Trauma and PTSD Therapists in Van Alstyne, TX

Photo of Alesia Millard, LPC-A
Alesia Millard
LPC Associate, LPC-A
Verified Verified
Van Alstyne, TX 75495  (Online Only)
As your therapist, I'm here to support you in your journey to heal from past traumas, including grief, that might still hold you back.
Something has to change. In my practice, I focus on connecting with individuals who have struggled with the trials of repeat trauma, addiction, prolonged stress, relentless anxiety, and the heavy burden of overwhelming depression. My ideal client wants a transformation change toward healing and personal growth. I am dedicated to providing unwavering support as you strive to reach your mental health goals. This journey is about self-discovery, empowerment, and the promise of a brighter, more fulfilling future, and I am here as your guide every step of the way.
As your therapist, I'm here to support you in your journey to heal from past traumas, including grief, that might still hold you back.
Something has to change. In my practice, I focus on connecting with individuals who have struggled with the trials of repeat trauma, addiction, prolonged stress, relentless anxiety, and the heavy burden of overwhelming depression. My ideal client wants a transformation change toward healing and personal growth. I am dedicated to providing unwavering support as you strive to reach your mental health goals. This journey is about self-discovery, empowerment, and the promise of a brighter, more fulfilling future, and I am here as your guide every step of the way.
(719) 315-1580 View (719) 315-1580
Photo of Dr. Sandy McMillan, EdD, LPC, Licensed Professional Counselor
Dr. Sandy McMillan
Licensed Professional Counselor, EdD, LPC
Verified Verified
1 Endorsed
Van Alstyne, TX 75495
I attained my doctorate degree at Liberty University in trauma counseling.
My therapeutic approach employs flexible integration. This style enables the counseling experience to be tailored to the individual needs and style of each client. This can range from behavioral to psychodynamic techniques. The methods are different but complimentary in order to give each client the most effective experience. Clients will feel free to express their innermost thoughts, feelings, and ideas through a non-threatening, non-judgmental environment. Utilizing techniques that complement each unique personality will enable clients to gain confidence in achieving their goals.
I attained my doctorate degree at Liberty University in trauma counseling.
My therapeutic approach employs flexible integration. This style enables the counseling experience to be tailored to the individual needs and style of each client. This can range from behavioral to psychodynamic techniques. The methods are different but complimentary in order to give each client the most effective experience. Clients will feel free to express their innermost thoughts, feelings, and ideas through a non-threatening, non-judgmental environment. Utilizing techniques that complement each unique personality will enable clients to gain confidence in achieving their goals.
(972) 528-0802 View (972) 528-0802
Photo of Renae Heilman, MEd, LPC, Licensed Professional Counselor
Renae Heilman
Licensed Professional Counselor, MEd, LPC
Verified Verified
Van Alstyne, TX 75495
Waitlist for new clients
I am also trained in EMDR to assist in alleviating past traumas that hold you back.
My ideal client wants change. Although they may be struggling, they are trying to hold on to hope. There is hope. If you are struggling with depression and anxiety, trying to cope with past trauma or just navigating life's challenges, there is hope. I work from a cognitive behavioral model to understand the connection of our thoughts, feelings, and actions and how one may be stuck in a cycle with these thoughts and feelings dragging them down. I am an active counselor, so I don't just sit back, we work together with you developing the skills you need to move forward with your life. I also provide EMDR services.
I am also trained in EMDR to assist in alleviating past traumas that hold you back.
My ideal client wants change. Although they may be struggling, they are trying to hold on to hope. There is hope. If you are struggling with depression and anxiety, trying to cope with past trauma or just navigating life's challenges, there is hope. I work from a cognitive behavioral model to understand the connection of our thoughts, feelings, and actions and how one may be stuck in a cycle with these thoughts and feelings dragging them down. I am an active counselor, so I don't just sit back, we work together with you developing the skills you need to move forward with your life. I also provide EMDR services.
(430) 204-2223 View (430) 204-2223
Photo of Ruth S Kyle, MEd, LPC, Licensed Professional Counselor
Ruth S Kyle
Licensed Professional Counselor, MEd, LPC
Verified Verified
Van Alstyne, TX 75495
I offer one place during the week where you don't have to do anything for anyone but yourself (and I usually have chocolate!) I am EMDR trained for trauma, and have a certification in grief counseling.
Your friends invite you to happy hour but an hour of "happy" sounds exhausting. You dread major holidays because of a loss. Or maybe you simply struggle with days that have a vowel in them. Life keeps happening and you are going through the motions: job, family, basic hygiene (maybe), food that is not chips, to make it happen. I can give you a safe space where you can tell your story - all the parts of your story. I can help you identify what it is that you want for your life, look at your patterns, and offer insight into finding what's best for you. Let's find your inner bad-ass (oops) warrior!
I offer one place during the week where you don't have to do anything for anyone but yourself (and I usually have chocolate!) I am EMDR trained for trauma, and have a certification in grief counseling.
Your friends invite you to happy hour but an hour of "happy" sounds exhausting. You dread major holidays because of a loss. Or maybe you simply struggle with days that have a vowel in them. Life keeps happening and you are going through the motions: job, family, basic hygiene (maybe), food that is not chips, to make it happen. I can give you a safe space where you can tell your story - all the parts of your story. I can help you identify what it is that you want for your life, look at your patterns, and offer insight into finding what's best for you. Let's find your inner bad-ass (oops) warrior!
(972) 885-6092 View (972) 885-6092
Photo of Krystal Wurm, LPC, Licensed Professional Counselor
Krystal Wurm
Licensed Professional Counselor, LPC
Verified Verified
Van Alstyne, TX 75495
I approach therapy as a partnership with my clients in which you are the ultimate decision-maker and I work with you to clear away obstacles and identify opportunities. My clients have successfully overcome or depression, anxiety, OCD, trauma, marital stress, parent-child difficulties, domestic violence, substance abuse, bipolar disorder, and anger issues. My specialties include working with the lgbtqia2s+ community and working with teens!
I approach therapy as a partnership with my clients in which you are the ultimate decision-maker and I work with you to clear away obstacles and identify opportunities. My clients have successfully overcome or depression, anxiety, OCD, trauma, marital stress, parent-child difficulties, domestic violence, substance abuse, bipolar disorder, and anger issues. My specialties include working with the lgbtqia2s+ community and working with teens!
(903) 600-9017 View (903) 600-9017
Photo of Loren Hervey, LPCS, Licensed Professional Counselor
Loren Hervey
Licensed Professional Counselor, LPCS
Verified Verified
Van Alstyne, TX 75495  (Online Only)
I have worked in a variety of treatment settings with children, adolescents, families, couples and adults. I have extensive experience treating clients who report anxiety, depression, exposure to trauma, increased stress, suicidal ideation, and complex family dynamics. I am here to help you on your journey towards feeling better and being the best version of yourself.
I have worked in a variety of treatment settings with children, adolescents, families, couples and adults. I have extensive experience treating clients who report anxiety, depression, exposure to trauma, increased stress, suicidal ideation, and complex family dynamics. I am here to help you on your journey towards feeling better and being the best version of yourself.
(430) 262-7958 View (430) 262-7958
Photo of Becky Bergthold, MS, LPC, RPT, Licensed Professional Counselor
Becky Bergthold
Licensed Professional Counselor, MS, LPC, RPT
Verified Verified
6 Endorsed
Van Alstyne, TX 75495
Waitlist for new clients
When your children are experiencing problems, it impacts the whole family! I have a passion for helping children and parents work through their problems to come to a happier and healthier place. I can help with a wide range of behavioral and emotional concerns that you may have for your child or teen. Each child is unique, and I use a variety of techniques that are modified to fit your child’s needs including play therapy, expressive arts, games, activities, and talk therapy. I will also work with you as a parent in learning how to respond to your child’s feelings and behaviors in the most effective and healthy ways.
When your children are experiencing problems, it impacts the whole family! I have a passion for helping children and parents work through their problems to come to a happier and healthier place. I can help with a wide range of behavioral and emotional concerns that you may have for your child or teen. Each child is unique, and I use a variety of techniques that are modified to fit your child’s needs including play therapy, expressive arts, games, activities, and talk therapy. I will also work with you as a parent in learning how to respond to your child’s feelings and behaviors in the most effective and healthy ways.
(469) 789-1751 View (469) 789-1751
Photo of Kim Carson, PhD, MEd, LPC, LPC-S, Licensed Professional Counselor
Kim Carson
Licensed Professional Counselor, PhD, MEd, LPC, LPC-S
Verified Verified
Van Alstyne, TX 75495
My therapeutic philosophy involves utilizing a holistic approach incorporating Gestalt and Adlerian therapies. As a Licensed Professional Counselor who specializes in athletes, children, adolescents, and young adults, I frequently work with clients experiencing issues related to poor sport or school performance, life changes during adolescence, life transitioning from college to career, parenting issues, sibling relationships, and divorce family transitioning. Topical issues may include low self-esteem , ADHD, transitioning from athletic identity, peer relationships, anger management, self-mutilation, eating disorders, and self-empowerment. A fundamental element in my approach is establishing the therapeutic relationship through rapport and building trust between the client and the therapist.
My therapeutic philosophy involves utilizing a holistic approach incorporating Gestalt and Adlerian therapies. As a Licensed Professional Counselor who specializes in athletes, children, adolescents, and young adults, I frequently work with clients experiencing issues related to poor sport or school performance, life changes during adolescence, life transitioning from college to career, parenting issues, sibling relationships, and divorce family transitioning. Topical issues may include low self-esteem , ADHD, transitioning from athletic identity, peer relationships, anger management, self-mutilation, eating disorders, and self-empowerment. A fundamental element in my approach is establishing the therapeutic relationship through rapport and building trust between the client and the therapist.
(972) 347-4096 View (972) 347-4096
Photo of Suzan Mae Merritt - Whole Living, LLC, PhD, Psychologist
Whole Living, LLC
Psychologist, PhD
Verified Verified
1 Endorsed
Van Alstyne, TX 75495
Our focus is to help individuals and families heal, energize, and move forward by providing a neutral safe space with customized treatment plans. We promise to be there for you every step of your journey.
Our focus is to help individuals and families heal, energize, and move forward by providing a neutral safe space with customized treatment plans. We promise to be there for you every step of your journey.
(903) 228-4719 View (903) 228-4719

More Therapists Nearby

Photo of Cory Bertrand - Counseling Impact, MA, LPC, Licensed Professional Counselor
Counseling Impact
Licensed Professional Counselor, MA, LPC
Verified Verified
Anna, TX 75409
As a counselor, I have learned first hand how many people desire to overcome challenges presented by depression, anxiety, abuse, trauma and personality disorders.
Are you confused about your life? Do you struggle to sort out your emotions? Does trauma have you spiraling out of control? Is grief so overwhelming that you are not sure what to do? Have you tried to create healthy relationships only to find yourself hurt and disappointed? Do you feel nervous, fear judgement or struggle discussing the challenges you are experiencing in your life? We all want to live peaceful, happy, stable lives surrounded by people who love and value us! The life you desire is possible!
As a counselor, I have learned first hand how many people desire to overcome challenges presented by depression, anxiety, abuse, trauma and personality disorders.
Are you confused about your life? Do you struggle to sort out your emotions? Does trauma have you spiraling out of control? Is grief so overwhelming that you are not sure what to do? Have you tried to create healthy relationships only to find yourself hurt and disappointed? Do you feel nervous, fear judgement or struggle discussing the challenges you are experiencing in your life? We all want to live peaceful, happy, stable lives surrounded by people who love and value us! The life you desire is possible!
(903) 294-3019 View (903) 294-3019
Photo of Barbra Moore, MS, NCC
Barbra Moore
Licensed Professional Counselor Associate, MS, NCC
Verified Verified
2 Endorsed
Anna, TX 75409
I am accepting new clients and have evening and weekend appointments available in person and online. Are you seeking support to navigate life's challenges? Whether you're a woman grappling with trauma, PTSD, or relationship struggles, or a parent looking to support your child through play therapy, I am here to walk alongside you on your path to healing. As a dedicated therapist, I specialize in helping women through the complexities of life. From overcoming trauma to navigating family conflicts and relationship hurdles, I offer a unique blend of empathy and real-world wisdom.
I am accepting new clients and have evening and weekend appointments available in person and online. Are you seeking support to navigate life's challenges? Whether you're a woman grappling with trauma, PTSD, or relationship struggles, or a parent looking to support your child through play therapy, I am here to walk alongside you on your path to healing. As a dedicated therapist, I specialize in helping women through the complexities of life. From overcoming trauma to navigating family conflicts and relationship hurdles, I offer a unique blend of empathy and real-world wisdom.
(214) 972-0892 View (214) 972-0892
Photo of Nicckay Natson - Rejuvenation Counseling, Coaching & Consulting LLC, LCCP, LCMFT, LCCT, Pastoral Counselor
Rejuvenation Counseling, Coaching & Consulting LLC
Pastoral Counselor, LCCP, LCMFT, LCCT
Verified Verified
Melissa, TX 75454  (Online Only)
Rejuvenation Counseling, Coaching and Consulting is a safe place for clergy and the five fold ministry to come and get healing and recover from church trauma.
Dr. Nicckay Natson is the Executive Director and Founder of Rejuvenation Counseling Coaching & Consulting LLC. Dr. Nicckay is a Licensed Clinical Christian Psychologist, Licensed Clinical Christian Therapist and Licensed Clinical Christian Marriage and Family Therapist a Licensed and Ordained Minister, Certified Life Coach, Certified Mentor and Certified Marriage Mentor. She is also a Certified Symbis facilitator. She has been a therapist/therapist supervisor/behavior analyst for over 18 years combined in the secular arena before she decided to start a Christian Counseling Practice to help those that are in need.
Rejuvenation Counseling, Coaching and Consulting is a safe place for clergy and the five fold ministry to come and get healing and recover from church trauma.
Dr. Nicckay Natson is the Executive Director and Founder of Rejuvenation Counseling Coaching & Consulting LLC. Dr. Nicckay is a Licensed Clinical Christian Psychologist, Licensed Clinical Christian Therapist and Licensed Clinical Christian Marriage and Family Therapist a Licensed and Ordained Minister, Certified Life Coach, Certified Mentor and Certified Marriage Mentor. She is also a Certified Symbis facilitator. She has been a therapist/therapist supervisor/behavior analyst for over 18 years combined in the secular arena before she decided to start a Christian Counseling Practice to help those that are in need.
(678) 922-4645 View (678) 922-4645
Photo of Sarah Teschendorf, LPC-A, LCDC-I
Sarah Teschendorf
Licensed Professional Counselor Associate, LPC-A, LCDC-I
Verified Verified
Anna, TX 75409  (Online Only)
As a dedicated Christian therapist, I strive to help children, adolescents, teens, adults, couples, families, and veterans by integrating Biblical knowledge and practical tools. My specialties include: divorce, co-parenting, trauma, depression, anxiety, marital problems, and more. My ultimate goal is to help my clients heal through compassion and empathy. Utilizing person-centered therapy, solution focused, and choice therapy; I am committed to providing the best care possible.
As a dedicated Christian therapist, I strive to help children, adolescents, teens, adults, couples, families, and veterans by integrating Biblical knowledge and practical tools. My specialties include: divorce, co-parenting, trauma, depression, anxiety, marital problems, and more. My ultimate goal is to help my clients heal through compassion and empathy. Utilizing person-centered therapy, solution focused, and choice therapy; I am committed to providing the best care possible.
(469) 545-2719 View (469) 545-2719
Photo of Kristi Heath - CHART Counseling Services PLLC, Kristi Heath, LPC, Licensed Professional Counselor
CHART Counseling Services PLLC, Kristi Heath
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Anna, TX 75409
“Insanity is continuing to do the same actions and behaviors with a high expectation there will be a different outcome.” If you are tired of feeling like you are going in circles and ending up where you started when it comes to trying to fix your personal and family issues then you are at the right place! Sometimes overwhelming feelings and even emptiness can be so heavy. If you are tired of being weighed down by your own depression, anxiety, and trauma or feeling mentally drained trying to help others resolve theirs than decide to make changes Right NOW! Our goal at CHART Counseling Services is Creating Hope And Restoring Trust.
“Insanity is continuing to do the same actions and behaviors with a high expectation there will be a different outcome.” If you are tired of feeling like you are going in circles and ending up where you started when it comes to trying to fix your personal and family issues then you are at the right place! Sometimes overwhelming feelings and even emptiness can be so heavy. If you are tired of being weighed down by your own depression, anxiety, and trauma or feeling mentally drained trying to help others resolve theirs than decide to make changes Right NOW! Our goal at CHART Counseling Services is Creating Hope And Restoring Trust.
(469) 457-3272 View (469) 457-3272
Photo of Lan Nguyen, LCSW, Clinical Social Work/Therapist
Lan Nguyen
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Anna, TX 75409  (Online Only)
As a trauma survivor myself, I honor your willingness and courage to be a cycle-breaker.
Do you feel unseen or unheard? Maybe you feel like you don't quite belong? Or maybe you don't feel anything at all? Maybe you feel like you just aren’t "good enough." You might feel frustrated, confused, or guilty about why you lash out at those closest to you. Maybe you feel like you have been faking it through life and hiding behind your busyness. You may feel stuck in relationships and avoid conflicts so you pretend like things are fine. Maybe you are just scared to take up space and speak up for yourself. Is childhood or complex trauma keeping you isolated, trapped, and disconnected? Therapy can help you live abundantly!
As a trauma survivor myself, I honor your willingness and courage to be a cycle-breaker.
Do you feel unseen or unheard? Maybe you feel like you don't quite belong? Or maybe you don't feel anything at all? Maybe you feel like you just aren’t "good enough." You might feel frustrated, confused, or guilty about why you lash out at those closest to you. Maybe you feel like you have been faking it through life and hiding behind your busyness. You may feel stuck in relationships and avoid conflicts so you pretend like things are fine. Maybe you are just scared to take up space and speak up for yourself. Is childhood or complex trauma keeping you isolated, trapped, and disconnected? Therapy can help you live abundantly!
(657) 220-6129 View (657) 220-6129
Photo of Heather McGowen Sanford, MFT-A, MA
Heather McGowen Sanford
LPC Associate, MFT-A, MA
Verified Verified
Melissa, TX 75454
To set your mind at ease, I am proficient in Relationship Therapy, Family Therapy, Trauma Work, Attachment Therapy, Solution-Focused Therapy, Cognitive Behavioral Therapy, Teen & Young Adult work and so much more.
Mental health challenges of your own or a loved one can cause such confusion and pain. Broken relationships can hurt so deeply. These things can put our lives in a wobble and cause us to lose meaning and joy in life. It can cause nagging anxiety or even depression; resulting in anxious thoughts playing on a loop in our minds, yet with the confusion of not knowing where to go from here. Rest assured that hope is just around the corner. You took the first step in reaching out and looking for help. We all need to feel seen and heard and know that we are not alone.
To set your mind at ease, I am proficient in Relationship Therapy, Family Therapy, Trauma Work, Attachment Therapy, Solution-Focused Therapy, Cognitive Behavioral Therapy, Teen & Young Adult work and so much more.
Mental health challenges of your own or a loved one can cause such confusion and pain. Broken relationships can hurt so deeply. These things can put our lives in a wobble and cause us to lose meaning and joy in life. It can cause nagging anxiety or even depression; resulting in anxious thoughts playing on a loop in our minds, yet with the confusion of not knowing where to go from here. Rest assured that hope is just around the corner. You took the first step in reaching out and looking for help. We all need to feel seen and heard and know that we are not alone.
(214) 997-0319 View (214) 997-0319
Photo of Zach Small, MS, Licensed Professional Counselor
Zach Small
Licensed Professional Counselor, MS
Verified Verified
Anna, TX 75409
I specialize in treating PTSD, trauma, anxiety, and depression.
For now, we are operating out of temporary offices in downtown McKinney while our permanent location is being prepared. Our new, permanent office will be in downtown Melissa and is expected to open in late Fall 2024. For appointments or more information, please call us at 972-265-9140 or visit our website here.
I specialize in treating PTSD, trauma, anxiety, and depression.
For now, we are operating out of temporary offices in downtown McKinney while our permanent location is being prepared. Our new, permanent office will be in downtown Melissa and is expected to open in late Fall 2024. For appointments or more information, please call us at 972-265-9140 or visit our website here.
(469) 689-0687 View (469) 689-0687
Photo of Jaclyn Contreras, MS, LPC, Licensed Professional Counselor
Jaclyn Contreras
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Anna, TX 75409
Hi there and welcome! I’m Jaclyn Contreras, and sometimes we need support from an unbiased professional. Whether it’s your first time in counseling or your coming back to refresh or process something new, we can work together to reach your goals. It is important to me to support anyone who needs a safe non-judgmental space to share and process.
Hi there and welcome! I’m Jaclyn Contreras, and sometimes we need support from an unbiased professional. Whether it’s your first time in counseling or your coming back to refresh or process something new, we can work together to reach your goals. It is important to me to support anyone who needs a safe non-judgmental space to share and process.
(903) 480-3824 View (903) 480-3824
Photo of Amber Johnson, MS, EMDR, SEP, Marriage & Family Therapist
Amber Johnson
Marriage & Family Therapist, MS, EMDR, SEP
Verified Verified
2 Endorsed
Anna, TX 75409
Waitlist for new clients
Has your relationship hit a breaking point? The seemingly endless cycle of failed communication or arguments has started to drive a wedge between you. You want to feel connected and supported again, but you don't know if it's possible. You want to develop the skills to reclaim and maintain a profoundly satisfying relationship. You know deep down if you're going to get back to that place you're gonna need some help
Has your relationship hit a breaking point? The seemingly endless cycle of failed communication or arguments has started to drive a wedge between you. You want to feel connected and supported again, but you don't know if it's possible. You want to develop the skills to reclaim and maintain a profoundly satisfying relationship. You know deep down if you're going to get back to that place you're gonna need some help
View
Photo of Katie Miller, MS, LPC, Licensed Professional Counselor
Katie Miller
Licensed Professional Counselor, MS, LPC
Verified Verified
Anna, TX 75409  (Online Only)
Anxiety and depression weigh heavily, restless nights and dread-filled mornings have become your norm. Your heart races, leaving you breathless and constantly on edge avoiding anything that can send you into a panic. Hopelessness weighs you down, making even daily tasks a struggle. The wonderful news is that our brains have the remarkable capacity to adapt, thanks to their neuroplasticity, our nervous systems can regulate, and our bodies can release built up tension. Which means you can find relief and truly thrive. Holistic therapy integrates mind and body approaches to tailor therapy to your specific needs.
Anxiety and depression weigh heavily, restless nights and dread-filled mornings have become your norm. Your heart races, leaving you breathless and constantly on edge avoiding anything that can send you into a panic. Hopelessness weighs you down, making even daily tasks a struggle. The wonderful news is that our brains have the remarkable capacity to adapt, thanks to their neuroplasticity, our nervous systems can regulate, and our bodies can release built up tension. Which means you can find relief and truly thrive. Holistic therapy integrates mind and body approaches to tailor therapy to your specific needs.
(972) 236-4876 View (972) 236-4876

See more therapy options for Van Alstyne

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.