Photo of Chance Boley, Counselor in 98104, WA
Chance Boley
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98104
I work with people dealing with emotional problems that manifest as depression, anxiety, relationship issues, and trauma. The encounters with emotions seem powerful, overwhelming, and mysterious. They may feel so powerful, that you push away, stuff down, use substances, or even allow the emotions to direct your actions and thoughts. It can feel confusing of how you can build strength to overcome emotional wounds. How do you make sense of what doesn’t always make sense? Exploring your emotions with a therapist can be healing and encouraging.
I work with people dealing with emotional problems that manifest as depression, anxiety, relationship issues, and trauma. The encounters with emotions seem powerful, overwhelming, and mysterious. They may feel so powerful, that you push away, stuff down, use substances, or even allow the emotions to direct your actions and thoughts. It can feel confusing of how you can build strength to overcome emotional wounds. How do you make sense of what doesn’t always make sense? Exploring your emotions with a therapist can be healing and encouraging.
(206) 800-0387 View (206) 800-0387
Photo of Andrew Zorich, Pre-Licensed Professional in 98104, WA
Andrew Zorich
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
Have you been seeking greater calm, clarity, and centeredness? Are you carrying deep traumas or stresses that continually hinder you from living life to the fullest? If so, I want to assure you that you are not alone. Seeking help takes courage, and I want you to feel at ease throughout the process. Whether you are dealing with trauma, PTSD, C-PTSD, panic, anxiety, grief, depression, or relational issues, my approach is individualized, inclusive, and strengths-based. Every step of the way, I want you to feel deeply seen, heard, and empowered.
Have you been seeking greater calm, clarity, and centeredness? Are you carrying deep traumas or stresses that continually hinder you from living life to the fullest? If so, I want to assure you that you are not alone. Seeking help takes courage, and I want you to feel at ease throughout the process. Whether you are dealing with trauma, PTSD, C-PTSD, panic, anxiety, grief, depression, or relational issues, my approach is individualized, inclusive, and strengths-based. Every step of the way, I want you to feel deeply seen, heard, and empowered.
(425) 655-1463 View (425) 655-1463
Photo of Mark Conley, Clinical Social Work/Therapist in 98104, WA
Mark Conley
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Seattle, WA 98104
I am certified/trained in Acceptance Commitment Therapy for both Depression and Anxiety, Interpersonal Psychotherapy for Depression, Dialectical Behavioral Therapy, Trauma therapies (Prolonged Exposure and Cognitive Processing Therapy) and Couples therapy.
My approach to therapy is client centered utilizing evidence based therapies and customizing treatment to the client. I specialize in couples and individual treatment.
I am certified/trained in Acceptance Commitment Therapy for both Depression and Anxiety, Interpersonal Psychotherapy for Depression, Dialectical Behavioral Therapy, Trauma therapies (Prolonged Exposure and Cognitive Processing Therapy) and Couples therapy.
My approach to therapy is client centered utilizing evidence based therapies and customizing treatment to the client. I specialize in couples and individual treatment.
(206) 558-0238 View (206) 558-0238
Photo of Gabriel Wisswaesser, Pre-Licensed Professional in 98104, WA
Gabriel Wisswaesser
Pre-Licensed Professional, MS
Verified Verified
Seattle, WA 98104  (Online Only)
Abrupt life changes, relationship stress, and traumas can leave us feeling disconnected and overwhelmed. It’s a brave move to reach out for help and I am here to offer compassion, collaboration, and empowerment. I am LGBTQIA+ and ENM affirming and pull from feminist theory and its framing of oppression as a contributor to personal struggle. My expertise includes adjustment to life transitions, family trauma, complex PTSD, and addiction issues.
Abrupt life changes, relationship stress, and traumas can leave us feeling disconnected and overwhelmed. It’s a brave move to reach out for help and I am here to offer compassion, collaboration, and empowerment. I am LGBTQIA+ and ENM affirming and pull from feminist theory and its framing of oppression as a contributor to personal struggle. My expertise includes adjustment to life transitions, family trauma, complex PTSD, and addiction issues.
(425) 600-5989 View (425) 600-5989
Photo of Jeff Watson, Mental Health Counselor in 98104, WA
Jeff Watson
Mental Health Counselor, EdD, MS, LMHC, NCC, CCTP
Verified Verified
Seattle, WA 98104
I work with a wide range of clients, many of whom share similar challenges—work and organizational stress, health concerns, grief and loss; or are experiencing other difficulties, such as PTSD and other traumas (including compassion fatigue), depression, or anxiety. My approach is person-centered, focusing on you, the client, and the moment-to-moment engagement, discovering insights together. I can help you discover insights into barriers, and the constructive solutions to overcoming those barriers. Each person has the right to live a life free of negative thoughts and experiences—a life of healthy well-being.
I work with a wide range of clients, many of whom share similar challenges—work and organizational stress, health concerns, grief and loss; or are experiencing other difficulties, such as PTSD and other traumas (including compassion fatigue), depression, or anxiety. My approach is person-centered, focusing on you, the client, and the moment-to-moment engagement, discovering insights together. I can help you discover insights into barriers, and the constructive solutions to overcoming those barriers. Each person has the right to live a life free of negative thoughts and experiences—a life of healthy well-being.
(425) 307-4162 View (425) 307-4162
Photo of Michelle Sells, Clinical Social Work/Therapist in 98104, WA
Michelle Sells
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98104  (Online Only)
I have many years of experience working with children, teens, adults and families in varying situations. I have an extensive background in working with children, teens, families, LGBTQIA+ folks, adults, and those who are retired. I have done work around complex trauma, stress, depression, anxiety, transitions, self-esteem, parenting issues, as well as a specialty in grief/loss, anticipatory grief, end of life, hospice and chronic medical issues.
I have many years of experience working with children, teens, adults and families in varying situations. I have an extensive background in working with children, teens, families, LGBTQIA+ folks, adults, and those who are retired. I have done work around complex trauma, stress, depression, anxiety, transitions, self-esteem, parenting issues, as well as a specialty in grief/loss, anticipatory grief, end of life, hospice and chronic medical issues.
(920) 315-3915 View (920) 315-3915
Photo of Ilana Skarling, Clinical Social Work/Therapist in 98104, WA
Ilana Skarling
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
You are not too much. Nor is what you have been through too much. If you struggle with gender or sexual identity, sexual or domestic violence, or other forms of lasting trauma, I can help. Just know that I believe you to be, at this moment, exactly who you need to be in order to survive. I also believe that things can get better.
You are not too much. Nor is what you have been through too much. If you struggle with gender or sexual identity, sexual or domestic violence, or other forms of lasting trauma, I can help. Just know that I believe you to be, at this moment, exactly who you need to be in order to survive. I also believe that things can get better.
(206) 752-5508 View (206) 752-5508
Photo of Lynelle S. Kearney, Marriage & Family Therapist in 98104, WA
Lynelle S. Kearney
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98104  (Online Only)
I specialize in the treatment of trauma and work with first responders, military, victim/survivors of neglect, physical and emotional abuse; and sexual violence.
I work with teens, adults, couples/partners and families. I utilize research backed therapies in my practice including but not limited to Family Systems, EMDR, Internal Family Systems, Emotionally Focused Therapy, and the Gottman Method.
I specialize in the treatment of trauma and work with first responders, military, victim/survivors of neglect, physical and emotional abuse; and sexual violence.
I work with teens, adults, couples/partners and families. I utilize research backed therapies in my practice including but not limited to Family Systems, EMDR, Internal Family Systems, Emotionally Focused Therapy, and the Gottman Method.
(253) 225-1105 View (253) 225-1105
Photo of Erika R. Dorsey, Counselor in 98104, WA
Erika R. Dorsey
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Seattle, WA 98104
I work with trauma, depression, anxiety, life transitions, grief and loss, relationship and career/work issues.
I provide a safe, supportive environment for you to explore the areas in your life in which you are struggling. We all have challenges, and, at some point, we are ready to experience lasting change and healing. Seeking help takes courage and commitment but can lead to a more meaningful life and overall well being. My approach is based on genuine compassion, understanding and mutual respect. I have over 20 years of experience in the mental health field and would love to help you discover your personal strengths and resources, regaining your inherent vitality for life!
I work with trauma, depression, anxiety, life transitions, grief and loss, relationship and career/work issues.
I provide a safe, supportive environment for you to explore the areas in your life in which you are struggling. We all have challenges, and, at some point, we are ready to experience lasting change and healing. Seeking help takes courage and commitment but can lead to a more meaningful life and overall well being. My approach is based on genuine compassion, understanding and mutual respect. I have over 20 years of experience in the mental health field and would love to help you discover your personal strengths and resources, regaining your inherent vitality for life!
(586) 838-2129 View (586) 838-2129
Photo of Savy Counseling Services LLC, Clinical Social Work/Therapist in 98104, WA
Savy Counseling Services LLC
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
2 Endorsed
Seattle, WA 98104  (Online Only)
I provide treatment for Depression, Anxiety, Trauma, ADHD, Domestic Violence, Sexual Abuse, Mood Disorders, PTSD, Divorce, Anger Management, Spiritual Issues, Grief Counseling, Bullying, Self-Harm, Self-Esteem Issues, Broken Relationships, Eating Disorders, and Dual Diagnosis and more.
Savy Counseling Services LLC is a counseling practice focused on your emotional and mind health. Services are provided in a private caring atmosphere. I work to provide empowerment and understanding during sessions. I provide counseling for children, adolescents, families, couples and adults. I have worked in the field of mental health for 25 years.
I provide treatment for Depression, Anxiety, Trauma, ADHD, Domestic Violence, Sexual Abuse, Mood Disorders, PTSD, Divorce, Anger Management, Spiritual Issues, Grief Counseling, Bullying, Self-Harm, Self-Esteem Issues, Broken Relationships, Eating Disorders, and Dual Diagnosis and more.
Savy Counseling Services LLC is a counseling practice focused on your emotional and mind health. Services are provided in a private caring atmosphere. I work to provide empowerment and understanding during sessions. I provide counseling for children, adolescents, families, couples and adults. I have worked in the field of mental health for 25 years.
(317) 606-3617 View (317) 606-3617
Photo of Monique Brown, Psychologist in 98104, WA
Monique Brown
Psychologist, PsyD
Verified Verified
1 Endorsed
Seattle, WA 98104
Sometimes feelings and behaviors become obstacles to accessing your strength. If you don't accept yourself as you are, you can't change--a paradox, but true. Self-acceptance can be difficult, especially with history of abuse, trauma, or opression in which shame/guilt become integral to your sense of self. Destructive behavior, in whatever form, has its own logic, but is understandable given your history. We cope in ways that serve to protect ourselves in childhood--serving a useful purpose back then. But now, they prevent you from having stable, close relationships and feeling an empowered sense of self.
Sometimes feelings and behaviors become obstacles to accessing your strength. If you don't accept yourself as you are, you can't change--a paradox, but true. Self-acceptance can be difficult, especially with history of abuse, trauma, or opression in which shame/guilt become integral to your sense of self. Destructive behavior, in whatever form, has its own logic, but is understandable given your history. We cope in ways that serve to protect ourselves in childhood--serving a useful purpose back then. But now, they prevent you from having stable, close relationships and feeling an empowered sense of self.
(206) 538-2876 View (206) 538-2876
Photo of Matthew A Smith, Counselor in 98104, WA
Matthew A Smith
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98104
Do you feel stuck in the past, anxious and on edge in the present, and/or constantly fearful about the future? Are you struggling to create the intimacy and connections you desire? Do you feel detached, unaware of your body, and unlike yourself? These are just a few of the heartbreaking realities experienced by survivors of everyday, acute, and chronic trauma. This is why I am here, to help you navigate the tangled web of relationships and trauma, build the skills you need to engage your story with honesty and kindness, and to find the healing you long for.
Do you feel stuck in the past, anxious and on edge in the present, and/or constantly fearful about the future? Are you struggling to create the intimacy and connections you desire? Do you feel detached, unaware of your body, and unlike yourself? These are just a few of the heartbreaking realities experienced by survivors of everyday, acute, and chronic trauma. This is why I am here, to help you navigate the tangled web of relationships and trauma, build the skills you need to engage your story with honesty and kindness, and to find the healing you long for.
(206) 823-2017 View (206) 823-2017
Photo of David Bennett, Counselor in 98104, WA
David Bennett
Counselor, MA, LMHC, CMHS
Verified Verified
Seattle, WA 98104
If you, or someone you care for, are having difficulties with relationships, personal challenges, emotional balance, or past trauma, I can help. I have 30 years of experience working with adults, couples, children and adolescents supporting emotional health and well being. People seek my help because they find me easy to talk with, experienced and insightful, genuine, open and supportive. My areas of expertise include: anxiety and stress management, child/adolescent/adult depression, family conflict, relationship counseling, communication skills development, anger management, adoption and attachment, sexual and physical trauma, ADD/ADHD, divorce, childhood adjustment and self-esteem.
If you, or someone you care for, are having difficulties with relationships, personal challenges, emotional balance, or past trauma, I can help. I have 30 years of experience working with adults, couples, children and adolescents supporting emotional health and well being. People seek my help because they find me easy to talk with, experienced and insightful, genuine, open and supportive. My areas of expertise include: anxiety and stress management, child/adolescent/adult depression, family conflict, relationship counseling, communication skills development, anger management, adoption and attachment, sexual and physical trauma, ADD/ADHD, divorce, childhood adjustment and self-esteem.
(206) 745-5769 View (206) 745-5769
Photo of Conduit Counseling PLLC, Counselor in 98104, WA
Conduit Counseling PLLC
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98104  (Online Only)
My ideal client is interested in diving into deeper work to further gain insight and awareness to underlying issues creating dysregulation and overwhelm. I'm passionate about working with neurodivergent individuals to better understand their needs and strengths when navigating a neurotypical world. I enjoy supporting individuals with single-incident or chronic stress and trauma. Mostly, I enjoy supporting people on their healing journey and feel it is an honor to walk the path alongside them.
My ideal client is interested in diving into deeper work to further gain insight and awareness to underlying issues creating dysregulation and overwhelm. I'm passionate about working with neurodivergent individuals to better understand their needs and strengths when navigating a neurotypical world. I enjoy supporting individuals with single-incident or chronic stress and trauma. Mostly, I enjoy supporting people on their healing journey and feel it is an honor to walk the path alongside them.
(253) 204-3171 View (253) 204-3171
Photo of Collins Counseling Center, Licensed Professional Counselor in 98104, WA
Collins Counseling Center
Licensed Professional Counselor, LPC-S
Verified Verified
Seattle, WA 98104
I use multiple trauma focused therapies including Eye-Movement Desensitization, and Reprocessing, Thought Field Therapy, and Dialectical Behavior Therapy.
Telehealth sessions available in all of Texas and in Washington and In-office sessions in Dallas, TX. I am a Licensed Professional Counselor-Supervisor with over 30 years of experience working with children, adolescents, and adults. I specialize in counseling children, adolescents, and adult who have been victims of crime. I also assist with divorce issues, issues related to parental use of drugs and alcohol, and I offer parental guidance. With adults and adolescents, I also offer counseling on addiction, depression, anxiety, divorce, and mental health concerns.
I use multiple trauma focused therapies including Eye-Movement Desensitization, and Reprocessing, Thought Field Therapy, and Dialectical Behavior Therapy.
Telehealth sessions available in all of Texas and in Washington and In-office sessions in Dallas, TX. I am a Licensed Professional Counselor-Supervisor with over 30 years of experience working with children, adolescents, and adults. I specialize in counseling children, adolescents, and adult who have been victims of crime. I also assist with divorce issues, issues related to parental use of drugs and alcohol, and I offer parental guidance. With adults and adolescents, I also offer counseling on addiction, depression, anxiety, divorce, and mental health concerns.
(214) 499-9405 View (214) 499-9405
Photo of Julie Turcott, Counselor in 98104, WA
Julie Turcott
Counselor, MA, LMHC, CMHS
Verified Verified
2 Endorsed
Seattle, WA 98104
I specialize in providing treatment for trauma, depression, anxiety, relationship issues, social anxiety, life transitions, self-esteem/worth and family issues.
I believe therapy offers a profound opportunity for growth and change. I'll be curious about your experience, and we'll pay attention to what feels most important to you as we talk together about your thoughts and feelings. Through this process you'll gain a deeper understanding of yourself. You'll also come to better know your own strengths and resiliency. I am warm, thoughtful, and engaging in my approach and believe that a safe and supportive therapy relationship is essential in easing feelings of discomfort that normally accompany change.
I specialize in providing treatment for trauma, depression, anxiety, relationship issues, social anxiety, life transitions, self-esteem/worth and family issues.
I believe therapy offers a profound opportunity for growth and change. I'll be curious about your experience, and we'll pay attention to what feels most important to you as we talk together about your thoughts and feelings. Through this process you'll gain a deeper understanding of yourself. You'll also come to better know your own strengths and resiliency. I am warm, thoughtful, and engaging in my approach and believe that a safe and supportive therapy relationship is essential in easing feelings of discomfort that normally accompany change.
(206) 531-7392 View (206) 531-7392
Photo of Matthew Horner, Psychologist in 98104, WA
Matthew Horner
Psychologist, PsyD
Verified Verified
Seattle, WA 98104
I specialize in trauma treatment (PTSD and Developmental Trauma), as well as coping skills, anxiety, depression, communication, relationships, and other situations.
If you need a committed and competent professional to help you with making changes in your life and how you experience it, I'd be more than happy to talk with you about what that might look like. I'm a lifer, dedicated to my profession, my clients, and to making your efforts count so that they lead to real and lasting changes. I work hard to get you results that are as quick as possible, and that will last through the lifespan. I am licensed in both Washington State and Alaska. I offer conventional psychotherapeutic services, as well as Tier 2 services for the highly motivated individual.
I specialize in trauma treatment (PTSD and Developmental Trauma), as well as coping skills, anxiety, depression, communication, relationships, and other situations.
If you need a committed and competent professional to help you with making changes in your life and how you experience it, I'd be more than happy to talk with you about what that might look like. I'm a lifer, dedicated to my profession, my clients, and to making your efforts count so that they lead to real and lasting changes. I work hard to get you results that are as quick as possible, and that will last through the lifespan. I am licensed in both Washington State and Alaska. I offer conventional psychotherapeutic services, as well as Tier 2 services for the highly motivated individual.
(406) 732-2446 View (406) 732-2446
Photo of Whitney Lynn Erickson, Clinical Social Work/Therapist in 98104, WA
Whitney Lynn Erickson
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98104
Waitlist for new clients
I am specialized in: eating disorders, substance abuse, addiction, codependency, anger, ADHD, PTSD, OCD, autism, sensory processing disorder, depression, anxiety, trauma, parent/child conflict, mood disorders, self-injury, self-harm, suicidal ideation. I have worked in inpatient, residential, or day treatment levels of care for almost 16 years with a variety of populations and have vast knowledge and expertise in being able to provide safety and support for those in need. You can expect to be pushed and challenged and find your way to healing and creating a pathway forward. You can also find me at whitneyericksoncounseling.com
I am specialized in: eating disorders, substance abuse, addiction, codependency, anger, ADHD, PTSD, OCD, autism, sensory processing disorder, depression, anxiety, trauma, parent/child conflict, mood disorders, self-injury, self-harm, suicidal ideation. I have worked in inpatient, residential, or day treatment levels of care for almost 16 years with a variety of populations and have vast knowledge and expertise in being able to provide safety and support for those in need. You can expect to be pushed and challenged and find your way to healing and creating a pathway forward. You can also find me at whitneyericksoncounseling.com
(253) 285-7786 View (253) 285-7786
Photo of Changing Stories Counseling, Marriage & Family Therapist in 98104, WA
Changing Stories Counseling
Marriage & Family Therapist, MFA, MA, LMFT
Verified Verified
2 Endorsed
Seattle, WA 98104
Waitlist for new clients
I am most passionate about working with T/trauma, as I believe it unlocks the possibility of freedom/healing and growth.
UPDATE: I have room for 2-3 new clients that can pay out of pocket (I hate writing this, but it's the reality for therapists in the world of managed care).However, I am also diversifying my career and and am open to many clients as a trauma writing mentor/editor and more. Writing through healing is at least of equal value to psychotherapy. If you are interested in these services, visit me at www.elihastings.com) - I would be so delighted to work in tandem with other therapists, so please do consider if your clients might benefit!
I am most passionate about working with T/trauma, as I believe it unlocks the possibility of freedom/healing and growth.
UPDATE: I have room for 2-3 new clients that can pay out of pocket (I hate writing this, but it's the reality for therapists in the world of managed care).However, I am also diversifying my career and and am open to many clients as a trauma writing mentor/editor and more. Writing through healing is at least of equal value to psychotherapy. If you are interested in these services, visit me at www.elihastings.com) - I would be so delighted to work in tandem with other therapists, so please do consider if your clients might benefit!
(206) 535-1958 View (206) 535-1958
Photo of Syzygy Psychotherapy Collective, Marriage & Family Therapist in 98104, WA
Syzygy Psychotherapy Collective
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98104
As a trauma-informed collective, our practitioners are equipped with the tools and knowledge to help you navigate a variety of human challenges.
At Syzygy, we offer a truly holistic path forward through supporting the alignment of your mind, body, and spirit with comprehensive mental health treatments. Our integrated approach to mental wellness combines cutting-edge advances in psychiatry, nutritional support, psychotherapy, psychedelic medicine, movement, yoga, expressive arts, group work, couples/relational therapy, and more. We believe in the healing potential of Non-Ordinary States of Consciousness and Psychedelic-Assisted therapy. We are committed to adequatley preparing you, and supporting the integration of these profoundly transformational experiences.
As a trauma-informed collective, our practitioners are equipped with the tools and knowledge to help you navigate a variety of human challenges.
At Syzygy, we offer a truly holistic path forward through supporting the alignment of your mind, body, and spirit with comprehensive mental health treatments. Our integrated approach to mental wellness combines cutting-edge advances in psychiatry, nutritional support, psychotherapy, psychedelic medicine, movement, yoga, expressive arts, group work, couples/relational therapy, and more. We believe in the healing potential of Non-Ordinary States of Consciousness and Psychedelic-Assisted therapy. We are committed to adequatley preparing you, and supporting the integration of these profoundly transformational experiences.
(206) 231-5953 View (206) 231-5953
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.