Trauma and PTSD Therapists in Bellaire, MI

Photo of Jill Valliere, Counselor, MA, LPC, NCC
Jill Valliere
Counselor, MA, LPC, NCC
Serves Area
I have been blessed with working with clinicians with similar values and passion that have expertise in working with Infants, Children, Adolescents, Adults, Parents & Couples that experience difficulties with; Depression, Anxiety, Grief/Loss, Trauma, Relationships, Addictions, Behavioral, Adjustment & Phase of Life Transitions & Career-Related Issues.
Working as a medical profession since early adolescence, I have developed an expertise & ease counseling individuals with Acute/Chronic Physical & Mental illness and Crisis/ Trauma Management. As a Facilitator of Prepare & Enrich & trained in Gottman's methodology, I provide individuals/couples strategies to grow, strengthen and foster health relationships.
I have been blessed with working with clinicians with similar values and passion that have expertise in working with Infants, Children, Adolescents, Adults, Parents & Couples that experience difficulties with; Depression, Anxiety, Grief/Loss, Trauma, Relationships, Addictions, Behavioral, Adjustment & Phase of Life Transitions & Career-Related Issues.
Working as a medical profession since early adolescence, I have developed an expertise & ease counseling individuals with Acute/Chronic Physical & Mental illness and Crisis/ Trauma Management. As a Facilitator of Prepare & Enrich & trained in Gottman's methodology, I provide individuals/couples strategies to grow, strengthen and foster health relationships.
(231) 881-5001 View (231) 881-5001
Photo of Valerie Warne, Licensed Professional Counselor, LPC
Valerie Warne
Licensed Professional Counselor, LPC
Online Only
I work with clients who may be struggling with depression, anxiety or trauma related to relationship issues, work/school issues or traumatic events.
Welcome! If you are struggling with: stress, anxiety, transitioning from school to work, disability related issues, military to civilian adjustment, career related issues or coping with life changes I am here to help. I believe that you are expert of you own story. My goal is to help you realize your strengths and potential to overcome whatever challenges you are facing. I provide an open and safe environment where your thoughts and feelings can be shared without fear of judgement and offer an eclectic and collaborative approach to therapy and together we’ll set meaningful, achievable goals to foster healing and growth.
I work with clients who may be struggling with depression, anxiety or trauma related to relationship issues, work/school issues or traumatic events.
Welcome! If you are struggling with: stress, anxiety, transitioning from school to work, disability related issues, military to civilian adjustment, career related issues or coping with life changes I am here to help. I believe that you are expert of you own story. My goal is to help you realize your strengths and potential to overcome whatever challenges you are facing. I provide an open and safe environment where your thoughts and feelings can be shared without fear of judgement and offer an eclectic and collaborative approach to therapy and together we’ll set meaningful, achievable goals to foster healing and growth.
(231) 300-9847 View (231) 300-9847

More Therapists Nearby

Photo of Anna Causley, Counselor, MA, LLPC
Anna Causley
Counselor, MA, LLPC
2 Endorsed
Online Only
I support women navigating eating disorders, body image, postpartum changes, trauma, anxiety, depression, and grief.
I am so excited you have found me here. I understand that reaching out for help can feel challenging, but I’m here to make it easier and support you every step of the way. Therapy offers so many benefits, and at the heart of it is having someone by your side during the difficult moments, providing tools to help you grow, and guiding you back on the path toward the life you envision. Life brings challenges to us all, and true resilience is about how we learn, adapt, and move forward with purpose.
I support women navigating eating disorders, body image, postpartum changes, trauma, anxiety, depression, and grief.
I am so excited you have found me here. I understand that reaching out for help can feel challenging, but I’m here to make it easier and support you every step of the way. Therapy offers so many benefits, and at the heart of it is having someone by your side during the difficult moments, providing tools to help you grow, and guiding you back on the path toward the life you envision. Life brings challenges to us all, and true resilience is about how we learn, adapt, and move forward with purpose.
(248) 985-7655 View (248) 985-7655
Photo of Wendy Dittrich Croll, Licensed Professional Counselor, MA, LPC, LLC
Wendy Dittrich Croll
Licensed Professional Counselor, MA, LPC, LLC
Serves Area
You're ready to start feeling better and are interested in a holistic approach embracing: forgiveness, self esteem, trauma, anxiety, depression, co-dependency, loneliness and learning to tap into your inner resilience.
No matter how hard you try to move forward, you feel like your taking one step back. You’re a high performer with perfectionism tendencies and always put on a smile, which helps you forget your pain. You feel you will never be fully happy and never be able to fully enjoy life how others do, because of your many losses, attributing to your decreased self esteem. You may keep friends and family at a distance, to protect yourself from yet another inevitable loss. You may have stopped exercising and taking care of yourself the way you used to, since it takes too much work and you're just surviving at the end of another long day.
You're ready to start feeling better and are interested in a holistic approach embracing: forgiveness, self esteem, trauma, anxiety, depression, co-dependency, loneliness and learning to tap into your inner resilience.
No matter how hard you try to move forward, you feel like your taking one step back. You’re a high performer with perfectionism tendencies and always put on a smile, which helps you forget your pain. You feel you will never be fully happy and never be able to fully enjoy life how others do, because of your many losses, attributing to your decreased self esteem. You may keep friends and family at a distance, to protect yourself from yet another inevitable loss. You may have stopped exercising and taking care of yourself the way you used to, since it takes too much work and you're just surviving at the end of another long day.
(231) 742-7095 View (231) 742-7095
Photo of Abbie LaForest, Clinical Social Work/Therapist, LMSW
Abbie LaForest
Clinical Social Work/Therapist, LMSW
Online Only
Waitlist for new clients
Did trauma(s) during crucial developmental years affect the way you connect with yourself and others?
I utilize a research-informed integrative approach combining cognitive, behavioral, and somatic (body based) interventions with a goal of empowering you to connect and communicate with your own systems to foster a sense of felt safety and calm even in the midst of stressful situations. Because let’s face it, life will always come with stress.
Did trauma(s) during crucial developmental years affect the way you connect with yourself and others?
I utilize a research-informed integrative approach combining cognitive, behavioral, and somatic (body based) interventions with a goal of empowering you to connect and communicate with your own systems to foster a sense of felt safety and calm even in the midst of stressful situations. Because let’s face it, life will always come with stress.
(586) 930-6188 View (586) 930-6188
Photo of Chad Allee - Michigan Safe Space LGBT+ Therapy & Counseling, Clinical Social Work/Therapist
Michigan Safe Space LGBT+ Therapy & Counseling
Clinical Social Work/Therapist
Online Only
We focus on providing virtual mental health therapy for gay, lesbian, bisexual, transgender, questioning, intersex, queer, polyamorous, asexual, non-traditional, and allies in a safe, non-judgemental, secure, and trauma informed manner.
We welcome you. We will welcome you regardless of your present status; anxious, sad, angry, lonely, happy, questioning, depressed, lost or otherwise. We will welcome you regardless of your current family situation, relationship or marital status or lack thereof. We will welcome you if you have been to therapy in the past, are looking to come in for the first time, or have no idea what to expect. We will not judge you based upon your personal history, age, race, ethnic background, appearance, sexual orientation or gender identity. We welcome all beliefs, religions, spirituality, and affiliations. We welcome you.
We focus on providing virtual mental health therapy for gay, lesbian, bisexual, transgender, questioning, intersex, queer, polyamorous, asexual, non-traditional, and allies in a safe, non-judgemental, secure, and trauma informed manner.
We welcome you. We will welcome you regardless of your present status; anxious, sad, angry, lonely, happy, questioning, depressed, lost or otherwise. We will welcome you regardless of your current family situation, relationship or marital status or lack thereof. We will welcome you if you have been to therapy in the past, are looking to come in for the first time, or have no idea what to expect. We will not judge you based upon your personal history, age, race, ethnic background, appearance, sexual orientation or gender identity. We welcome all beliefs, religions, spirituality, and affiliations. We welcome you.
(231) 277-2414 View (231) 277-2414
Photo of Anya Nyson, Clinical Social Work/Therapist, LMSW
Anya Nyson
Clinical Social Work/Therapist, LMSW
Traverse City, MI 49686
From the outside, you look like you’re managing—but inside, you feel anxious, overwhelmed, and exhausted. Joy is rare, rest feels guilty, and self-doubt shows up daily. Maybe you scroll on your phone, overthink, or numb out with food, shows, your distraction of choice—yet nothing brings real relief. You wonder if your struggles are “bad enough” for therapy, but deep down, you know something isn’t working.
From the outside, you look like you’re managing—but inside, you feel anxious, overwhelmed, and exhausted. Joy is rare, rest feels guilty, and self-doubt shows up daily. Maybe you scroll on your phone, overthink, or numb out with food, shows, your distraction of choice—yet nothing brings real relief. You wonder if your struggles are “bad enough” for therapy, but deep down, you know something isn’t working.
(231) 597-7675 View (231) 597-7675
Photo of Jessica R. Stefanski, Clinical Social Work/Therapist, LMSW
Jessica R. Stefanski
Clinical Social Work/Therapist, LMSW
Petoskey, MI 49770
As an integrative trauma therapist, I specialize in guiding individuals back to the Self and creating the conditions for healing.
I provide specialized therapy with a deep focus on intergenerational healing, supporting individuals and family systems through a developmental lifespan lens, alongside women navigating the perinatal and postpartum experience. I am EMDR Certified and draw upon advanced training in Internal Family Systems (IFS), Ego State therapy, and Somatic Experiencing.
As an integrative trauma therapist, I specialize in guiding individuals back to the Self and creating the conditions for healing.
I provide specialized therapy with a deep focus on intergenerational healing, supporting individuals and family systems through a developmental lifespan lens, alongside women navigating the perinatal and postpartum experience. I am EMDR Certified and draw upon advanced training in Internal Family Systems (IFS), Ego State therapy, and Somatic Experiencing.
(231) 227-4309 View (231) 227-4309
Photo of Michelle Reed, Marriage & Family Therapist, MA, LLMFT
Michelle Reed
Marriage & Family Therapist, MA, LLMFT
Traverse City, MI 49684
Whether you are dealing with depression, anxiety, trauma, a relationship that feels like it isn't working anymore, or discontent with life, it feels heavy.
I believe every person has everything they need within themselves to live a life they truly love. I want to help you love life and unlock the tools within yourself to do so. I offer EMDR and talk therapy in an empathetic space attuned to your needs. I will help you know yourself on a deeper level to overcome and to equip you for whatever the future brings.
Whether you are dealing with depression, anxiety, trauma, a relationship that feels like it isn't working anymore, or discontent with life, it feels heavy.
I believe every person has everything they need within themselves to live a life they truly love. I want to help you love life and unlock the tools within yourself to do so. I offer EMDR and talk therapy in an empathetic space attuned to your needs. I will help you know yourself on a deeper level to overcome and to equip you for whatever the future brings.
(231) 266-9688 View (231) 266-9688
Photo of Janet Marie La Dere - Jann LaDere MSW,LLC, Clinical Social Work/Therapist, LMSW
Jann LaDere MSW,LLC
Clinical Social Work/Therapist, LMSW
2 Endorsed
Serves Area
I work with clients who may be struggling with depression , trauma and other issues.
I offer daytime and evening appointments for those who are in need of services outside the 9-5 days. Monday,Tuesday, Wednesday,Thursday are 6 pm to 9 PM, friday and Saturday as scheduled and Sunday closed For more information please call 231-203-3231. I enjoy working with a variety of clients, I have worked with 3 yr old's to 70 year old's. I have worked with married couples and families and individuals. I am a disabled veteran and would like to give back to my fellow veterans. I am accepting new clients at this time. I work with those who have gender dysphoria.
I work with clients who may be struggling with depression , trauma and other issues.
I offer daytime and evening appointments for those who are in need of services outside the 9-5 days. Monday,Tuesday, Wednesday,Thursday are 6 pm to 9 PM, friday and Saturday as scheduled and Sunday closed For more information please call 231-203-3231. I enjoy working with a variety of clients, I have worked with 3 yr old's to 70 year old's. I have worked with married couples and families and individuals. I am a disabled veteran and would like to give back to my fellow veterans. I am accepting new clients at this time. I work with those who have gender dysphoria.
(231) 903-6691 View (231) 903-6691
Photo of Jessie Thompson, Masters Social Worker, LCSW
Jessie Thompson
Masters Social Worker, LCSW
1 Endorsed
Gaylord, MI 49735
Waitlist for new clients
I am professionally trained, experienced and accredited in a variety of evidenced based therapy treatment models including Eye Movement Desensitization and Reprocessing (EMDR), Internal Family Systems (IFS), Trauma Focused Cognitive Behavioral (TF-CBT) and Christian Counseling.
When you pull back the curtain a bit in this world, you will find deep and ongoing pain in many of us. Suppressing this pain through medications and coping strategies can bring about temporary relief but not everlasting internal peace. Helping you confront and heal the root cause of your anxiety, depression, addiction, anger or other difficulties is my goal.
I am professionally trained, experienced and accredited in a variety of evidenced based therapy treatment models including Eye Movement Desensitization and Reprocessing (EMDR), Internal Family Systems (IFS), Trauma Focused Cognitive Behavioral (TF-CBT) and Christian Counseling.
When you pull back the curtain a bit in this world, you will find deep and ongoing pain in many of us. Suppressing this pain through medications and coping strategies can bring about temporary relief but not everlasting internal peace. Helping you confront and heal the root cause of your anxiety, depression, addiction, anger or other difficulties is my goal.
(989) 499-1433 View (989) 499-1433
Photo of Mari Alvarez, Licensed Master Social Worker, LMSW, MPH
Mari Alvarez
Licensed Master Social Worker, LMSW, MPH
6 Endorsed
Serves Area
I utilize various modalities with particular fondness for Internal Family Systems (IFS) and Trauma-Focused CBT.
Immediate openings (in-person or telehealth sessions) available. Are you grappling with difficult thoughts, feelings, or experiences? Are you looking to unpack how past experiences show up in your day-to-day life? This work can feel daunting or difficult to do alone, and it can feel extremely vulnerable. This is probably why you're seeking an insightful and compassionate therapist; someone who can assist you in building coping skills and alleviating the symptoms you encounter, while meeting you where you're at. I hope to provide the services you need to meet your mental health goals.
I utilize various modalities with particular fondness for Internal Family Systems (IFS) and Trauma-Focused CBT.
Immediate openings (in-person or telehealth sessions) available. Are you grappling with difficult thoughts, feelings, or experiences? Are you looking to unpack how past experiences show up in your day-to-day life? This work can feel daunting or difficult to do alone, and it can feel extremely vulnerable. This is probably why you're seeking an insightful and compassionate therapist; someone who can assist you in building coping skills and alleviating the symptoms you encounter, while meeting you where you're at. I hope to provide the services you need to meet your mental health goals.
(734) 441-9284 View (734) 441-9284
Photo of Anna Kelley, Psychologist, PsyD
Anna Kelley
Psychologist, PsyD
Traverse City, MI 49684
Waitlist for new clients
I specialize in early childhood trauma, attachment and relational concerns and fostercare/adoption.
In my work with adults, I practice from a psychodynamic/psychoanalytic perspective - also known as Depth Psychology. This approach allows for a deeper understanding of oneself, and an uncovering of unconscious patterns that may be impacting one's life. Working with dreams is often a helpful part of the therapeutic work.
I specialize in early childhood trauma, attachment and relational concerns and fostercare/adoption.
In my work with adults, I practice from a psychodynamic/psychoanalytic perspective - also known as Depth Psychology. This approach allows for a deeper understanding of oneself, and an uncovering of unconscious patterns that may be impacting one's life. Working with dreams is often a helpful part of the therapeutic work.
(231) 866-8759 View (231) 866-8759
Photo of Laura Geffre, Licensed Professional Counselor, LPC, CCTP, CSTIP, CCATP
Laura Geffre
Licensed Professional Counselor, LPC, CCTP, CSTIP, CCATP
1 Endorsed
Kalkaska, MI 49646
I specialize in working with adults and adolescents experiencing mood disorders, personality disorders, and trauma.
As a counselor, I am committed to helping individuals navigate emotional challenges that impact their daily lives. I work collaboratively with each client, using a solution-focused and person-centered approach to support meaningful, lasting change. I believe that everyone holds the capacity for growth and the potential to uncover a deeper sense of purpose.
I specialize in working with adults and adolescents experiencing mood disorders, personality disorders, and trauma.
As a counselor, I am committed to helping individuals navigate emotional challenges that impact their daily lives. I work collaboratively with each client, using a solution-focused and person-centered approach to support meaningful, lasting change. I believe that everyone holds the capacity for growth and the potential to uncover a deeper sense of purpose.
(231) 201-3064 View (231) 201-3064
Photo of Lindsey Hahn - Collaborative Trauma Solutions , Counselor
Collaborative Trauma Solutions
Counselor
1 Endorsed
Online Only
I help individuals, couples, and families build resilience, repair relationships, and move forward after trauma, loss, or chronic stress.
Therapy with me is collaborative and compassionate, focused on both insight and practical strategies you can use in daily life in work and home. Whether you’re seeking relief from emotional overwhelm, support through a transition, or deeper connection in your relationships. I am trained in EMDR and am passionate in working with moms and busy professionals.
I help individuals, couples, and families build resilience, repair relationships, and move forward after trauma, loss, or chronic stress.
Therapy with me is collaborative and compassionate, focused on both insight and practical strategies you can use in daily life in work and home. Whether you’re seeking relief from emotional overwhelm, support through a transition, or deeper connection in your relationships. I am trained in EMDR and am passionate in working with moms and busy professionals.
(231) 273-2450 View (231) 273-2450
Photo of Robert Marvin, Clinical Social Work/Therapist
Robert Marvin
Clinical Social Work/Therapist
Online Only
Robert is trained in Trauma-Focused Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, Cognitive Behavioral Therapy, and Suicide Prevention.
As a therapist Robert will work collaboratively with individuals to assist in achieving their goals. He will focus on creating an inviting environment to work on improving mental health and well-being. Robert uses a variety of therapeutic modalities that best suits each individual. He is excited to work anyone who needs to make positive changes in their lives and work toward realizing their goals.
Robert is trained in Trauma-Focused Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, Cognitive Behavioral Therapy, and Suicide Prevention.
As a therapist Robert will work collaboratively with individuals to assist in achieving their goals. He will focus on creating an inviting environment to work on improving mental health and well-being. Robert uses a variety of therapeutic modalities that best suits each individual. He is excited to work anyone who needs to make positive changes in their lives and work toward realizing their goals.
(947) 223-2433 View (947) 223-2433
Photo of Abbi H Schluckbier, Clinical Social Work/Therapist, LMSW-C, CAADC, EMDR
Abbi H Schluckbier
Clinical Social Work/Therapist, LMSW-C, CAADC, EMDR
1 Endorsed
Serves Area
Waitlist for new clients
Trauma does not always look like what people expect.
My work is grounded in EMDR therapy, one of the most researched and effective treatments available for trauma and its aftermath. As an EMDRIA-Certified Therapist and Consultant in Training, I bring both clinical depth and a genuine passion for this work to every session.
Trauma does not always look like what people expect.
My work is grounded in EMDR therapy, one of the most researched and effective treatments available for trauma and its aftermath. As an EMDRIA-Certified Therapist and Consultant in Training, I bring both clinical depth and a genuine passion for this work to every session.
(231) 642-9757 View (231) 642-9757
Photo of Ann T Holland - Ann Holland Professional Counseling, Licensed Professional Counselor, LPC
Ann Holland Professional Counseling
Licensed Professional Counselor, LPC
2 Endorsed
Boyne City, MI 49712
Trauma informed assessment and treatment strategies that are evidence-based and provide healing, lessening of human suffering and health for life.
Professional provider with 40 years experience in the management, organization and outreach services to families in small, state-run and large mental health organizations, substance abuse, EMDR therapy, and behavioral issues. Individual treatment planning, individual, family and group therapy, crisis intervention and cultural sensitivity, internship, supervision and program development. Therapists need counseling too and I can help you! Evidence based practices. Most of all, I possess a great deal of understanding and compassion for how to provide the best possible range of service and advocacy to families in our community.
Trauma informed assessment and treatment strategies that are evidence-based and provide healing, lessening of human suffering and health for life.
Professional provider with 40 years experience in the management, organization and outreach services to families in small, state-run and large mental health organizations, substance abuse, EMDR therapy, and behavioral issues. Individual treatment planning, individual, family and group therapy, crisis intervention and cultural sensitivity, internship, supervision and program development. Therapists need counseling too and I can help you! Evidence based practices. Most of all, I possess a great deal of understanding and compassion for how to provide the best possible range of service and advocacy to families in our community.
(231) 276-2399 View (231) 276-2399
Photo of Brooke Hawley, Licensed Professional Counselor, MA, LPC, NCC, ACS, CADC
Brooke Hawley
Licensed Professional Counselor, MA, LPC, NCC, ACS, CADC
4 Endorsed
Boyne City, MI 49712
Or you can dive into the deep and scary with TF-CBT ( trauma-focused) and EMDR (eye movement desensitization and reprocessing).
Welcome to therapy, or what I like to call the Reflective Pond. I'm Brooke and I’ve been working in mental health for over 10 years. I’ve worked with children, tweens, teens, and early to seasoned adults. Anyone who wants to take a better look at themselves and their life is greeted with love and kindness at this pond. No matter where you are in life, this pond is ready for you.
Or you can dive into the deep and scary with TF-CBT ( trauma-focused) and EMDR (eye movement desensitization and reprocessing).
Welcome to therapy, or what I like to call the Reflective Pond. I'm Brooke and I’ve been working in mental health for over 10 years. I’ve worked with children, tweens, teens, and early to seasoned adults. Anyone who wants to take a better look at themselves and their life is greeted with love and kindness at this pond. No matter where you are in life, this pond is ready for you.
(231) 434-7380 View (231) 434-7380
Photo of Brenton Abadie, Limited Licensed Psychologist, MS, TLLP
Brenton Abadie
Limited Licensed Psychologist, MS, TLLP
Serves Area
I may be of help If your child is struggling with anxiety, depression, self-harm, trauma reactions or behavioral issues, you are a parent wanting more support, you are an adult struggling with anxiety, depression, PTSD, OCD, a phobia, insomnia, and more.
I offer a multitude of evidence-based therapies that have been proven to help through research to include: Parent Management Training, Dialectical Behavioral Therapy-Informed, Acceptance and Commitment Therapy, Prolonged Exposure Therapy, Cognitive Behavioral Therapy (CBT), Behavioral Activation for Depression, CBT for Insomnia and more!
I may be of help If your child is struggling with anxiety, depression, self-harm, trauma reactions or behavioral issues, you are a parent wanting more support, you are an adult struggling with anxiety, depression, PTSD, OCD, a phobia, insomnia, and more.
I offer a multitude of evidence-based therapies that have been proven to help through research to include: Parent Management Training, Dialectical Behavioral Therapy-Informed, Acceptance and Commitment Therapy, Prolonged Exposure Therapy, Cognitive Behavioral Therapy (CBT), Behavioral Activation for Depression, CBT for Insomnia and more!
(734) 480-8099 View (734) 480-8099
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.