Trauma and PTSD Therapists in Louisville, KY

Photo of Marie Coma-Thompson, Licensed Professional Clinical Counselor in Louisville, KY
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 Karen Chapman, Clinical Social Work/Therapist in Louisville, KY
Karen Chapman
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40222
Waitlist for new clients
I am trained in many evidenced-based modalities proven to reduce symptoms of trauma but believe strongly that therapy must be tailored to the person.
Have you experienced a life-changing event? Is it a struggle to integrate it in your life? I have a passion for and am trained to help process significant life events and loss/grief surrounding your experience. Such events often change you and the way you see/interact with the world and a strength of mine it to help folks explore those changes and their impact. I am committed to honesty and positive intention. I enjoy working with people diverse in identity. I am currently enjoying and finding success working with many Gen Z (18+), millennial and Gen X populations with a lot of experience in across the LGBTQIA+ spectrum.
I am trained in many evidenced-based modalities proven to reduce symptoms of trauma but believe strongly that therapy must be tailored to the person.
Have you experienced a life-changing event? Is it a struggle to integrate it in your life? I have a passion for and am trained to help process significant life events and loss/grief surrounding your experience. Such events often change you and the way you see/interact with the world and a strength of mine it to help folks explore those changes and their impact. I am committed to honesty and positive intention. I enjoy working with people diverse in identity. I am currently enjoying and finding success working with many Gen Z (18+), millennial and Gen X populations with a lot of experience in across the LGBTQIA+ spectrum.
(502) 305-3450 View (502) 305-3450
Photo of Tricia Cooper, Counselor in Louisville, KY
Tricia Cooper
Counselor, MEd, LPCC
Verified Verified
1 Endorsed
Louisville, KY 40218  (Online Only)
I help others with anxiety, autism, ADHD, depression, grief, and trauma; my work is heavily influenced by attachment theories and Compassion Focused Therapy.
Life can be confusing, stressful, and overwhelming. A good therapist can create a comfortable, collaborative space to help you explore obstacles and strengths and find your stride in a chaotic world. My goal is to give you a place where you can foster self-awareness and learn to access the resiliency that can help you move forward. I see how insecurities and conflicts in interpersonal relationships can cause anxiety, and I'm compelled to help people resolve these issues. We are much more than our problems. Everyone deserves the ability to express themselves and feel more connected to themselves and others.
I help others with anxiety, autism, ADHD, depression, grief, and trauma; my work is heavily influenced by attachment theories and Compassion Focused Therapy.
Life can be confusing, stressful, and overwhelming. A good therapist can create a comfortable, collaborative space to help you explore obstacles and strengths and find your stride in a chaotic world. My goal is to give you a place where you can foster self-awareness and learn to access the resiliency that can help you move forward. I see how insecurities and conflicts in interpersonal relationships can cause anxiety, and I'm compelled to help people resolve these issues. We are much more than our problems. Everyone deserves the ability to express themselves and feel more connected to themselves and others.
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Photo of Tera Buerkle, Marriage & Family Therapist Associate in Louisville, KY
Tera Buerkle
Marriage & Family Therapist Associate, MS
Verified Verified
Louisville, KY 40204
Seeking clarity? Therapy can allow you to identify and remove blocks inhibiting change, help you make more intentional choices by offering deeper awareness of your perspective, and/or help you construct coherency or a different view of issues that are plaguing you. While I enjoy working with clients of varying backgrounds and ages (and all are welcome in my practice), I specialize in working with those who are suffering from anxiety, trauma, complex trauma, sex- and sexuality-related concerns, and who are aged 15+. You can expect me to be observant, empathic, professional, ethical, responsive, and LGBTQ+ affirming.
Seeking clarity? Therapy can allow you to identify and remove blocks inhibiting change, help you make more intentional choices by offering deeper awareness of your perspective, and/or help you construct coherency or a different view of issues that are plaguing you. While I enjoy working with clients of varying backgrounds and ages (and all are welcome in my practice), I specialize in working with those who are suffering from anxiety, trauma, complex trauma, sex- and sexuality-related concerns, and who are aged 15+. You can expect me to be observant, empathic, professional, ethical, responsive, and LGBTQ+ affirming.
(859) 217-4649 View (859) 217-4649
Photo of Emily Schwartz Crouch, Marriage & Family Therapist in Louisville, KY
Emily Schwartz Crouch
Marriage & Family Therapist, MDiv, MAMFT
Verified Verified
1 Endorsed
Louisville, KY 40207
I am trained to offer support for those who are grieving, and those with trauma in their past or present.
If you are seeking healing, or desire to lead a healthier and happier life, I assist clients struggling with anxiety, depression and interpersonal distress, integrating spirituality and experiential elements to address the needs of the whole person. I enjoy working with persons of all ages.
I am trained to offer support for those who are grieving, and those with trauma in their past or present.
If you are seeking healing, or desire to lead a healthier and happier life, I assist clients struggling with anxiety, depression and interpersonal distress, integrating spirituality and experiential elements to address the needs of the whole person. I enjoy working with persons of all ages.
(502) 442-7457 View (502) 442-7457
Photo of Haven Family Counseling in Louisville, KY
Haven Family Counseling
MSW, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40218
Haven Family Services is the outpatient behavioral health division of Boys & Girls Haven, an organization that has served the Louisville community for more than 70 years. We specialize in meeting the emotional and behavioral needs of individuals of all ages. We provide intensive in-home therapy and case management as well as counseling and medication management in our outpatient office. Our professionals utilize effective, compassionate interventions that help our clients heal from past trauma, build on their strengths and achieve their therapeutic goals. We also actively involve caregivers and support systems in the treatment planning process.
Haven Family Services is the outpatient behavioral health division of Boys & Girls Haven, an organization that has served the Louisville community for more than 70 years. We specialize in meeting the emotional and behavioral needs of individuals of all ages. We provide intensive in-home therapy and case management as well as counseling and medication management in our outpatient office. Our professionals utilize effective, compassionate interventions that help our clients heal from past trauma, build on their strengths and achieve their therapeutic goals. We also actively involve caregivers and support systems in the treatment planning process.
(502) 465-8687 x103 View (502) 465-8687 x103
Photo of Emily Burbank, Clinical Social Work/Therapist in Louisville, KY
Emily Burbank
Clinical Social Work/Therapist, LCADC, LCSW, MSSW
Verified Verified
Louisville, KY 40222
Accepting New Clients! I specialize in working with complex trauma, all forms of addictions, and learning to navigate difficult relationships. I understand what it feels like to feel lost and alone in the world with your struggles. I approach my therapy sessions as being a guide to your own healing. I believe we are all capable of healing ourselves by tapping into resources just beneath the surface. I assist in helping you find your strength to living a happy and productive life.
Accepting New Clients! I specialize in working with complex trauma, all forms of addictions, and learning to navigate difficult relationships. I understand what it feels like to feel lost and alone in the world with your struggles. I approach my therapy sessions as being a guide to your own healing. I believe we are all capable of healing ourselves by tapping into resources just beneath the surface. I assist in helping you find your strength to living a happy and productive life.
(502) 625-5265 View (502) 625-5265
Photo of Summer Lagow, Counselor in Louisville, KY
Summer Lagow
Counselor, MS, LPCC, NCC
Verified Verified
Louisville, KY 40222
Day Time Openings Only. The decision to find a therapist usually comes at times of stress & change. I am a supportive, non-judgmental therapist that realizes how hard it is to ask for help. Together we will identify issues you want to work on, recognizing and building on your strengths and uniqueness. We will find solutions that work for you. I have worked with clients with a variety of issues including persistent worry and anxiety, difficulties in relationships, trauma, and grief & loss. I also have extensive experience working with teenagers, their parents, and members of the LGBTQIA+ community.
Day Time Openings Only. The decision to find a therapist usually comes at times of stress & change. I am a supportive, non-judgmental therapist that realizes how hard it is to ask for help. Together we will identify issues you want to work on, recognizing and building on your strengths and uniqueness. We will find solutions that work for you. I have worked with clients with a variety of issues including persistent worry and anxiety, difficulties in relationships, trauma, and grief & loss. I also have extensive experience working with teenagers, their parents, and members of the LGBTQIA+ community.
(209) 259-6915 View (209) 259-6915
Photo of Susanne Binford, Clinical Social Work/Therapist in Louisville, KY
Susanne Binford
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40203  (Online Only)
I have a great deal of experience working with people who have been affected by trauma.
Have you been affected by trauma or loss? Are you struggling with high anxiety? Are you having intrusive thoughts, nightmares, always on alert or easily startled? Does your mind churn at night? Let's work through this. Everyone has the capacity for change. Sometimes it is difficult to see how that change can happen and it leaves us feeling stuck. There is no single way to go through life and that means that different treatments will work for different people. Everyone deserves a safe place in therapy.
I have a great deal of experience working with people who have been affected by trauma.
Have you been affected by trauma or loss? Are you struggling with high anxiety? Are you having intrusive thoughts, nightmares, always on alert or easily startled? Does your mind churn at night? Let's work through this. Everyone has the capacity for change. Sometimes it is difficult to see how that change can happen and it leaves us feeling stuck. There is no single way to go through life and that means that different treatments will work for different people. Everyone deserves a safe place in therapy.
(502) 549-1143 View (502) 549-1143
Photo of Rebecca L Roberts-Kerns, Art Therapist in Louisville, KY
Rebecca L Roberts-Kerns
Art Therapist, LPAT, ATR-BC, LPC(WI)
Verified Verified
1 Endorsed
Louisville, KY 40207
Waitlist for new clients
Awareness of how trauma impacts the mind and body allows it to be healed rather than avoided or channeled into destructive behaviors.
I am a Licensed Professional Art Therapist in Kentucky, a nationally Board-Certified Art Therapist, and a Licensed Professional Counselor in Wisconsin. I am also an artist, herbalist, and aromatherapist. Theoretically I use an eclectic approach, evaluating the needs of my clients and using the most appropriate techniques and interventions. I draw most heavily from Dialectical Behavior Therapy, Jungian Analytical Psychology, Person-Centered Theory, and Existential Theory.
Awareness of how trauma impacts the mind and body allows it to be healed rather than avoided or channeled into destructive behaviors.
I am a Licensed Professional Art Therapist in Kentucky, a nationally Board-Certified Art Therapist, and a Licensed Professional Counselor in Wisconsin. I am also an artist, herbalist, and aromatherapist. Theoretically I use an eclectic approach, evaluating the needs of my clients and using the most appropriate techniques and interventions. I draw most heavily from Dialectical Behavior Therapy, Jungian Analytical Psychology, Person-Centered Theory, and Existential Theory.
(872) 266-7729 View (872) 266-7729
Photo of Stephanie Gentile, Licensed Professional Clinical Counselor in Louisville, KY
Stephanie Gentile
Licensed Professional Clinical Counselor, MA, LPCC, NCC
Verified Verified
2 Endorsed
Louisville, KY 40222
I specialize in treating depression, anxiety, trauma (including religious trauma), and unhealthy relationship dynamics.
You might feel as though you've exhausted your options, and you find yourself stuck. You have a dream for your life, your relationships, and your career, but you struggle to move forward. You may be frustrated with yourself because you know you were made for more, but you keep repeating the same behaviors. You're capable and you're determined, yet don't know what steps to take. You simply need guidance to help you realize your dreams. I work with women to help them understand what is holding them back from making sustainable change!
I specialize in treating depression, anxiety, trauma (including religious trauma), and unhealthy relationship dynamics.
You might feel as though you've exhausted your options, and you find yourself stuck. You have a dream for your life, your relationships, and your career, but you struggle to move forward. You may be frustrated with yourself because you know you were made for more, but you keep repeating the same behaviors. You're capable and you're determined, yet don't know what steps to take. You simply need guidance to help you realize your dreams. I work with women to help them understand what is holding them back from making sustainable change!
(502) 200-2416 View (502) 200-2416
Photo of Kristi Collier Thompson, Licensed Professional Clinical Counselor in Louisville, KY
Kristi Collier Thompson
Licensed Professional Clinical Counselor, MS, LMHC, LPCC
Verified Verified
1 Endorsed
Louisville, KY 40223
Waitlist for new clients
I am a trauma-informed, licensed counselor specializing in children, teenagers, adults and families who are experiencing anxiety, depression, anger, trauma, relational trauma (adoption, foster care, chronic illness, abuse or neglect), chronic illness and chronic pain. With over 20 years of experience, I am certified in EMDR, and trained in Theraplay, internal family systems (IFS), DBT, Trust-Based Relational Intervention, solution-focused brief counseling, trauma-focused cognitive-behavioral therapy (TF-CBT), Prepare-Enrich and mindfulness.
I am a trauma-informed, licensed counselor specializing in children, teenagers, adults and families who are experiencing anxiety, depression, anger, trauma, relational trauma (adoption, foster care, chronic illness, abuse or neglect), chronic illness and chronic pain. With over 20 years of experience, I am certified in EMDR, and trained in Theraplay, internal family systems (IFS), DBT, Trust-Based Relational Intervention, solution-focused brief counseling, trauma-focused cognitive-behavioral therapy (TF-CBT), Prepare-Enrich and mindfulness.
(502) 287-0133 View (502) 287-0133
Photo of Robin Jordan, Clinical Social Work/Therapist in Louisville, KY
Robin Jordan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40220  (Online Only)
I am trained in various evidence-based practices including Trauma-Focused Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing, Motivational Interviewing, & Nurturing Parenting.
***ONLY ACCEPTING TELEHEALTH (FLORIDA, KENTUCKY, & INDIANA) CLIENTS AT THIS TIME*** Do you want to get to a place in your life where you are not as stressed, depressed, anxious, or overwhelmed? I am here to help you process what is currently going on in your life and determine how to help improve those situations or relationships. My experience is in helping children, teens, families, couples, and adults work through issues such as anxiety, depression, behavioral problems, family dynamics, self-esteem, communication, relationship stress, problem solving, and recovering from traumatic events.
I am trained in various evidence-based practices including Trauma-Focused Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing, Motivational Interviewing, & Nurturing Parenting.
***ONLY ACCEPTING TELEHEALTH (FLORIDA, KENTUCKY, & INDIANA) CLIENTS AT THIS TIME*** Do you want to get to a place in your life where you are not as stressed, depressed, anxious, or overwhelmed? I am here to help you process what is currently going on in your life and determine how to help improve those situations or relationships. My experience is in helping children, teens, families, couples, and adults work through issues such as anxiety, depression, behavioral problems, family dynamics, self-esteem, communication, relationship stress, problem solving, and recovering from traumatic events.
(502) 890-9617 View (502) 890-9617
Photo of Ebony Dixon, Counselor in Louisville, KY
Ebony Dixon
Counselor, LPCA
Verified Verified
Louisville, KY 40218
I am Ebony, a licensed professional counselor with a specialization in trauma recovery for children, families, and adults. My extensive experience has taught me the importance of approaching my work with compassion and empathy. I am deeply committed to helping families heal from their traumatic experiences and guiding them toward a path of resilience and improved well-being.
I am Ebony, a licensed professional counselor with a specialization in trauma recovery for children, families, and adults. My extensive experience has taught me the importance of approaching my work with compassion and empathy. I am deeply committed to helping families heal from their traumatic experiences and guiding them toward a path of resilience and improved well-being.
(502) 317-2180 View (502) 317-2180
Photo of Laura Milbourne in Louisville, KY
Laura Milbourne
MS, MA
Verified Verified
Louisville, KY 40223
I offer counseling for the whole host of issues women and girls face, including depression, anxiety, fear/panic, self-esteem, grief/loss, childhood abuse and trauma, OCD, PTSD, disordered eating, self harm, postpartum issues, marital or relational concerns, and more.
If you are looking for a Christian counselor who is professionally trained, experienced and committed to a biblical counseling approach, I am likely an ideal fit for you! I am professionally trained and experienced as a counselor with over a decade of experience in the mental health and counseling field. I am a committed Christian and use a biblical and Christ-centered approach to counseling. The unique approach to counseling that I offer has helped my counselees to experience significant life-transformation and freedom. I would love for you to experience that life-transformation and freedom as well!
I offer counseling for the whole host of issues women and girls face, including depression, anxiety, fear/panic, self-esteem, grief/loss, childhood abuse and trauma, OCD, PTSD, disordered eating, self harm, postpartum issues, marital or relational concerns, and more.
If you are looking for a Christian counselor who is professionally trained, experienced and committed to a biblical counseling approach, I am likely an ideal fit for you! I am professionally trained and experienced as a counselor with over a decade of experience in the mental health and counseling field. I am a committed Christian and use a biblical and Christ-centered approach to counseling. The unique approach to counseling that I offer has helped my counselees to experience significant life-transformation and freedom. I would love for you to experience that life-transformation and freedom as well!
(502) 837-9380 View (502) 837-9380
Photo of Mike Eiden, Clinical Social Work/Therapist in Louisville, KY
Mike Eiden
Clinical Social Work/Therapist, LCSW, LCADC, CSAT, CCS
Verified Verified
1 Endorsed
Louisville, KY 40222
I have been trained as a clinical social worker, addictions counselor, and Certified Sex Addiction Therapist. I utilize experiential therapies and EMDR to help people reclaim their lives. In my practice I focus on helping adults struggling with developmental trauma and PTSD, sex and pornography addiction, recovery from narcissistic abuse & traumatic bonding, and drug/alcohol addiction. Parents of addicted adults and folks with internet/gaming/screen addictions are also specialty areas.
I have been trained as a clinical social worker, addictions counselor, and Certified Sex Addiction Therapist. I utilize experiential therapies and EMDR to help people reclaim their lives. In my practice I focus on helping adults struggling with developmental trauma and PTSD, sex and pornography addiction, recovery from narcissistic abuse & traumatic bonding, and drug/alcohol addiction. Parents of addicted adults and folks with internet/gaming/screen addictions are also specialty areas.
(502) 306-0343 View (502) 306-0343
Photo of Callie Rose, Clinical Social Work/Therapist in Louisville, KY
Callie Rose
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40217
My therapeutic approach is collaborative and trauma-informed.
I am a licensed clinical social worker with a passion for working with children and teens. I enjoy teaching new skills such as coping mechanisms for the client to try and reflect on. I am passionate about meeting clients where they are and building from there.
My therapeutic approach is collaborative and trauma-informed.
I am a licensed clinical social worker with a passion for working with children and teens. I enjoy teaching new skills such as coping mechanisms for the client to try and reflect on. I am passionate about meeting clients where they are and building from there.
(502) 325-3503 View (502) 325-3503
Photo of Emily Bray O'Brien, Counselor in Louisville, KY
Emily Bray O'Brien
Counselor, MEd, LPCC-S
Verified Verified
Louisville, KY 40207
Emily is trained in Eye Movement Desensitization and Reprocessing (EMDR) which facilitates the accessing and processing of traumatic memories and other negative life experiences to bring these to a more adaptive conclusion. Emily is also informed in Internal Family Systems (IFS), and utilizes CBT, Interpersonal, Motivational Interviewing techniques, Person-Centered, REBT, Solution-Focused, and Trauma-Focused therapy.
Emily is trained in Eye Movement Desensitization and Reprocessing (EMDR) which facilitates the accessing and processing of traumatic memories and other negative life experiences to bring these to a more adaptive conclusion. Emily is also informed in Internal Family Systems (IFS), and utilizes CBT, Interpersonal, Motivational Interviewing techniques, Person-Centered, REBT, Solution-Focused, and Trauma-Focused therapy.
(502) 804-2674 View (502) 804-2674
Photo of Amy Mudd, LCSW, LLC, Clinical Social Work/Therapist in Louisville, KY
Amy Mudd, LCSW, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40205
Ready to be free from overwhelming anxiety, unwanted emotional and physical reactions related to stressful or traumatic events, phobias, negative messages about yourself and mindfully practice the kind of life you want to live? We will partner using Havening Techniques(tm), and accelerated resolution therapy to reduce or eliminate negative reactions that interfere with the choices you want to make in your life today and practice building the purposeful life you want. I have been a licensed clinician for 19 years working in community based agencies focused on trauma and hospital based services focused on depression and anxiety.
Ready to be free from overwhelming anxiety, unwanted emotional and physical reactions related to stressful or traumatic events, phobias, negative messages about yourself and mindfully practice the kind of life you want to live? We will partner using Havening Techniques(tm), and accelerated resolution therapy to reduce or eliminate negative reactions that interfere with the choices you want to make in your life today and practice building the purposeful life you want. I have been a licensed clinician for 19 years working in community based agencies focused on trauma and hospital based services focused on depression and anxiety.
(502) 513-6204 View (502) 513-6204
Photo of Ann D Minch, Clinical Social Work/Therapist in Louisville, KY
Ann D Minch
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40299
With over 25 yrs. of counseling experience I can help you create a new chapter to your life story. Do you feel "stuck", repeating patterns that get in the way of you having the life you want? Do you battle with depression, anxiety or low self-worth or are compulsive behaviors interfering with you achieving your goals? Do you struggle with family relationships or getting over childhood issues? Are you an adult or teen with ADHD & need help developing strategies to be successful? Do you have unresolved trauma?
With over 25 yrs. of counseling experience I can help you create a new chapter to your life story. Do you feel "stuck", repeating patterns that get in the way of you having the life you want? Do you battle with depression, anxiety or low self-worth or are compulsive behaviors interfering with you achieving your goals? Do you struggle with family relationships or getting over childhood issues? Are you an adult or teen with ADHD & need help developing strategies to be successful? Do you have unresolved trauma?
(502) 858-8694 View (502) 858-8694

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.