Trauma and PTSD Therapists in Salt Lake City, UT

Photo of David Elder, Clinical Social Work/Therapist in Salt Lake City, UT
David Elder
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Salt Lake City, UT 84107
Addressing challenges including marriage, divorce, religious transition, aging, depression, anxiety, stress, unemployment, death of loved ones, domestic issues, abuse, trauma, codependence, addiction, grief, parenting and relationships.
I know what it's like to struggle with the challenges of family, parenting, aging, grief, employment, marriage, life transitions, career loss, self fulfillment and purpose. Married for over 44 years, having owned a family business, I learned firsthand how to find purpose and peace in the midst of stress, depression, loss, anxiety and grief. I draw on personal experiences of raising children, marriage, owning a business, aging parents, loss of loved ones, major life transitions, depression, anxiety, addiction and stress. These life experiences give me a unique understanding and ability to help clients overcome similar challenges.
Addressing challenges including marriage, divorce, religious transition, aging, depression, anxiety, stress, unemployment, death of loved ones, domestic issues, abuse, trauma, codependence, addiction, grief, parenting and relationships.
I know what it's like to struggle with the challenges of family, parenting, aging, grief, employment, marriage, life transitions, career loss, self fulfillment and purpose. Married for over 44 years, having owned a family business, I learned firsthand how to find purpose and peace in the midst of stress, depression, loss, anxiety and grief. I draw on personal experiences of raising children, marriage, owning a business, aging parents, loss of loved ones, major life transitions, depression, anxiety, addiction and stress. These life experiences give me a unique understanding and ability to help clients overcome similar challenges.
(801) 734-9096 View (801) 734-9096
Photo of Simon Wilson, Clinical Social Work/Therapist in Salt Lake City, UT
Simon Wilson
Clinical Social Work/Therapist, CSW
Verified Verified
Salt Lake City, UT 84111  (Online Only)
I'm here to support you on your healing journey with trauma, grief, and loss. Trauma impacts us in many ways and can have lasting impacts into our adulthood. Sometimes when we experience a traumatic event our minds and bodies process it on their own. Other times things get a little sticky and we need to find ways to encourage the expression of that energy. In addition to offering multiple healing modalities, I'm here to have open conversations about and integration of experiences involving an expanded state of awareness.
I'm here to support you on your healing journey with trauma, grief, and loss. Trauma impacts us in many ways and can have lasting impacts into our adulthood. Sometimes when we experience a traumatic event our minds and bodies process it on their own. Other times things get a little sticky and we need to find ways to encourage the expression of that energy. In addition to offering multiple healing modalities, I'm here to have open conversations about and integration of experiences involving an expanded state of awareness.
(801) 994-6142 View (801) 994-6142
Photo of UAF Legacy Health, Clinical Social Work/Therapist in Salt Lake City, UT
UAF Legacy Health
Clinical Social Work/Therapist, LCSW
Verified Verified
Salt Lake City, UT 84102
UAF Legacy Health is a forefront provider of trauma-informed mental health services specializing in tailored support for LGBTQIA+ individuals and people living with HIV. Our compassionate approach integrates expert knowledge in LGBTQIA+ identity and the nuances of living with HIV, creating a safe space where all clients feel understood and supported. By prioritizing trauma-informed care, UAF Legacy Health empowers individuals to navigate mental health challenges with resilience and a focus on holistic well-being.
UAF Legacy Health is a forefront provider of trauma-informed mental health services specializing in tailored support for LGBTQIA+ individuals and people living with HIV. Our compassionate approach integrates expert knowledge in LGBTQIA+ identity and the nuances of living with HIV, creating a safe space where all clients feel understood and supported. By prioritizing trauma-informed care, UAF Legacy Health empowers individuals to navigate mental health challenges with resilience and a focus on holistic well-being.
(385) 526-2744 View (385) 526-2744
Photo of Gretchen Anstadt, Clinical Social Work/Therapist in Salt Lake City, UT
Gretchen Anstadt
Clinical Social Work/Therapist, LCSW
Verified Verified
Salt Lake City, UT 84103
I truly care about my clients and challenge them to achieve their goals and meet their full potential. I believe we start by generating a strong therapeutic relationship that allows us to do the hard work together. Then we will begin to identify learned patterns of thinking and behavior that are no longer working for you. Together, we will explore new ways of thinking and being that are aligned with your values, experiences, and goals to support you becoming the person you want to be. I work with young adults and adults on their concerns related to identity development, relationship concerns, anxiety, mood concerns, and trauma.
I truly care about my clients and challenge them to achieve their goals and meet their full potential. I believe we start by generating a strong therapeutic relationship that allows us to do the hard work together. Then we will begin to identify learned patterns of thinking and behavior that are no longer working for you. Together, we will explore new ways of thinking and being that are aligned with your values, experiences, and goals to support you becoming the person you want to be. I work with young adults and adults on their concerns related to identity development, relationship concerns, anxiety, mood concerns, and trauma.
(385) 787-5120 View (385) 787-5120
Photo of Michelle Call, LCSW, Clinical Social Work/Therapist in Salt Lake City, UT
Michelle Call, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Salt Lake City, UT 84109
I specialize in working with clients healing from trauma, PTSD, abuse/neglect, relationship issues, body politics/image, religious/faith conflicts, depression, anxiety, sexual/gender/LGBT identity, grief/loss, and life transitions.
I am a relationship-based psychotherapist who approaches therapy from a place of collaboration and a belief that we are each the experts on ourselves. I am especially interested in issues of diversity and inclusion, and exploring the impacts of oppression and discrimination on those who feel marginalized. I use a feminist - multicultural lens to create a safe place for exploration, to increase empowerment, and to live a more authentic and satisfying life.
I specialize in working with clients healing from trauma, PTSD, abuse/neglect, relationship issues, body politics/image, religious/faith conflicts, depression, anxiety, sexual/gender/LGBT identity, grief/loss, and life transitions.
I am a relationship-based psychotherapist who approaches therapy from a place of collaboration and a belief that we are each the experts on ourselves. I am especially interested in issues of diversity and inclusion, and exploring the impacts of oppression and discrimination on those who feel marginalized. I use a feminist - multicultural lens to create a safe place for exploration, to increase empowerment, and to live a more authentic and satisfying life.
(801) 723-0196 View (801) 723-0196
Photo of Mariah Peterson Lcsw, Clinical Social Work/Therapist in Salt Lake City, UT
Mariah Peterson Lcsw
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Salt Lake City, UT 84106
Whether it's trauma, PTSD, anxiety, depression, low or no self-esteem, identity issues or utter shame and guilt, you have a chance to heal and be who you are, or whoever you want to become! YOU Got This!.
For the most part we are all walking around pretending to be okay and hoping our positive affirmations, daily meditations, gratitude journal entries and the annoying latest push-up challenge will finally pay off with the bliss, confidence and motivation we see in our imaginary future selves. When in reality we might be feeling the cliché, "Hot MESS", which I will say has a certain je ne sais quoi about it. Right? The truth is we all have a core self who wants to be healed and has the power to do it!Yet it is almost impossible to do without true Connection, Compassion and Curiosity of who we really are.
Whether it's trauma, PTSD, anxiety, depression, low or no self-esteem, identity issues or utter shame and guilt, you have a chance to heal and be who you are, or whoever you want to become! YOU Got This!.
For the most part we are all walking around pretending to be okay and hoping our positive affirmations, daily meditations, gratitude journal entries and the annoying latest push-up challenge will finally pay off with the bliss, confidence and motivation we see in our imaginary future selves. When in reality we might be feeling the cliché, "Hot MESS", which I will say has a certain je ne sais quoi about it. Right? The truth is we all have a core self who wants to be healed and has the power to do it!Yet it is almost impossible to do without true Connection, Compassion and Curiosity of who we really are.
(385) 402-7449 View (385) 402-7449
Photo of Deborah Stone in Salt Lake City, UT
Deborah Stone
PhD, ADHD-CC, CCTP
Verified Verified
Salt Lake City, UT 84116
Certifed as a Trauma Specialist, I help men and women reclaim their lives and become empowered and confident.
Helping people find solutions to problems that seem insurmountable and regain hope has always been a passion of mine. Becoming a mental health counselor has given me the opportunity to do this. I offer therapy to adults 18 and up.
Certifed as a Trauma Specialist, I help men and women reclaim their lives and become empowered and confident.
Helping people find solutions to problems that seem insurmountable and regain hope has always been a passion of mine. Becoming a mental health counselor has given me the opportunity to do this. I offer therapy to adults 18 and up.
(385) 832-7664 View (385) 832-7664
Photo of Caroline Alyce Kellough, Counselor in Salt Lake City, UT
Caroline Alyce Kellough
Counselor, CMHC
Verified Verified
1 Endorsed
Salt Lake City, UT 84102
Waitlist for new clients
My work is influenced by many trauma-informed practices including attachment theory, object relations, EMDR (trained), family systems, and internal family systems.
I work with young adults, families, and couples helping them to shed light on themselves and the systems of which they are a part. I have worked predominately with clients experiencing symptoms of PTSD, depression, anxiety, bipolar, addictive disorders, and personality disorders. I have a background in wilderness therapy and experiential treatment and love to introduce creative, alternative modes of expression to my clients, including yoga movement, narrative, and outdoor based therapies (walk and talk). By the end of our first session, most of my clients feel relieved and hopeful for their next steps.
My work is influenced by many trauma-informed practices including attachment theory, object relations, EMDR (trained), family systems, and internal family systems.
I work with young adults, families, and couples helping them to shed light on themselves and the systems of which they are a part. I have worked predominately with clients experiencing symptoms of PTSD, depression, anxiety, bipolar, addictive disorders, and personality disorders. I have a background in wilderness therapy and experiential treatment and love to introduce creative, alternative modes of expression to my clients, including yoga movement, narrative, and outdoor based therapies (walk and talk). By the end of our first session, most of my clients feel relieved and hopeful for their next steps.
(435) 562-9024 View (435) 562-9024
Photo of Brooke Lesley, Clinical Social Work/Therapist in Salt Lake City, UT
Brooke Lesley
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Salt Lake City, UT 84105  (Online Only)
I am skilled in companioning individuals who are experiencing distress related to sexual violence, incidents of trauma, grief & loss, and life transitions.
Pain is part of the human experience. Rather than efforts of eliminating distress, I invite individuals to amplify their awareness of thoughts, sensations, and impulses that contribute to pain and suffering. This mindful practice, coupled with self-compassion, can mobilize healing, increase our ability to manage distress, and expand our resilience. Collaboratively, we will explore options for creating a meaningful life.
I am skilled in companioning individuals who are experiencing distress related to sexual violence, incidents of trauma, grief & loss, and life transitions.
Pain is part of the human experience. Rather than efforts of eliminating distress, I invite individuals to amplify their awareness of thoughts, sensations, and impulses that contribute to pain and suffering. This mindful practice, coupled with self-compassion, can mobilize healing, increase our ability to manage distress, and expand our resilience. Collaboratively, we will explore options for creating a meaningful life.
(801) 797-3526 View (801) 797-3526
Photo of James Michael Preston, Clinical Social Work/Therapist in Salt Lake City, UT
James Michael Preston
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Salt Lake City, UT 84101
I have experience working with teens and adults in many different levels of care. Clients that come to me are usually seeking relief from depression, anxiety, trauma, substance abuse, OCD, mindfulness, grief and loss, etc. I love helping people meet their goals. Reach out to me and I'll help you navigate the next steps. I offer free 15 minute phone consultations.
I have experience working with teens and adults in many different levels of care. Clients that come to me are usually seeking relief from depression, anxiety, trauma, substance abuse, OCD, mindfulness, grief and loss, etc. I love helping people meet their goals. Reach out to me and I'll help you navigate the next steps. I offer free 15 minute phone consultations.
(385) 342-5716 View (385) 342-5716
Photo of Sloane Rampton, LCSW, Clinical Social Work/Therapist in Salt Lake City, UT
Sloane Rampton, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Salt Lake City, UT 84106
Daily life can be scary, even daunting. For some of us, we have the additional stressors of trauma, loss, loneliness, addiction and loss of purpose. In therapy I strive to help individuals overcome their barriers. Happiness and balance are goals for me. I have experience treating addiction, trauma, depression, anxiety, bipolar, grief, relationship issues and more. Whether you view current barriers to be day to day stressors or intense trauma and PTSD, I can provide support, caring and understanding. My goal is for all of my clients to regain their purpose, feel connection and find more happiness in their lives.
Daily life can be scary, even daunting. For some of us, we have the additional stressors of trauma, loss, loneliness, addiction and loss of purpose. In therapy I strive to help individuals overcome their barriers. Happiness and balance are goals for me. I have experience treating addiction, trauma, depression, anxiety, bipolar, grief, relationship issues and more. Whether you view current barriers to be day to day stressors or intense trauma and PTSD, I can provide support, caring and understanding. My goal is for all of my clients to regain their purpose, feel connection and find more happiness in their lives.
(801) 896-1048 View (801) 896-1048
Photo of Garrett Pollert, Psychologist in Salt Lake City, UT
Garrett Pollert
Psychologist, PhD
Verified Verified
1 Endorsed
Salt Lake City, UT 84101
I am a clinical psychologist specialized in treating eating disorders, binge eating, anxiety, depression, and trauma. All treatments are based on Cognitive Behavior Therapy principles and are structured individually to your needs. I provide an open, safe, non-judgmental space where we can collaboratively work to reduce your symptoms and improve your life. In treatment, we set individualized goals, create a treatment plan specific to your needs, and focus on the most effective and up-to-date treatment methods for the difficulties you've been experiencing.
I am a clinical psychologist specialized in treating eating disorders, binge eating, anxiety, depression, and trauma. All treatments are based on Cognitive Behavior Therapy principles and are structured individually to your needs. I provide an open, safe, non-judgmental space where we can collaboratively work to reduce your symptoms and improve your life. In treatment, we set individualized goals, create a treatment plan specific to your needs, and focus on the most effective and up-to-date treatment methods for the difficulties you've been experiencing.
(385) 469-3061 View (385) 469-3061
Photo of Ashley Call, Clinical Social Work/Therapist in Salt Lake City, UT
Ashley Call
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Salt Lake City, UT 84102
My work stems from evidence-based practice such as Motivational Interviewing, Cognitive Behavioral Therapy (CBT), and Prolonged Exposure Therapy (for PTSD).
Trying to figure out the next step can be overwhelming and lonely when we feel stuck. Whether we are trying to navigate relationships, personal and religious beliefs, or sexual/gender orientation- it can be hard! I truly believe you are the expert of your life, and believe the answers are within you. Sometimes we may know where we want to get to but feel the next steps to getting there are unsteady, unfamiliar or not even visible at the moment. Having a place to be able to emotionally process and break down realistic and meaningful steps can help to find clarity and find coping strategies that fit for you.
My work stems from evidence-based practice such as Motivational Interviewing, Cognitive Behavioral Therapy (CBT), and Prolonged Exposure Therapy (for PTSD).
Trying to figure out the next step can be overwhelming and lonely when we feel stuck. Whether we are trying to navigate relationships, personal and religious beliefs, or sexual/gender orientation- it can be hard! I truly believe you are the expert of your life, and believe the answers are within you. Sometimes we may know where we want to get to but feel the next steps to getting there are unsteady, unfamiliar or not even visible at the moment. Having a place to be able to emotionally process and break down realistic and meaningful steps can help to find clarity and find coping strategies that fit for you.
(385) 462-8445 View (385) 462-8445
Photo of Willow Therapy Services, Clinical Social Work/Therapist in Salt Lake City, UT
Willow Therapy Services
Clinical Social Work/Therapist, LCSW, MPH, PMH-C
Verified Verified
Salt Lake City, UT 84106  (Online Only)
I use a trauma-informed approach and have extensive training in EMDR, CBT, DBT, Motivational Interviewing, ACT, ERP and Advanced Grief training.
Reaching out for support is hard. You are brave for being here! My name is Julia Ewanowski. I am a Licensed Clinical Social Worker, and I also have my Masters of Public Health. I specialize in perinatal mental health, or mood and anxiety changes that happen before, during & after pregnancy, perinatal trauma, OCD, grief & loss, infertility, parenting struggles, adoption and relationship conflicts. I also treat the mental health conditions that can accompany chronic health conditions, health-related traumas, terminal illness & caregiver burnout.
I use a trauma-informed approach and have extensive training in EMDR, CBT, DBT, Motivational Interviewing, ACT, ERP and Advanced Grief training.
Reaching out for support is hard. You are brave for being here! My name is Julia Ewanowski. I am a Licensed Clinical Social Worker, and I also have my Masters of Public Health. I specialize in perinatal mental health, or mood and anxiety changes that happen before, during & after pregnancy, perinatal trauma, OCD, grief & loss, infertility, parenting struggles, adoption and relationship conflicts. I also treat the mental health conditions that can accompany chronic health conditions, health-related traumas, terminal illness & caregiver burnout.
(385) 375-7250 View (385) 375-7250
Photo of Assuage (Utah), Counselor in Salt Lake City, UT
Assuage (Utah)
Counselor, LCMHC, CCTP
Verified Verified
Salt Lake City, UT 84115  (Online Only)
Assuage clinicians are licensed to treat trauma, addressing management of issues involving trauma, anxiety, depression, panic, PTSD, addiction, military, war, LGBTQIA+, dysphoria, gender transition, ADHD, rejection sensitivity, and high-functioning Autism.
Assuage clinicians are licensed to treat trauma, addressing management of issues involving trauma, anxiety, depression, panic, PTSD, addiction, military, war, LGBTQIA+, dysphoria, gender transition, ADHD, rejection sensitivity, and high-functioning Autism.
(385) 396-4255 View (385) 396-4255
Photo of Shannon Marley, Counselor in Salt Lake City, UT
Shannon Marley
Counselor, LPC, CMHC
Verified Verified
Salt Lake City, UT 84107  (Online Only)
Hello there, and welcome to my page! As a licensed mental health counselor in both the states of Texas & Utah, I am committed to providing a safe and supportive space for individuals and families seeking guidance and healing. My mission is to empower individuals to overcome obstacles, cultivate resilience, and live authentically. With over 10 years of experience in the field, I specialize in anxiety, depression, trauma, and addiction. I understand that taking the first step towards seeking therapy can be daunting, but I commend you for your courage and willingness to embark on this journey of self-discovery and growth.
Hello there, and welcome to my page! As a licensed mental health counselor in both the states of Texas & Utah, I am committed to providing a safe and supportive space for individuals and families seeking guidance and healing. My mission is to empower individuals to overcome obstacles, cultivate resilience, and live authentically. With over 10 years of experience in the field, I specialize in anxiety, depression, trauma, and addiction. I understand that taking the first step towards seeking therapy can be daunting, but I commend you for your courage and willingness to embark on this journey of self-discovery and growth.
(346) 276-1558 View (346) 276-1558
Photo of Eileen Rojas, Clinical Social Work/Therapist in Salt Lake City, UT
Eileen Rojas
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Salt Lake City, UT 84115
Hi, I'm Eileen! I'm a bi-cultural/bilingual therapist and dance artist based in SLC, UT. I work with individual adults, teens, and families from many diverse backgrounds. My experience as a mover and my interest in recreation, somatics, music, yoga, and art has influenced my approach to healing and emphasis on the connection between the mind and the body. My focus is on supporting those working through depression, anxiety, trauma, culture based identity experiences, and life transitions. I aim to maintain an equitable and inclusive practice by focusing on the strengths & interests of each unique person I work with.
Hi, I'm Eileen! I'm a bi-cultural/bilingual therapist and dance artist based in SLC, UT. I work with individual adults, teens, and families from many diverse backgrounds. My experience as a mover and my interest in recreation, somatics, music, yoga, and art has influenced my approach to healing and emphasis on the connection between the mind and the body. My focus is on supporting those working through depression, anxiety, trauma, culture based identity experiences, and life transitions. I aim to maintain an equitable and inclusive practice by focusing on the strengths & interests of each unique person I work with.
(801) 663-7610 View (801) 663-7610
Photo of Michelle Isaac-Doherty, Clinical Social Work/Therapist in Salt Lake City, UT
Michelle Isaac-Doherty
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Salt Lake City, UT 84106
I specialize in working with children, teens, and adults who struggle with depression, anxiety, trauma histories, grief and loss, family stressors, and other issues. I also have extensive experience working with teens and children with autism and learning difficulties, as well as those who struggle to cope with their strong and changing emotions.
I specialize in working with children, teens, and adults who struggle with depression, anxiety, trauma histories, grief and loss, family stressors, and other issues. I also have extensive experience working with teens and children with autism and learning difficulties, as well as those who struggle to cope with their strong and changing emotions.
(801) 406-7271 View (801) 406-7271
Photo of Valerie Leavitt, Clinical Social Work/Therapist in Salt Lake City, UT
Valerie Leavitt
Clinical Social Work/Therapist, LCSW
Verified Verified
Salt Lake City, UT 84101
Waitlist for new clients
We all deserve a space where we can feel free to be open, to show our vulnerabilities, and to work through the barriers that prevent us from feeling whole. I utilize my counseling skills and various modalities to create a safe environment for those suffering from trauma, depression, anxiety, stress, grief, and the challenges of life transitions. I help those with whom I work identify any habits, such as addictions to drugs, food, self-harm, or white noise, which may be interfering with their efforts to overcome suffering.
We all deserve a space where we can feel free to be open, to show our vulnerabilities, and to work through the barriers that prevent us from feeling whole. I utilize my counseling skills and various modalities to create a safe environment for those suffering from trauma, depression, anxiety, stress, grief, and the challenges of life transitions. I help those with whom I work identify any habits, such as addictions to drugs, food, self-harm, or white noise, which may be interfering with their efforts to overcome suffering.
(801) 515-3082 View (801) 515-3082
Photo of Steven McCowin, Psychologist in Salt Lake City, UT
Steven McCowin
Psychologist, PhD, JD
Verified Verified
Salt Lake City, UT 84117
I primarily focus on two practice areas: Working with survivors of serious trauma (combat or other military trauma, assault, natural disasters, accidents, etc.) who suffer from PTSD or other post-trauma issues, and working with adolescents and verbal children who are dealing with behavioral problems, anxiety issues (OCD, panic, etc.), or depression.
I primarily focus on two practice areas: Working with survivors of serious trauma (combat or other military trauma, assault, natural disasters, accidents, etc.) who suffer from PTSD or other post-trauma issues, and working with adolescents and verbal children who are dealing with behavioral problems, anxiety issues (OCD, panic, etc.), or depression.
(801) 335-6360 View (801) 335-6360

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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.