Trauma and PTSD Therapists in Kentucky

Photo of Kellie R. Dryden LCSW Counseling Services, PLLC, Clinical Social Work/Therapist in Kentucky
Kellie R. Dryden LCSW Counseling Services, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, KY 40503
I am a Licensed Clinical Social Worker in Lexington, Kentucky with over 20 years of experience in the field. I have been fortunate to serve our community in a variety of roles over the years and have gained experience working with diverse populations of individuals and families. Currently, I provide individual counseling to adults (18 years and above) with a variety of mental health needs including anxiety, burn out/stress, mood disorders/emotional regulation problems, depression, grief/loss, PTSD/trauma, self-esteem/self-confidence issues, life adjustment/life change issues, interpersonal/relational problems.
I am a Licensed Clinical Social Worker in Lexington, Kentucky with over 20 years of experience in the field. I have been fortunate to serve our community in a variety of roles over the years and have gained experience working with diverse populations of individuals and families. Currently, I provide individual counseling to adults (18 years and above) with a variety of mental health needs including anxiety, burn out/stress, mood disorders/emotional regulation problems, depression, grief/loss, PTSD/trauma, self-esteem/self-confidence issues, life adjustment/life change issues, interpersonal/relational problems.
(859) 374-7782 View (859) 374-7782
Photo of Donald V Crowe, Psychologist in Kentucky
Donald V Crowe
Psychologist, PhD
Verified Verified
1 Endorsed
Lexington, KY 40508
My guiding philosophy in working with clients is that what is right with a person can enable them to overcome what is wrong with them. My years of working with patients in various treatment settings have only strengthened that view. Whether the issue is depression, trauma, painful personal loss or getting through a difficult crossroad in one's life, my basic approach is to help the person find their own pathways to healing. This is like a process of making "repairs," not of the body necessarily, but repairing one's perspective on life and finding the wherewithal to constructively move forward.
My guiding philosophy in working with clients is that what is right with a person can enable them to overcome what is wrong with them. My years of working with patients in various treatment settings have only strengthened that view. Whether the issue is depression, trauma, painful personal loss or getting through a difficult crossroad in one's life, my basic approach is to help the person find their own pathways to healing. This is like a process of making "repairs," not of the body necessarily, but repairing one's perspective on life and finding the wherewithal to constructively move forward.
(859) 838-1206 x27 View (859) 838-1206 x27
Photo of MacKenzie Binkley, Clinical Social Work/Therapist in Kentucky
MacKenzie Binkley
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
2 Endorsed
Louisville, KY 40205
My name is MacKenzie Binkley, Licensed Clinical Social Worker and Certified Clinical Trauma Professional. I am a compassionate and holistic therapist who specializes in trauma work and disorders, such as post-traumatic stress disorder (PTSD) and depression, as well as addictions. With a deep understanding of the mind-body connection and importance of addressing all aspects of well-being, I am committed to guiding clients towards healing and growth. My goal in therapy is to create a safe and nurturing space for clients to explore their experiences, emotions, and beliefs.
My name is MacKenzie Binkley, Licensed Clinical Social Worker and Certified Clinical Trauma Professional. I am a compassionate and holistic therapist who specializes in trauma work and disorders, such as post-traumatic stress disorder (PTSD) and depression, as well as addictions. With a deep understanding of the mind-body connection and importance of addressing all aspects of well-being, I am committed to guiding clients towards healing and growth. My goal in therapy is to create a safe and nurturing space for clients to explore their experiences, emotions, and beliefs.
(502) 743-4821 View (502) 743-4821
Photo of Lee Alan Roussel, Marriage & Family Therapist in Kentucky
Lee Alan Roussel
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Louisville, KY 40207
I am a Licensed Marriage and Family Therapist. I have more than 10 years of clinical practice. I am trained in treating adults, children, adolescents and families. I also have extensive training in addiction and dually diagnosed clients. My training is in areas of CBT, Motivational Interviewing, IFS and certified in Anger Management. I have practiced within outpatient and inpatient settings for the past 13 years. I am currently working on becoming a supervisor for LMFT's. I take a trauma informed, compassionate approach while addressing the issues and dynamics head on. I work extremely well with families, adults, kids, adolescents and couples.
I am a Licensed Marriage and Family Therapist. I have more than 10 years of clinical practice. I am trained in treating adults, children, adolescents and families. I also have extensive training in addiction and dually diagnosed clients. My training is in areas of CBT, Motivational Interviewing, IFS and certified in Anger Management. I have practiced within outpatient and inpatient settings for the past 13 years. I am currently working on becoming a supervisor for LMFT's. I take a trauma informed, compassionate approach while addressing the issues and dynamics head on. I work extremely well with families, adults, kids, adolescents and couples.
(502) 413-2578 View (502) 413-2578
Photo of Jason D. Gati, Licensed Professional Clinical Counselor in Kentucky
Jason D. Gati
Licensed Professional Clinical Counselor, MEd, LPCC, NCC, CCTP
Verified Verified
Elizabethtown, KY 42701
Most likely, if you're reading this, it's because you've hit that wall - and what you do next could make it a true turning point in your life. Do you find yourself feeling anxious and unsatisfied? Even stagnant and exhausted from carrying that proverbial monkey around? I'm absolutely confident that I can help. Why? Because for years I have successfully worked with the most extreme and complex trauma cases. How? RELATIONSHIP. Yes, I'm extensively trained with a litany of certifications, but that is far less important than my personality and approach. Why?
Most likely, if you're reading this, it's because you've hit that wall - and what you do next could make it a true turning point in your life. Do you find yourself feeling anxious and unsatisfied? Even stagnant and exhausted from carrying that proverbial monkey around? I'm absolutely confident that I can help. Why? Because for years I have successfully worked with the most extreme and complex trauma cases. How? RELATIONSHIP. Yes, I'm extensively trained with a litany of certifications, but that is far less important than my personality and approach. Why?
(270) 216-5735 View (270) 216-5735
Photo of Michelle Stillwagon, Marriage & Family Therapist in Kentucky
Michelle Stillwagon
Marriage & Family Therapist, LMFT, CST
Verified Verified
Louisville, KY 40205
I help couples manage low desire, shame, sexual trauma, ED, pain, anxiety, resentment, PTSD, & dalt & monogamous lifers move beyond “just” sex toward your GOALS for pleasure and positive touch.
I work with couples and individuals who need a systemic perspective on how problems interact in relationships. Then, with my specialized lens, I am able to help clients get “unstuck” after years of no or low quality sex, desire discrepancies, medical issues that create disconnection, and pent up frustrations between partners. I am skilled, humorous, direct, honest, and loving with my clients. And I’m a welcoming, justice oriented, creative thinker who does not judge and is willing to walk alongside you through it all: fear, trauma, doubt, shame, guilt, sadness, and dark nights of the soul.
I help couples manage low desire, shame, sexual trauma, ED, pain, anxiety, resentment, PTSD, & dalt & monogamous lifers move beyond “just” sex toward your GOALS for pleasure and positive touch.
I work with couples and individuals who need a systemic perspective on how problems interact in relationships. Then, with my specialized lens, I am able to help clients get “unstuck” after years of no or low quality sex, desire discrepancies, medical issues that create disconnection, and pent up frustrations between partners. I am skilled, humorous, direct, honest, and loving with my clients. And I’m a welcoming, justice oriented, creative thinker who does not judge and is willing to walk alongside you through it all: fear, trauma, doubt, shame, guilt, sadness, and dark nights of the soul.
(502) 206-0649 View (502) 206-0649
Photo of Tera Rumbaugh Crawford, Licensed Professional Clinical Counselor in Kentucky
Tera Rumbaugh Crawford
Licensed Professional Clinical Counselor, PhD, MEd, LPCA, NCC
Verified Verified
Louisville, KY 40216  (Online Only)
For example, she can assist clients that are struggling with issues involving anxiety, depression, relationship difficulties, general stress, trauma, low self-esteem, life balance, or school-related issues.
Whatever difficult situation you are facing, you do not have to face it alone! Tera is dedicated to providing an open and supportive counseling environment to overcome any personal concerns. She believes that you are capable of making the necessary changes in your life to create a positive future for yourself. Tera will be there to help you and guide you as you begin this journey towards better mental health.
For example, she can assist clients that are struggling with issues involving anxiety, depression, relationship difficulties, general stress, trauma, low self-esteem, life balance, or school-related issues.
Whatever difficult situation you are facing, you do not have to face it alone! Tera is dedicated to providing an open and supportive counseling environment to overcome any personal concerns. She believes that you are capable of making the necessary changes in your life to create a positive future for yourself. Tera will be there to help you and guide you as you begin this journey towards better mental health.
(502) 215-3332 View (502) 215-3332
Photo of Julie Lee, Clinical Social Work/Therapist in Kentucky
Julie Lee
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Florence, KY 41042
She works with a wide range of mental health struggles including PTSD, ADD/ADHD, autism, developmental delay, anxiety, depression and different forms of psychosis.
Julie graduated with her Masters in Science and Social work from the University of Louisville. Julie is a Licensed Clinical Social Worker. She has worked with children and families in homes, schools and office utilizing multiple treatment modalities. In her free time she enjoys spending time with her husband, children and two dogs, crocheting, and other forms of arts and crafts.
She works with a wide range of mental health struggles including PTSD, ADD/ADHD, autism, developmental delay, anxiety, depression and different forms of psychosis.
Julie graduated with her Masters in Science and Social work from the University of Louisville. Julie is a Licensed Clinical Social Worker. She has worked with children and families in homes, schools and office utilizing multiple treatment modalities. In her free time she enjoys spending time with her husband, children and two dogs, crocheting, and other forms of arts and crafts.
(859) 413-3815 View (859) 413-3815
Photo of Jessica Kutz Flores, Art Therapist in Kentucky
Jessica Kutz Flores
Art Therapist, MA, LPAT
Verified Verified
4 Endorsed
Louisville, KY 40207
Is life feeling like too much to handle? Are you struggling with your own emotions or in your relationships? As human beings in a fast-paced modern society, we all face daily challenges and stressors. Some of us can navigate these issues on our own and others require a bit of professional support. I encourage clients to view therapy as a journey we embark on together. I have experience working with clients of all ages, and I welcome anyone who is looking to explore ways to improve their quality of life, whether it is due to life transitions, relationship conflicts, past trauma, or managing emotional challenges.
Is life feeling like too much to handle? Are you struggling with your own emotions or in your relationships? As human beings in a fast-paced modern society, we all face daily challenges and stressors. Some of us can navigate these issues on our own and others require a bit of professional support. I encourage clients to view therapy as a journey we embark on together. I have experience working with clients of all ages, and I welcome anyone who is looking to explore ways to improve their quality of life, whether it is due to life transitions, relationship conflicts, past trauma, or managing emotional challenges.
(502) 215-3467 View (502) 215-3467
Photo of Cadence Gazo, Art Therapist in Kentucky
Cadence Gazo
Art Therapist, MEd, LPATA
Verified Verified
2 Endorsed
Louisville, KY 40205
I use a person-centered, trauma-informed, integrative approach in all of the therapy modalities I offer.
I am Cadence Gazo, a Licensed Professional Art Therapist Associate and Trained EMDR Therapist dedicated to guiding and supporting people of all ages on their journey toward healing. I believe in the healing power of creative expression and a holistic approach. It can be difficult to put words to our visual experiences and emotions, especially when trauma has occurred. Expressive Therapies and EMDR can help us to connect these and bring fragmented parts of ourselves together. My goal is to facilitate a space in which you can process the difficulties of life, strengthen resiliency skills, overcome and heal from trauma, and thrive.
I use a person-centered, trauma-informed, integrative approach in all of the therapy modalities I offer.
I am Cadence Gazo, a Licensed Professional Art Therapist Associate and Trained EMDR Therapist dedicated to guiding and supporting people of all ages on their journey toward healing. I believe in the healing power of creative expression and a holistic approach. It can be difficult to put words to our visual experiences and emotions, especially when trauma has occurred. Expressive Therapies and EMDR can help us to connect these and bring fragmented parts of ourselves together. My goal is to facilitate a space in which you can process the difficulties of life, strengthen resiliency skills, overcome and heal from trauma, and thrive.
(502) 236-5517 View (502) 236-5517
Photo of Shelby Pennick, Licensed Professional Counselor in Kentucky
Shelby Pennick
Licensed Professional Counselor, MS, LPCC, NCC
Verified Verified
2 Endorsed
Lexington, KY 40513
The theories that I utilize in counseling can be particularly helpful for someone who has experienced trauma.
Your life is your story. Counseling is your opportunity to tell it. What parts of your story are you proud of and what parts of your story cause pain? I believe that both are important. Together I will work with you to look at the story you tell about yourself to find peace and meaning. This meaning can lead to healing. As a counselor I focus on collaborating with my clients on their journey to healing. I feel that this journey can lead to a beautiful transformation. We will work together to help you transform in the ways you are hoping.
The theories that I utilize in counseling can be particularly helpful for someone who has experienced trauma.
Your life is your story. Counseling is your opportunity to tell it. What parts of your story are you proud of and what parts of your story cause pain? I believe that both are important. Together I will work with you to look at the story you tell about yourself to find peace and meaning. This meaning can lead to healing. As a counselor I focus on collaborating with my clients on their journey to healing. I feel that this journey can lead to a beautiful transformation. We will work together to help you transform in the ways you are hoping.
(859) 354-3796 View (859) 354-3796
Photo of Christy Theodore, Counselor in Kentucky
Christy Theodore
Counselor, LPCA, NCC
Verified Verified
1 Endorsed
Louisville, KY 40222  (Online Only)
Clients typically approach me when they have experienced trauma (single incident or complex, recent or past) or are experiencing concerns related to the perinatal time period. This includes anxiety, depression, miscarriage, birth trauma, infertility, guilt, and overwhelm. I work best with clients who are looking to explore the deeper root of their problems rather than only the symptoms. I also identify as Christian. I can incorporate faith into counseling upon a client's request; however, I work with clients from a variety of belief systems and only include clients' spiritual or religious beliefs when requested and appropriate.
Clients typically approach me when they have experienced trauma (single incident or complex, recent or past) or are experiencing concerns related to the perinatal time period. This includes anxiety, depression, miscarriage, birth trauma, infertility, guilt, and overwhelm. I work best with clients who are looking to explore the deeper root of their problems rather than only the symptoms. I also identify as Christian. I can incorporate faith into counseling upon a client's request; however, I work with clients from a variety of belief systems and only include clients' spiritual or religious beliefs when requested and appropriate.
(502) 316-9288 View (502) 316-9288
Photo of Marie Coma-Thompson, Licensed Professional Clinical Counselor in Kentucky
Marie Coma-Thompson
Licensed Professional Clinical Counselor, MEd, LPCC, E-RYT
Verified Verified
Louisville, KY 40204
I specialize in working with grief, loss, and trauma and also have experience working with anxiety disorders, substance use disorders, depression, and relationship issues. I take a compassionate, non-judgmental approach to therapy and enjoy relating to and uncovering a person’s highest self. In my work with clients, I draw from mindfulness-based therapies such as Acceptance and Commitment Therapy and Dialectical Behavioral Therapy as well as from Cognitive Behavioral Therapy, Buddhist Psychology, and Existential approaches. Additionally, I am trained in EMDR, an evidence-based treatment for trauma.
I specialize in working with grief, loss, and trauma and also have experience working with anxiety disorders, substance use disorders, depression, and relationship issues. I take a compassionate, non-judgmental approach to therapy and enjoy relating to and uncovering a person’s highest self. In my work with clients, I draw from mindfulness-based therapies such as Acceptance and Commitment Therapy and Dialectical Behavioral Therapy as well as from Cognitive Behavioral Therapy, Buddhist Psychology, and Existential approaches. Additionally, I am trained in EMDR, an evidence-based treatment for trauma.
(502) 398-9081 View (502) 398-9081
Photo of Bethany Clayton, Counselor in Kentucky
Bethany Clayton
Counselor, LPCA
Verified Verified
1 Endorsed
Lexington, KY 40509
Wondering if ADHD has held you back your whole life? I would love to help you find out. I also specialize in anxiety, depression, adjustment issues, trauma, spiritual issues, and relational issues. These issues tend to overlap and overflow to multiple areas of life. Let's navigate them together!
Wondering if ADHD has held you back your whole life? I would love to help you find out. I also specialize in anxiety, depression, adjustment issues, trauma, spiritual issues, and relational issues. These issues tend to overlap and overflow to multiple areas of life. Let's navigate them together!
(859) 605-3588 View (859) 605-3588
Photo of Leslie Faulkner, Licensed Professional Clinical Counselor in Kentucky
Leslie Faulkner
Licensed Professional Clinical Counselor, MEd, LPCC
Verified Verified
Paducah, KY 42003
Leslie Faulkner, M.Ed, LPCC is a licensed therapist in Kentucky specializing in anxiety and depression counseling as well as helping those with trauma.
Leslie Faulkner, M.Ed, LPCC is a licensed therapist in Kentucky specializing in anxiety and depression counseling as well as helping those with trauma.
(270) 896-4147 View (270) 896-4147
Photo of JoAnn W Payne, Clinical Social Work/Therapist in Kentucky
JoAnn W Payne
Clinical Social Work/Therapist, LCSW
Verified Verified
Florence, KY 41042
I completed 3 years of healing trauma training in Somatic Experiencing.
If you would like to restore a balance of healthy alertness and a peaceful settling and calm within, my practice may offer a fresh alternative. I provide a compassionate, emotionally safe, and accepting therapeutic environment. Relationship concerns, LGBTQIA, self-esteem struggles, grief, and low motivation are welcome for exploration and growth. My most recent experience has been in a high school setting, working with teens and families.One area of expertise is advocating for students with learning differences, to support specific learning needs. If you feel weighted by trauma or PTSD, I offer Trauma Healing.
I completed 3 years of healing trauma training in Somatic Experiencing.
If you would like to restore a balance of healthy alertness and a peaceful settling and calm within, my practice may offer a fresh alternative. I provide a compassionate, emotionally safe, and accepting therapeutic environment. Relationship concerns, LGBTQIA, self-esteem struggles, grief, and low motivation are welcome for exploration and growth. My most recent experience has been in a high school setting, working with teens and families.One area of expertise is advocating for students with learning differences, to support specific learning needs. If you feel weighted by trauma or PTSD, I offer Trauma Healing.
(844) 738-0769 View (844) 738-0769
Photo of Peter B Smith, Licensed Professional Clinical Counselor in Kentucky
Peter B Smith
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Grayson, KY 41143
If you are on this page you’re likely “shopping” therapists. If you're looking for an EMDR therapist look no further. If you are an adult or teen struggling with the stress and pressure of life, difficulty with depression or anxiety, a veteran, or perhaps suffering with PTSD, then I might be able to help. Perhaps you struggle with body image issues, maybe life is just overwhelming, people reach out to me for a vast amount of reasons and I don't know if it's a good fit until you reach out. So why would you want to contact me?
If you are on this page you’re likely “shopping” therapists. If you're looking for an EMDR therapist look no further. If you are an adult or teen struggling with the stress and pressure of life, difficulty with depression or anxiety, a veteran, or perhaps suffering with PTSD, then I might be able to help. Perhaps you struggle with body image issues, maybe life is just overwhelming, people reach out to me for a vast amount of reasons and I don't know if it's a good fit until you reach out. So why would you want to contact me?
(606) 366-7573 View (606) 366-7573
Photo of Jennifer Wilson, Licensed Professional Clinical Counselor in Kentucky
Jennifer Wilson
Licensed Professional Clinical Counselor, MA, LPCC, NCC
Verified Verified
1 Endorsed
Richmond, KY 40475  (Online Only)
I offer a non-judgmental and individualized approach to therapy that values the authentic relationship between therapist and client. I work with children, adolescents, adults, and families. I have a special interest in the topics of trauma, loss, depression, and anxiety. At times, life can be difficult, disappointing, and painful. But I believe that people are resilient. With a therapeutic partnership people can navigate through their struggles and work toward healing.
I offer a non-judgmental and individualized approach to therapy that values the authentic relationship between therapist and client. I work with children, adolescents, adults, and families. I have a special interest in the topics of trauma, loss, depression, and anxiety. At times, life can be difficult, disappointing, and painful. But I believe that people are resilient. With a therapeutic partnership people can navigate through their struggles and work toward healing.
(859) 217-4479 View (859) 217-4479
Photo of Kelsey Ross, Counselor in Kentucky
Kelsey Ross
Counselor, MACMHC, MAAC, LPCA
Verified Verified
1 Endorsed
Midway, KY 40347  (Online Only)
Kelsey, MACMHC, MAAC, BSP, LPCA provides services to women and young adults. Her primary focus is in women's health and she provides therapy to women of all ages of multiple stressors including anxiety, depression, pregnancy & postpartum stress, chronic pain, parenting struggles and more. Kelsey has experience working with neurodiverse individuals with ADHD and autism. She provides trauma therapy and mindfulness practice to her clients. In addition, Kelsey collaborates with pelvic floor physical therapists and OBGYN's in the area to assist her clients with pelvic floor dysfunction, pelvic pain, prolapse, Sex Therapy, etc.
Kelsey, MACMHC, MAAC, BSP, LPCA provides services to women and young adults. Her primary focus is in women's health and she provides therapy to women of all ages of multiple stressors including anxiety, depression, pregnancy & postpartum stress, chronic pain, parenting struggles and more. Kelsey has experience working with neurodiverse individuals with ADHD and autism. She provides trauma therapy and mindfulness practice to her clients. In addition, Kelsey collaborates with pelvic floor physical therapists and OBGYN's in the area to assist her clients with pelvic floor dysfunction, pelvic pain, prolapse, Sex Therapy, etc.
(859) 251-2985 View (859) 251-2985
Photo of Abby Mcadams, Pre-Licensed Professional in Kentucky
Abby Mcadams
Pre-Licensed Professional, LPCA, MSEd
Verified Verified
Frankfort, KY 40601
She specializes in trauma-related disorders, substance use, and childhood development.
Abby prioritizes cultivating a love ethic in both personal and professional spheres, guided by psychiatrist M. Scott Peck's definition of love as, 'the will to extend oneself for the purpose of nurturing one's own or another's spiritual growth.' Within her practice, a deliberate choice is made to foster holistic well-being. Central to Abby's philosophy is the concept of empathy, extending compassion beyond individual experiences to advocate for justice and equity. Through these principles, Abby creates a therapeutic environment where individuals find solace, healing, and empowerment.
She specializes in trauma-related disorders, substance use, and childhood development.
Abby prioritizes cultivating a love ethic in both personal and professional spheres, guided by psychiatrist M. Scott Peck's definition of love as, 'the will to extend oneself for the purpose of nurturing one's own or another's spiritual growth.' Within her practice, a deliberate choice is made to foster holistic well-being. Central to Abby's philosophy is the concept of empathy, extending compassion beyond individual experiences to advocate for justice and equity. Through these principles, Abby creates a therapeutic environment where individuals find solace, healing, and empowerment.
(502) 547-0365 View (502) 547-0365
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.