Trauma and PTSD Therapists in 85201

Photo of Renee Walker, Licensed Professional Counselor in 85201, AZ
Renee Walker
Licensed Professional Counselor, NCC, LPC
Verified Verified
Mesa, AZ 85201  (Online Only)
I specialize in helping people struggling with anxiety, depression, grief, and relationships, and who have experienced trauma and substance abuse.
Maybe the stable ground of your life has suddenly fallen apart...the world you've relied on and found comfort in is now unpredictable, scary, too big to handle, and you don't know which way to turn. Or maybe life has felt this way for quite some time - you're struggling in your daily affairs, not really comfortable in your relationships, often seeking escape from big emotions and that incessant inner critic, and wondering why you never received "life's little instruction book" like everyone else around you. Whatever your reason for being here, now, the bottom line is...you're hurting, life is hard and you need a solution.
I specialize in helping people struggling with anxiety, depression, grief, and relationships, and who have experienced trauma and substance abuse.
Maybe the stable ground of your life has suddenly fallen apart...the world you've relied on and found comfort in is now unpredictable, scary, too big to handle, and you don't know which way to turn. Or maybe life has felt this way for quite some time - you're struggling in your daily affairs, not really comfortable in your relationships, often seeking escape from big emotions and that incessant inner critic, and wondering why you never received "life's little instruction book" like everyone else around you. Whatever your reason for being here, now, the bottom line is...you're hurting, life is hard and you need a solution.
(480) 684-4329 View (480) 684-4329
Photo of Hannah Ray, Clinical Social Work/Therapist in 85201, AZ
Hannah Ray
Clinical Social Work/Therapist, LCSW, CSAT
Verified Verified
1 Endorsed
Mesa, AZ 85201
I am passionate about helping to illuminate each person’s unique path to happiness and fulfillment. I have experience treating various types of trauma, addiction, codependency, narcissistic abuse, and issues related to infidelity in relationships. I am a Licensed Clinical Social Worker and a Certified Sex Addiction Therapist (CSAT). I specialize in treating various types of sexual addiction, betrayal trauma and narcissistic abuse. I love to incorporate different therapeutic modalities, including EMDR, Emotionally Focused Therapy, CBT, DBT, IFS, and SFBT.
I am passionate about helping to illuminate each person’s unique path to happiness and fulfillment. I have experience treating various types of trauma, addiction, codependency, narcissistic abuse, and issues related to infidelity in relationships. I am a Licensed Clinical Social Worker and a Certified Sex Addiction Therapist (CSAT). I specialize in treating various types of sexual addiction, betrayal trauma and narcissistic abuse. I love to incorporate different therapeutic modalities, including EMDR, Emotionally Focused Therapy, CBT, DBT, IFS, and SFBT.
(480) 757-8704 View (480) 757-8704
Photo of Adrienne Gibson, Counselor in 85201, AZ
Adrienne Gibson
Counselor, MA, LPC
Verified Verified
3 Endorsed
Mesa, AZ 85201
I work with young children ages 3 and older utIizing Adlerian Play therapy, art and sand therapy. I also work with adolescent and adults. I am a Licensed Professional Counselor with 18 years of experience working with children, young adults, adults and families. I have worked with clients with a wide range of concerns such as depression, anger management, ADHD, anxiety, abuse and trauma, adoption and attachment, parenting struggles, and grief and loss.
I work with young children ages 3 and older utIizing Adlerian Play therapy, art and sand therapy. I also work with adolescent and adults. I am a Licensed Professional Counselor with 18 years of experience working with children, young adults, adults and families. I have worked with clients with a wide range of concerns such as depression, anger management, ADHD, anxiety, abuse and trauma, adoption and attachment, parenting struggles, and grief and loss.
(480) 470-4119 View (480) 470-4119
Photo of Karen Ihrig, Clinical Social Work/Therapist in 85201, AZ
Karen Ihrig
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
2 Endorsed
Mesa, AZ 85201
We specialize in developmental, attachment and relational therapy which transforms pain, trauma and grief into self-connection, relief and fulfilling relationships.
Are you experiencing pain, loss, self-rejection, anxiety, anger, depression, disconnection, shame or heartbreak? Does it feel hard to connect to yourself and others? Do you put intense pressure on yourself, only to feel stuck and more stressed? Please know that you are not alone in this. As your therapist, I will be present to your truth, and together with you on the path toward greater healing, where you will feel lighter, connected, and capable.
We specialize in developmental, attachment and relational therapy which transforms pain, trauma and grief into self-connection, relief and fulfilling relationships.
Are you experiencing pain, loss, self-rejection, anxiety, anger, depression, disconnection, shame or heartbreak? Does it feel hard to connect to yourself and others? Do you put intense pressure on yourself, only to feel stuck and more stressed? Please know that you are not alone in this. As your therapist, I will be present to your truth, and together with you on the path toward greater healing, where you will feel lighter, connected, and capable.
(623) 304-9729 View (623) 304-9729
Photo of Michelle McDaniel, Clinical Social Work/Therapist in 85201, AZ
Michelle McDaniel
Clinical Social Work/Therapist, LCSW
Verified Verified
Mesa, AZ 85201  (Online Only)
I specialize in the treatment of anxiety and panic disorders, depressive and mood disorders, in addition to PTSD, parenting issues, adolescent behavioral issues, life transition issues, grief, couples / marital issues and end of life issues.
Choosing a therapist can be a challenging process. Your therapist should provide you with confidence that she can help you navigate whatever troubled waters you may encounter with compassion and competence. Whatever your current challenges, I am confident that together, we can find and work toward a solution. No matter your choice of therapist, I wish you the best of luck in this process and in resolving the challenges that you are facing.
I specialize in the treatment of anxiety and panic disorders, depressive and mood disorders, in addition to PTSD, parenting issues, adolescent behavioral issues, life transition issues, grief, couples / marital issues and end of life issues.
Choosing a therapist can be a challenging process. Your therapist should provide you with confidence that she can help you navigate whatever troubled waters you may encounter with compassion and competence. Whatever your current challenges, I am confident that together, we can find and work toward a solution. No matter your choice of therapist, I wish you the best of luck in this process and in resolving the challenges that you are facing.
(480) 690-2109 View (480) 690-2109
Photo of Linda Rae Platt, Licensed Professional Counselor in 85201, AZ
Linda Rae Platt
Licensed Professional Counselor, MEd, MA, LPC
Verified Verified
2 Endorsed
Mesa, AZ 85201
As a licensed counselor I work with individuals, couples and families who have experienced trauma, including shame; as well as clients with anxiety, depression and addictions. I also specialize in working with children who have autism, anxiety, ADHD and sensory processing issues, as well as with their family members. I work with clients to help heal their attachment wounds and to integrate their past traumas so they no longer act as triggers in their lives. Working with couples and families to assist them in understanding their triggers and emotions and in communicating in a validating and empathic way is my strength.
As a licensed counselor I work with individuals, couples and families who have experienced trauma, including shame; as well as clients with anxiety, depression and addictions. I also specialize in working with children who have autism, anxiety, ADHD and sensory processing issues, as well as with their family members. I work with clients to help heal their attachment wounds and to integrate their past traumas so they no longer act as triggers in their lives. Working with couples and families to assist them in understanding their triggers and emotions and in communicating in a validating and empathic way is my strength.
(480) 568-6150 View (480) 568-6150
Photo of Beckstein and Associates Behavioral Health, Counselor in 85201, AZ
Beckstein and Associates Behavioral Health
Counselor, NCC, LPC, LCSW
Verified Verified
Mesa, AZ 85201
We understand unique challenges that marginalized communities face and the resulting trauma experienced.
You may feel alone right now, you won't for long! We are here and ready to take this journey with you. From your first call or email, our team will respond within 24 business hours. Your endless calls stop here! We are dedicated to pairing you with a quality, highly skilled therapist based on your unique needs. If we don't have one here that fits, we will help you find one in the community.
We understand unique challenges that marginalized communities face and the resulting trauma experienced.
You may feel alone right now, you won't for long! We are here and ready to take this journey with you. From your first call or email, our team will respond within 24 business hours. Your endless calls stop here! We are dedicated to pairing you with a quality, highly skilled therapist based on your unique needs. If we don't have one here that fits, we will help you find one in the community.
(480) 418-4512 View (480) 418-4512
Photo of Karen Basilotta, Clinical Social Work/Therapist in 85201, AZ
Karen Basilotta
Clinical Social Work/Therapist, LCSW, MAC
Verified Verified
1 Endorsed
Mesa, AZ 85201
Waitlist for new clients
PTSD or Trauma not resolved through talk therapy or EMDR? Accelerated Resolution Therapy (ART) allows for resolution of major traumas in 1-5 sessions using eye movements and voluntary image replacement.
Counseling can be a powerful way to improve self-esteem, understand family dynamics, strengthen relationships, and build an encouraging support system. I come with a wide range of experience, working with children in residential treatment as young as 11 y.o., through outpatient treatment to age 70. Often times, counseling is the first place someone learns to identify and untangle the traumas of their life to become the best version of themselves in the present. My focus is to understand the unique goals of each person and help them achieve those goals with compassion and patience.
PTSD or Trauma not resolved through talk therapy or EMDR? Accelerated Resolution Therapy (ART) allows for resolution of major traumas in 1-5 sessions using eye movements and voluntary image replacement.
Counseling can be a powerful way to improve self-esteem, understand family dynamics, strengthen relationships, and build an encouraging support system. I come with a wide range of experience, working with children in residential treatment as young as 11 y.o., through outpatient treatment to age 70. Often times, counseling is the first place someone learns to identify and untangle the traumas of their life to become the best version of themselves in the present. My focus is to understand the unique goals of each person and help them achieve those goals with compassion and patience.
(602) 935-9828 View (602) 935-9828
Photo of Kelly Ontiveros, Marriage & Family Therapist in 85201, AZ
Kelly Ontiveros
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Mesa, AZ 85201
As a Licensed Marriage and Family Therapist, I understand the importance of creating a safe and non-judgmental space for you to find your best self. I specialize in treating issues in marital connection and intimacy, affair recovery, trauma, anxiety, depression, grief and loss. After completing my master's work, I gained extensive training in psychodynamic therapy, which addresses family of origin issues, wounding messages from childhood, and attachment styles expressed in relationships.
As a Licensed Marriage and Family Therapist, I understand the importance of creating a safe and non-judgmental space for you to find your best self. I specialize in treating issues in marital connection and intimacy, affair recovery, trauma, anxiety, depression, grief and loss. After completing my master's work, I gained extensive training in psychodynamic therapy, which addresses family of origin issues, wounding messages from childhood, and attachment styles expressed in relationships.
(602) 544-6044 View (602) 544-6044
Photo of Sandra DeVoe, Clinical Social Work/Therapist in 85201, AZ
Sandra DeVoe
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Mesa, AZ 85201
I have been practicing therapy with adults, children, and families since 2011. I specialized in healing trauma especially with people who are neurodivergent (autistic, ADHD, Dyslexic, TBI, and learning disabilities). I am gentle, kind, and nonjudgmental. I also specialize and have advanced knowledge, training, and resources in the diagnosis of Autism Spectrum (Asperger Syndrome) and ADHD. I enjoy supporting both the individuals who are neurodivergent and their caregivers to build a stronger self-compassion, support systems, and knowledge base.
I have been practicing therapy with adults, children, and families since 2011. I specialized in healing trauma especially with people who are neurodivergent (autistic, ADHD, Dyslexic, TBI, and learning disabilities). I am gentle, kind, and nonjudgmental. I also specialize and have advanced knowledge, training, and resources in the diagnosis of Autism Spectrum (Asperger Syndrome) and ADHD. I enjoy supporting both the individuals who are neurodivergent and their caregivers to build a stronger self-compassion, support systems, and knowledge base.
(321) 529-1174 View (321) 529-1174
Photo of Dr. Shelby L Schiller, Clinical Social Work/Therapist in 85201, AZ
Dr. Shelby L Schiller
Clinical Social Work/Therapist, LCSW-S
Verified Verified
2 Endorsed
Mesa, AZ 85201
My specialization is assisting individuals navigating life change and transitions, coping with grief and loss, and reducing the impact and effects of trauma and traumatic experiences.
I offer a collaborative and integrative approach for clients seeking insight to their challenges. My attitude towards therapy is that there is not one universal method that works best for anyone, therefore, I use an appropriate blend of modalities to help you overcome whatever you are currently experiencing. I believe that you are the expert in your own life and I am here to help you navigate the difficulties you are currently facing. I concentrate on developing a partnership with clients to identify strengths and areas of potential growth to make meaning and implement positive change.
My specialization is assisting individuals navigating life change and transitions, coping with grief and loss, and reducing the impact and effects of trauma and traumatic experiences.
I offer a collaborative and integrative approach for clients seeking insight to their challenges. My attitude towards therapy is that there is not one universal method that works best for anyone, therefore, I use an appropriate blend of modalities to help you overcome whatever you are currently experiencing. I believe that you are the expert in your own life and I am here to help you navigate the difficulties you are currently facing. I concentrate on developing a partnership with clients to identify strengths and areas of potential growth to make meaning and implement positive change.
(928) 238-2696 View (928) 238-2696
Photo of Alan Barone, Licensed Professional Counselor in 85201, AZ
Alan Barone
Licensed Professional Counselor, MS
Verified Verified
Mesa, AZ 85201  (Online Only)
As a therapist I specialize in trauma and stress. I am a combat veteran and career first responder and I strive to serve those who served, however I accept clients from all walks of life. My clinical orientation is Rational Emotive Behavior Therapy, however I am also trained in Dialectic Behavior Therapy, Mindfulness Based Trauma Therapy and Eye Movement Desensitization and Reprocessing Therapy. I see clients in both the Phoenix and Chandler locations.
As a therapist I specialize in trauma and stress. I am a combat veteran and career first responder and I strive to serve those who served, however I accept clients from all walks of life. My clinical orientation is Rational Emotive Behavior Therapy, however I am also trained in Dialectic Behavior Therapy, Mindfulness Based Trauma Therapy and Eye Movement Desensitization and Reprocessing Therapy. I see clients in both the Phoenix and Chandler locations.
(480) 573-6771 View (480) 573-6771
Photo of Chad Krakauskas, Licensed Professional Counselor in 85201, AZ
Chad Krakauskas
Licensed Professional Counselor, LPC
Verified Verified
Mesa, AZ 85201  (Online Only)
I have primarily worked with adults. I can help with anxiety, depression, PTSD issues, grief issues, motivation, relationship issues, and substance abuse challenges. I have helped people with less severe issues all the way to people with serious mental health challenges.
I have primarily worked with adults. I can help with anxiety, depression, PTSD issues, grief issues, motivation, relationship issues, and substance abuse challenges. I have helped people with less severe issues all the way to people with serious mental health challenges.
(602) 691-7610 View (602) 691-7610
Photo of Richard Rodgers, Clinical Social Work/Therapist in 85201, AZ
Richard Rodgers
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Mesa, AZ 85201  (Online Only)
Rick is a Certified Alcohol Drug Counselor and Trauma-informed Clinician who takes an authentic approach with his clients. He is licensed in Indiana and Illinois and is currently accepting virtual clients. Rick is a yoga instructor and a veteran with years of trauma and addiction management experience. He is trained in ACT, DBT, EMDR, TF-CBT, IFS and Mindfulness. Rick has also completed Dr. Karyl McBride's WIEBGE therapist training and can be found on the WIEBGE therapist registry. this is geared for adult children of narcissistic parents.
Rick is a Certified Alcohol Drug Counselor and Trauma-informed Clinician who takes an authentic approach with his clients. He is licensed in Indiana and Illinois and is currently accepting virtual clients. Rick is a yoga instructor and a veteran with years of trauma and addiction management experience. He is trained in ACT, DBT, EMDR, TF-CBT, IFS and Mindfulness. Rick has also completed Dr. Karyl McBride's WIEBGE therapist training and can be found on the WIEBGE therapist registry. this is geared for adult children of narcissistic parents.
(217) 387-9874 View (217) 387-9874
Photo of Shelby Rouse, Counselor in 85201, AZ
Shelby Rouse
Counselor, LPC, EMDR , DBT
Verified Verified
3 Endorsed
Mesa, AZ 85201
Hi! My name is Shelby Rouse, LAC, Certified Clinical Trauma Specialist. I am currently accepting new clients. I have experience with children and play therapy. I am also EMDR trained and trauma informed. I have worked in the behavioral health field for the past 4 years and specialized in Applied Behavior Analytics with children, adolescents, and young adults on the Autism Spectrum. A solid therapeutic alliance is one of the most important factors in counseling and with the art of listening and collaboratively designing your treatment plan, I look forward to to building one with you.
Hi! My name is Shelby Rouse, LAC, Certified Clinical Trauma Specialist. I am currently accepting new clients. I have experience with children and play therapy. I am also EMDR trained and trauma informed. I have worked in the behavioral health field for the past 4 years and specialized in Applied Behavior Analytics with children, adolescents, and young adults on the Autism Spectrum. A solid therapeutic alliance is one of the most important factors in counseling and with the art of listening and collaboratively designing your treatment plan, I look forward to to building one with you.
(480) 245-5573 View (480) 245-5573
Photo of Christy Pietzsch, Clinical Social Work/Therapist in 85201, AZ
Christy Pietzsch
Clinical Social Work/Therapist, LMSW
Verified Verified
Mesa, AZ 85201
Hi and Welcome. I am a Licensed Master Social Worker with a passion for working with teenagers and adults of all backgrounds. I have over five years of experience working with clients who have anxiety, depression, substance addiction, trauma, PTSD, low self-esteem, co-dependency, relationship issues, stress and life transitions. I have previous work experience in community mental health agencies.
Hi and Welcome. I am a Licensed Master Social Worker with a passion for working with teenagers and adults of all backgrounds. I have over five years of experience working with clients who have anxiety, depression, substance addiction, trauma, PTSD, low self-esteem, co-dependency, relationship issues, stress and life transitions. I have previous work experience in community mental health agencies.
(480) 482-1838 View (480) 482-1838
Photo of Summer Papin, Clinical Social Work/Therapist in 85201, AZ
Summer Papin
Clinical Social Work/Therapist, LCSW
Verified Verified
Mesa, AZ 85201  (Online Only)
I specialize in anxiety, depression, trauma, addictions, relationships and life changes.
Serving Nevada/Arizona- Whatever the reason you are here...know that I am here to help you through it -no matter how large or small! I want to help and support you through the challenges you are going through. We all experience difficulties in life and sometimes they can feel almost unbearable and we may feel alone. I am here for you. I provide a direct, supportive, empathetic and nonjudgmental approach in therapy. I strive to make the therapeutic process worthwhile and one you are glad you experienced. We will work together to meet your goals and build the skills you need to move on with your life in a positive and meaningful way.
I specialize in anxiety, depression, trauma, addictions, relationships and life changes.
Serving Nevada/Arizona- Whatever the reason you are here...know that I am here to help you through it -no matter how large or small! I want to help and support you through the challenges you are going through. We all experience difficulties in life and sometimes they can feel almost unbearable and we may feel alone. I am here for you. I provide a direct, supportive, empathetic and nonjudgmental approach in therapy. I strive to make the therapeutic process worthwhile and one you are glad you experienced. We will work together to meet your goals and build the skills you need to move on with your life in a positive and meaningful way.
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Photo of Home of Grace Counseling Arizona , Clinical Social Work/Therapist in 85201, AZ
Home of Grace Counseling Arizona
Clinical Social Work/Therapist, LCSW
Verified Verified
Mesa, AZ 85201
20+ years in PTSD, Trauma, and Addiction Therapy! Holistic healing, faith integration, trauma-informed care.
The ideal client seeks a holistic approach that acknowledges the interconnectedness of their emotional, psychological, and spiritual well-being. They desire a life marked by healing, sobriety, and spiritual fulfillment. Their motivation stems from a longing for peace, purpose, and a closer relationship with God, knowing that these elements are foundational to their overall health and recovery journey.
20+ years in PTSD, Trauma, and Addiction Therapy! Holistic healing, faith integration, trauma-informed care.
The ideal client seeks a holistic approach that acknowledges the interconnectedness of their emotional, psychological, and spiritual well-being. They desire a life marked by healing, sobriety, and spiritual fulfillment. Their motivation stems from a longing for peace, purpose, and a closer relationship with God, knowing that these elements are foundational to their overall health and recovery journey.
(480) 520-3081 View (480) 520-3081
Photo of Virginia Mohammed, Clinical Social Work/Therapist in 85201, AZ
Virginia Mohammed
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Mesa, AZ 85201
Virginia Mohammed is a Licensed Master Social Worker in Arizona. She graduated with a Master’s Degree in Social Work from the University of Missouri and works with trauma, stress, anxiety, depression, social skills, self-esteem, and grief. She has been providing mental health services for 12 years.
Virginia Mohammed is a Licensed Master Social Worker in Arizona. She graduated with a Master’s Degree in Social Work from the University of Missouri and works with trauma, stress, anxiety, depression, social skills, self-esteem, and grief. She has been providing mental health services for 12 years.
(623) 624-9869 View (623) 624-9869
Photo of Sarai Darbandi, Therapy, Coaching, & Breathwork, Clinical Social Work/Therapist in 85201, AZ
Sarai Darbandi, Therapy, Coaching, & Breathwork
Clinical Social Work/Therapist, LCSW, Coach
Verified Verified
Mesa, AZ 85201  (Online Only)
I provide trauma-informed, evidenced-based approaches combining Mindfulness, Breathwork, Somatic Experiencing, Inner child & Re-parenting Work/Internal Family Systems, & EMDR.
I'm delighted that you've found your way here! In my practice, I'm passionately dedicated to guiding individuals towards transformative solutions & resolutions in the areas that I specialize in which include: anxiety, childhood trauma, sexual trauma, religious/cult/control dynamics trauma, perfectionism, codependency, emotional eating, addictive patterns, relationships issues, high performance, entrepreneurship, & reclaiming & integrating the true self within. I also specialize in psychedelic & plant medicine preparation & integration. I am most versed in Ayahuasca, but also have training in Ketamine, Cannabis, MDMA, & Psilocybin.
I provide trauma-informed, evidenced-based approaches combining Mindfulness, Breathwork, Somatic Experiencing, Inner child & Re-parenting Work/Internal Family Systems, & EMDR.
I'm delighted that you've found your way here! In my practice, I'm passionately dedicated to guiding individuals towards transformative solutions & resolutions in the areas that I specialize in which include: anxiety, childhood trauma, sexual trauma, religious/cult/control dynamics trauma, perfectionism, codependency, emotional eating, addictive patterns, relationships issues, high performance, entrepreneurship, & reclaiming & integrating the true self within. I also specialize in psychedelic & plant medicine preparation & integration. I am most versed in Ayahuasca, but also have training in Ketamine, Cannabis, MDMA, & Psilocybin.
(520) 386-0470 View (520) 386-0470
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.