Trauma and PTSD Therapists in Paris, TX

Photo of Helen Fasken - Compass Counseling, MSK, LPC, Licensed Professional Counselor
Compass Counseling
Licensed Professional Counselor, MSK, LPC
Verified Verified
Paris, TX 75460
With over 16 years of experience, my focus includes EMDR for trauma, adults affected by family or friends who are alcoholics or addicts, relationship difficulties, life transitions, self-esteem, developing healthy boundaries, age 20 something’s experiencing a “quarter life crisis” and family of origin issues.
Do you ever ask yourself any of the following: Why do I feel frustrated or powerless when dealing with others behavior? Why does this problem/issue keep coming up for me? Why does life feel overwhelming and daunting at times? How do I get more out of life and where do I start? How do I break from old patterns and create a more rewarding way of life? These are some of the topics that my clients work through in our sessions. Facing life and all the relationships within it can be extremely challenging, and at times feel impossible, yet it is unavoidable.
With over 16 years of experience, my focus includes EMDR for trauma, adults affected by family or friends who are alcoholics or addicts, relationship difficulties, life transitions, self-esteem, developing healthy boundaries, age 20 something’s experiencing a “quarter life crisis” and family of origin issues.
Do you ever ask yourself any of the following: Why do I feel frustrated or powerless when dealing with others behavior? Why does this problem/issue keep coming up for me? Why does life feel overwhelming and daunting at times? How do I get more out of life and where do I start? How do I break from old patterns and create a more rewarding way of life? These are some of the topics that my clients work through in our sessions. Facing life and all the relationships within it can be extremely challenging, and at times feel impossible, yet it is unavoidable.
(469) 416-4948 View (469) 416-4948
Photo of Carla J Moffitt, MS, LPC, Licensed Professional Counselor
Carla J Moffitt
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Paris, TX 75460
My specialties are PTSD, trauma, adult survivors of abuse, anxiety, and depression.
Clients at my office are typically those who are looking for the right fit, the need for acceptance, and a warm welcome. LifeSynergy Coaching & Counseling, LLC is dedicated to helping those who are struggling to find a life of restored faith, health, peace, and fulfillment.
My specialties are PTSD, trauma, adult survivors of abuse, anxiety, and depression.
Clients at my office are typically those who are looking for the right fit, the need for acceptance, and a warm welcome. LifeSynergy Coaching & Counseling, LLC is dedicated to helping those who are struggling to find a life of restored faith, health, peace, and fulfillment.
(430) 200-5088 View (430) 200-5088
Photo of Trey Russell, LCSW, Clinical Social Work/Therapist
Trey Russell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Paris, TX 75460
We specialized in the adult population with emphasis on resolving past trauma or negative life events and decreasing anxiety/depression.
Life is a challenge. Whether struggling with a life event or underlying mental illness we are here to help. Sometimes we find ourselves struggling with day to day life, marriage, or work. Perhaps substance use or other behaviors have been found to be causing problems. Whether there is a life event which is causing difficulty or a more serious illness which needs treatment New Focus Counseling Center is equipped with the professionals needed to help you meet your goals.
We specialized in the adult population with emphasis on resolving past trauma or negative life events and decreasing anxiety/depression.
Life is a challenge. Whether struggling with a life event or underlying mental illness we are here to help. Sometimes we find ourselves struggling with day to day life, marriage, or work. Perhaps substance use or other behaviors have been found to be causing problems. Whether there is a life event which is causing difficulty or a more serious illness which needs treatment New Focus Counseling Center is equipped with the professionals needed to help you meet your goals.
(903) 609-3073 View (903) 609-3073
Photo of Jennifer Durham, LCSW, Clinical Social Work/Therapist
Jennifer Durham
Clinical Social Work/Therapist, LCSW
Verified Verified
Paris, TX 75460
I have specialized training in trauma, anger management, conflict resolution, sand tray and play therapy.
When life feels frustrating and out of control it can be helpful to talk with someone who understands what you are going through. I offer an environment of acceptance and commitment to healing. I work with individuals, children, teens,couples, and families. Your treatment would be specific to your needs and goals. My approach to counseling is primarily cognitive behavioral therapy, holistic, and trauma focused. I would like to offer you an opportunity for treatments that change problematic thought and behavior patterns, while building on your particular strengths. I would be honored to walk with you through this time in your life.
I have specialized training in trauma, anger management, conflict resolution, sand tray and play therapy.
When life feels frustrating and out of control it can be helpful to talk with someone who understands what you are going through. I offer an environment of acceptance and commitment to healing. I work with individuals, children, teens,couples, and families. Your treatment would be specific to your needs and goals. My approach to counseling is primarily cognitive behavioral therapy, holistic, and trauma focused. I would like to offer you an opportunity for treatments that change problematic thought and behavior patterns, while building on your particular strengths. I would be honored to walk with you through this time in your life.
(903) 401-8189 View (903) 401-8189
Photo of Jill Conway, LPC, Licensed Professional Counselor
Jill Conway
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Paris, TX 75460
I also offer Cognitive Processing Therapy which has great results for person's diagnosed with Post Traumatic Stress Disorder ( PTSD).
Everyone deserves someone who is dedicated to helping others in a confidential & safe environment which allows them to feel free to work through their struggles. I have a passion for guiding marriages/couples to overcome obstacles. I am committed to helping individuals with PTSD, Depression, Anxiety or Stress. My professional experience began over 10 years ago which includes schools, inpatient crisis centers & office settings . I believe the counseling process should take the whole person and their life experiences into consideration while looking at the person’s mind, body, and spirit to best fit each individuals needs.
I also offer Cognitive Processing Therapy which has great results for person's diagnosed with Post Traumatic Stress Disorder ( PTSD).
Everyone deserves someone who is dedicated to helping others in a confidential & safe environment which allows them to feel free to work through their struggles. I have a passion for guiding marriages/couples to overcome obstacles. I am committed to helping individuals with PTSD, Depression, Anxiety or Stress. My professional experience began over 10 years ago which includes schools, inpatient crisis centers & office settings . I believe the counseling process should take the whole person and their life experiences into consideration while looking at the person’s mind, body, and spirit to best fit each individuals needs.
(903) 905-8802 View (903) 905-8802
Photo of Georgia Smith-Lyle, MA, LPC, Supervi, Licensed Professional Counselor
Georgia Smith-Lyle
Licensed Professional Counselor, MA, LPC, Supervi
Verified Verified
Paris, TX 75460
Eating disorders, post traumatic stress, drug addiction, depression, anxiety/panic attacks, bipolar, mood disorder, personality disorder, relational issues, self-esteem/identity issues.
Life is intended to be lived and not just tolerated! Whether you are suffering from a recent or past traumatic experience, or have an ongoing issue or disorder, there is hope for you. I counsel from an eclectic framework utilizing the best psychotherapy that benefits my client. Each client is unique and their situation is unique to them, therefore my counseling approach will consider all aspects of the individual's and/or couples situation. I also provide Equine Assisted Psychotherapy at my ranch office. Counseling in North Dallas and surrounding areas.
Eating disorders, post traumatic stress, drug addiction, depression, anxiety/panic attacks, bipolar, mood disorder, personality disorder, relational issues, self-esteem/identity issues.
Life is intended to be lived and not just tolerated! Whether you are suffering from a recent or past traumatic experience, or have an ongoing issue or disorder, there is hope for you. I counsel from an eclectic framework utilizing the best psychotherapy that benefits my client. Each client is unique and their situation is unique to them, therefore my counseling approach will consider all aspects of the individual's and/or couples situation. I also provide Equine Assisted Psychotherapy at my ranch office. Counseling in North Dallas and surrounding areas.
(469) 855-0256 View (469) 855-0256
Photo of Tana Yager - Hometown Counseling, MS, LPC, NCC, Licensed Professional Counselor
Hometown Counseling
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Paris, TX 75460
We offer specialties including, but not limited to anxiety, depression, couples work, LGBTQ+, trauma work.
Now Accepting Aetna! Have immediate openings... Ready for change? We are here to help. Hometown Counseling is an inclusive, LGBTQ+ affirming group practice helping those who feel like no one "gets it." We are diverse therapists helping others with depression, anxiety, trauma, and more. We offer flexible scheduling options to assist you with any life changes, stresses, or worries you're experiencing. Let's face your obstacles together to find creative and collaborative solutions. We believe that seeking help is a brave thing to do so congratulations on taking the first step. We look forward to helping you feel better.
We offer specialties including, but not limited to anxiety, depression, couples work, LGBTQ+, trauma work.
Now Accepting Aetna! Have immediate openings... Ready for change? We are here to help. Hometown Counseling is an inclusive, LGBTQ+ affirming group practice helping those who feel like no one "gets it." We are diverse therapists helping others with depression, anxiety, trauma, and more. We offer flexible scheduling options to assist you with any life changes, stresses, or worries you're experiencing. Let's face your obstacles together to find creative and collaborative solutions. We believe that seeking help is a brave thing to do so congratulations on taking the first step. We look forward to helping you feel better.
(903) 307-5667 View (903) 307-5667
Photo of Jordan Clipson, MS, LMFT, Marriage & Family Therapist
Jordan Clipson
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Paris, TX 75460
My areas of expertise are anxiety & depression, PTSD, trauma, self-esteem, divorce recovery, infertility, foster care/adoption, life transitions, and LGBTQ+ issues.
Life and relationships are difficult and no one deserves to navigate these challenges alone. Though, I know searching for the right fit for a therapist can be overwhelming. So here's what I have to offer: a confidential space free of judgement to identify potential barriers and implement practical solutions, objective perspective, patience, understanding, empathy and bad jokes. My upmost goal is to create a meaningful and trusting professional relationship with clients to produce change and have a positive, down to earth experience of therapy.
My areas of expertise are anxiety & depression, PTSD, trauma, self-esteem, divorce recovery, infertility, foster care/adoption, life transitions, and LGBTQ+ issues.
Life and relationships are difficult and no one deserves to navigate these challenges alone. Though, I know searching for the right fit for a therapist can be overwhelming. So here's what I have to offer: a confidential space free of judgement to identify potential barriers and implement practical solutions, objective perspective, patience, understanding, empathy and bad jokes. My upmost goal is to create a meaningful and trusting professional relationship with clients to produce change and have a positive, down to earth experience of therapy.
(469) 457-3449 View (469) 457-3449
Photo of Deborah Wall, MBS, LPC, Licensed Professional Counselor
Deborah Wall
Licensed Professional Counselor, MBS, LPC
Verified Verified
1 Endorsed
Paris, TX 75460  (Online Only)
We specialized in the adult population with emphasis on resolving past trauma or negative life events and decreasing anxiety/depression.
Deborah Wall, LPC is a Licensed Professional Counselor in Oklahoma and Texas. Her extensive career history has focused on stabilizing and promoting personal functioning while empowering others to achieve long-term growth. As an action-oriented therapist, Deborah strives to help others resolve stressors and become the best version of themselves. This concept is evidenced by her advocation of adults, children and families to become addiction free, resolve traumas, and develop a healthy sense of self to combat life's difficulties. Additionally, she is a certified SYMBIS premarital and marital counseling facilitator.
We specialized in the adult population with emphasis on resolving past trauma or negative life events and decreasing anxiety/depression.
Deborah Wall, LPC is a Licensed Professional Counselor in Oklahoma and Texas. Her extensive career history has focused on stabilizing and promoting personal functioning while empowering others to achieve long-term growth. As an action-oriented therapist, Deborah strives to help others resolve stressors and become the best version of themselves. This concept is evidenced by her advocation of adults, children and families to become addiction free, resolve traumas, and develop a healthy sense of self to combat life's difficulties. Additionally, she is a certified SYMBIS premarital and marital counseling facilitator.
(430) 205-8515 View (430) 205-8515
Photo of Sara Kaylor, LPC, Licensed Professional Counselor
Sara Kaylor
Licensed Professional Counselor, LPC
Verified Verified
Paris, TX 75460
I am a Licensed Professional Counselor with over 13 years of clinical experience. I’ve provided counseling for many different populations at various levels of care, including adults and adolescents struggling with Addiction, Alcohol Use, Anxiety, Depression, Trauma, PTSD, Anger Management, Child Abuse or Neglect, Dual Diagnosis, Relapse Prevention, Substance Use, and Stress. I use a mix of Attachment-based, CBT, Client-Centered Therapy, Family Systems, Trauma Focused, Strength-Based, Narrative, and Person-Centered. I believe that having to navigate through my struggles, I can relate to feeling hopeless which enables me to help.
I am a Licensed Professional Counselor with over 13 years of clinical experience. I’ve provided counseling for many different populations at various levels of care, including adults and adolescents struggling with Addiction, Alcohol Use, Anxiety, Depression, Trauma, PTSD, Anger Management, Child Abuse or Neglect, Dual Diagnosis, Relapse Prevention, Substance Use, and Stress. I use a mix of Attachment-based, CBT, Client-Centered Therapy, Family Systems, Trauma Focused, Strength-Based, Narrative, and Person-Centered. I believe that having to navigate through my struggles, I can relate to feeling hopeless which enables me to help.
(430) 213-4591 View (430) 213-4591
Photo of Nick P Patras, PhD, LPC-S, NCC, CCTP, Licensed Professional Counselor
Nick P Patras
Licensed Professional Counselor, PhD, LPC-S, NCC, CCTP
Verified Verified
Paris, TX 75460
My ideal clients are adults 18 to 80+ who are ready for change and growth. I work collaboratively with clients who are experiencing symptoms of depression, anxiety, past trauma, current or unresolved grief and loss, or feelings of being less than your "best self". As a former first responder, I have extensive experience and training in working with first responders and their families, veterans and returning warriors, and couples and partners. If you want your life or relationship to change, act now. I also work with business owners and entrepreneurs who want to take their business to the next level. I am here to support you!
My ideal clients are adults 18 to 80+ who are ready for change and growth. I work collaboratively with clients who are experiencing symptoms of depression, anxiety, past trauma, current or unresolved grief and loss, or feelings of being less than your "best self". As a former first responder, I have extensive experience and training in working with first responders and their families, veterans and returning warriors, and couples and partners. If you want your life or relationship to change, act now. I also work with business owners and entrepreneurs who want to take their business to the next level. I am here to support you!
(430) 233-4945 View (430) 233-4945
Photo of Sharon Lynn Good, MA, LPC-S, Licensed Professional Counselor
Sharon Lynn Good
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Paris, TX 75460  (Online Only)
With over 25 years experience in professional counseling & 20 years as a counseling supervisor, I continue to love what I get to do. My hope for my clients is they have a positive experience in counseling, although I know that change is difficult, but worth the time and effort. If you are not expecting change or are willing to listen to my input, then I am probably not the counselor for you. I love hearing from clients, "you are different." I am certified in the diagnosis & treatment of Sexual Addiction from American Association of Christian Counseling as well as Grief, Trauma & Loss by the H. Norm Wright Institute.
With over 25 years experience in professional counseling & 20 years as a counseling supervisor, I continue to love what I get to do. My hope for my clients is they have a positive experience in counseling, although I know that change is difficult, but worth the time and effort. If you are not expecting change or are willing to listen to my input, then I am probably not the counselor for you. I love hearing from clients, "you are different." I am certified in the diagnosis & treatment of Sexual Addiction from American Association of Christian Counseling as well as Grief, Trauma & Loss by the H. Norm Wright Institute.
(817) 809-9950 View (817) 809-9950
Photo of Skye Broadus-Thomas, MSW, LCSW-S, Clinical Social Work/Therapist
Skye Broadus-Thomas
Clinical Social Work/Therapist, MSW, LCSW-S
Verified Verified
Paris, TX 75460
I like working with a variety of people and helping guide them through life's stresses. I especially enjoy teaching others how to set boundaries, build their self esteem and work towards their goals. I strive to make my clients feel safe and comfortable while sharing their thoughts, feelings, traumas, hopes and dreams.
I like working with a variety of people and helping guide them through life's stresses. I especially enjoy teaching others how to set boundaries, build their self esteem and work towards their goals. I strive to make my clients feel safe and comfortable while sharing their thoughts, feelings, traumas, hopes and dreams.
(430) 208-5715 View (430) 208-5715
Photo of Tracey McClain, LCSW, Clinical Social Work/Therapist
Tracey McClain
Clinical Social Work/Therapist, LCSW
Verified Verified
Paris, TX 75460  (Online Only)
Hello to you! First, congratulations to you for giving yourself the gift of therapy! Whether you are seeking out therapy for the first time due to stress or whether you are looking to address a long overdue issue or maybe find better ways to communicate in a relationship, or even whether a relationship is right for you or to learn better self-care, I applaud you're taking the time to put yourself first. During my 25 year career, my focus has always been to assist a client in engaging in self-examination so you can discover who you really are and what will truly bring you happiness and self-contentment.
Hello to you! First, congratulations to you for giving yourself the gift of therapy! Whether you are seeking out therapy for the first time due to stress or whether you are looking to address a long overdue issue or maybe find better ways to communicate in a relationship, or even whether a relationship is right for you or to learn better self-care, I applaud you're taking the time to put yourself first. During my 25 year career, my focus has always been to assist a client in engaging in self-examination so you can discover who you really are and what will truly bring you happiness and self-contentment.
(346) 588-7731 View (346) 588-7731
Photo of Sohei Breaux-Fujita, LMFT, Marriage & Family Therapist
Sohei Breaux-Fujita
Marriage & Family Therapist, LMFT
Verified Verified
Paris, TX 75462
Hello, my name is Dr. Sohei Breaux-Fujita, Doctor of Psychology and Marriage & Family Therapist. I was born and raised in Japan but completed all of my studies here in the United States, from undergrad to my doctoral program. I know what it feels like to be different and have a passion for working with others who may be in a similar position. Whether it’s different than how others look or simply how others think and feel. My focus of studies surrounded the LGBTQ community and their families, as well as racial minorities. I have also worked with children and their parents in the past as well.
Hello, my name is Dr. Sohei Breaux-Fujita, Doctor of Psychology and Marriage & Family Therapist. I was born and raised in Japan but completed all of my studies here in the United States, from undergrad to my doctoral program. I know what it feels like to be different and have a passion for working with others who may be in a similar position. Whether it’s different than how others look or simply how others think and feel. My focus of studies surrounded the LGBTQ community and their families, as well as racial minorities. I have also worked with children and their parents in the past as well.
(830) 376-2691 View (830) 376-2691
Photo of Shani Lutricia Leal, MA,  LPC, Counselor
Shani Lutricia Leal
Counselor, MA, LPC
Verified Verified
1 Endorsed
Paris, TX 75460  (Online Only)
I appreciate your time to reach out for help. I am a licensed professional counselor in the mental health field for seven years. I have had the opportunity to work with various ages, ethnicities, and international cultures.
I appreciate your time to reach out for help. I am a licensed professional counselor in the mental health field for seven years. I have had the opportunity to work with various ages, ethnicities, and international cultures.
(469) 947-6356 View (469) 947-6356

More Therapists Nearby

Photo of Jean Gray, LCSW, Clinical Social Work/Therapist
Jean Gray
Clinical Social Work/Therapist, LCSW
Verified Verified
Blossom, TX 75416  (Online Only)
I am a versatile therapist skilled in assessments, intakes, crisis management, substance use, domestic violence, trauma, women's issues, anxiety and depression. I have been trained in EMDR, solutions-focused therapy, structural family therapy, cognitive behavioral therapy, and dialectical behavioral therapy, among other treatment modalities.
I am a versatile therapist skilled in assessments, intakes, crisis management, substance use, domestic violence, trauma, women's issues, anxiety and depression. I have been trained in EMDR, solutions-focused therapy, structural family therapy, cognitive behavioral therapy, and dialectical behavioral therapy, among other treatment modalities.
(817) 631-8236 View (817) 631-8236
Photo of Hong Elaine Dove, LPC, Licensed Professional Counselor
Hong Elaine Dove
Licensed Professional Counselor, LPC
Verified Verified
Blossom, TX 75416
Hi there. I’m a Vietnamese-American trauma therapist and EMDR practitioner. I specialize in treating trauma and helping people flourish. My clients come from many different backgrounds, genders, and orientations. I work with people from 35 different cultural backgrounds, with a special interest in mixed-culture folks. I also specialize in helping people realize their full potential and personal best in relationships, careers, and spiritual growth. My typical client is strong-minded, motivated by learning and growth, and interested in removing all obstacles to the realization of their best self.
Hi there. I’m a Vietnamese-American trauma therapist and EMDR practitioner. I specialize in treating trauma and helping people flourish. My clients come from many different backgrounds, genders, and orientations. I work with people from 35 different cultural backgrounds, with a special interest in mixed-culture folks. I also specialize in helping people realize their full potential and personal best in relationships, careers, and spiritual growth. My typical client is strong-minded, motivated by learning and growth, and interested in removing all obstacles to the realization of their best self.
(469) 820-3854 View (469) 820-3854
Photo of Sohei Breaux-Fujita, LMFT, Marriage & Family Therapist
Sohei Breaux-Fujita
Marriage & Family Therapist, LMFT
Verified Verified
Powderly, TX 75473
Hello, my name is Dr. Sohei Breaux-Fujita, Doctor of Psychology and Marriage & Family Therapist. I was born and raised in Japan but completed all of my studies here in the United States, from undergrad to my doctoral program. I know what it feels like to be different and have a passion for working with others who may be in a similar position. Whether it’s different than how others look or simply how others think and feel. My focus of studies surrounded the LGBTQ community and their families, as well as racial minorities. I have also worked with children and their parents in the past as well.
Hello, my name is Dr. Sohei Breaux-Fujita, Doctor of Psychology and Marriage & Family Therapist. I was born and raised in Japan but completed all of my studies here in the United States, from undergrad to my doctoral program. I know what it feels like to be different and have a passion for working with others who may be in a similar position. Whether it’s different than how others look or simply how others think and feel. My focus of studies surrounded the LGBTQ community and their families, as well as racial minorities. I have also worked with children and their parents in the past as well.
(830) 587-3316 View (830) 587-3316

Online Therapists

Photo of Mariah Peloso Somatic Therapist, LCSW, TCYM, Clinical Social Work/Therapist
Mariah Peloso Somatic Therapist
Clinical Social Work/Therapist, LCSW, TCYM
Verified Verified
1 Endorsed
Frisco, TX 75035  (Online Only)
Are you hitting a wall in talk therapy and seeking ways to move stress out of your body? As a Brainspotting Therapist and Trauma Conscious Yoga Method Practitioner. I guide clients through processing emotions stored in the body in tandem with talk based therapy to decrease symptoms of anxiety, trauma, and life transitions.
Are you hitting a wall in talk therapy and seeking ways to move stress out of your body? As a Brainspotting Therapist and Trauma Conscious Yoga Method Practitioner. I guide clients through processing emotions stored in the body in tandem with talk based therapy to decrease symptoms of anxiety, trauma, and life transitions.
(972) 895-7784 View (972) 895-7784

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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.