Trauma and PTSD Therapists in Billings, MT

Photo of Tara Sorenson, Counselor in Billings, MT
Tara Sorenson
Counselor, LCPC, LAC
Verified Verified
1 Endorsed
Billings, MT 59101
Don't let PTSD hold you back from living a fulfilling life.
EMDR Intensives can help you feel relief faster than traditional therapy. Are you a healthcare professional or first responder suffering from repeated negative thoughts, intrusive images, flashbacks, or sleepless nights due to work-related stress? The cumulative impact of high-pressure situations, trauma exposure, and the emotional demands of your role can lead to symptoms of post-traumatic stress disorder (PTSD) and work-related stress. You dedicate yourself to the well-being of others, often at the expense of your own mental health. EMDR therapy and EMDR Intensives offer solutions to help you heal and reclaim your life.
Don't let PTSD hold you back from living a fulfilling life.
EMDR Intensives can help you feel relief faster than traditional therapy. Are you a healthcare professional or first responder suffering from repeated negative thoughts, intrusive images, flashbacks, or sleepless nights due to work-related stress? The cumulative impact of high-pressure situations, trauma exposure, and the emotional demands of your role can lead to symptoms of post-traumatic stress disorder (PTSD) and work-related stress. You dedicate yourself to the well-being of others, often at the expense of your own mental health. EMDR therapy and EMDR Intensives offer solutions to help you heal and reclaim your life.
(406) 909-4089 View (406) 909-4089
Photo of Andrea Merback, Clinical Social Work/Therapist in Billings, MT
Andrea Merback
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Billings, MT 59102
I primarily use person centered therapy, and have been trained in various evidenced-based treatments to effectively help you cope with daily life stressors, trauma, and unexpected life changes.
Looking for healing, personal growth, and change? Is it time to focus on YOUR wellness? You are enough and you are worth it. Together, we can find your path to wellness. I believe that all people have the ability to bring about meaningful change in their lives. It is my role to guide and empower you to have a greater understanding of that power, while gaining new, positive skills. I meet people where they are at and continually strive to demonstrate empathy and unconditional positive regard. Life is hard, you do not have to do it alone.
I primarily use person centered therapy, and have been trained in various evidenced-based treatments to effectively help you cope with daily life stressors, trauma, and unexpected life changes.
Looking for healing, personal growth, and change? Is it time to focus on YOUR wellness? You are enough and you are worth it. Together, we can find your path to wellness. I believe that all people have the ability to bring about meaningful change in their lives. It is my role to guide and empower you to have a greater understanding of that power, while gaining new, positive skills. I meet people where they are at and continually strive to demonstrate empathy and unconditional positive regard. Life is hard, you do not have to do it alone.
(406) 929-1438 View (406) 929-1438
Photo of Rebecca Baumgardner, Clinical Social Work/Therapist in Billings, MT
Rebecca Baumgardner
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
1 Endorsed
Billings, MT 59101
Waitlist for new clients
I am EMDR basic certified to treat trauma, am licensed to treat addiction, including Chemical Dependency Assessments, and if needed, can work closely with medical providers to assist in symptom management.
Hello! I am a dually Licensed Clinical Social Worker and a Licensed Addiction Counselor. Perhaps you have arrived here, looking for a way to better manage a difficult situation or season of life, to work through life altering grief/loss, to manage uncomfortable symptoms, or maybe even, to heal from a painful past with the hope of finally feeling free. I truly enjoy working with individuals who are committed to knowing themselves on a deeper level, so they are better equipped to make the changes they hope for in their life. I value human connection, and provide care in a shame free, judgment free, and collaborative way.
I am EMDR basic certified to treat trauma, am licensed to treat addiction, including Chemical Dependency Assessments, and if needed, can work closely with medical providers to assist in symptom management.
Hello! I am a dually Licensed Clinical Social Worker and a Licensed Addiction Counselor. Perhaps you have arrived here, looking for a way to better manage a difficult situation or season of life, to work through life altering grief/loss, to manage uncomfortable symptoms, or maybe even, to heal from a painful past with the hope of finally feeling free. I truly enjoy working with individuals who are committed to knowing themselves on a deeper level, so they are better equipped to make the changes they hope for in their life. I value human connection, and provide care in a shame free, judgment free, and collaborative way.
(406) 631-1974 View (406) 631-1974
Photo of Leanna M Winslow, Counselor in Billings, MT
Leanna M Winslow
Counselor, MEd, LCPC
Verified Verified
Billings, MT 59101
I am specialized in Eye Movement Desensitization and Reprocessing (EMDR) trauma therapy with a focus on complex and chronic trauma.
Healing through therapy will always begin with the relationship we create. My job is to bring a relationship full of compassion and respect for your journey through life. Your job in therapy is to show up. We will work together from there to find out what recovery means to you! Therapy is hard work, whether you are struggling with daily life, relationships, or wounds that have been impacting you for years. I hope to help you to find purpose in the struggle, and to find your best self in the healing.
I am specialized in Eye Movement Desensitization and Reprocessing (EMDR) trauma therapy with a focus on complex and chronic trauma.
Healing through therapy will always begin with the relationship we create. My job is to bring a relationship full of compassion and respect for your journey through life. Your job in therapy is to show up. We will work together from there to find out what recovery means to you! Therapy is hard work, whether you are struggling with daily life, relationships, or wounds that have been impacting you for years. I hope to help you to find purpose in the struggle, and to find your best self in the healing.
(406) 534-0601 View (406) 534-0601
Photo of In Focus Counseling, Pre-Licensed Professional in Billings, MT
In Focus Counseling
Pre-Licensed Professional, MS Cand
Verified Verified
1 Endorsed
Billings, MT 59102  (Online Only)
I have immediate virtual appts. to help with life & Addiction, OCD, and Trauma. I am currently a Master's student in the last portion of my training for my degree. Don't let that scare you, I come with many years of experience in supporting folx with mental health concerns including trauma and the impact of PTSD. As a Montana therapist, I work with people in rural areas and understanding the nuances of the challenges faced in taking care of your mental health, that is why I am proud to be part of a sliding scale program at my internship. Let's chat and see how I can help you focus on what's important. I serve Montana and Colorado.
I have immediate virtual appts. to help with life & Addiction, OCD, and Trauma. I am currently a Master's student in the last portion of my training for my degree. Don't let that scare you, I come with many years of experience in supporting folx with mental health concerns including trauma and the impact of PTSD. As a Montana therapist, I work with people in rural areas and understanding the nuances of the challenges faced in taking care of your mental health, that is why I am proud to be part of a sliding scale program at my internship. Let's chat and see how I can help you focus on what's important. I serve Montana and Colorado.
(406) 282-8745 View (406) 282-8745
Photo of Crystal Skies Counseling / Amy Vicars, Licensed Clinical Professional Counselor in Billings, MT
Crystal Skies Counseling / Amy Vicars
Licensed Clinical Professional Counselor, LCPC, LAC, MAC
Verified Verified
12 Endorsed
Billings, MT 59102
I'm a professional mental health/addictions therapist working with adult clients. I utilize a trauma informed and client centered approach to therapy. Whether you are dealing with the loss of a loved one, anxiety, depression, phobias, addictions, stress, trauma, or other concerns, I am here to help guide you on your journey with a caring and empathetic approach.
I'm a professional mental health/addictions therapist working with adult clients. I utilize a trauma informed and client centered approach to therapy. Whether you are dealing with the loss of a loved one, anxiety, depression, phobias, addictions, stress, trauma, or other concerns, I am here to help guide you on your journey with a caring and empathetic approach.
(406) 559-3341 View (406) 559-3341
Photo of Kathleen J. Wagner, Psychotherapy Services, PLLC, Clinical Social Work/Therapist in Billings, MT
Kathleen J. Wagner, Psychotherapy Services, PLLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Billings, MT 59106
Specializing in trauma therapy providing an integrated approach to meeting client needs, accessing training in AEDP, EMDR, EFT, Attachment Mastery, DBT skills, CBT and other treatment modalities; customizing treatment to individual need and preference.
I love working with my clients in the relational field with a goal of undoing aloneness. We will work together to identify defenses and blocks that prevent wholehearted, healthy living. With a goal of transformational change using client-centered attachment based therapy processes for a variety of mental health concerns. I specialize in the treatment of trauma induced syndromes. I primarily see adults; considering each individual, their goals and needs and seeking feedback to ensure that a therapeutic alliance can be fostered and make every effort to maintain that connection.
Specializing in trauma therapy providing an integrated approach to meeting client needs, accessing training in AEDP, EMDR, EFT, Attachment Mastery, DBT skills, CBT and other treatment modalities; customizing treatment to individual need and preference.
I love working with my clients in the relational field with a goal of undoing aloneness. We will work together to identify defenses and blocks that prevent wholehearted, healthy living. With a goal of transformational change using client-centered attachment based therapy processes for a variety of mental health concerns. I specialize in the treatment of trauma induced syndromes. I primarily see adults; considering each individual, their goals and needs and seeking feedback to ensure that a therapeutic alliance can be fostered and make every effort to maintain that connection.
(406) 551-9560 View (406) 551-9560
Photo of Angie Buckley, Counselor in Billings, MT
Angie Buckley
Counselor, MS, LCPC
Verified Verified
1 Endorsed
Billings, MT 59101
Life's twists and turns, wounds and trauma are best healed when met with compassion and hope.
You're looking for tools and strategies to live your best life, whatever that may look like for you. It's easy to get overwhelmed by life, relationships and stress. Sometimes it's a day-by-day struggle, and you never know for sure when a smooth stretch will turn into a rough patch. For some of us, maintaining good mental health is chronically difficult.
Life's twists and turns, wounds and trauma are best healed when met with compassion and hope.
You're looking for tools and strategies to live your best life, whatever that may look like for you. It's easy to get overwhelmed by life, relationships and stress. Sometimes it's a day-by-day struggle, and you never know for sure when a smooth stretch will turn into a rough patch. For some of us, maintaining good mental health is chronically difficult.
(406) 393-8026 View (406) 393-8026
Photo of Naz Sanks Counseling, PLLC , Counselor in Billings, MT
Naz Sanks Counseling, PLLC
Counselor, MS,LCPC
Verified Verified
1 Endorsed
Billings, MT 59102
My approach & training is trauma informed and emphasizes your strengths while considering your life history.
Hi, I am Naz! I am a Therapist who absolutely loves meeting and helping people! My belief is that everyone is going through life doing their best, and if I can make this road more comfortable and add some clarity and contentment then I would have done my job. My ideal client is someone who is motivated to get and feel better, who is open to be challenged and grow! I am an Optimist and truly believe that people are essentially good but also realize life happens and sometimes things get tough, that is where I can help lessen the load and get a new perspective. I do see adults, teens and older kids 5+. Thank you!
My approach & training is trauma informed and emphasizes your strengths while considering your life history.
Hi, I am Naz! I am a Therapist who absolutely loves meeting and helping people! My belief is that everyone is going through life doing their best, and if I can make this road more comfortable and add some clarity and contentment then I would have done my job. My ideal client is someone who is motivated to get and feel better, who is open to be challenged and grow! I am an Optimist and truly believe that people are essentially good but also realize life happens and sometimes things get tough, that is where I can help lessen the load and get a new perspective. I do see adults, teens and older kids 5+. Thank you!
(406) 319-3151 View (406) 319-3151
Photo of Elysian Mental Health Foundation, Clinical Social Work/Therapist in Billings, MT
Elysian Mental Health Foundation
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Billings, MT 59102
Elysian Mental Health Foundation is a non profit serving Montana. EMHF specializes in trauma informed care for Adults and Children who have experienced abuse, attachment issues, emotional disturbances, substance use disorders as well as a variety of mental health issues including PTSD, Oppositional Defiance, Reactive Attachment, Sensory Processing Disorders, Depression, and Anxiety. We offer CBT, EMDR, Play therapy, Art therapy, DBT, Family therapy and psychological testing.
Elysian Mental Health Foundation is a non profit serving Montana. EMHF specializes in trauma informed care for Adults and Children who have experienced abuse, attachment issues, emotional disturbances, substance use disorders as well as a variety of mental health issues including PTSD, Oppositional Defiance, Reactive Attachment, Sensory Processing Disorders, Depression, and Anxiety. We offer CBT, EMDR, Play therapy, Art therapy, DBT, Family therapy and psychological testing.
(406) 936-3091 View (406) 936-3091
Photo of Brian Schuppe, Counselor in Billings, MT
Brian Schuppe
Counselor, LCPC
Verified Verified
Billings, MT 59102
Do you find yourself in many high conflict situations at home, work, and in the community? Military, educational, and life experiences have resulted in my deep knowledge base for working with adults who've experienced trauma and stress. I have advanced training in Eye Movement Desensitization and Reprocessing Therapy (EMDR), Sensory Motor Arousal Regulation Therapy (SMART), and Cognitive Behavioral Therapy (CBT). These modalities assist in providing well-rounded counseling services for those with PTSD, Anxiety, Depression, relationship, career, parenting, and family issues.
Do you find yourself in many high conflict situations at home, work, and in the community? Military, educational, and life experiences have resulted in my deep knowledge base for working with adults who've experienced trauma and stress. I have advanced training in Eye Movement Desensitization and Reprocessing Therapy (EMDR), Sensory Motor Arousal Regulation Therapy (SMART), and Cognitive Behavioral Therapy (CBT). These modalities assist in providing well-rounded counseling services for those with PTSD, Anxiety, Depression, relationship, career, parenting, and family issues.
(406) 284-0969 View (406) 284-0969
Photo of Marlayne Worthington, Licensed Clinical Professional Counselor in Billings, MT
Marlayne Worthington
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
Billings, MT 59102
While we all strive to live a life full of joy, excitement, success and fulfillment, we all encounter times when our plans for ourselves get derailed. Some may struggle with relationships, mental illness, trauma, tragedy or life stage transitions. We all need some help during these times to help get back on the path to wellness and happiness. I believe that while these trials are difficult, they can also be used as stepping stones to help us become a better version of ourselves. How we face our challenges gives us the opportunity for personal growth. I would love to be the one to help you with that process.
While we all strive to live a life full of joy, excitement, success and fulfillment, we all encounter times when our plans for ourselves get derailed. Some may struggle with relationships, mental illness, trauma, tragedy or life stage transitions. We all need some help during these times to help get back on the path to wellness and happiness. I believe that while these trials are difficult, they can also be used as stepping stones to help us become a better version of ourselves. How we face our challenges gives us the opportunity for personal growth. I would love to be the one to help you with that process.
(406) 282-8018 View (406) 282-8018
Photo of Liz Smith, Counselor in Billings, MT
Liz Smith
Counselor, LCPC , CMHC, LMHC, LAC, CCTP
Verified Verified
Billings, MT 59103  (Online Only)
I am a Licensed Clinical Professional Counselor (LCPC), Licensed Addiction Counselor (LAC), and a Certified Clinical Trauma Professional (CCTP).
I am first, a client-centered therapist. I believe therapy should be about the client and be met with unconditional positive regard. There is no place for judgment in therapy, and I am here to help you process and make your own decisions, not to tell you what to do.
I am a Licensed Clinical Professional Counselor (LCPC), Licensed Addiction Counselor (LAC), and a Certified Clinical Trauma Professional (CCTP).
I am first, a client-centered therapist. I believe therapy should be about the client and be met with unconditional positive regard. There is no place for judgment in therapy, and I am here to help you process and make your own decisions, not to tell you what to do.
(406) 732-7151 View (406) 732-7151
Photo of Desire Meismer, Counselor in Billings, MT
Desire Meismer
Counselor, MS, LCPC
Verified Verified
3 Endorsed
Billings, MT 59102
Waitlist for new clients
Throughout our lives we may encounter painful, traumatic, or difficult scenarios that leave us feeling hopeless or stuck. I believe every person has a resiliency and strength to pull from to achieve an enjoyable and fulfilling life. Sometimes we need outside support to tap into our full potential and to overcome challenges. My background includes addressing struggles related to anxiety, depression, PTSD, oppositional defiant disorder, bipolar disorder, adjustment difficulties, trauma, and more.
Throughout our lives we may encounter painful, traumatic, or difficult scenarios that leave us feeling hopeless or stuck. I believe every person has a resiliency and strength to pull from to achieve an enjoyable and fulfilling life. Sometimes we need outside support to tap into our full potential and to overcome challenges. My background includes addressing struggles related to anxiety, depression, PTSD, oppositional defiant disorder, bipolar disorder, adjustment difficulties, trauma, and more.
(406) 637-6497 View (406) 637-6497
Photo of Carol A Demaray, Counselor in Billings, MT
Carol A Demaray
Counselor, LCPC, LMFT
Verified Verified
Billings, MT 59102
Have you experienced trauma, anxiety, depression, stress or loss? Or have a child who may have Autism, ADHD, Anger issues or Behavioral Difficulties? The hurts and pain can seem overwhelming and disturbing for youth and adults alike. Understanding and a nonjudgmental atmosphere may be what you are looking for, and can be found at Transformed RenU Counseling. Truth and security can go a long way to heal hurting hearts and minds.
Have you experienced trauma, anxiety, depression, stress or loss? Or have a child who may have Autism, ADHD, Anger issues or Behavioral Difficulties? The hurts and pain can seem overwhelming and disturbing for youth and adults alike. Understanding and a nonjudgmental atmosphere may be what you are looking for, and can be found at Transformed RenU Counseling. Truth and security can go a long way to heal hurting hearts and minds.
(406) 306-1859 View (406) 306-1859
Photo of Laura Cole, Clinical Social Work/Therapist in Billings, MT
Laura Cole
Clinical Social Work/Therapist, LCSW
Verified Verified
Billings, MT 59102  (Online Only)
Drawing from eight years of professional expertise, Laura creates a safe space for clients to talk about difficult experiences and uses evidence-based practices tailored to each individual. She specializes in Cognitive Behavioral Therapy (CBT), EMDR, trauma, depression, anxiety, mood disorders, suicide prevention, and crisis intervention. Her passion for helping others stems from a lifelong desire to provide unbiased support and a comforting presence during tough times. Laura works with diverse populations across Montana, including Native American communities.
Drawing from eight years of professional expertise, Laura creates a safe space for clients to talk about difficult experiences and uses evidence-based practices tailored to each individual. She specializes in Cognitive Behavioral Therapy (CBT), EMDR, trauma, depression, anxiety, mood disorders, suicide prevention, and crisis intervention. Her passion for helping others stems from a lifelong desire to provide unbiased support and a comforting presence during tough times. Laura works with diverse populations across Montana, including Native American communities.
(406) 380-3118 View (406) 380-3118
Photo of Shila Johnson, LLC, Counselor in Billings, MT
Shila Johnson, LLC
Counselor, LAC, LCPC, NCC
Verified Verified
Billings, MT 59102
My name is Shila Johnson and I focus my private practice around helping clients discover who they authentically are and how they can live a life full of meaning and purpose. I combine intuitive counseling along with energy healing to help people heal from the past and connect to their body and emotions so they can really start living life. I help people overcome a number of life issues such as relationship problems, work/life stress, anxiety and trauma. I use several techniques such as EMDR, (eye movement desensitization therapy), Mindfulness therapy, Solutions focused therapy, Emotion code, and Holy Fire Karuna Reiki.
My name is Shila Johnson and I focus my private practice around helping clients discover who they authentically are and how they can live a life full of meaning and purpose. I combine intuitive counseling along with energy healing to help people heal from the past and connect to their body and emotions so they can really start living life. I help people overcome a number of life issues such as relationship problems, work/life stress, anxiety and trauma. I use several techniques such as EMDR, (eye movement desensitization therapy), Mindfulness therapy, Solutions focused therapy, Emotion code, and Holy Fire Karuna Reiki.
(406) 361-2122 View (406) 361-2122
Photo of Cynthia Vlahos Palmer, Licensed Professional Counselor in Billings, MT
Cynthia Vlahos Palmer
Licensed Professional Counselor, MSC , LCPC , NCC
Verified Verified
1 Endorsed
Billings, MT 59102
Waitlist for new clients
Trauma is like a “splinter” of the mind.
Are past pains and future worries affecting your ability to enjoy the present? Struggling to find joy and meaning in life? My passion is to empower you to heal from past wounds, grow authentically, thrive in relationships, and experience resilient peace. In a safe, supportive atmosphere, I use a psychobiological approach, collaborating to restore your instinctual resilience. With a trauma-informed and holistic perspective, I'm trained in Eye Movement Desensitization and Reprocessing (EMDR) and grounded in Cognitive Behavioral Therapy (CBT).
Trauma is like a “splinter” of the mind.
Are past pains and future worries affecting your ability to enjoy the present? Struggling to find joy and meaning in life? My passion is to empower you to heal from past wounds, grow authentically, thrive in relationships, and experience resilient peace. In a safe, supportive atmosphere, I use a psychobiological approach, collaborating to restore your instinctual resilience. With a trauma-informed and holistic perspective, I'm trained in Eye Movement Desensitization and Reprocessing (EMDR) and grounded in Cognitive Behavioral Therapy (CBT).
(406) 272-7935 View (406) 272-7935
Photo of Lisa L Matovich-Brooke Anxiety Depression Ptsd, Counselor in Billings, MT
Lisa L Matovich-Brooke Anxiety Depression Ptsd
Counselor, LCPC
Verified Verified
Billings, MT 59101
Are you ready to heal from PTSD, trauma, grief, anxiety or depression? Are you tired of feeling overwhelmed and stressed out? Life can throw us curveballs which can leave us sad, unmotivated, and heartbroken. Loved ones can leave us, relationships end, and life can sometimes be difficult. I believe that even though bad things happen, we can heal and have good lives. I help my clients to work toward finding solutions and skills so that they can find happiness after traumatic events. Life is too short to be sad, anxious, and depressed. You deserve to feel good about yourself!
Are you ready to heal from PTSD, trauma, grief, anxiety or depression? Are you tired of feeling overwhelmed and stressed out? Life can throw us curveballs which can leave us sad, unmotivated, and heartbroken. Loved ones can leave us, relationships end, and life can sometimes be difficult. I believe that even though bad things happen, we can heal and have good lives. I help my clients to work toward finding solutions and skills so that they can find happiness after traumatic events. Life is too short to be sad, anxious, and depressed. You deserve to feel good about yourself!
(406) 642-7846 View (406) 642-7846
Photo of Kristin Colloton, Clinical Social Work/Therapist in Billings, MT
Kristin Colloton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Billings, MT 59101
Waitlist for new clients
Do you feel stressed, on edge, and not like yourself? Have you been through a trauma and want to try EMDR therapy? With over 10 years of experience with adolescents, adults, families, and older adults, let’s work together and help you feel like yourself again, sleep better, and achieve more.
Do you feel stressed, on edge, and not like yourself? Have you been through a trauma and want to try EMDR therapy? With over 10 years of experience with adolescents, adults, families, and older adults, let’s work together and help you feel like yourself again, sleep better, and achieve more.
(406) 413-9543 View (406) 413-9543

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Trauma and PTSD Therapists

When should I seek treatment for trauma?

Not everyone who undergoes trauma needs therapy to heal, but many do. If, after experiencing a traumatic event, you find yourself struggling with symptoms such as nightmares, dissociation, irritability, or emotional numbness—especially if these symptoms last more than a month and are severe enough to interfere with your daily functioning—you may benefit from seeking out therapy with a trauma-informed provider.

How long does trauma therapy take?

Different types of therapy for trauma unfold on different timelines. Prolonged exposure therapy and cognitive processing therapy, for example, each take about three months, while trauma-informed CBT may last anywhere from 8 to 25 sessions. Other approaches, especially those that are less structured or that incorporate elements from multiple modalities, may be more open-ended, though many patients report feeling better within the first few months of treatment.

What happens if trauma is left untreated?

Unaddressed trauma can have serious—even devastating—effects on relationships, career, and day-to-day functioning. Post-Traumatic Stress Disorder (PTSD) can lead people to distrust or lash out at others, making it difficult to maintain intimate relationships; it can also trigger symptoms such as flashbacks or hyperreactivity that can interfere with a person’s ability to function effectively, personally and/or professionally. Some sufferers turn to drugs to find relief. Symptoms may lessen on their own with time, but there is no guarantee that PTSD will resolve on its own.

Can PTSD come back after treatment?

It is possible for PTSD symptoms to recur months or years after successful treatment. This is because, like most mental health disorders, it is not possible to “cure” PTSD, and stressful life events may cause symptoms to recur in even the most resilient individuals. There is no shame in re-experiencing PTSD symptoms nor in returning to therapy when such relapses occur; indeed, many forms of trauma therapy explicitly encourage periodic “maintenance sessions” to reinforce coping skills and ensure that symptoms stay manageable.