Trauma and PTSD Therapists in Troutman, NC

Photo of Acacia V Alston, Clinical Social Work/Therapist, LCSW, LCASA
Acacia V Alston
Clinical Social Work/Therapist, LCSW, LCASA
Serves Area
With a particular passion for supporting individuals navigating midlife transitions and those dealing with trauma-related challenges, Acacia is committed to helping clients find balance and healing during pivotal moments in their lives.
Acacia V. Alston, LCSW, LCASA, is dedicated to providing compassionate and effective mental health services to individuals across North Carolina. Specializing in treating children, adolescents, and adults, she offers individual and group therapy sessions tailored to address a range of concerns, including anxiety, depression, and substance use disorders. Her expertise in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and mindfulness techniques ensures that clients receive personalized care aimed at fostering resilience and promoting well-being.
With a particular passion for supporting individuals navigating midlife transitions and those dealing with trauma-related challenges, Acacia is committed to helping clients find balance and healing during pivotal moments in their lives.
Acacia V. Alston, LCSW, LCASA, is dedicated to providing compassionate and effective mental health services to individuals across North Carolina. Specializing in treating children, adolescents, and adults, she offers individual and group therapy sessions tailored to address a range of concerns, including anxiety, depression, and substance use disorders. Her expertise in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and mindfulness techniques ensures that clients receive personalized care aimed at fostering resilience and promoting well-being.
(980) 448-1268 View (980) 448-1268
Photo of Vanessa Gonzalez, Clinical Social Work/Therapist, LCSW
Vanessa Gonzalez
Clinical Social Work/Therapist, LCSW
4 Endorsed
Troutman, NC 28166
Hi! I'm Vanessa. I take great pride in working with adults feeling stuck in unhelpful patterns- perhaps comparing yourself to others, lashing out at loved ones, feeling unmotivated or unfocused at work. Our thoughts, feelings, and behaviors are messengers, offering us information on areas that might need addressing. Therapy is a great place to begin that process. Whether you're unsure of what is behind these patterns, or you've been struggling with anxiety, ADHD, grief, stress, or big life changes, I offer a collaborative space where we can tackle these challenges in a way that feels authentic to you.
Hi! I'm Vanessa. I take great pride in working with adults feeling stuck in unhelpful patterns- perhaps comparing yourself to others, lashing out at loved ones, feeling unmotivated or unfocused at work. Our thoughts, feelings, and behaviors are messengers, offering us information on areas that might need addressing. Therapy is a great place to begin that process. Whether you're unsure of what is behind these patterns, or you've been struggling with anxiety, ADHD, grief, stress, or big life changes, I offer a collaborative space where we can tackle these challenges in a way that feels authentic to you.
(704) 498-4616 View (704) 498-4616
Photo of Keith Cheney, Marriage & Family Therapist, MA, LMFT
Keith Cheney
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Serves Area
Don't over-think therapy. It's just not that complicated. When things get difficult, it's often hard to ask for help. We all face challenges, and we often overcome them on our own. Sometimes it takes much longer than we'd like, and that's when therapy comes into play. Why spend months or years taking on a situation or challenge by yourself, when you could work through it in far less time? Insanity is doing the same things, over and over, and expecting different results. Try something new, and break those old patterns.
Don't over-think therapy. It's just not that complicated. When things get difficult, it's often hard to ask for help. We all face challenges, and we often overcome them on our own. Sometimes it takes much longer than we'd like, and that's when therapy comes into play. Why spend months or years taking on a situation or challenge by yourself, when you could work through it in far less time? Insanity is doing the same things, over and over, and expecting different results. Try something new, and break those old patterns.
(704) 233-3784 View (704) 233-3784
Photo of Amy Troy, Clinical Social Work/Therapist, LCSW
Amy Troy
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I am a Licensed Clinical Social Worker (LCSW). I graduated with Bachelor in Social Work in 2010 and my Masters in Social work in 2015. I became fully licensed in 2018 and have been practicing ever since. Overall, I have been in the Social Work field for over 25 years and have been fortunate to work with an array of populations. My go-to Evidence-based Practice (EBP) are Cognitive Behavioral Therapy (CBT) and Dialectal Behavioral Therapy (DBT). Since it is rare that one person fits into one box, I have found these two modalities to be effective for one to learn new coping skills and add helping strategies to their toolkit.
I am a Licensed Clinical Social Worker (LCSW). I graduated with Bachelor in Social Work in 2010 and my Masters in Social work in 2015. I became fully licensed in 2018 and have been practicing ever since. Overall, I have been in the Social Work field for over 25 years and have been fortunate to work with an array of populations. My go-to Evidence-based Practice (EBP) are Cognitive Behavioral Therapy (CBT) and Dialectal Behavioral Therapy (DBT). Since it is rare that one person fits into one box, I have found these two modalities to be effective for one to learn new coping skills and add helping strategies to their toolkit.
(980) 489-3518 View (980) 489-3518
Photo of Stephanie Holmes, Licensed Clinical Mental Health Counselor, MAEd, LMHC, NCC
Stephanie Holmes
Licensed Clinical Mental Health Counselor, MAEd, LMHC, NCC
Serves Area
Stephanie's main areas of focus include counseling individuals in need of mental health services to address a variety of concerns related to social, emotional, or behavioral disturbances, depression, anxiety, ocd, trauma, grief, stress and/or life changes.
Stephanie is a Licensed Clinical Mental Health Counselor (LCMHC) and National Certified Counselor (NCC), who has been practicing since 2018. She graduated from Gardner-Webb University with a Master's and Education Specialist degree (MA/EdS) in Mental Health Counseling. Stephanie approaches the counseling relationship with a genuine intent to understand individual needs as she collaborates with clients to generate goals for life changes. She views therapy as an opportunity for people to learn more about themselves and their role in the context of relationships.
Stephanie's main areas of focus include counseling individuals in need of mental health services to address a variety of concerns related to social, emotional, or behavioral disturbances, depression, anxiety, ocd, trauma, grief, stress and/or life changes.
Stephanie is a Licensed Clinical Mental Health Counselor (LCMHC) and National Certified Counselor (NCC), who has been practicing since 2018. She graduated from Gardner-Webb University with a Master's and Education Specialist degree (MA/EdS) in Mental Health Counseling. Stephanie approaches the counseling relationship with a genuine intent to understand individual needs as she collaborates with clients to generate goals for life changes. She views therapy as an opportunity for people to learn more about themselves and their role in the context of relationships.
(980) 294-4884 View (980) 294-4884
Photo of Alexis Jones, Counselor, MS, LMHCA
Alexis Jones
Counselor, MS, LMHCA
Serves Area
Alexis C. Jones is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been practicing since 2022. She obtained her Master’s in Clinical Mental Health Counseling from North Carolina A&T State University, also holds a Bachelor’s of Psychology with a Minor in Social Work from Fayetteville State University. Alexis serves children/adolescents and adults individually and has experience serving couples and providing group therapy. Using the Cognitive Behavioral approach, Alexis assists clients by exploring how their emotions and thoughts impact their behaviors and display in their day-to-day life.
Alexis C. Jones is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been practicing since 2022. She obtained her Master’s in Clinical Mental Health Counseling from North Carolina A&T State University, also holds a Bachelor’s of Psychology with a Minor in Social Work from Fayetteville State University. Alexis serves children/adolescents and adults individually and has experience serving couples and providing group therapy. Using the Cognitive Behavioral approach, Alexis assists clients by exploring how their emotions and thoughts impact their behaviors and display in their day-to-day life.
(980) 393-6156 View (980) 393-6156
Photo of David Anderson, Licensed Clinical Mental Health Counselor Associate, MA, LCMHCA
David Anderson
Licensed Clinical Mental Health Counselor Associate, MA, LCMHCA
Serves Area
David Anderson is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2021. He received his M.A. (2022) in Clinical Mental Health Counseling from the University of North Carolina-Charlotte and his B.A (2007) in Business Management (with a minor in Entrepreneur Studies) from the University of New Haven. We are people first, before we or society starts labeling us. The power of active listening is a necessity in order to meet people where they are at so David can help them get to where they want to be. Everyone’s life has meaning, and it is worthwhile to find their purpose.
David Anderson is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2021. He received his M.A. (2022) in Clinical Mental Health Counseling from the University of North Carolina-Charlotte and his B.A (2007) in Business Management (with a minor in Entrepreneur Studies) from the University of New Haven. We are people first, before we or society starts labeling us. The power of active listening is a necessity in order to meet people where they are at so David can help them get to where they want to be. Everyone’s life has meaning, and it is worthwhile to find their purpose.
(704) 812-7321 View (704) 812-7321
Photo of Natasha Callahan, Counselor, LCMHC
Natasha Callahan
Counselor, LCMHC
Serves Area
Natasha Callahan, LCMHCa Natasha Callahan is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been practicing since 2022. She completed a Master of Arts in Clinical Mental Health Counseling Natasha believes in operating from a person-centered/humanistic and internal family systems informed approach, which emphasizes the therapist disposition of warmth and unconditional positive regard which allows you to explore issues within and come to understand and accept yourself.
Natasha Callahan, LCMHCa Natasha Callahan is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been practicing since 2022. She completed a Master of Arts in Clinical Mental Health Counseling Natasha believes in operating from a person-centered/humanistic and internal family systems informed approach, which emphasizes the therapist disposition of warmth and unconditional positive regard which allows you to explore issues within and come to understand and accept yourself.
(980) 414-5446 View (980) 414-5446
Photo of Ashley Bagwell - LifeStance Health, Counselor, LCMHCS
LifeStance Health
Counselor, LCMHCS
Serves Area
Our team of psychiatrists, therapists, psychologists, and advanced practice nurses specializes in treating in a wide range of mental health conditions, including anxiety, depression, ADHD, addiction, trauma, PTSD, and more.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Our team of psychiatrists, therapists, psychologists, and advanced practice nurses specializes in treating in a wide range of mental health conditions, including anxiety, depression, ADHD, addiction, trauma, PTSD, and more.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(980) 370-4229 View (980) 370-4229
Photo of Elizabeth Webb, Counselor, MHS, LCMHC
Elizabeth Webb
Counselor, MHS, LCMHC
Serves Area
Elizabeth Webb, LMHCA, Elizabeth Webb is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2022. She was born in Pensacola, FL but raised in Statesville, NC. Elizabeth received her Bachelor’s in Exercise Science and Master’s in Clinical Mental Health Counseling at Catawba College in Salisbury, NC. Elizabeth assists and empowers clients through interventions and strategies with individual psychotherapy through a very client centered approach. She tends to use an integrative approach that uses a combination of different theories to best fit the need of the client.
Elizabeth Webb, LMHCA, Elizabeth Webb is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2022. She was born in Pensacola, FL but raised in Statesville, NC. Elizabeth received her Bachelor’s in Exercise Science and Master’s in Clinical Mental Health Counseling at Catawba College in Salisbury, NC. Elizabeth assists and empowers clients through interventions and strategies with individual psychotherapy through a very client centered approach. She tends to use an integrative approach that uses a combination of different theories to best fit the need of the client.
(704) 946-6203 View (704) 946-6203
Photo of Ashley Bagwell, Counselor, MEd, LCMHC
Ashley Bagwell
Counselor, MEd, LCMHC
Serves Area
She utilizes Cognitive Behavioral therapy and Person Centered Treatment to form a therapeutic alliance with the client, help build cognitive skills and build confidence in their ability to overcome past trauma and experiences and manage their daily symptoms.
Ashley Bagwell is a Licensed Clinical Mental Health Counselor who has been practicing since 2015. She graduated from Winthrop University with a Master of Education in clinical mental health counseling. Ashley believes in the ability for the client to choose their path, manage expectations, and learn to control thoughts and feelings in order to experience happiness and develop lasting relationships.
She utilizes Cognitive Behavioral therapy and Person Centered Treatment to form a therapeutic alliance with the client, help build cognitive skills and build confidence in their ability to overcome past trauma and experiences and manage their daily symptoms.
Ashley Bagwell is a Licensed Clinical Mental Health Counselor who has been practicing since 2015. She graduated from Winthrop University with a Master of Education in clinical mental health counseling. Ashley believes in the ability for the client to choose their path, manage expectations, and learn to control thoughts and feelings in order to experience happiness and develop lasting relationships.
(704) 343-8627 View (704) 343-8627
Photo of Amany Branco, Licensed Clinical Mental Health Counselor Associate, MA, LCMHCA
Amany Branco
Licensed Clinical Mental Health Counselor Associate, MA, LCMHCA
Serves Area
Amany is comfortable and has experience with topics such as dysfunctional families, boundaries, cultural adjustments and trauma.
Amany Branco is a North Carolina Licensed Clinical Mental Health Counselor. She has a Master's degree in Clinical Mental Health Counseling from the University of North Carolina at Charlotte. Amany also has a background in International Relations, and was born and raised outside the United States, as a result she is skilled and experienced in addressing mental health struggles from a multicultural perspective.
Amany is comfortable and has experience with topics such as dysfunctional families, boundaries, cultural adjustments and trauma.
Amany Branco is a North Carolina Licensed Clinical Mental Health Counselor. She has a Master's degree in Clinical Mental Health Counseling from the University of North Carolina at Charlotte. Amany also has a background in International Relations, and was born and raised outside the United States, as a result she is skilled and experienced in addressing mental health struggles from a multicultural perspective.
(980) 243-0748 View (980) 243-0748
Photo of Sandra Mayta, Counselor, MA, LCMHC, NCC
Sandra Mayta
Counselor, MA, LCMHC, NCC
Serves Area
Sandra Mayta is a Licensed Clinical Mental Health Counselor and Nationally Certified Counselor with more than three years of experience specializing in Anxiety, Depression, Grief, and Trauma.
Prior to obtaining licensure, Sandra worked in the mental health field for nearly ten years in multiple levels of patient care including private practice, TMS, day programs, residential facilities, crisis centers, and inpatient hospitals with patients across all ages and socioeconomic statuses.
Sandra Mayta is a Licensed Clinical Mental Health Counselor and Nationally Certified Counselor with more than three years of experience specializing in Anxiety, Depression, Grief, and Trauma.
Prior to obtaining licensure, Sandra worked in the mental health field for nearly ten years in multiple levels of patient care including private practice, TMS, day programs, residential facilities, crisis centers, and inpatient hospitals with patients across all ages and socioeconomic statuses.
(704) 275-0927 View (704) 275-0927
Photo of Laura Bethany Bruce, Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
Laura Bethany Bruce
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
3 Endorsed
Serves Area
I specialize in supporting individuals healing from trauma, anxiety, and complicated family dynamics.
So many people spend years feeling at war with their bodies, their emotions, or their past. You may look confident on the outside but carry a deep sense of self-doubt, shame, or exhaustion on the inside. My work is centered on helping women — and anyone drawn to exploring their relationship with femininity, identity, and self-worth — come home to themselves. Together, we’ll build self-love, embrace what makes you unique, and create a gentler, more empowered relationship with your body and mind.
I specialize in supporting individuals healing from trauma, anxiety, and complicated family dynamics.
So many people spend years feeling at war with their bodies, their emotions, or their past. You may look confident on the outside but carry a deep sense of self-doubt, shame, or exhaustion on the inside. My work is centered on helping women — and anyone drawn to exploring their relationship with femininity, identity, and self-worth — come home to themselves. Together, we’ll build self-love, embrace what makes you unique, and create a gentler, more empowered relationship with your body and mind.
(980) 350-9318 View (980) 350-9318
Paul D. Veach
Marriage & Family Therapist, LMFT, LCAS
2 Endorsed
Serves Area
I enjoy helping clients develop stronger family and/or marital relationships, to heal from past trauma or other psychological issues, to determine the best parenting approach for the unique needs of their child, and to offer support for those in active recovery from addiction.
I am a licensed marriage and family therapist (LMFT), a licensed clinical addiction specialist (LCAS), and a licensed school counselor with National Board Certification. I use my Level II training in EMDR along with cognitive-behavioral approaches to address trauma, and Family Systems and Attachment theory to address issues in relationships.
I enjoy helping clients develop stronger family and/or marital relationships, to heal from past trauma or other psychological issues, to determine the best parenting approach for the unique needs of their child, and to offer support for those in active recovery from addiction.
I am a licensed marriage and family therapist (LMFT), a licensed clinical addiction specialist (LCAS), and a licensed school counselor with National Board Certification. I use my Level II training in EMDR along with cognitive-behavioral approaches to address trauma, and Family Systems and Attachment theory to address issues in relationships.
(980) 223-8930 View (980) 223-8930
Photo of Madison Haskell, Marriage & Family Therapist, LMFT
Madison Haskell
Marriage & Family Therapist, LMFT
5 Endorsed
Online Only
Waitlist for new clients
Is it time to see yourself in a different light? Do you want to finally grasp the relief you’ve long been searching for or understand yourself better to be the person you have long wanted to be? If so, I invite you to take a chance and jump into a place where you can not only heal, but learn to thrive. I thoroughly enjoy working with adolescents and beyond, as well as couples and families who may need a helping hand in finding the balance they crave. Together, let’s tackle the depths of depression, anxiety and social anxiety, relationship issues, life transitions, difficulties in understanding and expressing emotions, and more.
Is it time to see yourself in a different light? Do you want to finally grasp the relief you’ve long been searching for or understand yourself better to be the person you have long wanted to be? If so, I invite you to take a chance and jump into a place where you can not only heal, but learn to thrive. I thoroughly enjoy working with adolescents and beyond, as well as couples and families who may need a helping hand in finding the balance they crave. Together, let’s tackle the depths of depression, anxiety and social anxiety, relationship issues, life transitions, difficulties in understanding and expressing emotions, and more.
(704) 741-3208 View (704) 741-3208
Photo of Lillian Outlaw, Clinical Social Work/Therapist, MSW, LCSW
Lillian Outlaw
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
Whether addressing the emotional impact of medical conditions, managing trauma-related distress, or strengthening relationships, Lillian integrates therapeutic techniques that align with each client’s needs and values.
Lillian Outlaw, LCSW, provides compassionate and evidence-based therapy for adults in North Carolina, helping individuals navigate life’s challenges with confidence and resilience. She specializes in treating mood disorders, anxiety, and personality disorders, offering individualized care tailored to each person’s unique experiences. With a warm and supportive approach, Lillian creates a space where clients feel heard and empowered to make meaningful changes in their lives. Lillian is especially passionate about supporting individuals facing midlife transitions, grief, and postpartum depression or anxiety.
Whether addressing the emotional impact of medical conditions, managing trauma-related distress, or strengthening relationships, Lillian integrates therapeutic techniques that align with each client’s needs and values.
Lillian Outlaw, LCSW, provides compassionate and evidence-based therapy for adults in North Carolina, helping individuals navigate life’s challenges with confidence and resilience. She specializes in treating mood disorders, anxiety, and personality disorders, offering individualized care tailored to each person’s unique experiences. With a warm and supportive approach, Lillian creates a space where clients feel heard and empowered to make meaningful changes in their lives. Lillian is especially passionate about supporting individuals facing midlife transitions, grief, and postpartum depression or anxiety.
(704) 461-9938 View (704) 461-9938
Photo of Stephen Mcalister, Drug & Alcohol Counselor, MA, LCMHC, LCAS
Stephen Mcalister
Drug & Alcohol Counselor, MA, LCMHC, LCAS
Serves Area
Whether it's dealing with the shame of substance abuse issues, fear surrounding sexual identity concerns, underlying dread from childhood traumas, or ongoing guilt of forgotten crimes from the past.
I specialize in interpersonal communication skills, (parent/child employee/employer spouse/partner). I enjoy working with couples. I have a special interest in helping couples communicate better, especially in complex situations. I also am an advocate for LGBTQ individuals, specifically when they conflict with their faith backgrounds.
Whether it's dealing with the shame of substance abuse issues, fear surrounding sexual identity concerns, underlying dread from childhood traumas, or ongoing guilt of forgotten crimes from the past.
I specialize in interpersonal communication skills, (parent/child employee/employer spouse/partner). I enjoy working with couples. I have a special interest in helping couples communicate better, especially in complex situations. I also am an advocate for LGBTQ individuals, specifically when they conflict with their faith backgrounds.
(704) 389-5963 View (704) 389-5963
Photo of Juliana Zuccarelli, Clinical Social Work/Therapist, MSW, LCSW
Juliana Zuccarelli
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
Juliana Zuccarelli is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2018. She has a Bachelors in Social Work from Concordia College and a Masters in Social Work from CUNY Lehman. Juliana’s believes in respect for the dignity, rights, and worth of all individuals as they realize their potential to become fulfilled. In her spare time, Juliana enjoys working out, cooking, spending time with family and friends, and traveling.
Juliana Zuccarelli is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2018. She has a Bachelors in Social Work from Concordia College and a Masters in Social Work from CUNY Lehman. Juliana’s believes in respect for the dignity, rights, and worth of all individuals as they realize their potential to become fulfilled. In her spare time, Juliana enjoys working out, cooking, spending time with family and friends, and traveling.
(980) 246-2187 View (980) 246-2187
Photo of Dawn Johnson - Turning Point Family Services, Clinical Social Work/Therapist, LCMHC, LCSW
Turning Point Family Services
Clinical Social Work/Therapist, LCMHC, LCSW
Serves Area
Turning Point Family Services offers a variety of outpatient services. These services include individual and family therapy, group therapy, comprehensive clinical assessments, and psychiatric medication management. These services are customized to meet the needs of the children and families that we serve, and can be conducted via telehealth as well.
Turning Point Family Services offers a variety of outpatient services. These services include individual and family therapy, group therapy, comprehensive clinical assessments, and psychiatric medication management. These services are customized to meet the needs of the children and families that we serve, and can be conducted via telehealth as well.
(704) 994-5460 View (704) 994-5460

See more therapy options for Troutman

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.