Trauma and PTSD Therapists in Madisonville, KY

Photo of undefined - Synergy Counseling and Wellness Center, LLC, MEd, LPCC
Synergy Counseling and Wellness Center, LLC
Licensed Professional Clinical Counselor, MEd, LPCC
Verified Verified
2 Endorsed
Madisonville, KY 42431
My experience consist of extensive training in individual psychotherapy relating to general mental health, substance abuse, trauma recovery, marriage/couples counseling, mindfulness-based stress reduction and I am an EAP contractor.
I provide ethical, moral and compassionate holistic healing by delivering multi-faceted services that can help guide others to a better understanding of who they are. It is my goal to provide my clients with the respect, honor, and support they deserve. I utilize traditional and non traditional forms of psychotherapy to individualize each clients treatment goals.
My experience consist of extensive training in individual psychotherapy relating to general mental health, substance abuse, trauma recovery, marriage/couples counseling, mindfulness-based stress reduction and I am an EAP contractor.
I provide ethical, moral and compassionate holistic healing by delivering multi-faceted services that can help guide others to a better understanding of who they are. It is my goal to provide my clients with the respect, honor, and support they deserve. I utilize traditional and non traditional forms of psychotherapy to individualize each clients treatment goals.
(270) 908-0420 View (270) 908-0420
Photo of undefined - Caris Counseling & Behavioral Health Group, MEd, LPCC, DCC
Caris Counseling & Behavioral Health Group
Licensed Professional Clinical Counselor, MEd, LPCC, DCC
Verified Verified
Madisonville, KY 42431
Likewise, I have extensive experience in treating grief, family survivors of suicide, divorced clients, depression, mood disorders, trauma and abuse.
I am an interactive solution focused therapist. My therapeutic approach is aimed at providing evidence based treatment, ongoing support, and practical application/feedback to assist clients in navigating through life's tough issues. My practice is open to ages 7 and above. I have worked closely with Physicians in this area for more than 10 years to meet the healthcare needs of our community.
Likewise, I have extensive experience in treating grief, family survivors of suicide, divorced clients, depression, mood disorders, trauma and abuse.
I am an interactive solution focused therapist. My therapeutic approach is aimed at providing evidence based treatment, ongoing support, and practical application/feedback to assist clients in navigating through life's tough issues. My practice is open to ages 7 and above. I have worked closely with Physicians in this area for more than 10 years to meet the healthcare needs of our community.
(270) 350-4462 View (270) 350-4462
Photo of Rich Evans, MA, CRC, LPCA, Counselor
Rich Evans
Counselor, MA, CRC, LPCA
Verified Verified
1 Endorsed
Madisonville, KY 42431
I support teens, adults, and couples in uncovering and understanding their emotions. I want my clients to be able to take action to be a better partner, parent or person.
I support teens, adults, and couples in uncovering and understanding their emotions. I want my clients to be able to take action to be a better partner, parent or person.
(270) 279-0084 View (270) 279-0084
Photo of Kathy Leigh Glover, LPCC, Counselor
Kathy Leigh Glover
Counselor, LPCC
Verified Verified
1 Endorsed
Madisonville, KY 42431
Marriage is a sacred and holy covenant ordained by God that takes place between a man and a woman. Any marriage that begins outside of these boundaries is bound for turbulence, and in many cases, utter destruction that impacts generations that arise from it. In fact, today, over half of all marriages will end in divorce. As a counselor who specializes in premarital and marital therapy, I know all too well the various dynamics that lead couples into troubled waters. I am here to prevent you from wading too deeply and to offer a life-preserver for those who have already taken the plunge.
Marriage is a sacred and holy covenant ordained by God that takes place between a man and a woman. Any marriage that begins outside of these boundaries is bound for turbulence, and in many cases, utter destruction that impacts generations that arise from it. In fact, today, over half of all marriages will end in divorce. As a counselor who specializes in premarital and marital therapy, I know all too well the various dynamics that lead couples into troubled waters. I am here to prevent you from wading too deeply and to offer a life-preserver for those who have already taken the plunge.
(270) 632-0376 View (270) 632-0376
Photo of More To Life Counseling And Amazing Life-Ky, MA, LPCC-S, Waiver, Counselor
More To Life Counseling And Amazing Life-Ky
Counselor, MA, LPCC-S, Waiver
Verified Verified
1 Endorsed
Madisonville, KY 42431
You cannot possibly imagine all the wonderful things yet to happen". Hello! My name is Cathy Gamm and I'm the owner of More to Life Counseling & Amazing Life-KY. At More to Life, our goal is to provide you with support and individualized counseling to help you achieve whole body wellness. With compassion and validation, we work with each client to help them explore the root causes of their symptoms, build upon their own strengths, & achieve the goals they have set for themselves. With training in Integrative Mental Health, EMDR, CBT, and more, we bring a whole body perspective to the field of mental health.
You cannot possibly imagine all the wonderful things yet to happen". Hello! My name is Cathy Gamm and I'm the owner of More to Life Counseling & Amazing Life-KY. At More to Life, our goal is to provide you with support and individualized counseling to help you achieve whole body wellness. With compassion and validation, we work with each client to help them explore the root causes of their symptoms, build upon their own strengths, & achieve the goals they have set for themselves. With training in Integrative Mental Health, EMDR, CBT, and more, we bring a whole body perspective to the field of mental health.
(270) 974-4460 View (270) 974-4460
Photo of Dr. Whitney Gilley, MD
Dr. Whitney Gilley
MD
Verified Verified
Madisonville, KY 42431
Not accepting new clients
Using weekly psychotherapy and evidenced-based therapy modalities tailored to fit you, we can work together on concerns including stress, life changes, anxiety, depression, trauma and PTSD. I also treat women's health concerns including peri-partum and peri-menopausal depression and anxiety. I use a whole-person approach to care and stay up-to-date on how stress and trauma affect our body, mood, perspectives, and relationships. To keep decisions about your care between you and your doctor, New Directions Psychiatry PLLC is private pay does not take insurance. I treat adults only. Please see my website for details and current fees.
Using weekly psychotherapy and evidenced-based therapy modalities tailored to fit you, we can work together on concerns including stress, life changes, anxiety, depression, trauma and PTSD. I also treat women's health concerns including peri-partum and peri-menopausal depression and anxiety. I use a whole-person approach to care and stay up-to-date on how stress and trauma affect our body, mood, perspectives, and relationships. To keep decisions about your care between you and your doctor, New Directions Psychiatry PLLC is private pay does not take insurance. I treat adults only. Please see my website for details and current fees.
(270) 514-0240 View (270) 514-0240

More Therapists Nearby

Photo of Robert Franklin Evans, MFT, LPCC, Marriage & Family Therapist
Robert Franklin Evans
Marriage & Family Therapist, MFT, LPCC
Verified Verified
Hanson, KY 42413
I am an adoptive parent with personal and professional experience with trauma and addictions.
25 years of experience in mental health and addictions both adult, adolescent and the development of specific behavioral and cognitive skills helping parents regain control over their children's conduct, oppositional and defiant behaviors. I have also been providing services aimed at helping couples save their marriage and parents with with all aspects of child, adolescent and transitional age youth behaviors, including early onset of mental illness such as bi-polar, psychosis, anxiety and depression. In addition I can also provide professional training and provision of both Addictions and Mental Health formal "INTERVENTIONS" .
I am an adoptive parent with personal and professional experience with trauma and addictions.
25 years of experience in mental health and addictions both adult, adolescent and the development of specific behavioral and cognitive skills helping parents regain control over their children's conduct, oppositional and defiant behaviors. I have also been providing services aimed at helping couples save their marriage and parents with with all aspects of child, adolescent and transitional age youth behaviors, including early onset of mental illness such as bi-polar, psychosis, anxiety and depression. In addition I can also provide professional training and provision of both Addictions and Mental Health formal "INTERVENTIONS" .
(530) 696-4748 View (530) 696-4748

Online Therapists

Photo of Wynna Tabb, MEd, LMFT, Marriage & Family Therapist
Wynna Tabb
Marriage & Family Therapist, MEd, LMFT
Verified Verified
Elizabethtown, KY 42701
I am a therapist certified in trauma therapy and EMDR.
You've spent years dealing with the memories of the trauma. You're triggered all of the time, and it's hard to function daily. You have nightmares, sleep issues, or you just don't have the energy to get up. Your heart beats fast, you can't breathe, and you panic. You bury yourself in work, food, television, video games, or anything to avoid thinking about what happened to you. Sometimes you feel numb, like a zombie, and you space out. If someone walks up, you jump! You don't have to live this way! You can face the past, once and for all!
I am a therapist certified in trauma therapy and EMDR.
You've spent years dealing with the memories of the trauma. You're triggered all of the time, and it's hard to function daily. You have nightmares, sleep issues, or you just don't have the energy to get up. Your heart beats fast, you can't breathe, and you panic. You bury yourself in work, food, television, video games, or anything to avoid thinking about what happened to you. Sometimes you feel numb, like a zombie, and you space out. If someone walks up, you jump! You don't have to live this way! You can face the past, once and for all!
(270) 455-1493 View (270) 455-1493
Photo of Cassidy Campbell, LPCC
Cassidy Campbell
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Owensboro, KY 42303  (Online Only)
My passion is to help clients recognize the true root issues that are occurring, given their specific symptoms, with the goal of addressing these issues in order to lead healthy and hopeful lives. My passion is utilizing techniques from primarily Gestalt and Cognitive Behavioral Therapy treatment modalities, as well as others that seem best suited for each individual client. I have utilized these approaches to successfully help individuals overcome grief, trauma, loss, and poor self-esteem issues, among other things.
My passion is to help clients recognize the true root issues that are occurring, given their specific symptoms, with the goal of addressing these issues in order to lead healthy and hopeful lives. My passion is utilizing techniques from primarily Gestalt and Cognitive Behavioral Therapy treatment modalities, as well as others that seem best suited for each individual client. I have utilized these approaches to successfully help individuals overcome grief, trauma, loss, and poor self-esteem issues, among other things.
(270) 372-3252 View (270) 372-3252
Photo of Jamie Kyzer, LCSW, Clinical Social Work/Therapist
Jamie Kyzer
Clinical Social Work/Therapist, LCSW
Verified Verified
Owensboro, KY 42303
Jamie Kyzer LCSW is a licensed therapist in Kentucky specializing in mood management and behavior modification counseling as well as helping those with trauma.
Jamie Kyzer LCSW is a licensed therapist in Kentucky specializing in mood management and behavior modification counseling as well as helping those with trauma.
(270) 213-6372 View (270) 213-6372
Photo of Felisha Danielle Babb, LCSW, Clinical Social Work/Therapist
Felisha Danielle Babb
Clinical Social Work/Therapist, LCSW
Verified Verified
Hopkinsville, KY 42240  (Online Only)
I am Smart Recovery Certified and skilled at working with individuals who are battling addiction, depression, anxiety, and PTSD.
Hello, I am a Licensed Clinical Social Worker in Kentucky, Tennessee, Georgia, Virginia, and Indiana. I am skilled at creating a nonjudgmental, supportive, environment while collaboratively working with my patients as team to assist them with gaining and maintaining emotional stability. I am a client centered therapist with 7 years experience in mental health counseling. I have been successful in using my expertise to understand, assist, and guide clients to learn components of emotional intelligence that they can use to assist them with meeting their behavioral health goals.
I am Smart Recovery Certified and skilled at working with individuals who are battling addiction, depression, anxiety, and PTSD.
Hello, I am a Licensed Clinical Social Worker in Kentucky, Tennessee, Georgia, Virginia, and Indiana. I am skilled at creating a nonjudgmental, supportive, environment while collaboratively working with my patients as team to assist them with gaining and maintaining emotional stability. I am a client centered therapist with 7 years experience in mental health counseling. I have been successful in using my expertise to understand, assist, and guide clients to learn components of emotional intelligence that they can use to assist them with meeting their behavioral health goals.
(270) 279-8183 View (270) 279-8183
Photo of undefined - Lake Behavioral Health , MSSW, LCSW
Lake Behavioral Health
MSSW, LCSW
Verified Verified
Bowling Green, KY 42103
We specialize in treating anxiety, depression, chronic mental health conditions, psychotropic medication management, trauma work, relationship issues, life adjustment issues and aging, substance use treatment, and medication assisted treatment for opioid dependence and alcohol abuse.
Each patient’s experiences and background are different, and we strive to provide individualized and evidenced based therapy and medication management for those seeking help at Lake Behavioral Health. We offer a variety of treatment modalities with the ultimate goal of fostering successful outcome for every person.
We specialize in treating anxiety, depression, chronic mental health conditions, psychotropic medication management, trauma work, relationship issues, life adjustment issues and aging, substance use treatment, and medication assisted treatment for opioid dependence and alcohol abuse.
Each patient’s experiences and background are different, and we strive to provide individualized and evidenced based therapy and medication management for those seeking help at Lake Behavioral Health. We offer a variety of treatment modalities with the ultimate goal of fostering successful outcome for every person.
(270) 510-3475 View (270) 510-3475
Photo of Jana Faye Wilson, LCPC
Jana Faye Wilson
Licensed Professional Clinical Counselor, LCPC
Verified Verified
Bowling Green, KY 42101
I am certified in Person Centered Approach, Grief Therapy, Motivational Interviewing, Race-Trauma and Eye Movement Desensitization and Reprocessing (EMDR), Therapies.
Hello, My name is Jana Wilson. I am Licensed Professional Counselor (LPC) licensed in the state of Kentucky by the National Board of Professional Counselors to provide mental health counseling. I graduated from Mid-Continent University receiving a B.A. in Missions and Evangelism. I obtained my M.Ed., in Clinical Mental Health Counseling from Murray State University, Ky. I have over 9 years of experience and extensive training in treating adolescent and adult behavior concerns. As well as, 4.5 years training and experience in suicide crisis prevention and intervention.
I am certified in Person Centered Approach, Grief Therapy, Motivational Interviewing, Race-Trauma and Eye Movement Desensitization and Reprocessing (EMDR), Therapies.
Hello, My name is Jana Wilson. I am Licensed Professional Counselor (LPC) licensed in the state of Kentucky by the National Board of Professional Counselors to provide mental health counseling. I graduated from Mid-Continent University receiving a B.A. in Missions and Evangelism. I obtained my M.Ed., in Clinical Mental Health Counseling from Murray State University, Ky. I have over 9 years of experience and extensive training in treating adolescent and adult behavior concerns. As well as, 4.5 years training and experience in suicide crisis prevention and intervention.
(859) 666-6715 View (859) 666-6715
Photo of Sedellia Strobel, LCSW, Clinical Social Work/Therapist
Sedellia Strobel
Clinical Social Work/Therapist, LCSW
Verified Verified
Browning, KY 42274  (Online Only)
I also integrate mindfulness, art therapies, and trauma-informed approaches to help you develop a stronger relationship with yourself.
Are you struggling to keep up with daily tasks? Do you need assistance working through intrusive/repetitive thoughts? Is it hard to be kind to yourself? I help individuals with anxiety, depression, and trauma work through feelings and situations impacting daily life to better understand themselves and achieve healing. Together, we can identify what is not working and get you back to not only surviving but thriving. We will use a client-centered and strengths-based approach, addressing the needs of your mind, body, and spirit. We will discover natural strengths and work to see them and use them on the surface on a regular basis.
I also integrate mindfulness, art therapies, and trauma-informed approaches to help you develop a stronger relationship with yourself.
Are you struggling to keep up with daily tasks? Do you need assistance working through intrusive/repetitive thoughts? Is it hard to be kind to yourself? I help individuals with anxiety, depression, and trauma work through feelings and situations impacting daily life to better understand themselves and achieve healing. Together, we can identify what is not working and get you back to not only surviving but thriving. We will use a client-centered and strengths-based approach, addressing the needs of your mind, body, and spirit. We will discover natural strengths and work to see them and use them on the surface on a regular basis.
(270) 818-3605 View (270) 818-3605
Photo of undefined - A.I.M. Wellness
A.I.M. Wellness
Licensed Professional Clinical Counselor
Verified Verified
Leitchfield, KY 42754
Our therapists cover many areas of treatment such as, anxiety, ADHD, grief, divorce, gender identity, PTSD and many other issues.
Mission Statement: We treat every single person with unconditional positive regard. Our primary goal is to offer a safe place without judgement to our community. We meet people where they are and help them move forward and achieve their goals. We are currently working toward a model of treatment that includes a more complete assessment including daily living, nutrition, physical activity, and collaboration with other providers. We are excited to be offering quality mental health services to Grayson and surrounding counties.
Our therapists cover many areas of treatment such as, anxiety, ADHD, grief, divorce, gender identity, PTSD and many other issues.
Mission Statement: We treat every single person with unconditional positive regard. Our primary goal is to offer a safe place without judgement to our community. We meet people where they are and help them move forward and achieve their goals. We are currently working toward a model of treatment that includes a more complete assessment including daily living, nutrition, physical activity, and collaboration with other providers. We are excited to be offering quality mental health services to Grayson and surrounding counties.
(270) 321-3451 View (270) 321-3451
Photo of Gary Barker, MA, LPCC, CMHIMP
Gary Barker
Licensed Professional Clinical Counselor, MA, LPCC, CMHIMP
Verified Verified
2 Endorsed
Owensboro, KY 42303
I have extensive training and experience treating Depression, Bipolar Disorder, Anxiety Disorders, Trauma, and ADHD.
As a Licensed Professional Clinical Counselor I consider therapy a path of change by way of a specific kind of partnership where clients feel understood, valued, and free to explore patterns of thoughts, emotions, conflicts, and relationships. My approach to counseling is a blend of theoretical concepts aimed at resolving conflicts and refining the necessary skills to meet life's challenges.
I have extensive training and experience treating Depression, Bipolar Disorder, Anxiety Disorders, Trauma, and ADHD.
As a Licensed Professional Clinical Counselor I consider therapy a path of change by way of a specific kind of partnership where clients feel understood, valued, and free to explore patterns of thoughts, emotions, conflicts, and relationships. My approach to counseling is a blend of theoretical concepts aimed at resolving conflicts and refining the necessary skills to meet life's challenges.
(270) 632-4615 View (270) 632-4615
Photo of Michael Shacklette, LPCC
Michael Shacklette
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Bowling Green, KY 42104  (Online Only)
I have worked with individuals from a variety of backgrounds in various types of settings, ranging from inpatient, crisis, the court system, community mental health, and private practice, and have had the pleasure of helping clients with a multitude of issues, including: trauma, substance use, depression, anxiety, grief, and marital/family conflict, etc.
Evening Availability -Maybe you are aware of what issues you need help to resolve and are needing help with the next step, maybe you have an “itch” that something is not quite right but you are not sure what direction to take, or maybe you are feeling lost or confused in this adventure we call life. I welcome all to participate in the therapy process regardless of where a person is in that journey. I am honored to meet every person in their current space, whether it means starting with building the beginning steps of insight or continuing work on a long-discovered issue.
I have worked with individuals from a variety of backgrounds in various types of settings, ranging from inpatient, crisis, the court system, community mental health, and private practice, and have had the pleasure of helping clients with a multitude of issues, including: trauma, substance use, depression, anxiety, grief, and marital/family conflict, etc.
Evening Availability -Maybe you are aware of what issues you need help to resolve and are needing help with the next step, maybe you have an “itch” that something is not quite right but you are not sure what direction to take, or maybe you are feeling lost or confused in this adventure we call life. I welcome all to participate in the therapy process regardless of where a person is in that journey. I am honored to meet every person in their current space, whether it means starting with building the beginning steps of insight or continuing work on a long-discovered issue.
(270) 208-9655 View (270) 208-9655
Photo of Allison Mack, MA, LPCC, NCC, Counselor
Allison Mack
Counselor, MA, LPCC, NCC
Verified Verified
1 Endorsed
Paducah, KY 42001
Waitlist for new clients
Your mental health matters, because you matter! I have worked with clients facing various issues from depression and anxiety, to trauma and PTSD. I do not believe therapy is one size fits all so I use various evidence based approaches to address concerns, and help guide clients on their journey to wellness. My goal is to meet my clients wherever they are on their journey, and help them find growth, healing, and renewed hope for the future.
Your mental health matters, because you matter! I have worked with clients facing various issues from depression and anxiety, to trauma and PTSD. I do not believe therapy is one size fits all so I use various evidence based approaches to address concerns, and help guide clients on their journey to wellness. My goal is to meet my clients wherever they are on their journey, and help them find growth, healing, and renewed hope for the future.
(270) 449-0366 View (270) 449-0366
Photo of David Kingsbury, LPCC-S, LCADC, NCC, ICAADC
David Kingsbury
Licensed Professional Clinical Counselor, LPCC-S, LCADC, NCC, ICAADC
Verified Verified
Elizabethtown, KY 42701
Over the years, I have worked with a diverse client population, addressing areas such as severe mental illness including schizophrenia & bipolar disorder, developmental & intellectual disorders, child and adolescent therapy, anxiety & depression, marriage and family therapy, grief, substance abuse, trauma, and group counseling.
Are you looking for someone passionate about helping you overcome obstacles, achieve happiness, or discover your life purpose? Finding my own recovery and faith, along with helping others conquer challenges similar to my own, are major motivators for my personal mission and professional work. I see my career less as a job and more as a calling. My heart is to make a difference in your life and to help you overcome anxiety, depression, and emotional pain. So, really, each encounter is an opportunity, a chance to give back some of what I’ve been given.
Over the years, I have worked with a diverse client population, addressing areas such as severe mental illness including schizophrenia & bipolar disorder, developmental & intellectual disorders, child and adolescent therapy, anxiety & depression, marriage and family therapy, grief, substance abuse, trauma, and group counseling.
Are you looking for someone passionate about helping you overcome obstacles, achieve happiness, or discover your life purpose? Finding my own recovery and faith, along with helping others conquer challenges similar to my own, are major motivators for my personal mission and professional work. I see my career less as a job and more as a calling. My heart is to make a difference in your life and to help you overcome anxiety, depression, and emotional pain. So, really, each encounter is an opportunity, a chance to give back some of what I’ve been given.
(270) 213-6302 View (270) 213-6302
Photo of undefined - Hatching Better Days Counseling Services, LPCC, MS, Counselor
Hatching Better Days Counseling Services
Counselor, LPCC, MS
Verified Verified
Oak Grove, KY 42262  (Online Only)
I specialize in helping individuals who are struggling with generational trauma re-learn and recreate new and healthy patterns in adulthood.
Do you feel like you had a particularly rough upbringing or childhood? Are there parts of your younger years that you are fighting to heal from? Did you experience trauma that now causes you to question your view of the world? Did you know that when we struggle with trauma in our lives, these skewed behaviors and views can be passed down to future generations? If you believe that you have trauma from your childhood that currently impacts your adulthood, you found the right page!
I specialize in helping individuals who are struggling with generational trauma re-learn and recreate new and healthy patterns in adulthood.
Do you feel like you had a particularly rough upbringing or childhood? Are there parts of your younger years that you are fighting to heal from? Did you experience trauma that now causes you to question your view of the world? Did you know that when we struggle with trauma in our lives, these skewed behaviors and views can be passed down to future generations? If you believe that you have trauma from your childhood that currently impacts your adulthood, you found the right page!
(502) 289-6571 View (502) 289-6571

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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.