of confidence and power which keeps us on a maladaptive road of misery or stagnation. The good news is that you hold the key to your healing and I would be delighted to guide you in using it. Immigration Psychosocial Evaluations are also offered.
Whether you are overwhelmed by the stressors of your job, grieving, dealing with trauma in your history, noticing maladaptive behaviors/ thoughts, or suffering from challenges in your current relationships, we can learn one another and develop a treatment plan that works best for your circumstances.
I serve as a companion for those who seek to find peace and empowerment through healing and growth. Many do not realize when we are operating in an unhealthy mind/ body state because we believe the environment is the lone cause of our unease. The prevalent cause of our misery and frustration usually lies in: unresolved pain, unhealthy thought processes, and lack of confidence and power which keeps us on a maladaptive road of misery or stagnation. The good news is that you hold the key to your healing and I would be delighted to guide you in using it. Immigration Psychosocial Evaluations are also offered.
(432) 231-0512 View (432) 231-0512
Photo of Bethany Kulp, LCSW, Clinical Social Work/Therapist
Bethany Kulp
Clinical Social Work/Therapist, LCSW
Verified Verified
Floresville, TX 78114  (Online Only)
Welcome! My name is Bethany Kulp and I am a Licensed Clinical Social Worker in the state of Texas with over 26 years of experience. Though I have worked with a variety of issues throughout my career, my primary focus is working with adult clients who are struggling with issues related to anxiety, depression, and trauma. I am a trauma specialist, and I have a great deal of experience working with survivors of childhood abuse/neglect, sexual assault, and domestic violence. Along with mindfulness and cognitive approaches, I use somatic therapies that help you access your body's intrinsic healing capabilities.
Welcome! My name is Bethany Kulp and I am a Licensed Clinical Social Worker in the state of Texas with over 26 years of experience. Though I have worked with a variety of issues throughout my career, my primary focus is working with adult clients who are struggling with issues related to anxiety, depression, and trauma. I am a trauma specialist, and I have a great deal of experience working with survivors of childhood abuse/neglect, sexual assault, and domestic violence. Along with mindfulness and cognitive approaches, I use somatic therapies that help you access your body's intrinsic healing capabilities.
(281) 729-0413 View (281) 729-0413
Photo of M. Diane Way, EdD, LMFT, LPC, EMDR, Licensed Professional Counselor
M. Diane Way
Licensed Professional Counselor, EdD, LMFT, LPC, EMDR
Verified Verified
Floresville, TX 78114
, a technique used to relieve the lingering emotional & physical effects of trauma.
I love what I do! I am a compassionate, nonjudgmental, and caring individual who has gone through painful life experiences myself and have likewise experienced the freedom and peace of healing. I am an experienced, skillful clinician who treats adults, adolescents, and children who are experiencing anxiety, insecurity, nightmares, depression, emotional reactions to trauma, stress, grief, guilt, and/or anger. I diagnose and treat children's' issues including ADHD, separation anxiety, divorce issues, anxiety, depressive disorders, autistic spectrum disorders, behavioral, social, school, or academic problems. I teach parents to implement structure & behavioral techniques that really work!
, a technique used to relieve the lingering emotional & physical effects of trauma.
I love what I do! I am a compassionate, nonjudgmental, and caring individual who has gone through painful life experiences myself and have likewise experienced the freedom and peace of healing. I am an experienced, skillful clinician who treats adults, adolescents, and children who are experiencing anxiety, insecurity, nightmares, depression, emotional reactions to trauma, stress, grief, guilt, and/or anger. I diagnose and treat children's' issues including ADHD, separation anxiety, divorce issues, anxiety, depressive disorders, autistic spectrum disorders, behavioral, social, school, or academic problems. I teach parents to implement structure & behavioral techniques that really work!
(830) 448-0508 View (830) 448-0508
Photo of Jim Toombs, MA, LMFT, EMDR, Marriage & Family Therapist
Jim Toombs
Marriage & Family Therapist, MA, LMFT, EMDR
Verified Verified
Floresville, TX 78114
I have helped others with: depression, anxiety, physical or sex abuse, PTSD, bipolar depression, dissociative disorders, phobias, chronic pain, migraines, and performance anxiety.
Emotional pain ... sucks. I can help your pain. Flashbacks, nightmares and PTSD respond very well to EMDR, as do intrusive thoughts and disturbing memories. I have been using it since 1993, so early that Francine Shapiro, the creator of EMDR, trained me herself. In addition, my basic training is Marriage and Family so I excel in relationships. But memories cause most of our problems.
I have helped others with: depression, anxiety, physical or sex abuse, PTSD, bipolar depression, dissociative disorders, phobias, chronic pain, migraines, and performance anxiety.
Emotional pain ... sucks. I can help your pain. Flashbacks, nightmares and PTSD respond very well to EMDR, as do intrusive thoughts and disturbing memories. I have been using it since 1993, so early that Francine Shapiro, the creator of EMDR, trained me herself. In addition, my basic training is Marriage and Family so I excel in relationships. But memories cause most of our problems.
(210) 417-4687 View (210) 417-4687
Photo of Monica Lara, MA, LPC-S, Licensed Professional Counselor
Monica Lara
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Floresville, TX 78114
Also, I can assist clients cope with depression, anxiety, and trauma/ PTSD.
Are you struggling financially as a LPC-associate and need a supervisor? IF so, I am currently accepting new supervisees. I am flexible and willing to provide online and/or telephonic supervision outside of San Antonio. Please call or email me to discuss my supervision model and fees. Additionally, if you find yourself in a stressful situation and need help dealing with life's stressors, and/or feeling "stuck" with your current situation, then you're ready for a "Second Chance" at life. I am here to help you achieve lifestyle changes and succeed on personal goals.
Also, I can assist clients cope with depression, anxiety, and trauma/ PTSD.
Are you struggling financially as a LPC-associate and need a supervisor? IF so, I am currently accepting new supervisees. I am flexible and willing to provide online and/or telephonic supervision outside of San Antonio. Please call or email me to discuss my supervision model and fees. Additionally, if you find yourself in a stressful situation and need help dealing with life's stressors, and/or feeling "stuck" with your current situation, then you're ready for a "Second Chance" at life. I am here to help you achieve lifestyle changes and succeed on personal goals.
(210) 714-1597 View (210) 714-1597
Photo of Corrina Ramirez-Cortez, LPC, Licensed Professional Counselor
Corrina Ramirez-Cortez
Licensed Professional Counselor, LPC
Verified Verified
Floresville, TX 78114  (Online Only)
Whether you’re dealing with trauma, anxiety, a crisis situation, or substance dependence.
Welcome! I’m thrilled you’re here. As a counselor, my goal is to create a supportive and transformative space for you. I pride myself on being open-minded and direct, which means you can always expect honesty and authenticity in our sessions. My approach is solution-focused and holistic, considering all aspects of your life to help you achieve your goals in a well-rounded way.
Whether you’re dealing with trauma, anxiety, a crisis situation, or substance dependence.
Welcome! I’m thrilled you’re here. As a counselor, my goal is to create a supportive and transformative space for you. I pride myself on being open-minded and direct, which means you can always expect honesty and authenticity in our sessions. My approach is solution-focused and holistic, considering all aspects of your life to help you achieve your goals in a well-rounded way.
(830) 582-7749 View (830) 582-7749
Photo of Jennifer Grant, LCSW-S, DCSW, CAAP, Clinical Social Work/Therapist
Jennifer Grant
Clinical Social Work/Therapist, LCSW-S, DCSW, CAAP
Verified Verified
1 Endorsed
Floresville, TX 78114  (Online Only)
I invite anyone who is struggling in unique relational circumstances or with overcoming trauma to reach out to me and find a safe place, free from judgment to help navigate these rough waters.
I am a Licensed Clinical Social Worker Supervisor, Diplomate of Clinical Social Work, Certified Trauma & Resilience Practioner, Certified Animal Assisted Practitioner, Certified Neuropsychotherapist (LCSW-S, BCD, CTRP-C, CAAP, NPT-C). I'm an experienced trauma clinician with military, first responders and their families, people in monogamous, non-traditional relationships or polyamory, and LGBTQ+ persons. I employ multiple methods to help clients with mood disorders, anxiety, phobias, adjustment, grief and relational problems. I help couples overcome barriers to communication, historical trauma, infidelity, and intimacy ruptures.
I invite anyone who is struggling in unique relational circumstances or with overcoming trauma to reach out to me and find a safe place, free from judgment to help navigate these rough waters.
I am a Licensed Clinical Social Worker Supervisor, Diplomate of Clinical Social Work, Certified Trauma & Resilience Practioner, Certified Animal Assisted Practitioner, Certified Neuropsychotherapist (LCSW-S, BCD, CTRP-C, CAAP, NPT-C). I'm an experienced trauma clinician with military, first responders and their families, people in monogamous, non-traditional relationships or polyamory, and LGBTQ+ persons. I employ multiple methods to help clients with mood disorders, anxiety, phobias, adjustment, grief and relational problems. I help couples overcome barriers to communication, historical trauma, infidelity, and intimacy ruptures.
(830) 356-2210 View (830) 356-2210
Photo of Nichole Sieracki, PhD, Psychologist
Nichole Sieracki
Psychologist, PhD
Verified Verified
Floresville, TX 78114
Searching for a mental health provider with compassion and experience? I have 15 years of experience treating mental illness in individuals within the inpatient and outpatient settings. Psychiatric symptoms I have treated include depressions, anxieties, mania, psychoses, traumas, grief, chronic physical illnesses and pain, those related to head injuries, behavior disturbances, and problems in relationships. My treatment approaches include supportive therapy, solution-focused therapy, existential therapy, cognitive behavior therapy, trauma-focused therapy, grief therapy, brief strategic family therapy, and psychoeducation.
Searching for a mental health provider with compassion and experience? I have 15 years of experience treating mental illness in individuals within the inpatient and outpatient settings. Psychiatric symptoms I have treated include depressions, anxieties, mania, psychoses, traumas, grief, chronic physical illnesses and pain, those related to head injuries, behavior disturbances, and problems in relationships. My treatment approaches include supportive therapy, solution-focused therapy, existential therapy, cognitive behavior therapy, trauma-focused therapy, grief therapy, brief strategic family therapy, and psychoeducation.
(830) 498-0931 View (830) 498-0931
Photo of Pricilla St John, MA, LPC, LCDC, Licensed Professional Counselor
Pricilla St John
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
Floresville, TX 78114
I am a Licensed Professional Counselor and Licensed Chemical Dependency Counselor in Karnes, Wilson, and Bexar County with over 10 years of experience working with adults, adolescents, and children in both the mental health and juvenile settings. I am certified in Trauma-Focused CBT as well as EMDR therapy and have a large amount of experience working with children who have experienced trauma in their lives. Through therapy and play therapy we are able to help overcome these obstacles.
I am a Licensed Professional Counselor and Licensed Chemical Dependency Counselor in Karnes, Wilson, and Bexar County with over 10 years of experience working with adults, adolescents, and children in both the mental health and juvenile settings. I am certified in Trauma-Focused CBT as well as EMDR therapy and have a large amount of experience working with children who have experienced trauma in their lives. Through therapy and play therapy we are able to help overcome these obstacles.
(210) 741-9727 View (210) 741-9727
Photo of Kyle Middleton, LPC, Licensed Professional Counselor
Kyle Middleton
Licensed Professional Counselor, LPC
Verified Verified
Floresville, TX 78114
Hello, I'm glad you found your way here! I'm Kyle Middleton, a licensed professional counselor with a passion for supporting individuals, families, and couples on their journey toward healing and growth. I am dedicated to helping people navigate the complexities of family dynamics, trauma, and personal challenges with compassion and understanding.
Hello, I'm glad you found your way here! I'm Kyle Middleton, a licensed professional counselor with a passion for supporting individuals, families, and couples on their journey toward healing and growth. I am dedicated to helping people navigate the complexities of family dynamics, trauma, and personal challenges with compassion and understanding.
(830) 308-8985 View (830) 308-8985
Photo of Melanie P. Trevino, MA, LPC-S, NCC, LCDC-I, Licensed Professional Counselor
Melanie P. Trevino
Licensed Professional Counselor, MA, LPC-S, NCC, LCDC-I
Verified Verified
Floresville, TX 78114  (Online Only)
Oftentimes we find ourselves at a crossroads and become stuck from indecision and fear. I offer a warm, affirming space to empower my clients to take charge of their peace of mind through those challenging times. I am a board-certified, licensed professional counselor helping people overcome issues such as stress, anxiety, depression, relationships, or major life changes. I have over 7 years of experience working with adults and teens in a variety of settings.
Oftentimes we find ourselves at a crossroads and become stuck from indecision and fear. I offer a warm, affirming space to empower my clients to take charge of their peace of mind through those challenging times. I am a board-certified, licensed professional counselor helping people overcome issues such as stress, anxiety, depression, relationships, or major life changes. I have over 7 years of experience working with adults and teens in a variety of settings.
(830) 396-5322 View (830) 396-5322
Photo of Grace Friesenhahn-Soliz, MS, EdD, LPC-S, Licensed Professional Counselor
Grace Friesenhahn-Soliz
Licensed Professional Counselor, MS, EdD, LPC-S
Verified Verified
Floresville, TX 78114
When our lives are disrupted by unforeseen events, it's important to have support to process through emotions, move forward, and heal. I am a bilingual, Licensed Professional Counselor Supervisor and a retired Texas public school counselor and educator. My background includes working with adults, adolescents, and children in private practice, school, and facility settings. My treatment approach is client focused as I believe the therapist's function should be dependent upon the client and their specific needs.
When our lives are disrupted by unforeseen events, it's important to have support to process through emotions, move forward, and heal. I am a bilingual, Licensed Professional Counselor Supervisor and a retired Texas public school counselor and educator. My background includes working with adults, adolescents, and children in private practice, school, and facility settings. My treatment approach is client focused as I believe the therapist's function should be dependent upon the client and their specific needs.
(210) 978-0790 View (210) 978-0790
Dorothy W Le Pere
Clinical Social Work/Therapist, LCSW, LMFT, CGP
Verified Verified
Floresville, TX 78114
I enjoy working with adults, preteens, children and families. I work with adults and children who have anxiety and depression issues. I have a special interest in working with adoptive families and children in relative/kinship placements. I have been trained in family systems and psychodynamic psychotherapy, but I integrate other models as best meet the needs of the client. My goal is to assist the client or family in utilizing their strengths to make life changes that will be positive and long lasting. I have excellent training and many years of excellent experience in my field. I look forward to working with you.
I enjoy working with adults, preteens, children and families. I work with adults and children who have anxiety and depression issues. I have a special interest in working with adoptive families and children in relative/kinship placements. I have been trained in family systems and psychodynamic psychotherapy, but I integrate other models as best meet the needs of the client. My goal is to assist the client or family in utilizing their strengths to make life changes that will be positive and long lasting. I have excellent training and many years of excellent experience in my field. I look forward to working with you.
(210) 757-4160 x2 View (210) 757-4160 x2
Photo of Charlotte M Taber, MS, LPC, LMFT, Licensed Professional Counselor
Charlotte M Taber
Licensed Professional Counselor, MS, LPC, LMFT
Verified Verified
Floresville, TX 78114
People who seek therapy are the sanest of us all. They look around at their lives and they realize that they want something better and they have the courage to go out and get it.
People who seek therapy are the sanest of us all. They look around at their lives and they realize that they want something better and they have the courage to go out and get it.
(830) 357-7463 View (830) 357-7463
Photo of Destiny Buescher, LCSW, Clinical Social Work/Therapist
Destiny Buescher
Clinical Social Work/Therapist, LCSW
Verified Verified
Floresville, TX 78114
I’m Destiny Buescher, and I help humans heal from mental and emotional suffering. My work with people involves a deep look into their inner world. Humans who come my way often do so after feeling completely lost, unmotivated, heartbroken, and unsure of who they really are. This type of therapy is not a good fit for individuals wanting to remain at the surface. If you’re ready to go deep and get closer to who you are at your core…this work is for you.
I’m Destiny Buescher, and I help humans heal from mental and emotional suffering. My work with people involves a deep look into their inner world. Humans who come my way often do so after feeling completely lost, unmotivated, heartbroken, and unsure of who they really are. This type of therapy is not a good fit for individuals wanting to remain at the surface. If you’re ready to go deep and get closer to who you are at your core…this work is for you.
(830) 490-1370 View (830) 490-1370
Photo of Heather Kopecki, LCSW, Clinical Social Work/Therapist
Heather Kopecki
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Floresville, TX 78114  (Online Only)
Hello and welcome! Let me first celebrate your courage for considering therapy! I believe our life experiences shape who we are and how we handle challenges, and seeking support or change is never easy. Whatever it is that brought you here, know that it is deeply important and deserves acknowledgment. Whether it's exploring childhood wounds, unraveling traumatic experiences, managing stress and anxiety, combatting depression, navigating complex relationship dynamics, or facing substance use/addiction, your experiences deserve attention.
Hello and welcome! Let me first celebrate your courage for considering therapy! I believe our life experiences shape who we are and how we handle challenges, and seeking support or change is never easy. Whatever it is that brought you here, know that it is deeply important and deserves acknowledgment. Whether it's exploring childhood wounds, unraveling traumatic experiences, managing stress and anxiety, combatting depression, navigating complex relationship dynamics, or facing substance use/addiction, your experiences deserve attention.
(830) 490-1687 View (830) 490-1687
Photo of Sheri Kay Colbath, MA, LPC-S, Licensed Professional Counselor
Sheri Kay Colbath
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Floresville, TX 78114
As a Christian therapist, my goal is to help you uncover your true God-given potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
As a Christian therapist, my goal is to help you uncover your true God-given potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(210) 801-9371 View (210) 801-9371
1

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Trauma and PTSD Therapists

When should I seek treatment for trauma?

Not everyone who undergoes trauma needs therapy to heal, but many do. If, after experiencing a traumatic event, you find yourself struggling with symptoms such as nightmares, dissociation, irritability, or emotional numbness—especially if these symptoms last more than a month and are severe enough to interfere with your daily functioning—you may benefit from seeking out therapy with a trauma-informed provider.

How long does trauma therapy take?

Different types of therapy for trauma unfold on different timelines. Prolonged exposure therapy and cognitive processing therapy, for example, each take about three months, while trauma-informed CBT may last anywhere from 8 to 25 sessions. Other approaches, especially those that are less structured or that incorporate elements from multiple modalities, may be more open-ended, though many patients report feeling better within the first few months of treatment.

What happens if trauma is left untreated?

Unaddressed trauma can have serious—even devastating—effects on relationships, career, and day-to-day functioning. Post-Traumatic Stress Disorder (PTSD) can lead people to distrust or lash out at others, making it difficult to maintain intimate relationships; it can also trigger symptoms such as flashbacks or hyperreactivity that can interfere with a person’s ability to function effectively, personally and/or professionally. Some sufferers turn to drugs to find relief. Symptoms may lessen on their own with time, but there is no guarantee that PTSD will resolve on its own.

Can PTSD come back after treatment?

It is possible for PTSD symptoms to recur months or years after successful treatment. This is because, like most mental health disorders, it is not possible to “cure” PTSD, and stressful life events may cause symptoms to recur in even the most resilient individuals. There is no shame in re-experiencing PTSD symptoms nor in returning to therapy when such relapses occur; indeed, many forms of trauma therapy explicitly encourage periodic “maintenance sessions” to reinforce coping skills and ensure that symptoms stay manageable.