Trauma and PTSD Therapists in Kings County, NY

Photo of Melissa Melkumov, Psychologist in Kings County, NY
Melissa Melkumov
Psychologist, PsyD
Verified Verified
1 Endorsed
Brooklyn, NY 11201
Waitlist for new clients
I also have training and experience in CBT, DBT, and trauma-focused therapies and can incorporate these techniques where necessary.
Rewarding personal, professional and romantic relationships are so fundamental to our happiness, yet they can be so elusive. I am a Clinical Psychologist that works with individuals, couples and families that may be struggling to find fulfillment in their relationships with themselves and others. Issues getting in the way might include depression, anxiety, loneliness, interpersonal difficulties, and PTSD. I help clients process and work through current and past life stressors and traumas, such as sexual traumas, infertility, loss, transitioning to parenthood and career changes.
I also have training and experience in CBT, DBT, and trauma-focused therapies and can incorporate these techniques where necessary.
Rewarding personal, professional and romantic relationships are so fundamental to our happiness, yet they can be so elusive. I am a Clinical Psychologist that works with individuals, couples and families that may be struggling to find fulfillment in their relationships with themselves and others. Issues getting in the way might include depression, anxiety, loneliness, interpersonal difficulties, and PTSD. I help clients process and work through current and past life stressors and traumas, such as sexual traumas, infertility, loss, transitioning to parenthood and career changes.
(646) 679-5360 View (646) 679-5360
Photo of Alyssa Steinway, Clinical Social Work/Therapist in Kings County, NY
Alyssa Steinway
Clinical Social Work/Therapist, LCSW, RYT-200
Verified Verified
Brooklyn, NY 11201
Searching for the right therapist is sort of like dating. In order to find the right fit, you may need to search around in order to get a feel for who is out there. I believe the power of therapy evolves from a non-judgmental space where people can finally experience, not only feeling seen and heard, but eventually, accepted and understood. I am a Licensed Clinical Social Worker based out of New York City. I earned a BA in Psychology and Criminal Justice from the University of Michigan and a Masters of Social Work from New York University and hold a specialization in Trauma Studies from the Institute of Contemporary Psychotherapy.
Searching for the right therapist is sort of like dating. In order to find the right fit, you may need to search around in order to get a feel for who is out there. I believe the power of therapy evolves from a non-judgmental space where people can finally experience, not only feeling seen and heard, but eventually, accepted and understood. I am a Licensed Clinical Social Worker based out of New York City. I earned a BA in Psychology and Criminal Justice from the University of Michigan and a Masters of Social Work from New York University and hold a specialization in Trauma Studies from the Institute of Contemporary Psychotherapy.
(347) 469-1840 View (347) 469-1840
Photo of Kyle Austin, Counselor in Kings County, NY
Kyle Austin
Counselor, LMHC, LPC
Verified Verified
Brooklyn, NY 11215  (Online Only)
Navigating life’s challenges in an increasingly chaotic world can feel overwhelming, scary, and even numbing; as a licensed counselor I believe in the power of therapy to facilitate healing, growth, safety, serenity, and self-actualization in the face of life's many demands. I am a passionate advocate for social equity, justice, and accessibility to services for all, and while I work with people of all walks and persuasions, I specialize in therapy with fellow members of the LGBTQ+ community, individuals with co-occurring mental health and substance use challenges, and those dealing with trauma, depression, and anxiety.
Navigating life’s challenges in an increasingly chaotic world can feel overwhelming, scary, and even numbing; as a licensed counselor I believe in the power of therapy to facilitate healing, growth, safety, serenity, and self-actualization in the face of life's many demands. I am a passionate advocate for social equity, justice, and accessibility to services for all, and while I work with people of all walks and persuasions, I specialize in therapy with fellow members of the LGBTQ+ community, individuals with co-occurring mental health and substance use challenges, and those dealing with trauma, depression, and anxiety.
(347) 697-4327 View (347) 697-4327
Photo of Hannah Sherman, Clinical Social Work/Therapist in Kings County, NY
Hannah Sherman
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Brooklyn, NY 11238
Recognizing the complexities of modern life, I believe that a trusting and engaged relationship between the therapist and client provides a safe space for exploration and change. I provide trauma-informed psychotherapy tailored to the unique challenges faced by teenagers and young adults in today's fast-paced world. My approach guides individuals on a journey of healing and growth that encompasses both mind and body. I specialize in trauma recovery, identity issues, anxiety, and depression. I work to empower individuals and families to identify and utilize their inherent strengths to navigate obstacles and interpersonal challenges.
Recognizing the complexities of modern life, I believe that a trusting and engaged relationship between the therapist and client provides a safe space for exploration and change. I provide trauma-informed psychotherapy tailored to the unique challenges faced by teenagers and young adults in today's fast-paced world. My approach guides individuals on a journey of healing and growth that encompasses both mind and body. I specialize in trauma recovery, identity issues, anxiety, and depression. I work to empower individuals and families to identify and utilize their inherent strengths to navigate obstacles and interpersonal challenges.
(917) 336-5709 View (917) 336-5709
Photo of Michelle Pinales, Clinical Social Work/Therapist in Kings County, NY
Michelle Pinales
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Brooklyn, NY 11201  (Online Only)
Accepting new clients! ¡Aceptando nuevos clientes! Are you going through a difficult time, finding yourself in a rut, or trying to break free from intergenerational trauma to become a better version of yourself? You don't have to do that alone! I'm a bilingual Spanish Speaking Licensed Therapist with over 7 years of experience working with children, teens, adults, and families. I'm experienced in Evidenced Based Practices such as Trauma Focused Therapy, Play Therapy, Mindfulness, Cognitive Behavioral Therapy, Behavioral Therapies, Psychodynamic Therapy, Motivational Interviewing, and Crisis Intervention.
Accepting new clients! ¡Aceptando nuevos clientes! Are you going through a difficult time, finding yourself in a rut, or trying to break free from intergenerational trauma to become a better version of yourself? You don't have to do that alone! I'm a bilingual Spanish Speaking Licensed Therapist with over 7 years of experience working with children, teens, adults, and families. I'm experienced in Evidenced Based Practices such as Trauma Focused Therapy, Play Therapy, Mindfulness, Cognitive Behavioral Therapy, Behavioral Therapies, Psychodynamic Therapy, Motivational Interviewing, and Crisis Intervention.
(347) 418-0142 View (347) 418-0142
Photo of Molly Tenzer, Clinical Social Work/Therapist in Kings County, NY
Molly Tenzer
Clinical Social Work/Therapist, LMSW
Verified Verified
Brooklyn, NY 11222
My work engages people of all backgrounds, but with a particular emphasis on LGBTQ clients. I see clients experiencing anxiety, depression, PTSD and other mental health concerns, as well as life transitions or stressful moments who need support while they move through adjustment issues or simply "feeling stuck".
My work engages people of all backgrounds, but with a particular emphasis on LGBTQ clients. I see clients experiencing anxiety, depression, PTSD and other mental health concerns, as well as life transitions or stressful moments who need support while they move through adjustment issues or simply "feeling stuck".
(347) 670-3706 View (347) 670-3706
Photo of Becky Cooke Schultz, Licensed Professional Counselor in Kings County, NY
Becky Cooke Schultz
Licensed Professional Counselor, LCAT, ATR-BC, LPC
Verified Verified
Brooklyn, NY 11238  (Online Only)
If you experience overwhelming anxiety loops, feel the weight of grief, or are impacted by trauma - I might be a good fit for you. I can help by pointing out patterns or themes that I notice, explore how and why the brain is wired the way it is, and help you build up armor to face whatever life throws at you. A typical session with me includes talking, cursing, crying, laughing, questioning, and a whole lot of compassion.
If you experience overwhelming anxiety loops, feel the weight of grief, or are impacted by trauma - I might be a good fit for you. I can help by pointing out patterns or themes that I notice, explore how and why the brain is wired the way it is, and help you build up armor to face whatever life throws at you. A typical session with me includes talking, cursing, crying, laughing, questioning, and a whole lot of compassion.
(571) 200-6978 View (571) 200-6978
Photo of Veronica Arjona, LMFT, Marriage & Family Therapist in Kings County, NY
Veronica Arjona, LMFT
Marriage & Family Therapist, LMFT
Verified Verified
Brooklyn, NY 11206  (Online Only)
I have worked within culturally-informed and trauma-informed frameworks.
My goal as a therapist is to support you in becoming the person you want to be. I'll work with you towards finding ways to improve your life in the direction you choose. Therapy is a space for you to fully focus on finding what works for you. As a native Spanish speaker, I work bilingually with individuals, couples, families, and other groups.
I have worked within culturally-informed and trauma-informed frameworks.
My goal as a therapist is to support you in becoming the person you want to be. I'll work with you towards finding ways to improve your life in the direction you choose. Therapy is a space for you to fully focus on finding what works for you. As a native Spanish speaker, I work bilingually with individuals, couples, families, and other groups.
(628) 209-5915 View (628) 209-5915
Photo of Amara Clark, Art Therapist in Kings County, NY
Amara Clark
Art Therapist, MA, LCAT, ATR-BC, CASAC-T
Verified Verified
4 Endorsed
Brooklyn, NY 11206
Waitlist for new clients
I believe understanding the impact of your experiences can help you more deeply connect to the meaning of distressing patterns and symptoms and open space to make change. In being curious together about your inner experience and interpersonal encounters we can identify barriers to your goals, deepen self awareness, and strengthen your internal resources. I specialize in integrating verbal psychotherapy with visual art making and other creative practices and I have experience providing trauma focused therapy.
I believe understanding the impact of your experiences can help you more deeply connect to the meaning of distressing patterns and symptoms and open space to make change. In being curious together about your inner experience and interpersonal encounters we can identify barriers to your goals, deepen self awareness, and strengthen your internal resources. I specialize in integrating verbal psychotherapy with visual art making and other creative practices and I have experience providing trauma focused therapy.
(646) 846-4621 View (646) 846-4621
Photo of Mari Dickerson, Clinical Social Work/Therapist in Kings County, NY
Mari Dickerson
Clinical Social Work/Therapist, LCSW, CYT
Verified Verified
Brooklyn, NY 11222
I specialize in a trauma treatment called EMDR and in women's health and feminine psychology.
I believe that self-acceptance and self-understanding are fundamental to meaningful change and that each of us has an innate healing capacity and ability to thrive. Sometimes, unresolved memories or traumas, anxiety, depression, self-criticism, identity issues, cultural conditioning or daily stressors can stand in the way of our sense of vitality and efficacy in life. I provide clients with a supportive, non-judgmental space (with a bit of humor when appropriate) to process psychological distress and get to the root of what is keeping you from orienting toward more authenticity and balance.
I specialize in a trauma treatment called EMDR and in women's health and feminine psychology.
I believe that self-acceptance and self-understanding are fundamental to meaningful change and that each of us has an innate healing capacity and ability to thrive. Sometimes, unresolved memories or traumas, anxiety, depression, self-criticism, identity issues, cultural conditioning or daily stressors can stand in the way of our sense of vitality and efficacy in life. I provide clients with a supportive, non-judgmental space (with a bit of humor when appropriate) to process psychological distress and get to the root of what is keeping you from orienting toward more authenticity and balance.
(347) 751-6108 View (347) 751-6108
Photo of Esti Marcus, Clinical Social Work/Therapist in Kings County, NY
Esti Marcus
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Brooklyn, NY 11215
Whether you have experienced the agony of a significant Trauma or the hidden devastation of prolonged emotional trauma, these experiences can lead to fractures in a person's sense of self, adaptive capacity and inner cohesion, often resulting in anxiety, depression, somatic disorders, self-esteem difficulties and interpersonal struggles. Using a blend of different perspectives with empathy and understanding, I aim to foster a supportive therapeutic relationship and create a holding space to process painful experiences, deepen insight into thoughts and feelings, and build connections with the felt sense in the body.
Whether you have experienced the agony of a significant Trauma or the hidden devastation of prolonged emotional trauma, these experiences can lead to fractures in a person's sense of self, adaptive capacity and inner cohesion, often resulting in anxiety, depression, somatic disorders, self-esteem difficulties and interpersonal struggles. Using a blend of different perspectives with empathy and understanding, I aim to foster a supportive therapeutic relationship and create a holding space to process painful experiences, deepen insight into thoughts and feelings, and build connections with the felt sense in the body.
(347) 830-7713 View (347) 830-7713
Photo of Negar Morshedian, Counselor in Kings County, NY
Negar Morshedian
Counselor, MA, EdM, LMHC
Verified Verified
5 Endorsed
Brooklyn, NY 11226  (Online Only)
I specialize in working with individuals struggling with trauma, depression, anxiety, and relational issues.
Hello and welcome to my page! I believe that all individuals are capable of healing and growth with the help of an understanding, compassionate, and supportive therapist. Therapy is a vulnerable process and I strive to provide an environment where my client feels safe. I also believe that insight alone is not enough for change to occur and therefore I bring experiential work into the room, often engaging the body and somatic experience in our work. My approach to therapy integrates Attachment Theory, Psychodynamic Theory, Emotion-Focused Therapy, Experiential Therapy, and Accelerated Experiential Dynamic Psychotherapy (AEDP).
I specialize in working with individuals struggling with trauma, depression, anxiety, and relational issues.
Hello and welcome to my page! I believe that all individuals are capable of healing and growth with the help of an understanding, compassionate, and supportive therapist. Therapy is a vulnerable process and I strive to provide an environment where my client feels safe. I also believe that insight alone is not enough for change to occur and therefore I bring experiential work into the room, often engaging the body and somatic experience in our work. My approach to therapy integrates Attachment Theory, Psychodynamic Theory, Emotion-Focused Therapy, Experiential Therapy, and Accelerated Experiential Dynamic Psychotherapy (AEDP).
(646) 832-4954 View (646) 832-4954
Photo of Love & Kindness Wellness Services, LLC, Clinical Social Work/Therapist in Kings County, NY
Love & Kindness Wellness Services, LLC
Clinical Social Work/Therapist, LCSW, FOTT
Verified Verified
3 Endorsed
Brooklyn, NY 11210
Psychological trauma and suffering can be overwhelming, often leaving us feeling drained, hopeless, lost, and alone. If you are feeling stuck in your life, have experienced trauma, or find it difficult to bring your best self forward, reach out to me. I will help support and guide you through the pain. I am a licensed clinical social worker with over 15 years of experience in various settings providing quality care to diverse populations. I work within a variety of frameworks including CBT, Focusing Oriented therapy, person-centered/ strength-based lenses, as well as within both a holistic and mindful awareness of wellness.
Psychological trauma and suffering can be overwhelming, often leaving us feeling drained, hopeless, lost, and alone. If you are feeling stuck in your life, have experienced trauma, or find it difficult to bring your best self forward, reach out to me. I will help support and guide you through the pain. I am a licensed clinical social worker with over 15 years of experience in various settings providing quality care to diverse populations. I work within a variety of frameworks including CBT, Focusing Oriented therapy, person-centered/ strength-based lenses, as well as within both a holistic and mindful awareness of wellness.
(347) 334-6423 View (347) 334-6423
Photo of Isabel Terkuhle, Pre-Licensed Professional in Kings County, NY
Isabel Terkuhle
Pre-Licensed Professional, MS
Verified Verified
Brooklyn, NY 11217
I specialize in working with adolescents and adults experiencing depression, anxiety, borderline personality disorder, PTSD, and OCD. I provide versatile evidence-based care, including CBT, DBT, SMART Recovery for addiction, and ERT (Emotion Regulation Therapy), in which I received training from Columbia University and Mount Sinai Hospital.
I specialize in working with adolescents and adults experiencing depression, anxiety, borderline personality disorder, PTSD, and OCD. I provide versatile evidence-based care, including CBT, DBT, SMART Recovery for addiction, and ERT (Emotion Regulation Therapy), in which I received training from Columbia University and Mount Sinai Hospital.
(347) 269-3064 View (347) 269-3064
Photo of Arooj Minhas in Kings County, NY
Arooj Minhas
Verified Verified
Brooklyn, NY 11235
Waitlist for new clients
As a therapist, my goal is to create a comfortable, nonjudgemental and safe place where my client can feel open and trust me. From my previous work background I have learned that having a therapist you can not only trust but have a personal connection with is very important. I believe every individual has their own unique experiences, trauma, and issues and I would like to be that safe place for someone to unravel these experiences and together work towards a positive healthier journey. I strive to always validate my client's feelings and have an open empathetic mindset during my sessions which I believe is very important.
As a therapist, my goal is to create a comfortable, nonjudgemental and safe place where my client can feel open and trust me. From my previous work background I have learned that having a therapist you can not only trust but have a personal connection with is very important. I believe every individual has their own unique experiences, trauma, and issues and I would like to be that safe place for someone to unravel these experiences and together work towards a positive healthier journey. I strive to always validate my client's feelings and have an open empathetic mindset during my sessions which I believe is very important.
(347) 960-5689 View (347) 960-5689
Photo of Darragh Sheehan, Clinical Social Work/Therapist in Kings County, NY
Darragh Sheehan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Brooklyn, NY 11201
I have extensive experience with patients managing complex trauma.
It can be overwhelming searching for a therapist. Being vulnerable with another person can be scary, even if they are a professional. This is why I’m aware that the first step of any healing process is the creation of a safe and caring space for my patients. I work well with people who struggle with overwhelming feelings, such as shame, low self-worth, depression, anxiety, hypersensitivity, emotional dysregulation, and/or have difficulty in their relationships or with intimacy.
I have extensive experience with patients managing complex trauma.
It can be overwhelming searching for a therapist. Being vulnerable with another person can be scary, even if they are a professional. This is why I’m aware that the first step of any healing process is the creation of a safe and caring space for my patients. I work well with people who struggle with overwhelming feelings, such as shame, low self-worth, depression, anxiety, hypersensitivity, emotional dysregulation, and/or have difficulty in their relationships or with intimacy.
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Photo of Kathryn Kreitler, Clinical Social Work/Therapist in Kings County, NY
Kathryn Kreitler
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11201  (Online Only)
I am passionate about helping adolescents and young adults find their footing in the world, supporting women who are navigating the effects of trauma and systemic violence, and empowering LGBTQIA+ individuals to find freedom and safety.
Hello! I am Katy, a Psychotherapist and Licensed Clinical Social Worker with 15 years of experience in mental health and social services on both coasts. I believe all human beings deserve to live a life that is rich and full and free of suffering, and that this requires lots of work, and lots of help. While you may be experiencing anxiety, depression, or the effects of traumas that leave you struggling to cope, you also carry with you inner wisdom and strengths and skills waiting to be developed. I believe that every person has a lifelong capacity for change, and that you deserve healing.
I am passionate about helping adolescents and young adults find their footing in the world, supporting women who are navigating the effects of trauma and systemic violence, and empowering LGBTQIA+ individuals to find freedom and safety.
Hello! I am Katy, a Psychotherapist and Licensed Clinical Social Worker with 15 years of experience in mental health and social services on both coasts. I believe all human beings deserve to live a life that is rich and full and free of suffering, and that this requires lots of work, and lots of help. While you may be experiencing anxiety, depression, or the effects of traumas that leave you struggling to cope, you also carry with you inner wisdom and strengths and skills waiting to be developed. I believe that every person has a lifelong capacity for change, and that you deserve healing.
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Photo of Rivkah Kaufman, Counselor in Kings County, NY
Rivkah Kaufman
Counselor, MSEd, LMHC, EMDR-CT, C-DBT, CCTP
Verified Verified
4 Endorsed
Brooklyn, NY 11201
As a trauma therapist, my initial goal is to make you feel heard, safe, and understood; all other work will follow from this basis.
Have you had a disturbing experience that makes coping with everyday life difficult? Or witnessed something awful you can’t forget? If so, you may be suffering from trauma. In my practice, I work with clients who struggle with the psychological, emotional, and physical consequences of past and/or ongoing trauma, as they try to avoid repeating personal and professional mistakes that serve only to worsen their traumatic experiences. If you are experiencing challenges such as these, I help you process your trauma in a supportive, validating environment, that is empowering and ultimately freeing.
As a trauma therapist, my initial goal is to make you feel heard, safe, and understood; all other work will follow from this basis.
Have you had a disturbing experience that makes coping with everyday life difficult? Or witnessed something awful you can’t forget? If so, you may be suffering from trauma. In my practice, I work with clients who struggle with the psychological, emotional, and physical consequences of past and/or ongoing trauma, as they try to avoid repeating personal and professional mistakes that serve only to worsen their traumatic experiences. If you are experiencing challenges such as these, I help you process your trauma in a supportive, validating environment, that is empowering and ultimately freeing.
(917) 525-4825 View (917) 525-4825
Photo of Maya Williamson, Clinical Social Work/Therapist in Kings County, NY
Maya Williamson
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11217  (Online Only)
I have supported clients around grief/loss, separation, relationship stressors, self-esteem, anxiety, depression, and PTSD.
The decision to begin therapy is a courageous one, whether you are looking for support during an especially stressful time or are interested in understanding deeply-rooted patterns that no longer serve you. I acknowledge this powerful step forward and pledge to work collaboratively with you to create a safe, gentle space that encourages you to feel grounded and connected to your authentic self.
I have supported clients around grief/loss, separation, relationship stressors, self-esteem, anxiety, depression, and PTSD.
The decision to begin therapy is a courageous one, whether you are looking for support during an especially stressful time or are interested in understanding deeply-rooted patterns that no longer serve you. I acknowledge this powerful step forward and pledge to work collaboratively with you to create a safe, gentle space that encourages you to feel grounded and connected to your authentic self.
(929) 552-2785 View (929) 552-2785
Photo of Joy Nirenstein Radish in Kings County, NY
Joy Nirenstein Radish
MA, LCAT, RDT
Verified Verified
1 Endorsed
Brooklyn, NY 11215
I work with clients to create the conditions for greater self-acceptance, ease, and self-agency. I often work with creative or sensitive people, and with those recovering from complex trauma, addiction, and family-of-origin wounds that may cause depression, stuckness, or disconnection. I believe in the liberating process of creating space for grief, sorrow, anger, humor and joy as a means to support growth, healing, and change. I work with clients in a highly experiential way, honoring the wisdom of the body and language of the soul. I believe that building and creating one's life is more powerful than attempting to "fix" oneself.
I work with clients to create the conditions for greater self-acceptance, ease, and self-agency. I often work with creative or sensitive people, and with those recovering from complex trauma, addiction, and family-of-origin wounds that may cause depression, stuckness, or disconnection. I believe in the liberating process of creating space for grief, sorrow, anger, humor and joy as a means to support growth, healing, and change. I work with clients in a highly experiential way, honoring the wisdom of the body and language of the soul. I believe that building and creating one's life is more powerful than attempting to "fix" oneself.
(929) 294-7273 View (929) 294-7273

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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.