Trauma and PTSD Therapists in 57702

Photo of BH Center for Healing & Advancement of Psychthrpy, Clinical Social Work/Therapist in 57702, SD
BH Center for Healing & Advancement of Psychthrpy
Clinical Social Work/Therapist, MSW, CSW-PIP
Verified Verified
Rapid City, SD 57702
I specialize in trauma, addiction recovery support, self esteem issues.
Become your best self: authentic, whole, empowered, and living a fulfilling life. I specialize in uncovering the roots of what's getting in the way. And something is. It always is. You are doing the best you can with what you have to work with. You can heal those wounds, release ineffective patterns of living, and develop a relationship with yourself that is better than it could ever be. Become unstuck and free. Live like you are meant to. Healing=hopeful+ empowered+active living.
I specialize in trauma, addiction recovery support, self esteem issues.
Become your best self: authentic, whole, empowered, and living a fulfilling life. I specialize in uncovering the roots of what's getting in the way. And something is. It always is. You are doing the best you can with what you have to work with. You can heal those wounds, release ineffective patterns of living, and develop a relationship with yourself that is better than it could ever be. Become unstuck and free. Live like you are meant to. Healing=hopeful+ empowered+active living.
(605) 679-4110 View (605) 679-4110
Photo of U Rock Counseling Services, Counselor in 57702, SD
U Rock Counseling Services
Counselor, MA, LPC-MH, QMHP
Verified Verified
1 Endorsed
Rapid City, SD 57702
Waitlist for new clients
Hi, my name is Norma, welcome to U Rock Counseling. I work with individuals ages 22-adulthood and specialize in trauma, grief, loss, loneliness, depression, anxiety, and issues unique to your stage of life. You will learn to connect to that joy that's been missing and feel the passion you once had. Your voice will not only be heard but also respected by me in a nonjudgmental and safe environment of empathy.
Hi, my name is Norma, welcome to U Rock Counseling. I work with individuals ages 22-adulthood and specialize in trauma, grief, loss, loneliness, depression, anxiety, and issues unique to your stage of life. You will learn to connect to that joy that's been missing and feel the passion you once had. Your voice will not only be heard but also respected by me in a nonjudgmental and safe environment of empathy.
(605) 349-2975 View (605) 349-2975
Photo of Isaacs Behavioral Health LLC, Clinical Social Work/Therapist in 57702, SD
Isaacs Behavioral Health LLC
Clinical Social Work/Therapist, CSW-PIP, LAC, QMHP, MEd, MSW
Verified Verified
Rapid City, SD 57702
I am a certified trauma, EMDR therapist.
I help clients recognize their strengths, regain confidence, find their voice again, create competency and reconstruct their inner map of the world. Trauma, (PTSD), Depression and Anxiety are tied together. They affect an individual's moods, thoughts, ability to change, pattern of thinking, coping mechanisms, fears, safety, calm, self-esteem, and confidence. I help my clients, "help themselves," by using a blend of modalities, healthy models, and professional experience, to untangle and compartmentalize their issues. My clients have an opportunity to learn proven, healthy coping mechanisms and healthy behaviors to self-regulate,
I am a certified trauma, EMDR therapist.
I help clients recognize their strengths, regain confidence, find their voice again, create competency and reconstruct their inner map of the world. Trauma, (PTSD), Depression and Anxiety are tied together. They affect an individual's moods, thoughts, ability to change, pattern of thinking, coping mechanisms, fears, safety, calm, self-esteem, and confidence. I help my clients, "help themselves," by using a blend of modalities, healthy models, and professional experience, to untangle and compartmentalize their issues. My clients have an opportunity to learn proven, healthy coping mechanisms and healthy behaviors to self-regulate,
(605) 250-2060 View (605) 250-2060
Photo of Pediatric Counseling and Consultation, LLC, Licensed Professional Counselor in 57702, SD
Pediatric Counseling and Consultation, LLC
Licensed Professional Counselor, MS, LPC-MH, NCC, QMHP
Verified Verified
Rapid City, SD 57702
Waitlist for new clients
I have had extensive professional training and experience in treating trauma and stress related problems, as well as problematic behaviors.
Seeking counseling for your child or adolescent can seem overwhelming. Some things are difficult to talk about. I am interested in listening to your child and family carefully and attentively. I will take the time during the first appointment to gain the information to help us determine the best method of therapy (or coaching) together. I am grateful to have received excellent training and experience, and am committed to offering the most appropriate counseling for best results. Whether it is treatment for depression, anxiety, behavior problems, social problems, grief, family conflict or something else, you are not alone.
I have had extensive professional training and experience in treating trauma and stress related problems, as well as problematic behaviors.
Seeking counseling for your child or adolescent can seem overwhelming. Some things are difficult to talk about. I am interested in listening to your child and family carefully and attentively. I will take the time during the first appointment to gain the information to help us determine the best method of therapy (or coaching) together. I am grateful to have received excellent training and experience, and am committed to offering the most appropriate counseling for best results. Whether it is treatment for depression, anxiety, behavior problems, social problems, grief, family conflict or something else, you are not alone.
(605) 646-7283 View (605) 646-7283
Photo of Kris Jeakins, Licensed Professional Counselor in 57702, SD
Kris Jeakins
Licensed Professional Counselor, MS, NCC, LPC-MH, QMHP, CCTP-II
Verified Verified
1 Endorsed
Rapid City, SD 57702
Waitlist for new clients
I am certified in complex trauma, specializing in trauma, military, and forensic psychology.
I have provided mental health services for over 9+ years to adults, couples, and 16+ who are struggling with mental health issues. I guide people in their healing of trauma including complex trauma, dissociative issues, depression, anxiety, grief, psychotic spectrum, and personality disorders. I will create a safe space of honesty and empathy. I will guide you to strengthen self-trust and empower yourself to solve issues within all your relationships, inside and outside of therapy. I believe that our minds and bodies are connected through thoughts, emotions, and behaviors.
I am certified in complex trauma, specializing in trauma, military, and forensic psychology.
I have provided mental health services for over 9+ years to adults, couples, and 16+ who are struggling with mental health issues. I guide people in their healing of trauma including complex trauma, dissociative issues, depression, anxiety, grief, psychotic spectrum, and personality disorders. I will create a safe space of honesty and empathy. I will guide you to strengthen self-trust and empower yourself to solve issues within all your relationships, inside and outside of therapy. I believe that our minds and bodies are connected through thoughts, emotions, and behaviors.
(605) 423-7529 View (605) 423-7529
Photo of Stuart Krause, Psychologist in 57702, SD
Stuart Krause
Psychologist, PhD
Verified Verified
Rapid City, SD 57702
I have also received the trainings prescribed by the Department of Defense for Post-traumatic Stress Disorder (PTSD) for veterans and other persons afflicted with anxiety related to traumatic situations.
I can help you with depression, anxiety, feelings of poor self-worth or problems with communication and commitment in personal relationships. You can get off the treadmill of intense and self-defeating interactions with co-workers and intimate partners. I can also help if you have trouble concentrating, staying focused on a task, or being hyperactive and feeling "scattered." If you are a spiritual seeker, I can provide a thoughtful and informed perspective on meaning and direction in life.
I have also received the trainings prescribed by the Department of Defense for Post-traumatic Stress Disorder (PTSD) for veterans and other persons afflicted with anxiety related to traumatic situations.
I can help you with depression, anxiety, feelings of poor self-worth or problems with communication and commitment in personal relationships. You can get off the treadmill of intense and self-defeating interactions with co-workers and intimate partners. I can also help if you have trouble concentrating, staying focused on a task, or being hyperactive and feeling "scattered." If you are a spiritual seeker, I can provide a thoughtful and informed perspective on meaning and direction in life.
(605) 540-0269 View (605) 540-0269
Photo of Back to Basics Counseling, Clinical Social Work/Therapist in 57702, SD
Back to Basics Counseling
Clinical Social Work/Therapist, LCSW, PIP, QMHP
Verified Verified
Rapid City, SD 57702  (Online Only)
I have been trained in the following areas; DBT- Dialectical Behavioral Therapy, Trauma Focused Therapy, Mental Health First Aid, ASIST.
I have both education and life experiences that compliment each other to understand needs of clients. I am willing to meet you where you are at, both within dynamics of the client needs and also as far as location of appointments. I believe that my training in the field of social work has prepared me to provide you with tools that will complement your current treatment or to use as an alternative and allow you to move forward to find balance in your life.
I have been trained in the following areas; DBT- Dialectical Behavioral Therapy, Trauma Focused Therapy, Mental Health First Aid, ASIST.
I have both education and life experiences that compliment each other to understand needs of clients. I am willing to meet you where you are at, both within dynamics of the client needs and also as far as location of appointments. I believe that my training in the field of social work has prepared me to provide you with tools that will complement your current treatment or to use as an alternative and allow you to move forward to find balance in your life.
(605) 646-7276 View (605) 646-7276
Photo of Kelcey Roberts, Licensed Professional Counselor in 57702, SD
Kelcey Roberts
Licensed Professional Counselor, CPC, LIMHP, LPC-MH
Verified Verified
1 Endorsed
Rapid City, SD 57702
I am excited to continue my work in Chadron and the surrounding communities. I work with individuals age birth and up. I have specialized in trauma, including physical abuse, sexual abuse, and witnessing violence. I hold certifications in CPP, PCIT, & COSP I work closely with children and adults in order to help you identify your goals and walk with you on the journey of achieving them. I envision counseling as a relationship between two people in which I can provide help in whatever way you need it. I have been in the counseling field for over 13 years and I am able to use that experience to help you in the best way possible.
I am excited to continue my work in Chadron and the surrounding communities. I work with individuals age birth and up. I have specialized in trauma, including physical abuse, sexual abuse, and witnessing violence. I hold certifications in CPP, PCIT, & COSP I work closely with children and adults in order to help you identify your goals and walk with you on the journey of achieving them. I envision counseling as a relationship between two people in which I can provide help in whatever way you need it. I have been in the counseling field for over 13 years and I am able to use that experience to help you in the best way possible.
(308) 217-4556 View (308) 217-4556
Photo of Dave Jetson, Counselor in 57702, SD
Dave Jetson
Counselor, LCP-MH, LCPC
Verified Verified
Rapid City, SD 57702
You can explore relationship patterns, negative self-talk, codependency, financial patterns, all trauma & abuse, mild traumatic brain & other disabilities.
Your internal dissatisfaction, emptiness, anxiety, depression and loneliness are the main motivators for counseling. It could be associated with relationships, work, grief, addictions, trauma, abuse or not being heard. These patterns develop when you deny your emotional truth. When you connect with your emotional truth, you are always loving, kind and respectful to yourself, others, to things of importance and God. When you connect with your emotional truth, life becomes more enjoyable. Reasons for living, loving and exploring seem possible again. The journey and many new possibilities begins here.
You can explore relationship patterns, negative self-talk, codependency, financial patterns, all trauma & abuse, mild traumatic brain & other disabilities.
Your internal dissatisfaction, emptiness, anxiety, depression and loneliness are the main motivators for counseling. It could be associated with relationships, work, grief, addictions, trauma, abuse or not being heard. These patterns develop when you deny your emotional truth. When you connect with your emotional truth, you are always loving, kind and respectful to yourself, others, to things of importance and God. When you connect with your emotional truth, life becomes more enjoyable. Reasons for living, loving and exploring seem possible again. The journey and many new possibilities begins here.
(605) 937-7636 View (605) 937-7636
Photo of Sarah Scherr, Clinical Social Work/Therapist in 57702, SD
Sarah Scherr
Clinical Social Work/Therapist, MSW, LCSW, QMHP
Verified Verified
1 Endorsed
Rapid City, SD 57702
ART can help with the following: Anxiety; Depression; OCD; PTSD; Addictions/ Substance Abuse; Relationship Issues/Infidelity Codependency; Grief, and many other conditions.
If you’ve landed on my profile, it is likely that you are dealing with underlying conflicts, significant changes, or other hardships that impact every aspect of life. You feel at a loss, mentally exhausted, overwhelmed, and unable to find a viable solution on your own. I am here to help you go through the process of discovering the cause of your issues and finding ways to recover from them. I strive to help teens, adults, and couples overcome distress individually and as a whole to lead happier lives, nurture healthy relationships and communicate effectively.
ART can help with the following: Anxiety; Depression; OCD; PTSD; Addictions/ Substance Abuse; Relationship Issues/Infidelity Codependency; Grief, and many other conditions.
If you’ve landed on my profile, it is likely that you are dealing with underlying conflicts, significant changes, or other hardships that impact every aspect of life. You feel at a loss, mentally exhausted, overwhelmed, and unable to find a viable solution on your own. I am here to help you go through the process of discovering the cause of your issues and finding ways to recover from them. I strive to help teens, adults, and couples overcome distress individually and as a whole to lead happier lives, nurture healthy relationships and communicate effectively.
(605) 702-6842 View (605) 702-6842
Photo of Laura Longville, Drug & Alcohol Counselor in 57702, SD
Laura Longville
Drug & Alcohol Counselor, LAC
Verified Verified
2 Endorsed
Rapid City, SD 57702
As a therapist, my specialties address relationship issues, addictions, depression, finances and trauma.
It's important to find the right therapist you can trust. I have worked as a therapist for 38 years to help people heal and grow into who they really are. We are created with natural instincts to connect, trust, and love. When we experience early suffering, distress, or trauma, it disrupts our development, and we develop strategies to deal with the challenges and pain. The NARM approach assists us in coming back to our God-given nature by exploring how we adapted to survive difficult circumstances as children. This awareness helps connect us to our ability to choose how we want to respond to life and its challenges.
As a therapist, my specialties address relationship issues, addictions, depression, finances and trauma.
It's important to find the right therapist you can trust. I have worked as a therapist for 38 years to help people heal and grow into who they really are. We are created with natural instincts to connect, trust, and love. When we experience early suffering, distress, or trauma, it disrupts our development, and we develop strategies to deal with the challenges and pain. The NARM approach assists us in coming back to our God-given nature by exploring how we adapted to survive difficult circumstances as children. This awareness helps connect us to our ability to choose how we want to respond to life and its challenges.
(605) 301-4788 View (605) 301-4788
Photo of Tracy Palecek, Licensed Professional Counselor in 57702, SD
Tracy Palecek
Licensed Professional Counselor, LPC-MH, QMHP
Verified Verified
Rapid City, SD 57702
I believe therapy is a place for you to come with whatever burdens you. I will meet you there and walk with you as we, together, plan your path ahead. I often work with those who are dealing with anxiety, depression, past or current trauma, and life changes. I use many different treatment modalities including Cognitive Behavioral Therapy, Solution Focused Therapy, and Dialectical Behavioral Therapy. I approach this work with trust building, careful assessment, and a specific plan for achieving results.
I believe therapy is a place for you to come with whatever burdens you. I will meet you there and walk with you as we, together, plan your path ahead. I often work with those who are dealing with anxiety, depression, past or current trauma, and life changes. I use many different treatment modalities including Cognitive Behavioral Therapy, Solution Focused Therapy, and Dialectical Behavioral Therapy. I approach this work with trust building, careful assessment, and a specific plan for achieving results.
(605) 467-5847 View (605) 467-5847
Photo of Debra Ann Hughes, Clinical Social Work/Therapist in 57702, SD
Debra Ann Hughes
Clinical Social Work/Therapist, MSW, LCSW, PIP, CDA
Verified Verified
Rapid City, SD 57702
I specialize in trauma treatment, marital therapy, and behavioral issues.
Individuals seek therapy for a variety of reasons. Parents may be looking for assistance for their child as they are demonstrating behaviors. Couples may be struggling to communicate in their marriage. Individuals going through a divorce may need parent coordination to assist them in coordinating visitation. Each situation requires a therapist who is understanding and willing to see how they are being impacted individually. Clients are seeking help and wanting results.
I specialize in trauma treatment, marital therapy, and behavioral issues.
Individuals seek therapy for a variety of reasons. Parents may be looking for assistance for their child as they are demonstrating behaviors. Couples may be struggling to communicate in their marriage. Individuals going through a divorce may need parent coordination to assist them in coordinating visitation. Each situation requires a therapist who is understanding and willing to see how they are being impacted individually. Clients are seeking help and wanting results.
(605) 307-3083 View (605) 307-3083
Photo of Caitlin Nissen, Licensed Professional Counselor in 57702, SD
Caitlin Nissen
Licensed Professional Counselor, LPC, MH, QMHP
Verified Verified
1 Endorsed
Rapid City, SD 57702
I have training in CBT, DBT, couple’s therapy, and trauma focused CBT.
Hello! Everyone has struggles in their lives and there are times when we are needing extra assistance to be able to work through these struggles. My goal is to help people work on transforming their lives into exactly what they want it to be.
I have training in CBT, DBT, couple’s therapy, and trauma focused CBT.
Hello! Everyone has struggles in their lives and there are times when we are needing extra assistance to be able to work through these struggles. My goal is to help people work on transforming their lives into exactly what they want it to be.
(605) 865-1013 View (605) 865-1013
Photo of Emily A Hamling, Pre-Licensed Professional in 57702, SD
Emily A Hamling
Pre-Licensed Professional
Verified Verified
Rapid City, SD 57702
I have experience walking with individuals managing long-term mental health conditions, substance use issues, life transitions, trauma, loss/grief, communication concerns, self-harm, & relationship concerns.
“To build the life you desire and deserve to live”. This is my purpose in the counseling process as we partner to explore life and what it could be. As we partner together on your journey in life, I commit to meeting you were you are at while providing a space that is nonjudgmental, genuine, and balanced in acceptance and change. Dialectical Behavioral Therapy and Motivational Interviewing are my primary treatment modalities while also integrating different techniques based on your individual needs.
I have experience walking with individuals managing long-term mental health conditions, substance use issues, life transitions, trauma, loss/grief, communication concerns, self-harm, & relationship concerns.
“To build the life you desire and deserve to live”. This is my purpose in the counseling process as we partner to explore life and what it could be. As we partner together on your journey in life, I commit to meeting you were you are at while providing a space that is nonjudgmental, genuine, and balanced in acceptance and change. Dialectical Behavioral Therapy and Motivational Interviewing are my primary treatment modalities while also integrating different techniques based on your individual needs.
(605) 574-5418 View (605) 574-5418
Photo of Natalie Lecy, Clinical Social Work/Therapist in 57702, SD
Natalie Lecy
Clinical Social Work/Therapist, PhD, CSW-PIP, LCSW, QMHP
Verified Verified
Rapid City, SD 57702
I provide therapy for individuals who are looking for a safe space and unconditional support. I provide support for people experiencing a range of issues including anxiety, depression, postpartum depression, LGBTQ specific struggles, trauma, life transitions, stress management, and relationship issues.
I provide therapy for individuals who are looking for a safe space and unconditional support. I provide support for people experiencing a range of issues including anxiety, depression, postpartum depression, LGBTQ specific struggles, trauma, life transitions, stress management, and relationship issues.
(605) 250-7186 View (605) 250-7186
Photo of Lisbeth Leagjeld, Licensed Clinical Professional Counselor in 57702, SD
Lisbeth Leagjeld
Licensed Clinical Professional Counselor, PhD, LPC-MH, LCPC, ACS, NCC
Verified Verified
1 Endorsed
Rapid City, SD 57702  (Online Only)
Since 2011 I have worked with adolescents, adults, and couples who are experiencing mental health issues related to work, school, life transitions, relationships, identity, addictions, parenting, health issues, grief, trauma, and environment. The therapeutic relationship provides a safe, non-judgmental, and confidential space to work through your concerns, reframe experiences, and move in a direction that honors what is important to you.
Since 2011 I have worked with adolescents, adults, and couples who are experiencing mental health issues related to work, school, life transitions, relationships, identity, addictions, parenting, health issues, grief, trauma, and environment. The therapeutic relationship provides a safe, non-judgmental, and confidential space to work through your concerns, reframe experiences, and move in a direction that honors what is important to you.
(224) 315-0727 View (224) 315-0727
Photo of Alyssa Martin, Counselor in 57702, SD
Alyssa Martin
Counselor, MS, LAC
Not Verified Not Verified
Rapid City, SD 57702
Alyssa Martin, MS, LAC is a South Dakota State Licensed Addiction Counselor and has a Master's of Science in Clinical Mental Health Counseling from South Dakota State University. She has experience in working with adolescents and adults in intensive inpatient treatment and outpatient settings. She uses cognitive behavioral, solution-focused and motivational interviewing therapeutic techniques. She specializes in substance abuse, addiction, depression, anxiety, trauma, and grief. She is currently employed at Black Hills Counselors and provides Substance Abuse evaluations, outpatient groups, DUI classes, individual, family and couples counseling sessions for adults and adolescents.
Alyssa Martin, MS, LAC is a South Dakota State Licensed Addiction Counselor and has a Master's of Science in Clinical Mental Health Counseling from South Dakota State University. She has experience in working with adolescents and adults in intensive inpatient treatment and outpatient settings. She uses cognitive behavioral, solution-focused and motivational interviewing therapeutic techniques. She specializes in substance abuse, addiction, depression, anxiety, trauma, and grief. She is currently employed at Black Hills Counselors and provides Substance Abuse evaluations, outpatient groups, DUI classes, individual, family and couples counseling sessions for adults and adolescents.
(605) 653-4528 View (605) 653-4528
Photo of Brett Roes, Pre-Licensed Professional in 57702, SD
Brett Roes
Pre-Licensed Professional, MS
Verified Verified
Rapid City, SD 57702
I am a pre-licensed professional counselor under supervision. I believe clients know themselves best and view my role as a facilitator or collaborator toward client self-understanding, growth, and acceptance. I am passionate about working with clients who are navigating life transitions and stress, coping with grief, processing trauma, are LGBTQIA2S+, or are parents. I strive to create a safe, empathetic space for every client who walks in my door.
I am a pre-licensed professional counselor under supervision. I believe clients know themselves best and view my role as a facilitator or collaborator toward client self-understanding, growth, and acceptance. I am passionate about working with clients who are navigating life transitions and stress, coping with grief, processing trauma, are LGBTQIA2S+, or are parents. I strive to create a safe, empathetic space for every client who walks in my door.
(605) 609-9284 View (605) 609-9284
Photo of Brianna Jakubiak, Licensed Professional Counselor in 57702, SD
Brianna Jakubiak
Licensed Professional Counselor, LPC
Verified Verified
Silver City, SD 57702
Now, I most commonly work with people that struggle with anxiety, depression, post-traumatic stress disorder, and relational concerns.
Hello! My name is Brianna Jakubiak, and I am a Licensed Professional Counselor in South Dakota. I work to help people better understand themselves and how to create the life they want. I think it is an honor to get to hear an individual's story and be a part of it. My theoretical approach differs slightly depending on who I am working with, but I pull primarily from Cognitive Behavioral Therapy. I work to help people gain awareness of their own patterns in order to start the process of changing those thoughts, emotions, and behaviors.
Now, I most commonly work with people that struggle with anxiety, depression, post-traumatic stress disorder, and relational concerns.
Hello! My name is Brianna Jakubiak, and I am a Licensed Professional Counselor in South Dakota. I work to help people better understand themselves and how to create the life they want. I think it is an honor to get to hear an individual's story and be a part of it. My theoretical approach differs slightly depending on who I am working with, but I pull primarily from Cognitive Behavioral Therapy. I work to help people gain awareness of their own patterns in order to start the process of changing those thoughts, emotions, and behaviors.
(605) 307-5469 View (605) 307-5469

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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.