Trauma and PTSD Therapists in 48036

Photo of Tracie J Duncan, Counselor in 48036, MI
Tracie J Duncan
Counselor, MA, LLPC
Verified Verified
1 Endorsed
I offer trauma informed care to help individuals work through their traumatic experiences.
I have a Masters degree in Clinical Mental Health Counseling with a lot of life experience. For over 7 years I have been providing crisis counseling (CISM) to first responders, families, individuals, and those impacted by traumatic events. My passion is helping individuals who have experienced trauma or stressors in their life to become healthy and whole. The areas of interest are first responders, military, anxiety related issues, depression, PTSD, trauma, and other general issues. I am trained in EMDR therapy. I enjoy working with adolescents, adults, and couples. "We walk side by side".
I offer trauma informed care to help individuals work through their traumatic experiences.
I have a Masters degree in Clinical Mental Health Counseling with a lot of life experience. For over 7 years I have been providing crisis counseling (CISM) to first responders, families, individuals, and those impacted by traumatic events. My passion is helping individuals who have experienced trauma or stressors in their life to become healthy and whole. The areas of interest are first responders, military, anxiety related issues, depression, PTSD, trauma, and other general issues. I am trained in EMDR therapy. I enjoy working with adolescents, adults, and couples. "We walk side by side".
(586) 250-4070 View (586) 250-4070
Photo of Decisions Counseling and Consulting Services, Clinical Social Work/Therapist in 48036, MI
Decisions Counseling and Consulting Services
Clinical Social Work/Therapist, MA, LMSW
Verified Verified
Over the past 18 years, I have developed specialities working with depression, anxiety, trauma, grief/loss, etc.
If you are experiencing anxiety or depression, problems in your marital, peer and work relationships, I would like to help. Perhaps you have experienced a significant loss (of any kind) and need someone that can help you process your feelings. Your safety and comfort are important to me. I will take every precaution to promote your interests in therapy and assure your emotional security. By approaching therapy as a partnership, I aspire to leave clients feeling supported and empowered. If you are looking for a supportive therapeutic partnership, let's talk. I look forward to hearing from you!
Over the past 18 years, I have developed specialities working with depression, anxiety, trauma, grief/loss, etc.
If you are experiencing anxiety or depression, problems in your marital, peer and work relationships, I would like to help. Perhaps you have experienced a significant loss (of any kind) and need someone that can help you process your feelings. Your safety and comfort are important to me. I will take every precaution to promote your interests in therapy and assure your emotional security. By approaching therapy as a partnership, I aspire to leave clients feeling supported and empowered. If you are looking for a supportive therapeutic partnership, let's talk. I look forward to hearing from you!
(586) 800-0849 View (586) 800-0849
Photo of The Center of Wellness in 48036, MI
The Center of Wellness
Verified Verified
8 Endorsed
Many of those who seek our services have experienced depression, anxiety, mood swings, infidelity, acting out behavior, grief & loss, trauma, sexual changes, dissociation, and/or identity distress.
Now Accepting New Clients! The Center of Wellness is focused on whole person care. We work with clients aged 8 to 80+. Our provider specialties include working with grief, depression, anxiety, sexual health, trauma, relationship distress, school-age concerns, BIPOC specific concerns, LGBTQ+ wellness, assessments, transgenerational trauma, and life transitions.
Many of those who seek our services have experienced depression, anxiety, mood swings, infidelity, acting out behavior, grief & loss, trauma, sexual changes, dissociation, and/or identity distress.
Now Accepting New Clients! The Center of Wellness is focused on whole person care. We work with clients aged 8 to 80+. Our provider specialties include working with grief, depression, anxiety, sexual health, trauma, relationship distress, school-age concerns, BIPOC specific concerns, LGBTQ+ wellness, assessments, transgenerational trauma, and life transitions.
(586) 275-2481 View (586) 275-2481
Photo of Joanne Mesleh, Clinical Social Work/Therapist in 48036, MI
Joanne Mesleh
Clinical Social Work/Therapist, LLMSW
Verified Verified
Clinton Township, MI 48036  (Online Only)
My experience is in working with depression, anxiety, trauma, grief, loss, and family issues.
I believe in working together towards the same goal, and that you are the expert at your own life. I understand that sometimes, we can lose ourselves in the midst of trauma and difficulties, & I want to help you along the path that you strive to be on.
My experience is in working with depression, anxiety, trauma, grief, loss, and family issues.
I believe in working together towards the same goal, and that you are the expert at your own life. I understand that sometimes, we can lose ourselves in the midst of trauma and difficulties, & I want to help you along the path that you strive to be on.
(586) 519-6118 View (586) 519-6118
Photo of Cadence Counseling - "Find Your Voice", Counselor in 48036, MI
Cadence Counseling - "Find Your Voice"
Counselor, MA, LLPC, NCC
Verified Verified
1 Endorsed
Waitlist for new clients
Through my experience, I am experienced in trauma exposure and unsettling situations.
I am a LLPC, 24 + yr Police Veteran, military veteran, and served 9+ years as a pastor. Are you a first responder, military, front-line worker, clergy, counselor, or a person who feels they have to help others and yet struggle to help yourself? Some people aren’t good at asking for help, they are used to being “the helper.” Subsequently, you have experienced an unbalanced give and take. Truth - your instinct is usually “ I’ll figure it out on my own.” As you might know this self-reliance is all you have ever known. However, you are facing anxiety, depression, grief, and possibly other feelings that consume your current situation.
Through my experience, I am experienced in trauma exposure and unsettling situations.
I am a LLPC, 24 + yr Police Veteran, military veteran, and served 9+ years as a pastor. Are you a first responder, military, front-line worker, clergy, counselor, or a person who feels they have to help others and yet struggle to help yourself? Some people aren’t good at asking for help, they are used to being “the helper.” Subsequently, you have experienced an unbalanced give and take. Truth - your instinct is usually “ I’ll figure it out on my own.” As you might know this self-reliance is all you have ever known. However, you are facing anxiety, depression, grief, and possibly other feelings that consume your current situation.
(586) 210-8564 View (586) 210-8564
Photo of Samantha Shankin, Clinical Social Work/Therapist in 48036, MI
Samantha Shankin
Clinical Social Work/Therapist, LMSW
Verified Verified
Samantha received her Master’s degree in Social Work from Wayne State University and her Bachelor of Arts degree in Psychology from Oakland University. Samantha has extensive experience working with children and adolescence, specifically those who have special needs, mental illness, and at-risk behavior. Samantha specializes in anxiety, depression, ADHD, PTSD, self-esteem, school difficulties, FASD, divorce, social anxiety, and communication skills. Samantha also has experience working with parents of children with these difficulties, couples, and individual adults that struggle with the same issues.
Samantha received her Master’s degree in Social Work from Wayne State University and her Bachelor of Arts degree in Psychology from Oakland University. Samantha has extensive experience working with children and adolescence, specifically those who have special needs, mental illness, and at-risk behavior. Samantha specializes in anxiety, depression, ADHD, PTSD, self-esteem, school difficulties, FASD, divorce, social anxiety, and communication skills. Samantha also has experience working with parents of children with these difficulties, couples, and individual adults that struggle with the same issues.
(248) 206-3083 View (248) 206-3083
Photo of Shirlann Krahulec, Clinical Social Work/Therapist in 48036, MI
Shirlann Krahulec
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
I have experience working with mood disorders, survivors of domestic violence, teen dating violence, family issues, and trauma-informed care just to name a few.
We all experience times in our lives that leave us feeling worried, overwhelmed, hopeless, and even defeated. I believe one does not have to walk the journey to healing alone. Therapy is a safe space to start the healing work in finding hope and joy again. Through gaining support, having insight, and learning coping strategies, we can work together to make life more fulfilling. I offer a safe, non-judgmental, and empathetic space for adolescents, adults, couples, and families to process and reach their goals. I am passionate about helping others become the best version of themselves.
I have experience working with mood disorders, survivors of domestic violence, teen dating violence, family issues, and trauma-informed care just to name a few.
We all experience times in our lives that leave us feeling worried, overwhelmed, hopeless, and even defeated. I believe one does not have to walk the journey to healing alone. Therapy is a safe space to start the healing work in finding hope and joy again. Through gaining support, having insight, and learning coping strategies, we can work together to make life more fulfilling. I offer a safe, non-judgmental, and empathetic space for adolescents, adults, couples, and families to process and reach their goals. I am passionate about helping others become the best version of themselves.
(586) 784-6534 View (586) 784-6534
Photo of Lacey Trent, Clinical Social Work/Therapist in 48036, MI
Lacey Trent
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
2 Endorsed
I specialize in working with teens and families, adults and older adults in areas including communication, depression, anxiety, anger, trauma, stress management, mild cognitive impairment, chronic illness, binge eating disorder, and adjusting to life transitions. Depending on your unique strengths and challenges, I implement Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing, psycho-dynamic, mindfulness, and existential-humanistic approaches.
I specialize in working with teens and families, adults and older adults in areas including communication, depression, anxiety, anger, trauma, stress management, mild cognitive impairment, chronic illness, binge eating disorder, and adjusting to life transitions. Depending on your unique strengths and challenges, I implement Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing, psycho-dynamic, mindfulness, and existential-humanistic approaches.
(248) 413-8074 View (248) 413-8074
Photo of Gennea Nickole Moore, Limited Licensed Psychologist in 48036, MI
Gennea Nickole Moore
Limited Licensed Psychologist, PhD, LLP
Verified Verified
Anxiety, Depression, past trauma and issues with self accomplishment take on many forms that impact relationships, performance and competitive outcomes, as well as one's overall life satisfaction.
Working with adolescents, adults, and couples is my passion and primary focus. Therapy will empower you to overcome life's challenges and replace old patterns and beliefs with a new openness to the possibilities of your potential. My therapeutic techniques provide supportive interactions that can replace one's undesirable outcomes with improvement in self-awareness, ability to cope with trauma and grief, as well as personal barriers. Life is a constant balancing act of ongoing work, school, sports or health demands that include building and maintaining relationships that at the same time may require social, personal, and/ or parenting responsibilities.
Anxiety, Depression, past trauma and issues with self accomplishment take on many forms that impact relationships, performance and competitive outcomes, as well as one's overall life satisfaction.
Working with adolescents, adults, and couples is my passion and primary focus. Therapy will empower you to overcome life's challenges and replace old patterns and beliefs with a new openness to the possibilities of your potential. My therapeutic techniques provide supportive interactions that can replace one's undesirable outcomes with improvement in self-awareness, ability to cope with trauma and grief, as well as personal barriers. Life is a constant balancing act of ongoing work, school, sports or health demands that include building and maintaining relationships that at the same time may require social, personal, and/ or parenting responsibilities.
(248) 292-3079 View (248) 292-3079
Photo of Sharon R Rose LMSW Counseling Services LLC, Clinical Social Work/Therapist in 48036, MI
Sharon R Rose LMSW Counseling Services LLC
Clinical Social Work/Therapist, LMSW, CAADC, ACSW
Verified Verified
3 Endorsed
Clinton Township, MI 48036  (Online Only)
I am an advanced, skilled, trained clinician with 30+ years experience in therapeutic practice. Are you feeling depressed/anxious, upset/irritable? Are you grieving? Are you balancing work from home with family life, school? Have you lost your job? Are you concerned about getting sick? You are not alone. I have specialities in PTSD, grief, fear, trauma, addictions, behavioral & mental health issues. Would you like to be happier, communicating better with loved ones or others? I counsel individuals/families/couples/marriage/divorce, GLBT+ & military with positive outcomes. Just call or email today to begin to reach your goals!
I am an advanced, skilled, trained clinician with 30+ years experience in therapeutic practice. Are you feeling depressed/anxious, upset/irritable? Are you grieving? Are you balancing work from home with family life, school? Have you lost your job? Are you concerned about getting sick? You are not alone. I have specialities in PTSD, grief, fear, trauma, addictions, behavioral & mental health issues. Would you like to be happier, communicating better with loved ones or others? I counsel individuals/families/couples/marriage/divorce, GLBT+ & military with positive outcomes. Just call or email today to begin to reach your goals!
(586) 580-8022 View (586) 580-8022
Photo of Chelsea Rumohr, Licensed Professional Counselor in 48036, MI
Chelsea Rumohr
Licensed Professional Counselor, MA, LPC
Verified Verified
To best meet your individual needs, I draw from several therapeutic techniques, have training in ERP Therapy, am trauma informed and am an EMDR informed therapist.
I believe one of the bravest things you can do is begin to understand your own story. As a woman, you may be often seen as "Super Woman", where you can do it all and be it all, while putting others and their needs before your own. But the truth is, you are human. You may be feeling overwhelmed, depressed, or anxious or maybe you are struggling with finding balance in your life.
To best meet your individual needs, I draw from several therapeutic techniques, have training in ERP Therapy, am trauma informed and am an EMDR informed therapist.
I believe one of the bravest things you can do is begin to understand your own story. As a woman, you may be often seen as "Super Woman", where you can do it all and be it all, while putting others and their needs before your own. But the truth is, you are human. You may be feeling overwhelmed, depressed, or anxious or maybe you are struggling with finding balance in your life.
(586) 300-4789 View (586) 300-4789
Photo of Tricia Stehle, Clinical Social Work/Therapist in 48036, MI
Tricia Stehle
Clinical Social Work/Therapist, LMSW, SAP
Verified Verified
Accepting new patients for both Telehealth and Face to Face. Weekend (Saturday) availability/evenings during the week. Nearly 3 decades of experience in the field. I am a certified clinical trauma professional. Cognitive behavioral & solution focused therapy with specialties in eating disorders, grief/loss (including pet loss), bullying & ADD. EMDR trained, & nationally certified. Treating families, adults, adolescents, geriatric clientele, depression, anxiety, phobias, life adjustment issues, obsessive compulsive disorders, & more.
Accepting new patients for both Telehealth and Face to Face. Weekend (Saturday) availability/evenings during the week. Nearly 3 decades of experience in the field. I am a certified clinical trauma professional. Cognitive behavioral & solution focused therapy with specialties in eating disorders, grief/loss (including pet loss), bullying & ADD. EMDR trained, & nationally certified. Treating families, adults, adolescents, geriatric clientele, depression, anxiety, phobias, life adjustment issues, obsessive compulsive disorders, & more.
(248) 817-4471 View (248) 817-4471
Photo of Stacy Marie Wright, Licensed Professional Counselor in 48036, MI
Stacy Marie Wright
Licensed Professional Counselor, MA, LPC, LLP
Verified Verified
Clinton Township, MI 48036  (Online Only)
My ideal client is one who has been struggling for a while and is ready now to address those issues. The people I work with do not need to have clear goals or clear reasons for entering therapy, as sometimes people are not sure why they are seeking help. I tend to work well with people who may not even be aware of the fact that they have just been in survival mode, but they know that they are no longer thriving, even if they do not know why. They are just looking for someone to talk with and are open to addressing things, even if they may take time and be difficult to manage. My ideal client is willing to accept my help.
My ideal client is one who has been struggling for a while and is ready now to address those issues. The people I work with do not need to have clear goals or clear reasons for entering therapy, as sometimes people are not sure why they are seeking help. I tend to work well with people who may not even be aware of the fact that they have just been in survival mode, but they know that they are no longer thriving, even if they do not know why. They are just looking for someone to talk with and are open to addressing things, even if they may take time and be difficult to manage. My ideal client is willing to accept my help.
(248) 850-1765 View (248) 850-1765
Photo of Latha Ravi, Clinical Social Work/Therapist in 48036, MI
Latha Ravi
Clinical Social Work/Therapist, Rev Latha Ravi, LMSW, MDiv
Verified Verified
***Attention I do not take HAP. The insurance listed is incorrect. I am not able to take HAP insurance.******** I am open to working with LGBTQIA+ clients. Since we live in a heteronormative homophobic, transphobic society I feel it is absolutely essential to fight such oppression intentionally and persistently. My hope is to offer LGBTQIA+ clients support, love, compassion and a place of healing and peace where they can find liberation and truly express the fabulous individual they are. I also have extensive experience working with rape crisis, domestic violence, and sexual assault survivors.
***Attention I do not take HAP. The insurance listed is incorrect. I am not able to take HAP insurance.******** I am open to working with LGBTQIA+ clients. Since we live in a heteronormative homophobic, transphobic society I feel it is absolutely essential to fight such oppression intentionally and persistently. My hope is to offer LGBTQIA+ clients support, love, compassion and a place of healing and peace where they can find liberation and truly express the fabulous individual they are. I also have extensive experience working with rape crisis, domestic violence, and sexual assault survivors.
(586) 948-8223 View (586) 948-8223
Photo of Tami Hubbard, Licensed Professional Counselor in 48036, MI
Tami Hubbard
Licensed Professional Counselor, MA, LPC
Verified Verified
Clinton Township, MI 48036  (Online Only)
Are you having Mental health symptoms or awakening symptoms? Do you feel stuck in the OLD and wanting to become NEW? Are you experiencing symptoms mentally, emotionally and physically from the fear and uncertainty that is present ? Lets explore together what you need to move forward on this journey with more ease which will bring you into alignment and embodiment with your Whole Self. I have been on this Journey for years and facilitating others in this process of integration/transmutation along my path. Come and explore this 3 step process of natural awakening and evolve to new YOU! -
Are you having Mental health symptoms or awakening symptoms? Do you feel stuck in the OLD and wanting to become NEW? Are you experiencing symptoms mentally, emotionally and physically from the fear and uncertainty that is present ? Lets explore together what you need to move forward on this journey with more ease which will bring you into alignment and embodiment with your Whole Self. I have been on this Journey for years and facilitating others in this process of integration/transmutation along my path. Come and explore this 3 step process of natural awakening and evolve to new YOU! -
(541) 612-8360 View (541) 612-8360
Photo of Dr. Jamie Sharpe, Psychologist in 48036, MI
Dr. Jamie Sharpe
Psychologist, PsyD, LP
Verified Verified
3 Endorsed
Clinton Township, MI 48036  (Online Only)
Are you tired of listening to your inner self-critic, second guessing yourself, and putting others’ needs before your own? Are past relationships and experiences still impacting the way you view yourself and interact with others? Are you ready to replace the unhealthy beliefs and patterns in your life with ones that better serve you? You are capable of processing your past so that it no longer limits you, redefining your relationships, and moving through life more confidently. It’s time for change, it’s time for a more balanced life, it’s time to prioritize you!
Are you tired of listening to your inner self-critic, second guessing yourself, and putting others’ needs before your own? Are past relationships and experiences still impacting the way you view yourself and interact with others? Are you ready to replace the unhealthy beliefs and patterns in your life with ones that better serve you? You are capable of processing your past so that it no longer limits you, redefining your relationships, and moving through life more confidently. It’s time for change, it’s time for a more balanced life, it’s time to prioritize you!
(248) 780-8162 View (248) 780-8162
Photo of Great Lakes Psychology Group - Clinton Township, Psychologist in 48036, MI
Great Lakes Psychology Group - Clinton Township
Psychologist
Verified Verified
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
(248) 247-7816 View (248) 247-7816
Photo of Devan Keys, Counselor in 48036, MI
Devan Keys
Counselor, MEd, NCC, LLC
Verified Verified
1 Endorsed
Waitlist for new clients
Somewhere in each of our stories, we share a narrative that talks about feelings of pain, loneliness, or misunderstanding. I provide counseling to couples, families, and individuals who seek support in navigating through relational problems and the challenging and transitional stages of life. I practice from a multicultural perspective that centers your feelings and stories in a safe, genuine space. I have experience in mentoring, working in diverse communities, and leading community organizing and engagement initiatives.
Somewhere in each of our stories, we share a narrative that talks about feelings of pain, loneliness, or misunderstanding. I provide counseling to couples, families, and individuals who seek support in navigating through relational problems and the challenging and transitional stages of life. I practice from a multicultural perspective that centers your feelings and stories in a safe, genuine space. I have experience in mentoring, working in diverse communities, and leading community organizing and engagement initiatives.
(586) 281-5936 View (586) 281-5936
Photo of Judith K Moon, LMSW, ACSW, LLC, Clinical Social Work/Therapist in 48036, MI
Judith K Moon, LMSW, ACSW, LLC
Clinical Social Work/Therapist
Verified Verified
Is your child or teen struggling with academic, behavioral, social, or emotional issues? There may be a need for additional support and redirection to get through these challenges which affect the whole family. Therapy can be life-changing as it provides the skills to help us meet these challenges successfully. I have provided therapy to children, adolescents, adults, and families for over 30 years. With a wide variety of therapeutic experience, I have been helping people solve their problems and accomplish their goals as well as improve the quality of their lives. I provide a warm, supportive environment.
Is your child or teen struggling with academic, behavioral, social, or emotional issues? There may be a need for additional support and redirection to get through these challenges which affect the whole family. Therapy can be life-changing as it provides the skills to help us meet these challenges successfully. I have provided therapy to children, adolescents, adults, and families for over 30 years. With a wide variety of therapeutic experience, I have been helping people solve their problems and accomplish their goals as well as improve the quality of their lives. I provide a warm, supportive environment.
(586) 353-8714 View (586) 353-8714
Photo of Mary Jane Gazda, Psychologist in 48036, MI
Mary Jane Gazda
Psychologist, PhD
Verified Verified
Waitlist for new clients
I began my practice in 1984 as a Social Worker. I returned to school and earned a Ph.D in Psychology. I specialize in working with adults of all ages, children, adolescence, couples and families. I employ a variety of techniques such as mindfulness, insight oriented inquiry, Yoga and traditional talk therapies. I do believe that we can change our lives if we change our thinking. At times we come to a place when our thoughts become unbearable and feel overwhelmed and confused. When we are open to acknowledging our suffering we then become willing to explore our pain.
I began my practice in 1984 as a Social Worker. I returned to school and earned a Ph.D in Psychology. I specialize in working with adults of all ages, children, adolescence, couples and families. I employ a variety of techniques such as mindfulness, insight oriented inquiry, Yoga and traditional talk therapies. I do believe that we can change our lives if we change our thinking. At times we come to a place when our thoughts become unbearable and feel overwhelmed and confused. When we are open to acknowledging our suffering we then become willing to explore our pain.
(586) 913-1934 View (586) 913-1934

See more therapy options for 48036

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.