Trauma and PTSD Support Groups in Saratoga, CA

Becoming conscious of our lives is what the turmoil of our world is asking of each of us. Discuss practical ways to plug into community resources so that we are not isolating from each other … remember there is power in numbers! Finding and allowing personal peace is the radical act of self love that is ESPECIALLY required during these times! The highest order of defense against cruelty is the relationship you have with yourself. Learning to not allow the chaos and cruelty to hijack your self regulatory system, triggers. etc. will be discussed and emphasized in these groups.
Photo of Stefanie Smith, Marriage & Family Therapist, MA, LMFT
Hosted by Stefanie Smith
Marriage & Family Therapist, MA, LMFT
Group meets in Saratoga, CA 95070
Becoming conscious of our lives is what the turmoil of our world is asking of each of us. Discuss practical ways to plug into community resources so that we are not isolating from each other … remember there is power in numbers! Finding and allowing personal peace is the radical act of self love that is ESPECIALLY required during these times! The highest order of defense against cruelty is the relationship you have with yourself. Learning to not allow the chaos and cruelty to hijack your self regulatory system, triggers. etc. will be discussed and emphasized in these groups.
(408) 214-8349 View (408) 214-8349
DBT Skills Group lead as designed by Dialectical Behavior Therapy founder, Marsha Linehan, PhD. DBT Skills Trainers have been intensively trained by Behavioral Tech., LLC, in Seattle, WA. DBT Skills Groups cover four main areas to help clients build a "life worth living": Distress Tolerance, Emotional Regulation, Interpersonal Effectiveness, and Mindfulness. DBT is scientifically proven to be effective in reducing suicidal and self-harm behaviors, but also addresses many issues, such as anxiety, depression, mood swings, and substance abuse. Groups are primarily psycho-educational, rather than process oriented. An 8-week commitment is required. Please contact me for more information.
Photo of Tricia J Mlnarik, Marriage & Family Therapist, MA, LMFT, LPCC
Hosted by Tricia J Mlnarik
Marriage & Family Therapist, MA, LMFT, LPCC
Group meets in Saratoga, CA 95070
DBT Skills Group lead as designed by Dialectical Behavior Therapy founder, Marsha Linehan, PhD. DBT Skills Trainers have been intensively trained by Behavioral Tech., LLC, in Seattle, WA. DBT Skills Groups cover four main areas to help clients build a "life worth living": Distress Tolerance, Emotional Regulation, Interpersonal Effectiveness, and Mindfulness. DBT is scientifically proven to be effective in reducing suicidal and self-harm behaviors, but also addresses many issues, such as anxiety, depression, mood swings, and substance abuse. Groups are primarily psycho-educational, rather than process oriented. An 8-week commitment is required. Please contact me for more information.
(408) 520-0886 View (408) 520-0886
Becoming conscious of our lives is what the turmoil of our world is asking of each of us. Discuss practical ways to plug into community resources so that we are not isolating from each other … remember there is power in numbers! Finding and allowing personal peace is the radical act of self love that is ESPECIALLY required during these times! The highest order of defense against cruelty is the relationship you have with yourself. Learning to not allow the chaos and cruelty to hijack your self regulatory system, triggers. etc. will be discussed and emphasized in these groups.
Photo of Stefanie Smith, Marriage & Family Therapist, MA, LMFT
Hosted by Stefanie Smith
Marriage & Family Therapist, MA, LMFT
Group meets in Saratoga, CA 95070
Becoming conscious of our lives is what the turmoil of our world is asking of each of us. Discuss practical ways to plug into community resources so that we are not isolating from each other … remember there is power in numbers! Finding and allowing personal peace is the radical act of self love that is ESPECIALLY required during these times! The highest order of defense against cruelty is the relationship you have with yourself. Learning to not allow the chaos and cruelty to hijack your self regulatory system, triggers. etc. will be discussed and emphasized in these groups.
(408) 214-8349 View (408) 214-8349
DBT Skills Training in Saratoga. Clients learn from skills modules on Emotion Regulation, Interpersonal Effectiveness, Distress Tolerance, and Mindfulness Skills. Skills taught are essential emotional skills for complex disorders, such as PTSD, Depression and BiPolar Disorder. Clients may participate in skills group as part of the DBT Center of Silicon Valley comprehensive DBT program or as an addition to their individual therapy.
Photo of Tricia J Mlnarik, Marriage & Family Therapist, MA, LMFT, LPCC
Hosted by Tricia J Mlnarik
Marriage & Family Therapist, MA, LMFT, LPCC
Group meets in Saratoga, CA 95070
DBT Skills Training in Saratoga. Clients learn from skills modules on Emotion Regulation, Interpersonal Effectiveness, Distress Tolerance, and Mindfulness Skills. Skills taught are essential emotional skills for complex disorders, such as PTSD, Depression and BiPolar Disorder. Clients may participate in skills group as part of the DBT Center of Silicon Valley comprehensive DBT program or as an addition to their individual therapy.
(408) 520-0886 View (408) 520-0886
Becoming conscious of our lives is what the turmoil of our world is asking of each of us. Discuss practical ways to plug into community resources so that we are not isolating from each other … remember there is power in numbers! Finding and allowing personal peace is the radical act of self love that is ESPECIALLY required during these times! The highest order of defense against cruelty is the relationship you have with yourself. Learning to not allow the chaos and cruelty to hijack your self regulatory system, triggers. etc. will be discussed and emphasized in these groups.
Photo of Stefanie Smith, Marriage & Family Therapist, MA, LMFT
Hosted by Stefanie Smith
Marriage & Family Therapist, MA, LMFT
Group meets in Saratoga, CA 95070
Becoming conscious of our lives is what the turmoil of our world is asking of each of us. Discuss practical ways to plug into community resources so that we are not isolating from each other … remember there is power in numbers! Finding and allowing personal peace is the radical act of self love that is ESPECIALLY required during these times! The highest order of defense against cruelty is the relationship you have with yourself. Learning to not allow the chaos and cruelty to hijack your self regulatory system, triggers. etc. will be discussed and emphasized in these groups.
(408) 214-8349 View (408) 214-8349

More Groups Nearby

At The Curiosity Center, our mission is to support individuals and families by offering personalized, comprehensive mental health services. We specialize in Child-Parent Psychotherapy, Individual Teen and Adult Therapy, and Parenting Support. With each service tailored to meet your unique needs, we aim to empower, nurture resilience, and foster healthier relationships. Guided by compassion and a profound understanding of our diverse community, we provide a safe space for exploration, growth, and the transformation of lives. Together, we strive for mental wellbeing, healthier relationships and a fulfilling life journey for all. To learn more, please visit www.TheCuriosityCenter.com
Photo of Pyar Khatri, Marriage & Family Therapist, LMFT, LPCC
Hosted by Pyar Khatri
Marriage & Family Therapist, LMFT, LPCC
Group meets in Redwood City, CA 94064
At The Curiosity Center, our mission is to support individuals and families by offering personalized, comprehensive mental health services. We specialize in Child-Parent Psychotherapy, Individual Teen and Adult Therapy, and Parenting Support. With each service tailored to meet your unique needs, we aim to empower, nurture resilience, and foster healthier relationships. Guided by compassion and a profound understanding of our diverse community, we provide a safe space for exploration, growth, and the transformation of lives. Together, we strive for mental wellbeing, healthier relationships and a fulfilling life journey for all. To learn more, please visit www.TheCuriosityCenter.com
(650) 460-5115 View (650) 460-5115
This skills group utilizes Trauma-Focused DBT (a cutting-edge advancement to evidence-based Dialectical Behavior Therapy) to help you build resilience, find emotional balance, develop healthier relationships, and move boldly toward the life you want! You’ll learn core DBT skills across four key modules. Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness with all skills taught through a trauma-informed lens and with specific new skills content from evidence based DBT for Complex PTSD. Designed for individuals impacted by trauma, this group offers a safe, validating space to build coping skills and empower yourself to reclaim your life.
Photo of L. Jasmine Dobbs-Marsh, Psychologist, PsyD
Hosted by L. Jasmine Dobbs-Marsh
Psychologist, PsyD
Group meets in Redwood City, CA 94063
This skills group utilizes Trauma-Focused DBT (a cutting-edge advancement to evidence-based Dialectical Behavior Therapy) to help you build resilience, find emotional balance, develop healthier relationships, and move boldly toward the life you want! You’ll learn core DBT skills across four key modules. Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness with all skills taught through a trauma-informed lens and with specific new skills content from evidence based DBT for Complex PTSD. Designed for individuals impacted by trauma, this group offers a safe, validating space to build coping skills and empower yourself to reclaim your life.
(650) 663-2659 View (650) 663-2659
Dialectical Behavioral Therapy (DBT) offers structured support for emotional regulation, stress coping, and improved relationships in individuals struggling with various issues, including depression, anxiety, trauma, OCD, and personality disorders. This group can assist you in learning effective mindfulness practices, distress tolerance, and communication skills. Group sessions focus on sharing experiences, validating each other, and learning DBT techniques. The group setting encourages connection, empowerment, and consistent practice of therapeutic tools. The eight-session program covers various DBT skills, ultimately aiming to promote healing and reclaiming a sense of self-control.
Photo of Jiyoung Kim, Clinical Social Work/Therapist, LCSW, EMDR, IFS
Hosted by Jiyoung Kim
Clinical Social Work/Therapist, LCSW, EMDR, IFS
Group meets in San Jose, CA 95129
Dialectical Behavioral Therapy (DBT) offers structured support for emotional regulation, stress coping, and improved relationships in individuals struggling with various issues, including depression, anxiety, trauma, OCD, and personality disorders. This group can assist you in learning effective mindfulness practices, distress tolerance, and communication skills. Group sessions focus on sharing experiences, validating each other, and learning DBT techniques. The group setting encourages connection, empowerment, and consistent practice of therapeutic tools. The eight-session program covers various DBT skills, ultimately aiming to promote healing and reclaiming a sense of self-control.
(650) 910-1719 View (650) 910-1719
Zoom group; client’s may remain anonymous if desired. EMDR groups help client’s gain skills in mindfulness practice, attachment healing, and preparation if client’s ever wish to engage in individual EMDR. Sign up at www.PacificMindSpa.com
Photo of Veronica Calkins, Clinical Social Work/Therapist, LCSW
Hosted by Veronica Calkins
Clinical Social Work/Therapist, LCSW
Group meets in Cupertino, CA 95014
Zoom group; client’s may remain anonymous if desired. EMDR groups help client’s gain skills in mindfulness practice, attachment healing, and preparation if client’s ever wish to engage in individual EMDR. Sign up at www.PacificMindSpa.com
(562) 268-0957 View (562) 268-0957
Join our 8-week Brainspotting Group to heal from trauma and reduce symptoms like anxiety, depression, relationship issues, avoidance, nightmares, and flashbacks. Using Brainspotting, a somatic therapy that targets where trauma is stored in the brain, you’ll process deep emotional pain that talk therapy often can’t reach. Each session blends psychoeducation, group discussions, and Brainspotting exercises to help alleviate trauma symptoms and activate the brain’s natural healing abilities. Connect with others on a similar journey, share experiences, and work through challenges in a safe, supportive environment. Experience the transformative power of trauma healing and recovery.
Photo of Janelle De Veyra, Marriage & Family Therapist, LMFT
Hosted by Janelle De Veyra
Marriage & Family Therapist, LMFT
Group meets in San Jose, CA 95129
Join our 8-week Brainspotting Group to heal from trauma and reduce symptoms like anxiety, depression, relationship issues, avoidance, nightmares, and flashbacks. Using Brainspotting, a somatic therapy that targets where trauma is stored in the brain, you’ll process deep emotional pain that talk therapy often can’t reach. Each session blends psychoeducation, group discussions, and Brainspotting exercises to help alleviate trauma symptoms and activate the brain’s natural healing abilities. Connect with others on a similar journey, share experiences, and work through challenges in a safe, supportive environment. Experience the transformative power of trauma healing and recovery.
(650) 480-3572 View (650) 480-3572
This DBT Skills Group runs for 75 min & 13 weeks starting August 14, and is co-run by psychiatrist Suzanna Freerksen MD and Jamal Oakes APCC. We will start each session off with a mindfulness exercise, then do a deep dive into skills related to Mindfulness, Interpersonal Effectiveness, Emotion Regulation, Distress Tolerance. One evaluation session with Jamal Oakes is necessary prior to joining the group. Skills handout pdfs will provided after every session. We will be using handouts from Dr. Marsha Linehan's DBT Skills Training Handouts and Worksheets book. Buying the book is optional. Thursdays, 5:30p-6:45p
Photo of Suzanna Freerksen, Psychiatrist, MD, FAPA
Hosted by Suzanna Freerksen
Psychiatrist, MD, FAPA
Group meets in Santa Clara, CA 95050
This DBT Skills Group runs for 75 min & 13 weeks starting August 14, and is co-run by psychiatrist Suzanna Freerksen MD and Jamal Oakes APCC. We will start each session off with a mindfulness exercise, then do a deep dive into skills related to Mindfulness, Interpersonal Effectiveness, Emotion Regulation, Distress Tolerance. One evaluation session with Jamal Oakes is necessary prior to joining the group. Skills handout pdfs will provided after every session. We will be using handouts from Dr. Marsha Linehan's DBT Skills Training Handouts and Worksheets book. Buying the book is optional. Thursdays, 5:30p-6:45p
(669) 242-5151 View (669) 242-5151
Licensed therapists and advanced interns working with complex cases involving patients with histories of trauma, abuse and dysfunctional attachment characteristics will find value in this group.
Photo of Craig W Clark, Marriage & Family Therapist, LMFT
Hosted by Craig W Clark
Marriage & Family Therapist, LMFT
Group meets in Capitola, CA 95010
These modalities are useful in helping reduce anxiety and ill ease in patients who have experienced trauma.
Licensed therapists and advanced interns working with complex cases involving patients with histories of trauma, abuse and dysfunctional attachment characteristics will find value in this group.
(831) 216-1382 View (831) 216-1382
A therapist-led psychotherapy group for professionals who feel stuck in high-stress patterns, such as burnout, overthinking, irritability, sleep disruption, people-pleasing, or recurring conflict at work or home. This is not a drop-in support group. We use a structured, change-focused approach to track triggers in real time, understand the relational cycle, and practice new responses you can apply between sessions. Screening is required to ensure fit and a strong, stable group. Weeknight evening cohorts are forming in Sunnyvale.
Photo of Jing Baer, Marriage & Family Therapist, LMFT, RDT, PhD
Hosted by Jing Baer
Marriage & Family Therapist, LMFT, RDT, PhD
Group meets in Sunnyvale, CA 94085
I help adults and couples stuck in high-conflict cycles, shutdown/overthinking, or compulsive coping, often shaped by trauma, ADHD traits, or mixed-neurotype dynamics.
A therapist-led psychotherapy group for professionals who feel stuck in high-stress patterns, such as burnout, overthinking, irritability, sleep disruption, people-pleasing, or recurring conflict at work or home. This is not a drop-in support group. We use a structured, change-focused approach to track triggers in real time, understand the relational cycle, and practice new responses you can apply between sessions. Screening is required to ensure fit and a strong, stable group. Weeknight evening cohorts are forming in Sunnyvale.
(669) 587-3697 View (669) 587-3697
Survivors Healing Center is a safe and confidential place for survivors of child sexual abuse. Our goal is to empower those victimized by sexual abuse and to prevent sexual abuse of children and youth. We provide a supportive healing environment using a client centered process, helping clients break isolation, develop healthy coping skills, reduce shame, increase self-esteem, and build healthy boundaries. Support groups are available for women and men, youth, mothers of survivors, and partners of survivors in Santa Cruz, Watsonville and Soquel. Groups are available in English and Spanish. Please call 831-423-7601 to pre-register.
Photo of Family Service Agency - Family Service Agency of the Central Coast, Treatment Center, LMFT, LCSW
Hosted by Family Service Agency of the Central Coast
Treatment Center, LMFT, LCSW
Group meets in Santa Cruz, CA 95060
Survivors Healing Center is a safe and confidential place for survivors of child sexual abuse. Our goal is to empower those victimized by sexual abuse and to prevent sexual abuse of children and youth. We provide a supportive healing environment using a client centered process, helping clients break isolation, develop healthy coping skills, reduce shame, increase self-esteem, and build healthy boundaries. Support groups are available for women and men, youth, mothers of survivors, and partners of survivors in Santa Cruz, Watsonville and Soquel. Groups are available in English and Spanish. Please call 831-423-7601 to pre-register.
(831) 215-4883 View (831) 215-4883
A therapist-led psychotherapy group for adults navigating separation, divorce, or the aftermath of a breakup. This group supports grief, anger, rumination, identity shifts, and the practical emotional challenges of starting over, especially when conflict, betrayal, or co-parenting is involved. Expect a structured, trauma-informed approach with clear direction, tools for regulation and boundaries, and space for honest processing. This is not a drop-in support group; screening is required to ensure fit and group stability. In-person in Sunnyvale; weeknight evening cohorts forming.
Photo of Jing Baer, Marriage & Family Therapist, LMFT, RDT, PhD
Hosted by Jing Baer
Marriage & Family Therapist, LMFT, RDT, PhD
Group meets in Sunnyvale, CA 94085
I help adults and couples stuck in high-conflict cycles, shutdown/overthinking, or compulsive coping, often shaped by trauma, ADHD traits, or mixed-neurotype dynamics.
A therapist-led psychotherapy group for adults navigating separation, divorce, or the aftermath of a breakup. This group supports grief, anger, rumination, identity shifts, and the practical emotional challenges of starting over, especially when conflict, betrayal, or co-parenting is involved. Expect a structured, trauma-informed approach with clear direction, tools for regulation and boundaries, and space for honest processing. This is not a drop-in support group; screening is required to ensure fit and group stability. In-person in Sunnyvale; weeknight evening cohorts forming.
(669) 587-3697 View (669) 587-3697
Childhood trauma can show up in adulthood as anxiety, anger, shame, emotional shutdown, or relationship struggles. In this free online class, you’ll learn why certain situations trigger intense reactions and how healing can begin with compassion instead of self-blame. I’ll introduce simple concepts from Internal Family Systems therapy to help you understand the parts of yourself that may be trying to protect you. The listing may show $20, but this class is free. Please contact me to RSVP.
Photo of Jake Clevenger, Marriage & Family Therapist Associate, MA, AMFT
Hosted by Jake Clevenger
Marriage & Family Therapist Associate, MA, AMFT
Group meets in Morgan Hill, CA 95037
I've trained in multiple therapy techniques that effectively heal trauma - CBT, IFS, Couples Therapy, and ACES.
Childhood trauma can show up in adulthood as anxiety, anger, shame, emotional shutdown, or relationship struggles. In this free online class, you’ll learn why certain situations trigger intense reactions and how healing can begin with compassion instead of self-blame. I’ll introduce simple concepts from Internal Family Systems therapy to help you understand the parts of yourself that may be trying to protect you. The listing may show $20, but this class is free. Please contact me to RSVP.
(530) 240-7415 View (530) 240-7415
Zoom group; client’s may remain anonymous if desired. EMDR groups help client’s gain skills in mindfulness practice, attachment healing, and preparation if client’s ever wish to engage in individual EMDR. Sign up at www.PacificMindSpa.com
Photo of Veronica Calkins, Clinical Social Work/Therapist, LCSW
Hosted by Veronica Calkins
Clinical Social Work/Therapist, LCSW
Group meets in Sunnyvale, CA 94086
Zoom group; client’s may remain anonymous if desired. EMDR groups help client’s gain skills in mindfulness practice, attachment healing, and preparation if client’s ever wish to engage in individual EMDR. Sign up at www.PacificMindSpa.com
(562) 268-1415 View (562) 268-1415
Join our Harm Reduction Addiction Support Group for holistic recovery. Our compassionate space embraces diverse needs with structured sessions covering addiction, anxiety, depression, impulse control, relationships, and more. We focus on coping skills, healthy relationships, and relapse prevention, integrating IFS, CBT, mindfulness, trauma informed care, and attachment theory. Reclaim control, build community, and explore new possibilities with us. Book a free consultation today for personalized support on your journey to recovery.
Photo of Emma Rockvam, Marriage & Family Therapist, LMFT
Hosted by Emma Rockvam
Marriage & Family Therapist, LMFT
Group meets in San Jose, CA 95129
Join our Harm Reduction Addiction Support Group for holistic recovery. Our compassionate space embraces diverse needs with structured sessions covering addiction, anxiety, depression, impulse control, relationships, and more. We focus on coping skills, healthy relationships, and relapse prevention, integrating IFS, CBT, mindfulness, trauma informed care, and attachment theory. Reclaim control, build community, and explore new possibilities with us. Book a free consultation today for personalized support on your journey to recovery.
(650) 977-1426 View (650) 977-1426
I’m excited to announce the start of a new in person group therapy space called "Resilient Roots," in San Mateo beginning on Friday afternoons in February! This group is designed specifically for immigrants and adult children of immigrants—a place to come together, share stories, and explore the unique challenges of navigating life in the "in-between." Through open conversations, we’ll address the complex realities of balancing cultures, expectations, and identities while recognizing the incredible resilience within ourselves and our generational histories.
Photo of Sonia Paz, Marriage & Family Therapist, MFT
Hosted by Sonia Paz
Marriage & Family Therapist, MFT
Group meets in San Mateo, CA 94401
In our sessions together, I incorporate a variety of modalities, including CBT, Emotion-Focused Therapy, the Gottman Method, trauma-informed care, and motivational interviewing.
I’m excited to announce the start of a new in person group therapy space called "Resilient Roots," in San Mateo beginning on Friday afternoons in February! This group is designed specifically for immigrants and adult children of immigrants—a place to come together, share stories, and explore the unique challenges of navigating life in the "in-between." Through open conversations, we’ll address the complex realities of balancing cultures, expectations, and identities while recognizing the incredible resilience within ourselves and our generational histories.
(650) 547-8908 View (650) 547-8908
This group is a six-week therapy group for women, blending the Internal Family Systems (IFS) model and mindfulness. This group is tailored for those navigating grief, trauma, relationship shifts, and career challenges along with a safe space for exploration. I offer guided exercises, discussions, & compassionate support to empower you to deepen your self-awareness and resilience. Each session delves into parts recognition, self-compassion, healing exiled parts, and integrating the inner self. Join this transformative journey, celebrating progress and setting intentions for ongoing transformation. 'Embracing Change' offers women strength, solace, and authentic resilience. Contact me for a free consultation.
Photo of Emma Rockvam, Marriage & Family Therapist, LMFT
Hosted by Emma Rockvam
Marriage & Family Therapist, LMFT
Group meets in San Jose, CA 95129
This group is a six-week therapy group for women, blending the Internal Family Systems (IFS) model and mindfulness. This group is tailored for those navigating grief, trauma, relationship shifts, and career challenges along with a safe space for exploration. I offer guided exercises, discussions, & compassionate support to empower you to deepen your self-awareness and resilience. Each session delves into parts recognition, self-compassion, healing exiled parts, and integrating the inner self. Join this transformative journey, celebrating progress and setting intentions for ongoing transformation. 'Embracing Change' offers women strength, solace, and authentic resilience. Contact me for a free consultation.
(650) 977-1426 View (650) 977-1426

See more therapy options for Saratoga

Trauma and PTSD Support Groups
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.