Photo of Clifton Adkins, Licensed Professional Counselor in Beckley, WV
Clifton Adkins
Licensed Professional Counselor, LPC
Verified Verified
Beckley, WV 25801
All of life's demands, relationships, expectations, trauma, and change can become mentally confusing, emotionally draining, and spiritually suffocating. As a therapist, I provide a space for conversations free of judgment, focused on your potential for strength, clarity, and peace. Growth, healing, understanding, and hope are possible!
All of life's demands, relationships, expectations, trauma, and change can become mentally confusing, emotionally draining, and spiritually suffocating. As a therapist, I provide a space for conversations free of judgment, focused on your potential for strength, clarity, and peace. Growth, healing, understanding, and hope are possible!
(304) 381-6276 View (304) 381-6276
Photo of Beautiful Minds Counseling Center , Licensed Professional Counselor in Beckley, WV
Beautiful Minds Counseling Center
Licensed Professional Counselor, LPC, ALPS, NCC, CCMHC, MAC
Verified Verified
Beckley, WV 25801
If you are looking on this website, I get it! You want to feel better! No one wants to be sad, feel stuck, hopeless, stressed, or overwhelmed. No one wants to feel like they are just walking through the motions of life. You want to live your best life! You want to feel happy & empowered! If your past haunts you, you're walking through the motions of day to day life, you can't find your happy, you can't slow down your mind, or you're in a relationship that you desperately want to save but don't know how, I can help!
If you are looking on this website, I get it! You want to feel better! No one wants to be sad, feel stuck, hopeless, stressed, or overwhelmed. No one wants to feel like they are just walking through the motions of life. You want to live your best life! You want to feel happy & empowered! If your past haunts you, you're walking through the motions of day to day life, you can't find your happy, you can't slow down your mind, or you're in a relationship that you desperately want to save but don't know how, I can help!
(304) 913-3404 View (304) 913-3404
Photo of Susan Armentrout, Licensed Professional Counselor in Beckley, WV
Susan Armentrout
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Beckley, WV 25801
Please contact KPCC Counseling for scheduling and let the front desk know you're interested in seeing Susan Armentrout. They will take your information and send it my way and I'll get in touch with you. I am a Licensed Professional Counselor and have been practicing for over 13 years, providing excellence in care, using evidence-based counseling with my clients. I am a strong believer in working collaboratively with my clients to help them reach their goals and to join them in their journey of writing their story of success and healing.
Please contact KPCC Counseling for scheduling and let the front desk know you're interested in seeing Susan Armentrout. They will take your information and send it my way and I'll get in touch with you. I am a Licensed Professional Counselor and have been practicing for over 13 years, providing excellence in care, using evidence-based counseling with my clients. I am a strong believer in working collaboratively with my clients to help them reach their goals and to join them in their journey of writing their story of success and healing.
(304) 316-6430 View (304) 316-6430
Photo of Donna Murray, Counselor in Beckley, WV
Donna Murray
Counselor, LPCC
Verified Verified
Beckley, WV 25801  (Online Only)
Hello! My name is Donna Murray and I look forward to connecting with you. I’ve had the joy of working in the counseling field for over 25 years in multiple settings including: private practice, inpatient and outpatient, home-based, school-based and residential detox. I am a Licensed Professional Clinical Counselor in the states of Ohio, West Virginia and North Carolina and have been offering counseling services since 1996. Currently, I also serve on the West Virginia Certification Board for Addiction & Prevention Professionals.
Hello! My name is Donna Murray and I look forward to connecting with you. I’ve had the joy of working in the counseling field for over 25 years in multiple settings including: private practice, inpatient and outpatient, home-based, school-based and residential detox. I am a Licensed Professional Clinical Counselor in the states of Ohio, West Virginia and North Carolina and have been offering counseling services since 1996. Currently, I also serve on the West Virginia Certification Board for Addiction & Prevention Professionals.
(304) 969-7467 View (304) 969-7467
Photo of Dwayne Franklin Masters, Licensed Professional Counselor in Beckley, WV
Dwayne Franklin Masters
Licensed Professional Counselor, MA, LPC, AADC-S, SAP, ALPS
Verified Verified
Beckley, WV 25801
Pyramid Counseling LLC has been providing services to southern WV since 1997. We have 3 locations: Lewisburg, Beckley and Saint Albans. Providing the following services: Individual group, and family/marriage counseling, DOT/SAP Evaluation, MAT services, psychiatric evaluation and medication management, DUI safety/treatment, drug/alcohol testing and EAP services. See our website for full line of services.
Pyramid Counseling LLC has been providing services to southern WV since 1997. We have 3 locations: Lewisburg, Beckley and Saint Albans. Providing the following services: Individual group, and family/marriage counseling, DOT/SAP Evaluation, MAT services, psychiatric evaluation and medication management, DUI safety/treatment, drug/alcohol testing and EAP services. See our website for full line of services.
(681) 201-4986 x100 View (681) 201-4986 x100
Photo of Morgan Rudd, Clinical Social Work/Therapist in Beckley, WV
Morgan Rudd
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Beckley, WV 25801  (Online Only)
My counseling style is warm, empathetic, integrative, and person-centered. I believe that a therapeutic relationship should be a collaborative one in which you and I work together to discover creative strategies, solutions and, even humorous insights to help you reach your goals. My role is to be there to guide you, encourage you, maybe even challenge you if I feel you are unknowingly allowing obstacles to stand in your way. I draw on multiple treatment modalities to guide clients in identifying strengths and developing treatment plans that accomplish their goals.
My counseling style is warm, empathetic, integrative, and person-centered. I believe that a therapeutic relationship should be a collaborative one in which you and I work together to discover creative strategies, solutions and, even humorous insights to help you reach your goals. My role is to be there to guide you, encourage you, maybe even challenge you if I feel you are unknowingly allowing obstacles to stand in your way. I draw on multiple treatment modalities to guide clients in identifying strengths and developing treatment plans that accomplish their goals.
(681) 207-9538 View (681) 207-9538

Online Therapists

Photo of KPCC Counseling, Counselor in Beckley, WV
KPCC Counseling
Counselor, LPC, LCSW
Verified Verified
Charleston, WV 25301
Our primary areas of focus include anxiety, depression, trauma, parenting, couples therapy.
KPCC Counseling - Voted #1 Counseling Center in West Virginia two years in a row. Convenient locations, free parking, flexible scheduling. KPCC Counseling has licensed counselors who are well trained in a number of different kinds of counseling. We match you and your goals with the counselor who will be the best fit for you. Our counselors are known for being positive, open, accepting, and available. Kathy Muscari- Andy Counts - Vanessa Landgrave- Sarah Stanley - Kerrie Harris - Paige Winfree - Jaime Richmond - Bessie Tadlock-Jimenez - Susan Armentrout - Pamela Blue- Brittany Powell- Hollie McClanahan.
Our primary areas of focus include anxiety, depression, trauma, parenting, couples therapy.
KPCC Counseling - Voted #1 Counseling Center in West Virginia two years in a row. Convenient locations, free parking, flexible scheduling. KPCC Counseling has licensed counselors who are well trained in a number of different kinds of counseling. We match you and your goals with the counselor who will be the best fit for you. Our counselors are known for being positive, open, accepting, and available. Kathy Muscari- Andy Counts - Vanessa Landgrave- Sarah Stanley - Kerrie Harris - Paige Winfree - Jaime Richmond - Bessie Tadlock-Jimenez - Susan Armentrout - Pamela Blue- Brittany Powell- Hollie McClanahan.
(304) 519-0960 View (304) 519-0960
Photo of Cassandra Chapman, Licensed Professional Counselor in Beckley, WV
Cassandra Chapman
Licensed Professional Counselor, MA, LPC, NCC, CCMHC
Verified Verified
Huntington, WV 25701
Waitlist for new clients
My ideal clients are teens or adults who want learn tools for long term happiness. Issues I enjoy treating are substance use, binge eating, grief, loss, trauma, relationship issues, marriage counseling, anxiety and depression. For success, I provide judgement free space and unconditional positive regard, mixed with some humor and direction. I like to dive deep with my clients, utilizing their strengths, which will allow them to become more free and self-sufficient, with healthier relationships.
My ideal clients are teens or adults who want learn tools for long term happiness. Issues I enjoy treating are substance use, binge eating, grief, loss, trauma, relationship issues, marriage counseling, anxiety and depression. For success, I provide judgement free space and unconditional positive regard, mixed with some humor and direction. I like to dive deep with my clients, utilizing their strengths, which will allow them to become more free and self-sufficient, with healthier relationships.
(304) 381-6067 View (304) 381-6067
Photo of Liz Fultz, Counselor in Beckley, WV
Liz Fultz
Counselor, MA, LPC, CCTP-II, NCC
Verified Verified
1 Endorsed
Huntington, WV 25701
I have had extensive training in trauma and attachment since entering the field in 2009.
Contrary to what many people believe, not all adversity is bad. Through an intentional and concentrated effort, our challenges can be turned into strengths. Trauma occurs when adversity in life outweighs our available resources. As a EMDR and Trauma Certified therapist, I also incorporate techniques informed by the Polyvagal Theory, Internal Family Systems (IFS) and Somatic Experiencing (SE) for a bottom up approach. However, my main goal is to remind you of what we all intuitively know - that healing can only happen within the context of emotionally safe relationships. You are safe here.
I have had extensive training in trauma and attachment since entering the field in 2009.
Contrary to what many people believe, not all adversity is bad. Through an intentional and concentrated effort, our challenges can be turned into strengths. Trauma occurs when adversity in life outweighs our available resources. As a EMDR and Trauma Certified therapist, I also incorporate techniques informed by the Polyvagal Theory, Internal Family Systems (IFS) and Somatic Experiencing (SE) for a bottom up approach. However, my main goal is to remind you of what we all intuitively know - that healing can only happen within the context of emotionally safe relationships. You are safe here.
(304) 407-6445 View (304) 407-6445
Photo of Ashlee N Calandros, Licensed Professional Counselor in Beckley, WV
Ashlee N Calandros
Licensed Professional Counselor, LPC
Verified Verified
Chapmanville, WV 25508
Hi there! My name is Ashlee and I have approximately 10 years working with children, adolescents, and adults who are struggling with a wide array of mental health-related issues. Some of these issues include depression, anxiety, mood disorders, ADHD, interpersonal conflict, trauma/abuse, self-esteem, motivation, confidence, and much more! I believe everyone can benefit from therapy even if nothing is “wrong.” Sometimes we just need a listening ear from a neutral person and I look forward to being that person for you. I am LGBTQ+ affirming and promote a safe space for individuals of all backgrounds to express themselves freely.
Hi there! My name is Ashlee and I have approximately 10 years working with children, adolescents, and adults who are struggling with a wide array of mental health-related issues. Some of these issues include depression, anxiety, mood disorders, ADHD, interpersonal conflict, trauma/abuse, self-esteem, motivation, confidence, and much more! I believe everyone can benefit from therapy even if nothing is “wrong.” Sometimes we just need a listening ear from a neutral person and I look forward to being that person for you. I am LGBTQ+ affirming and promote a safe space for individuals of all backgrounds to express themselves freely.
(304) 605-2916 View (304) 605-2916
Photo of Jenny Barbour, Licensed Professional Counselor in Beckley, WV
Jenny Barbour
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Barboursville, WV 25504
Since graduating with my master's degree in 2016, I have been fortunate enough to counsel hundreds of strong, determined individuals in a variety of settings (the residential setting, outpatient medication-assisted treatment, the psychiatric inpatient, and in the regular outpatient setting). I thrive working with clients who have experienced trauma, relationship issues, and/or possess a variety of mental health diagnoses (i.e., Depression, Anxiety, Bipolar Disorder, ADHD, PTSD, PMDD, OCD, etc.). My ideal client shows up consistently, is honest, is motivated to change or heal, and is willing to try something new.
Since graduating with my master's degree in 2016, I have been fortunate enough to counsel hundreds of strong, determined individuals in a variety of settings (the residential setting, outpatient medication-assisted treatment, the psychiatric inpatient, and in the regular outpatient setting). I thrive working with clients who have experienced trauma, relationship issues, and/or possess a variety of mental health diagnoses (i.e., Depression, Anxiety, Bipolar Disorder, ADHD, PTSD, PMDD, OCD, etc.). My ideal client shows up consistently, is honest, is motivated to change or heal, and is willing to try something new.
(304) 223-7500 View (304) 223-7500
Photo of Jennifer Hall, Clinical Social Work/Therapist in Beckley, WV
Jennifer Hall
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
Canvas, WV 26662  (Online Only)
I see my role as helping you make the changes you want to make, by teaching and helping you explore your life. There is no one size fits all for therapy, and I work to find methods that work for you. I am trauma-informed, working on certification in Trauma Focused-CBT. Primary issues I work with are anxiety, depression, trauma, behavioral Issues, coping Skills, grief, parenting, and self-esteem.
I see my role as helping you make the changes you want to make, by teaching and helping you explore your life. There is no one size fits all for therapy, and I work to find methods that work for you. I am trauma-informed, working on certification in Trauma Focused-CBT. Primary issues I work with are anxiety, depression, trauma, behavioral Issues, coping Skills, grief, parenting, and self-esteem.
(681) 581-0870 View (681) 581-0870
Photo of Stephanie Knight Clarke, Licensed Professional Counselor in Beckley, WV
Stephanie Knight Clarke
Licensed Professional Counselor, LPC, NCC, P-MHC
Verified Verified
Charleston, WV 25302
Stephanie Clarke is TF-CBT certified and has 10 years of experience with adults and children who have survived trauma.
Deciding you are ready to make a lifelong change can be a difficult decision, or maybe you are ready to start living the life you have envisioned and the choice is obvious. Either way, our team of qualified professionals is ready to work with you to help you determine specific goals that will improve your quality of life and enrich your relationships. We invite you into our comfortable environment. We will maintain a caring and non-judgmental stance, and will patiently follow your lead to your path to peace.
Stephanie Clarke is TF-CBT certified and has 10 years of experience with adults and children who have survived trauma.
Deciding you are ready to make a lifelong change can be a difficult decision, or maybe you are ready to start living the life you have envisioned and the choice is obvious. Either way, our team of qualified professionals is ready to work with you to help you determine specific goals that will improve your quality of life and enrich your relationships. We invite you into our comfortable environment. We will maintain a caring and non-judgmental stance, and will patiently follow your lead to your path to peace.
(681) 201-1417 View (681) 201-1417
Photo of Karena Neace, Clinical Social Work/Therapist in Beckley, WV
Karena Neace
Clinical Social Work/Therapist, MSW, LGSW, LSW
Verified Verified
Hurricane, WV 25526
My areas of expertise include depression, trauma, anxiety, and dissociative disorders.
Therapy is often described as a journey or an adventure through life's ups and downs. We're all on a quest to uncover the treasure of inner peace and well-being, and I'm here to be your trusted guide along the path. Together, we'll navigate the challenges and celebrate the growth. It will be difficult at times, but you will be wrapped in unwavering support, and it will be worth the time and energy to keep pushing forward.
My areas of expertise include depression, trauma, anxiety, and dissociative disorders.
Therapy is often described as a journey or an adventure through life's ups and downs. We're all on a quest to uncover the treasure of inner peace and well-being, and I'm here to be your trusted guide along the path. Together, we'll navigate the challenges and celebrate the growth. It will be difficult at times, but you will be wrapped in unwavering support, and it will be worth the time and energy to keep pushing forward.
(304) 760-9945 View (304) 760-9945
Photo of Kay R McCoy, Clinical Social Work/Therapist in Beckley, WV
Kay R McCoy
Clinical Social Work/Therapist, MSW, WVLICSW, WVAADC, NYLCSW
Verified Verified
Lewisburg, WV 24901  (Online Only)
I am certified in Trauma Focused Cognitive Behavioral Therapy, and I am a certified Advanced Alcohol and Drug Counselor (AADC).
Telehealth mental health therapy sessions with me provide a safe place, from the comfort of your own home, to share your your thoughts, feelings, fears, and as much of your personal story as you choose. You are always the center of my attention, and therapy is based on what you want to change about your behaviors, thoughts or feelings. I listen to what you have to say, and help you identify solutions to problems you may identify. I provide crisis counseling, brief therapy, and long term psychotherapy based on your needs.
I am certified in Trauma Focused Cognitive Behavioral Therapy, and I am a certified Advanced Alcohol and Drug Counselor (AADC).
Telehealth mental health therapy sessions with me provide a safe place, from the comfort of your own home, to share your your thoughts, feelings, fears, and as much of your personal story as you choose. You are always the center of my attention, and therapy is based on what you want to change about your behaviors, thoughts or feelings. I listen to what you have to say, and help you identify solutions to problems you may identify. I provide crisis counseling, brief therapy, and long term psychotherapy based on your needs.
(844) 204-9946 View (844) 204-9946
Photo of Leah Deal, Licensed Professional Counselor in Beckley, WV
Leah Deal
Licensed Professional Counselor, MA, LPC
Verified Verified
Hinton, WV 25951
I am proficient and equipped to treat PTSD.
I strive to serve people who feel unworthy, hopeless, or stuck. People who want to create positive change and are willing to co-create that by taking it one step at a time. I believe that anyone is capable of creating realistic, healthy goals that will increase their sense of wellbeing in their everyday life.
I am proficient and equipped to treat PTSD.
I strive to serve people who feel unworthy, hopeless, or stuck. People who want to create positive change and are willing to co-create that by taking it one step at a time. I believe that anyone is capable of creating realistic, healthy goals that will increase their sense of wellbeing in their everyday life.
(304) 513-4536 View (304) 513-4536
Photo of the Well, PLLC, Clinical Social Work/Therapist in Beckley, WV
the Well, PLLC
Clinical Social Work/Therapist
Verified Verified
Charleston, WV 25301
To contact us, visit our webpage (www.thewellwestvirginia.com). The Well is a small practice with two therapists. We are Emily Chilko and Tia Lasporgara. ​We ​are united by our professional values (service, diversity, equity + inclusion, and seeing the dignity in worth in every person​). Emily has a background in the treatment of addictions and is currently specializing in treating PTSD with a therapy model called IFS (tinyurl.com/4zhh27yw). Her style is authentic and playful. Emily sees adults with histories of stressful experiences who now have internal discomfort (anger, guilt, feeling out of control, etc).
To contact us, visit our webpage (www.thewellwestvirginia.com). The Well is a small practice with two therapists. We are Emily Chilko and Tia Lasporgara. ​We ​are united by our professional values (service, diversity, equity + inclusion, and seeing the dignity in worth in every person​). Emily has a background in the treatment of addictions and is currently specializing in treating PTSD with a therapy model called IFS (tinyurl.com/4zhh27yw). Her style is authentic and playful. Emily sees adults with histories of stressful experiences who now have internal discomfort (anger, guilt, feeling out of control, etc).
Photo of Pleasant View Professional Counseling, LLC., Licensed Professional Counselor in Beckley, WV
Pleasant View Professional Counseling, LLC.
Licensed Professional Counselor, MEd, LPC, ALPS, LPCC-S
Verified Verified
1 Endorsed
Point Pleasant, WV 25550
Thank you for your interest in Pleasant View Counseling! We are located in downtown, Point Pleasant, WV at 610 1/2 Main Street, Suite B. (upstairs right in Mike Shaw's building). Samantha Fooce, WV-LPC, ALPS OH>LPCC-S is able to accept both WV and Ohio residents. Some conditions I treat are: Insomnia, “Stressed Out” Professionals, Depression, Anxiety, Trauma, Abuse and Neglect, Grief and Loss, Adjustment Disorders, LGBTQIA+ Support, Children of Separation and Divorce, Blended Families, Self Esteem, Long-Term Recovery, Personal Development, Motivation, Goal Setting, School and Work Stressor and many others.
Thank you for your interest in Pleasant View Counseling! We are located in downtown, Point Pleasant, WV at 610 1/2 Main Street, Suite B. (upstairs right in Mike Shaw's building). Samantha Fooce, WV-LPC, ALPS OH>LPCC-S is able to accept both WV and Ohio residents. Some conditions I treat are: Insomnia, “Stressed Out” Professionals, Depression, Anxiety, Trauma, Abuse and Neglect, Grief and Loss, Adjustment Disorders, LGBTQIA+ Support, Children of Separation and Divorce, Blended Families, Self Esteem, Long-Term Recovery, Personal Development, Motivation, Goal Setting, School and Work Stressor and many others.
(304) 381-6246 View (304) 381-6246
Photo of Ben Redmond, Licensed Professional Counselor in Beckley, WV
Ben Redmond
Licensed Professional Counselor, MA, LPC
Verified Verified
Charleston, WV 25301
Do you feel stuck? Stuck in your life, your past, your anxiety, depression, anger, apathy, overwhelm, grief, or PTSD? Life is a challenging journey. As a man, it's hard to seek help or express vulnerability, but you don't have to carry the weight of your struggles alone. I'm here to provide a safe, non-judgmental space where you can find the support and guidance to fix the problem. If you fully invest in this process, expect to feel lighter, more effective, efficient, powerful, and clear about where you want to go and what you want to do with your life and/or parenthood. While I specialize in men, I love serving people of all kinds.
Do you feel stuck? Stuck in your life, your past, your anxiety, depression, anger, apathy, overwhelm, grief, or PTSD? Life is a challenging journey. As a man, it's hard to seek help or express vulnerability, but you don't have to carry the weight of your struggles alone. I'm here to provide a safe, non-judgmental space where you can find the support and guidance to fix the problem. If you fully invest in this process, expect to feel lighter, more effective, efficient, powerful, and clear about where you want to go and what you want to do with your life and/or parenthood. While I specialize in men, I love serving people of all kinds.
(304) 892-8213 View (304) 892-8213
Photo of Appalachian Life Enrichment Counseling Center, Licensed Professional Counselor in Beckley, WV
Appalachian Life Enrichment Counseling Center
Licensed Professional Counselor
Verified Verified
2 Endorsed
Huntington, WV 25701
Now in Morgantown! Therapy is a place to pause, reflect on what you are seeking in life and explore the barriers preventing you from taking that next step in your journey. Life changes or chronic situations can throw us off course, leaving us to feel out of sync, confused, & disconnected from life. Whether you are looking to reconnect, find purpose, learn new coping skills, process trauma or loss, manage anxiety, deal with shame or make a life changing decision, therapy can be a safe place to discover the power you have within yourself to design your own solutions & find new ways to navigate challenging situations. Multisites!
Now in Morgantown! Therapy is a place to pause, reflect on what you are seeking in life and explore the barriers preventing you from taking that next step in your journey. Life changes or chronic situations can throw us off course, leaving us to feel out of sync, confused, & disconnected from life. Whether you are looking to reconnect, find purpose, learn new coping skills, process trauma or loss, manage anxiety, deal with shame or make a life changing decision, therapy can be a safe place to discover the power you have within yourself to design your own solutions & find new ways to navigate challenging situations. Multisites!
(304) 467-4175 View (304) 467-4175

Nearby Trauma and PTSD Therapists Searches for Beckley

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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.