Trauma and PTSD Therapists in San Antonio, TX

Omni Layne Counseling, PLLC
Licensed Professional Counselor, LPC, LCSW, LMFT
Verified Verified
San Antonio, TX 78230
"Our primary focus is Client centered. We believe Counseling is about the Client and not the Counselor. We help Clients develop skills collaboratively to alleviate anxiety, depression, grief, trauma, and other symptoms. Omni Layne Counseling has both male and female counselors".
"Our primary focus is Client centered. We believe Counseling is about the Client and not the Counselor. We help Clients develop skills collaboratively to alleviate anxiety, depression, grief, trauma, and other symptoms. Omni Layne Counseling has both male and female counselors".
(210) 774-6840 View (210) 774-6840
Photo of Katrina M Moore, Licensed Professional Counselor in San Antonio, TX
Katrina M Moore
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
San Antonio, TX 78250  (Online Only)
It is my life’s work to be a therapist. I take pride in holding space for your experience and mirroring back to you the insight you want to heal. I am deeply relational and I want to experience your life with open curiosity and compassion. I specialize in attachment trauma, PTSD, anxiety and relational issues. I hope to journey with you to find you the life you’ve always wanted.
It is my life’s work to be a therapist. I take pride in holding space for your experience and mirroring back to you the insight you want to heal. I am deeply relational and I want to experience your life with open curiosity and compassion. I specialize in attachment trauma, PTSD, anxiety and relational issues. I hope to journey with you to find you the life you’ve always wanted.
(210) 361-7945 View (210) 361-7945
Photo of Dr. Blake Martin, Psychologist in San Antonio, TX
Dr. Blake Martin
Psychologist, PhD
Verified Verified
4 Endorsed
San Antonio, TX 78212
Feeling worn down? You're not alone. You've achieved a great deal, proven yourself as someone who tackles challenges head-on. Yet, lately, you've been hitting roadblocks. Maybe it's anxiety, depression, or a past trauma weighing on you. And life is only getting harder. As a licensed psychologist, I'm equipped to help you find your way again. In therapy, we'll partner together to set goals based on what matters most to you. Then, we'll select an evidence-based approach to address your concerns, and I'll tailor it to your unique needs and background. Working together, we'll help you move towards what matters most to you.
Feeling worn down? You're not alone. You've achieved a great deal, proven yourself as someone who tackles challenges head-on. Yet, lately, you've been hitting roadblocks. Maybe it's anxiety, depression, or a past trauma weighing on you. And life is only getting harder. As a licensed psychologist, I'm equipped to help you find your way again. In therapy, we'll partner together to set goals based on what matters most to you. Then, we'll select an evidence-based approach to address your concerns, and I'll tailor it to your unique needs and background. Working together, we'll help you move towards what matters most to you.
(210) 879-4712 View (210) 879-4712
Photo of Stephanie Ann Sanchez, Clinical Social Work/Therapist in San Antonio, TX
Stephanie Ann Sanchez
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
San Antonio, TX 78230
I also offer EMDR therapy, that works to free you from reliving the pain of past trauma.
Navigating life’s many challenges can be difficult. Oftentimes, we find ourselves trying to adjust to change, loss, or built up stress from day to day life. I understand the confusing experience young adults face when it feels like everyone expects you to know exactly where you’re going and how to get there; but what is really going on inside feels very scary and very lonely. You’re seeking support and I’m here with you at the starting point. With meaningful therapy, you can live a life that feels more free and full.
I also offer EMDR therapy, that works to free you from reliving the pain of past trauma.
Navigating life’s many challenges can be difficult. Oftentimes, we find ourselves trying to adjust to change, loss, or built up stress from day to day life. I understand the confusing experience young adults face when it feels like everyone expects you to know exactly where you’re going and how to get there; but what is really going on inside feels very scary and very lonely. You’re seeking support and I’m here with you at the starting point. With meaningful therapy, you can live a life that feels more free and full.
(726) 227-2965 View (726) 227-2965
Photo of Toby Flournoy, Licensed Professional Counselor in San Antonio, TX
Toby Flournoy
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78260
I have over 8 years of experience helping people of all ages and backgrounds with issues ranging from depression, anxiety, trauma, self-harm, low self-worth, relationship issues, religious baggage/trauma, low motivation, career challenges, and much more.
Are you hurting? Could you use some support? I know that reaching out for help can be a difficult step and that we often find ways of talking ourselves out of getting the help we need. I'm here to make the process as painless as possible. My style is warm, accepting, supportive, and focused on helping you work towards meaningful change.
I have over 8 years of experience helping people of all ages and backgrounds with issues ranging from depression, anxiety, trauma, self-harm, low self-worth, relationship issues, religious baggage/trauma, low motivation, career challenges, and much more.
Are you hurting? Could you use some support? I know that reaching out for help can be a difficult step and that we often find ways of talking ourselves out of getting the help we need. I'm here to make the process as painless as possible. My style is warm, accepting, supportive, and focused on helping you work towards meaningful change.
(210) 942-7755 View (210) 942-7755
Photo of Julie Estrada, Licensed Professional Counselor in San Antonio, TX
Julie Estrada
Licensed Professional Counselor, LPC, LCDC, NCC
Verified Verified
San Antonio, TX 78256
My areas of expertise include trauma/PTSD, addiction, anxiety, depression, anger management, motivation, self-esteem, and confidence.
Welcome! I am a Christian, trauma-informed professional counselor and chemical dependency counselor licensed in Texas. I have 4 years of clinical experience working in various settings with populations from a variety of cultural and spiritual backgrounds and problems ranging from situational life stress to severe mental illness. I am passionate about providing support to individuals who are working on self-improvement, are feeling stuck in the past, or having difficulty adjusting to life changes. As a veteran and prior military spouse, I have a heart for military personnel, veterans, first responders, and families.
My areas of expertise include trauma/PTSD, addiction, anxiety, depression, anger management, motivation, self-esteem, and confidence.
Welcome! I am a Christian, trauma-informed professional counselor and chemical dependency counselor licensed in Texas. I have 4 years of clinical experience working in various settings with populations from a variety of cultural and spiritual backgrounds and problems ranging from situational life stress to severe mental illness. I am passionate about providing support to individuals who are working on self-improvement, are feeling stuck in the past, or having difficulty adjusting to life changes. As a veteran and prior military spouse, I have a heart for military personnel, veterans, first responders, and families.
(210) 905-9930 View (210) 905-9930
Photo of BVOY Counseling, Clinical Social Work/Therapist in San Antonio, TX
BVOY Counseling
Clinical Social Work/Therapist, LCSW-S
Verified Verified
San Antonio, TX 78232  (Online Only)
Are you a mom and tired of feeling overwhelmed, stressed and stuck? Like no matter how hard you work, people don’t recognize, reward or reciprocate your efforts? Do you doubt yourself and wonder how you will ever heal from your past trauma? You are ready to connect with your voice, set healthier boundaries and heal from your unresolved past wounding. I am an expert in helping ambitious women tap into their strength, heal their inner wounds and love their bodies in order to attract healthy relationships, inner peace and to become the best versions of themselves.
Are you a mom and tired of feeling overwhelmed, stressed and stuck? Like no matter how hard you work, people don’t recognize, reward or reciprocate your efforts? Do you doubt yourself and wonder how you will ever heal from your past trauma? You are ready to connect with your voice, set healthier boundaries and heal from your unresolved past wounding. I am an expert in helping ambitious women tap into their strength, heal their inner wounds and love their bodies in order to attract healthy relationships, inner peace and to become the best versions of themselves.
(210) 864-7760 View (210) 864-7760
Photo of Sonia Tamez Coutee, LPC-S, NCC, Licensed Professional Counselor in San Antonio, TX
Sonia Tamez Coutee, LPC-S, NCC
Licensed Professional Counselor, LPC-S, NCC
Verified Verified
San Antonio, TX 78216
I'm a licensed professional counselor with over 12 years experience as a mental health therapist working in the San Antonio area. I received a Masters in Marriage & Family Therapy Degree from St. Mary's University in San Antonio, Texas. My training and experience qualifies me to offer bilingual English-Spanish counseling for individuals, couples, children, families dealing with domestic abuse, child abuse, trauma, grief and loss, addictions, depression, anxiety, and post-traumatic stress disorder. Also, I can assist with military specific challenges such as; pre-post deployment stressors, combat-related PTSD, stress management, life transitions, work/career related issues.
I'm a licensed professional counselor with over 12 years experience as a mental health therapist working in the San Antonio area. I received a Masters in Marriage & Family Therapy Degree from St. Mary's University in San Antonio, Texas. My training and experience qualifies me to offer bilingual English-Spanish counseling for individuals, couples, children, families dealing with domestic abuse, child abuse, trauma, grief and loss, addictions, depression, anxiety, and post-traumatic stress disorder. Also, I can assist with military specific challenges such as; pre-post deployment stressors, combat-related PTSD, stress management, life transitions, work/career related issues.
(210) 598-6508 View (210) 598-6508
Photo of Hannah Morales, Licensed Professional Counselor in San Antonio, TX
Hannah Morales
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78201
My specialty is in complex dissociation and trauma.
Following a traumatic experience, most of us are encouraged - through the world or those we trust - to toughen up and move on. However, despite our best efforts, the effects of this experience leak out at the most inopportune times. For some, this might look like sabotaging yourself or your relationships, using a substance in order to remain numb, or becoming so plagued with reminders of this experience you feel that you cannot think of anything else. In addition, you might have a set of feelings or symptoms that seem to be connected but you have difficulty naming. When you try to discuss these with loved ones, you are dismissed.
My specialty is in complex dissociation and trauma.
Following a traumatic experience, most of us are encouraged - through the world or those we trust - to toughen up and move on. However, despite our best efforts, the effects of this experience leak out at the most inopportune times. For some, this might look like sabotaging yourself or your relationships, using a substance in order to remain numb, or becoming so plagued with reminders of this experience you feel that you cannot think of anything else. In addition, you might have a set of feelings or symptoms that seem to be connected but you have difficulty naming. When you try to discuss these with loved ones, you are dismissed.
(210) 934-9918 View (210) 934-9918
Photo of Noemi Nandin, MA, LPC, Counselor in San Antonio, TX
Noemi Nandin, MA, LPC
Counselor, MA, LPC, (EMDR, KAP)
Verified Verified
1 Endorsed
San Antonio, TX 78212
This evidence-based approach is particularly effective in processing past trauma and negative beliefs, offering a pathway to healing.
Hello, and welcome to a safe space for healing and growth. I'm Noemi, and I specialize in guiding individuals through life's most challenging and sensitive experiences. As a compassionate therapist, my primary focus areas include trauma, anxiety, depression, and navigating life transitions. In our therapeutic journey together, we'll navigate the complexities of issues such as divorce, abusive relationships, employment termination, and the impact of childhood memories of traumatic events. I understand the significance of these challenges and approach each session with empathy, care, and a commitment to your well-being.
This evidence-based approach is particularly effective in processing past trauma and negative beliefs, offering a pathway to healing.
Hello, and welcome to a safe space for healing and growth. I'm Noemi, and I specialize in guiding individuals through life's most challenging and sensitive experiences. As a compassionate therapist, my primary focus areas include trauma, anxiety, depression, and navigating life transitions. In our therapeutic journey together, we'll navigate the complexities of issues such as divorce, abusive relationships, employment termination, and the impact of childhood memories of traumatic events. I understand the significance of these challenges and approach each session with empathy, care, and a commitment to your well-being.
(210) 794-0418 View (210) 794-0418
Photo of Calming Storms Counseling, PLLC, Licensed Professional Counselor in San Antonio, TX
Calming Storms Counseling, PLLC
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
San Antonio, TX 78217  (Online Only)
My clinical experience include working with adults with symptoms of anxiety, depression, sleep issues, and post-traumatic stress disorder (PTSD).
Current openings for daytimes hours: 11, 1, or 2pm during the week. "Although the world is full of suffering, it is also full of the overcoming of it." This quote by Helen Keller represents my belief that hope and healing is available to all. I enjoy working with adults who are seeking deep healing.
My clinical experience include working with adults with symptoms of anxiety, depression, sleep issues, and post-traumatic stress disorder (PTSD).
Current openings for daytimes hours: 11, 1, or 2pm during the week. "Although the world is full of suffering, it is also full of the overcoming of it." This quote by Helen Keller represents my belief that hope and healing is available to all. I enjoy working with adults who are seeking deep healing.
(210) 941-3293 View (210) 941-3293
Photo of Michelle Mullin, Licensed Professional Counselor in San Antonio, TX
Michelle Mullin
Licensed Professional Counselor, LPC-S, LCDC
Verified Verified
1 Endorsed
San Antonio, TX 78232
I have enthusiastically worked with individuals experiencing a variety of life struggles and mental health challenges such as domestic violence, grief and loss, addiction, depression, and anxiety throughout my career. I also have experience working with couples struggling with communication difficulties, infidelity, and emotional distance. Early on I chose to focus on trauma when I noticed both the prevalence of traumatic experiences in the lives of my clients, and the profound effects of untreated trauma. I am certified in EMDR to promote healing and and help clients build lives full of authenticity, purpose, and meaning.
I have enthusiastically worked with individuals experiencing a variety of life struggles and mental health challenges such as domestic violence, grief and loss, addiction, depression, and anxiety throughout my career. I also have experience working with couples struggling with communication difficulties, infidelity, and emotional distance. Early on I chose to focus on trauma when I noticed both the prevalence of traumatic experiences in the lives of my clients, and the profound effects of untreated trauma. I am certified in EMDR to promote healing and and help clients build lives full of authenticity, purpose, and meaning.
(210) 361-6336 View (210) 361-6336
Photo of Valerie Rivas, Licensed Professional Counselor in San Antonio, TX
Valerie Rivas
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
San Antonio, TX 78217
It takes strength and courage to accept when one can't handle parts of life, and so, I commend you. As a therapist, I accompany clients exactly where they are while offering unconditional acceptance and respect without judgement to build a safe and inviting counseling environment. Each client brings a set of unique morals, values, beliefs, and strengths which makes each person who they are. I treat ALL issues from adolescent to elderly within individual, couple, family, or group settings. Chronic Illness, Infertility, Miscarriage, Child Loss, Adoption, First Responders, Trauma, Abuse, Neglect & Adolescents are some of my interests.
It takes strength and courage to accept when one can't handle parts of life, and so, I commend you. As a therapist, I accompany clients exactly where they are while offering unconditional acceptance and respect without judgement to build a safe and inviting counseling environment. Each client brings a set of unique morals, values, beliefs, and strengths which makes each person who they are. I treat ALL issues from adolescent to elderly within individual, couple, family, or group settings. Chronic Illness, Infertility, Miscarriage, Child Loss, Adoption, First Responders, Trauma, Abuse, Neglect & Adolescents are some of my interests.
(210) 787-4457 View (210) 787-4457
Photo of Hillary Pappas, Marriage & Family Therapist in San Antonio, TX
Hillary Pappas
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Antonio, TX 78254
I have over 14 years of experience working with children, adolescents, families, and adults. I have worked with those living with trauma, anxiety, depression, developmental differences, along with behavioral issues, family issues, and school-based concerns. As a military spouse and parent, I find importance in working with veterans’ and their families to increase connection and resilience. In treatment, I use a wide variety of strength-based, client centered treatment interventions including play therapy, solution-focused therapy, EMDR & Cognitive Behavioral therapy. We will work together to identify the problem and create goals.
I have over 14 years of experience working with children, adolescents, families, and adults. I have worked with those living with trauma, anxiety, depression, developmental differences, along with behavioral issues, family issues, and school-based concerns. As a military spouse and parent, I find importance in working with veterans’ and their families to increase connection and resilience. In treatment, I use a wide variety of strength-based, client centered treatment interventions including play therapy, solution-focused therapy, EMDR & Cognitive Behavioral therapy. We will work together to identify the problem and create goals.
(210) 592-4729 View (210) 592-4729
Photo of Sarah Barron, Psychologist in San Antonio, TX
Sarah Barron
Psychologist, PhD
Verified Verified
1 Endorsed
San Antonio, TX 78253  (Online Only)
Hello, I’m Dr. Sarah Barron, and I specialize in treating PTSD and trauma-related disorders. With over a decade of clinical experience, I focus on evidence-based treatments to help each client meet their goals. While trauma is my area of expertise, I am also comfortable working with individuals with depression, anxiety disorders, and mild to moderate substance use disorders. The road to recovery is hard, but I believe every person has the ability to confront their fears and overcome obstacles. For additional information please see our website: www.wayfinderccc.com
Hello, I’m Dr. Sarah Barron, and I specialize in treating PTSD and trauma-related disorders. With over a decade of clinical experience, I focus on evidence-based treatments to help each client meet their goals. While trauma is my area of expertise, I am also comfortable working with individuals with depression, anxiety disorders, and mild to moderate substance use disorders. The road to recovery is hard, but I believe every person has the ability to confront their fears and overcome obstacles. For additional information please see our website: www.wayfinderccc.com
(830) 483-2547 View (830) 483-2547
Photo of Christopher Lee Creaturo, Licensed Professional Counselor in San Antonio, TX
Christopher Lee Creaturo
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78230  (Online Only)
I specialize in techniques of EMDR for trauma, Internal Family Systems for meeting and healing our exiled parts, Mentalization Based Therapy for Borderline Personality Disorder, Jungian techniques such as dreamwork, and Attachment-informed strategies to improve relationships.
The effect of traumas big and small can grind our lives to a halt, and make connections impossible. Tools like EMDR and IFS can bring hope to the stuck parts of our worlds, and finally allow us to be present in our own lives again. Reach out by text or email to explore if we are a good team to tackle your problems, bring needed clarity, and offer the sanctuary of a healing and non-judgemental relationship.
I specialize in techniques of EMDR for trauma, Internal Family Systems for meeting and healing our exiled parts, Mentalization Based Therapy for Borderline Personality Disorder, Jungian techniques such as dreamwork, and Attachment-informed strategies to improve relationships.
The effect of traumas big and small can grind our lives to a halt, and make connections impossible. Tools like EMDR and IFS can bring hope to the stuck parts of our worlds, and finally allow us to be present in our own lives again. Reach out by text or email to explore if we are a good team to tackle your problems, bring needed clarity, and offer the sanctuary of a healing and non-judgemental relationship.
(210) 796-4623 View (210) 796-4623
Photo of Whitney Rominger, Licensed Professional Counselor in San Antonio, TX
Whitney Rominger
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230
Waitlist for new clients
I am a trauma-informed therapist and can provide EMDR therapy.
My practice is focused on working with young adults to navigate this stage of life's challenges, including identity exploration, higher education & career, relationships, and family changes. With so many unique changes and choices, our stress and emotions can become difficult to handle on our own. You may be feeling in need of new coping skills, a deeper understanding of and healing from past experiences, or more clarity on who you are and what you want your life to look like.
I am a trauma-informed therapist and can provide EMDR therapy.
My practice is focused on working with young adults to navigate this stage of life's challenges, including identity exploration, higher education & career, relationships, and family changes. With so many unique changes and choices, our stress and emotions can become difficult to handle on our own. You may be feeling in need of new coping skills, a deeper understanding of and healing from past experiences, or more clarity on who you are and what you want your life to look like.
(210) 796-0718 View (210) 796-0718
Photo of Mikah Watford, Licensed Professional Counselor in San Antonio, TX
Mikah Watford
Licensed Professional Counselor, LPC, LCDC, ACCTS
Verified Verified
San Antonio, TX 78239
I am an Advanced Clinical Trauma Specialist providing evidence-based treatments for trauma including EMDR. Accelerated Resolution Therapy, and Cognitive Processing therapy. In person and Telehealth sessions available.
I am an Advanced Clinical Trauma Specialist providing evidence-based treatments for trauma including EMDR. Accelerated Resolution Therapy, and Cognitive Processing therapy. In person and Telehealth sessions available.
(210) 879-1798 View (210) 879-1798
Photo of Cheyenne N Morton, Licensed Professional Counselor Associate in San Antonio, TX
Cheyenne N Morton
Licensed Professional Counselor Associate , MA, NCC, LPC-A
Verified Verified
1 Endorsed
San Antonio, TX 78229
My specialties include: trauma, anxiety/depression, stress, and working w/ teens/young adults.
I graduated Dec. 2023 with my M.A. in Mental Health Counseling. I’ve been practicing for over a year now! I enjoy counseling children, adolescents, teens, and adults. I am well adept at tackling anxiety, depression, anger issues, and general stress/life transitions. My specialty is exploring trauma and how it’s stored in the body. I am a holistic counselor, utilizing Adlerian individual therapy, where I join into my clients world meeting them where they are at, and transpersonal therapy which focuses on healing trauma, improving self confidence, meaning and purpose, and creating a positive relationship between body and mind.
My specialties include: trauma, anxiety/depression, stress, and working w/ teens/young adults.
I graduated Dec. 2023 with my M.A. in Mental Health Counseling. I’ve been practicing for over a year now! I enjoy counseling children, adolescents, teens, and adults. I am well adept at tackling anxiety, depression, anger issues, and general stress/life transitions. My specialty is exploring trauma and how it’s stored in the body. I am a holistic counselor, utilizing Adlerian individual therapy, where I join into my clients world meeting them where they are at, and transpersonal therapy which focuses on healing trauma, improving self confidence, meaning and purpose, and creating a positive relationship between body and mind.
(726) 227-1496 View (726) 227-1496
Photo of Ciatta Spears, LPC Associate in San Antonio, TX
Ciatta Spears
LPC Associate, MS
Verified Verified
San Antonio, TX 78254
I am well informed of the impacts of trauma and the influence that trauma can have on relationships with others and within ourselves.
You're the "strong" friend, aren't you? The one everyone is so incredibly grateful for because you're always so helpful, thoughtful, and giving. Don't get me wrong! Those are signs of great character, but when do YOU get to be insecure, uncertain, and "soft?" I am here to offer you that space. The space where you get to explore yourself in an atmosphere where nothing is off limits and you can figure "you" out. You don't have to be strong here, you just have to be you - and we can find your unique path to healing together.
I am well informed of the impacts of trauma and the influence that trauma can have on relationships with others and within ourselves.
You're the "strong" friend, aren't you? The one everyone is so incredibly grateful for because you're always so helpful, thoughtful, and giving. Don't get me wrong! Those are signs of great character, but when do YOU get to be insecure, uncertain, and "soft?" I am here to offer you that space. The space where you get to explore yourself in an atmosphere where nothing is off limits and you can figure "you" out. You don't have to be strong here, you just have to be you - and we can find your unique path to healing together.
(512) 359-3866 View (512) 359-3866


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.