Trauma and PTSD Therapists in Poynette, WI

Photo of Keri Abegglen, Counselor, LPC-IT
Keri Abegglen
Counselor, LPC-IT
Poynette, WI 53955
Are you tired of feeling stuck in past trauma or anxiety?
Keri believes meaningful change begins in a space where you feel safe, seen, and truly heard. Whether you're seeking insight or building resilience, Keri is passionate about walking alongside you toward lasting wellness. Keri specializes in working with adolescents who experience depression, anxiety, and trauma.
Are you tired of feeling stuck in past trauma or anxiety?
Keri believes meaningful change begins in a space where you feel safe, seen, and truly heard. Whether you're seeking insight or building resilience, Keri is passionate about walking alongside you toward lasting wellness. Keri specializes in working with adolescents who experience depression, anxiety, and trauma.
(608) 591-5375 View (608) 591-5375
Photo of Darald Hanusa, Clinical Social Work/Therapist, PhD, LSCW, SAC
Darald Hanusa
Clinical Social Work/Therapist, PhD, LSCW, SAC
Serves Area
For more than 30 years I have focused on helping children and adults, individually, in couples, in families and groups achieve strength, peace and confidence by improving conflict resolution, communication, stress and anxiety, anger management skills, child and adolescent behavioral problems, and parenting skills as well as improved functioning and decreased emotional distress related to depression, self-esteem, post-traumatic stress and bipolar disorders.
In addition to general mental health counseling, I have specialized in the area of domestic violence with both perpetrators and survivors of violence since 1980. I offer services for abusive men through the Alternatives and Treatment for Abusive Men Program and counseling for survivors at the Midwest Domestic Violence Resource Center.
For more than 30 years I have focused on helping children and adults, individually, in couples, in families and groups achieve strength, peace and confidence by improving conflict resolution, communication, stress and anxiety, anger management skills, child and adolescent behavioral problems, and parenting skills as well as improved functioning and decreased emotional distress related to depression, self-esteem, post-traumatic stress and bipolar disorders.
In addition to general mental health counseling, I have specialized in the area of domestic violence with both perpetrators and survivors of violence since 1980. I offer services for abusive men through the Alternatives and Treatment for Abusive Men Program and counseling for survivors at the Midwest Domestic Violence Resource Center.
(608) 579-0529 View (608) 579-0529
Photo of Elizabeth Reeder, Marriage & Family Therapist, LMFT
Elizabeth Reeder
Marriage & Family Therapist, LMFT
Serves Area
If you have issues with Depression, Anxiety, Post Traumatic Stress Disorder, Family or Couples Problems, Grief, ADHD, Postpartum Depression, Need Parenting Support, or are simply going through a life transformation, I am creative in finding the right solutions for your unique set of circumstances.
I Have been a licensed Marriage and Family therapist providing psychotherapy at Moontree Psychotherapy since 2008, although, I have been working with adults, children and families in a variety of capacities for over 35 years. I am a Humanistic-Mindfulness based psychotherapist. Whether you are seeking treatment for mental illness or need help with managing the circumstances in your life, I pay attention to all the parts of the human system ( body, mind, emotion, spirituality, relationships) and help you bring them into balance. .
If you have issues with Depression, Anxiety, Post Traumatic Stress Disorder, Family or Couples Problems, Grief, ADHD, Postpartum Depression, Need Parenting Support, or are simply going through a life transformation, I am creative in finding the right solutions for your unique set of circumstances.
I Have been a licensed Marriage and Family therapist providing psychotherapy at Moontree Psychotherapy since 2008, although, I have been working with adults, children and families in a variety of capacities for over 35 years. I am a Humanistic-Mindfulness based psychotherapist. Whether you are seeking treatment for mental illness or need help with managing the circumstances in your life, I pay attention to all the parts of the human system ( body, mind, emotion, spirituality, relationships) and help you bring them into balance. .
(608) 291-3880 View (608) 291-3880
Photo of Ellanora Ward, Psychologist, PhD
Ellanora Ward
Psychologist, PhD
Serves Area
I can help you with depression, anxiety, relationship issues and PTSD.
My areas of specialization are depression, anxiety, addictive issues, codependency. I also provide family and couples therapy. I work with LGBT issues and PTSD. Please call so we may talk personally on the phone.
I can help you with depression, anxiety, relationship issues and PTSD.
My areas of specialization are depression, anxiety, addictive issues, codependency. I also provide family and couples therapy. I work with LGBT issues and PTSD. Please call so we may talk personally on the phone.
(608) 729-7012 View (608) 729-7012
Photo of Sarah S Keyeski, Licensed Professional Counselor, MA, LPC
Sarah S Keyeski
Licensed Professional Counselor, MA, LPC
1 Endorsed
Serves Area
To the outside world, you're seen as a pretty together person who's hard-working, accomplished and self-sufficient. When life get's tough, you buck up, soldier on, & "never let 'em see you bleed." You bottle up your pain and keep a tight lid on it. But, behind this exterior, you're actually hanging on by your fingertips. The stress on your shoulders is unbearably heavy & you're overwhelmed, stressed-out, and you feel like you're drowning under the pressure of it all. You're pain is silent, but your suffering is real and it's taking a toll on your health, productivity and your relationships with others.
To the outside world, you're seen as a pretty together person who's hard-working, accomplished and self-sufficient. When life get's tough, you buck up, soldier on, & "never let 'em see you bleed." You bottle up your pain and keep a tight lid on it. But, behind this exterior, you're actually hanging on by your fingertips. The stress on your shoulders is unbearably heavy & you're overwhelmed, stressed-out, and you feel like you're drowning under the pressure of it all. You're pain is silent, but your suffering is real and it's taking a toll on your health, productivity and your relationships with others.
(608) 765-5157 View (608) 765-5157

More Therapists Nearby

Photo of Kaitlin Hardin, Clinical Social Work/Therapist, LCSW
Kaitlin Hardin
Clinical Social Work/Therapist, LCSW
Madison, WI 53713
Waitlist for new clients
I have experience working across a range of issues including trauma, depression, anxiety/panic, addiction, OCD, intimate partner violence, grief, and life transitions.
I take a strengths-based approach to therapy and draw from a variety of modalities including mindfulness, motivational interviewing, Internal Family Systems, DBT, and CBT. I will meet you where you're at every step of the way! I invite my clients to bring any topics to session, because it all matters.
I have experience working across a range of issues including trauma, depression, anxiety/panic, addiction, OCD, intimate partner violence, grief, and life transitions.
I take a strengths-based approach to therapy and draw from a variety of modalities including mindfulness, motivational interviewing, Internal Family Systems, DBT, and CBT. I will meet you where you're at every step of the way! I invite my clients to bring any topics to session, because it all matters.
(608) 705-7948 View (608) 705-7948
Photo of Dayne Legreid, Licensed Professional Counselor, MS, LPC
Dayne Legreid
Licensed Professional Counselor, MS, LPC
1 Endorsed
Madison, WI 53711
I use multiple evidenced-based approaches, including Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), and Motivational Interviewing to address trauma, anxiety, depression, anger, loss & grief, self-esteem, and life transitions, and will adapt treatment to the unique needs and experiences of the client.
I'm Dayne with QUEST Counseling & Consultation Center, and I'm a licensed professional counselor (LPC) experienced in working with children, teens, and adults. I believe everyone is capable of creating their own change and finding wellness. My approach to treatment involves working collaboratively with clients to embrace their own strengths while learning new strategies to overcome past and present life stressors. I welcome individuals from all backgrounds and believe that developing a supportive, non-judgmental space, built on mutual trust and respect, creates the strongest environment for healing and growth.
I use multiple evidenced-based approaches, including Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), and Motivational Interviewing to address trauma, anxiety, depression, anger, loss & grief, self-esteem, and life transitions, and will adapt treatment to the unique needs and experiences of the client.
I'm Dayne with QUEST Counseling & Consultation Center, and I'm a licensed professional counselor (LPC) experienced in working with children, teens, and adults. I believe everyone is capable of creating their own change and finding wellness. My approach to treatment involves working collaboratively with clients to embrace their own strengths while learning new strategies to overcome past and present life stressors. I welcome individuals from all backgrounds and believe that developing a supportive, non-judgmental space, built on mutual trust and respect, creates the strongest environment for healing and growth.
(608) 912-3890 x128 View (608) 912-3890 x128
Photo of Sonya Myers, Clinical Social Work/Therapist, LCSW
Sonya Myers
Clinical Social Work/Therapist, LCSW
1 Endorsed
Madison, WI 53704
My work often addresses trauma, anxiety, depression, grief, relationship concerns, and hormonal or body-related changes such as PMDD, perimenopause, and postpartum concerns.
I use evidence-based approaches including CBT, DBT, and EMDR, along with existential therapy to help clients explore meaning and values. I have experience supporting concerns including trauma, anxiety, depression, bipolar disorders, substance use, complex trauma, ADHD, women’s issues, and parenting stress.
My work often addresses trauma, anxiety, depression, grief, relationship concerns, and hormonal or body-related changes such as PMDD, perimenopause, and postpartum concerns.
I use evidence-based approaches including CBT, DBT, and EMDR, along with existential therapy to help clients explore meaning and values. I have experience supporting concerns including trauma, anxiety, depression, bipolar disorders, substance use, complex trauma, ADHD, women’s issues, and parenting stress.
(608) 454-8016 View (608) 454-8016
Photo of Carllie Meeks, Clinical Social Work/Therapist, LCSW
Carllie Meeks
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
I specialize in working with children, youth, and adults of all ages who face a wide range of challenges such as anxiety, depression, ADHD, trauma, peer and romantic relationship difficulties, and disordered eating patterns/eating disorders.
Welcome! I’m a clinical therapist who believes in creating a space where you feel seen, heard, and valued. My practice honors the rich and diverse experiences of individuals exploring their identity within their communities, including those on a journey of self-discovery related to culture and personal history. I offer a non-judgmental environment for those navigating identity, whether connected to culture, heritage, and/or being a part of the LGBTQIA+ community.
I specialize in working with children, youth, and adults of all ages who face a wide range of challenges such as anxiety, depression, ADHD, trauma, peer and romantic relationship difficulties, and disordered eating patterns/eating disorders.
Welcome! I’m a clinical therapist who believes in creating a space where you feel seen, heard, and valued. My practice honors the rich and diverse experiences of individuals exploring their identity within their communities, including those on a journey of self-discovery related to culture and personal history. I offer a non-judgmental environment for those navigating identity, whether connected to culture, heritage, and/or being a part of the LGBTQIA+ community.
(872) 267-9832 View (872) 267-9832
Photo of Muneebah Abdullah, Licensed Professional Counselor, LPC
Muneebah Abdullah
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
My ideal client is an adolescent girl, woman, or mother—especially a Muslimah or woman of color—navigating anxiety, depression, trauma, or identity struggles.
I offer trauma-informed, faith-sensitive therapy for women, adolescent girls, and mothers. Using Brainspotting, somatic therapy, and positive psychology, I help clients heal trauma, restore self-worth, and break generational cycles—within a space where faith, culture, identity, and the whole self are honored and supported.
My ideal client is an adolescent girl, woman, or mother—especially a Muslimah or woman of color—navigating anxiety, depression, trauma, or identity struggles.
I offer trauma-informed, faith-sensitive therapy for women, adolescent girls, and mothers. Using Brainspotting, somatic therapy, and positive psychology, I help clients heal trauma, restore self-worth, and break generational cycles—within a space where faith, culture, identity, and the whole self are honored and supported.
(414) 441-4246 View (414) 441-4246
Photo of Sellers Bell, Clinical Social Work/Therapist, LCSW
Sellers Bell
Clinical Social Work/Therapist, LCSW
Madison, WI 53714
I can help with a wide range of issues including depression, anxiety, problematic use of alcohol and other substances, trauma, difficulty dealing with emotions, stress related to day-to-day living, struggles with life changes, and self-harming behaviors including suicidal behavior and non-suicidal self-injury.
The number one thing that makes therapy work is the connection between client and therapist. I want to understand what's happening with you so that I can put my skills to good use and help you to meet your therapy goals. My methods are based on scientific research and on my professional experience as a therapist. Many of the techniques I use with clients are techniques that I have applied in my own life to reduce my own suffering and improve my own happiness. I practice much of what I preach, so I know firsthand that these methods work.
I can help with a wide range of issues including depression, anxiety, problematic use of alcohol and other substances, trauma, difficulty dealing with emotions, stress related to day-to-day living, struggles with life changes, and self-harming behaviors including suicidal behavior and non-suicidal self-injury.
The number one thing that makes therapy work is the connection between client and therapist. I want to understand what's happening with you so that I can put my skills to good use and help you to meet your therapy goals. My methods are based on scientific research and on my professional experience as a therapist. Many of the techniques I use with clients are techniques that I have applied in my own life to reduce my own suffering and improve my own happiness. I practice much of what I preach, so I know firsthand that these methods work.
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Photo of Carla Wincentsen, Licensed Professional Counselor, MS, LPC
Carla Wincentsen
Licensed Professional Counselor, MS, LPC
Prairie Du Sac, WI 53578
Much of my experience and passion is embedded in working with individuals struggling with depression, anxiety, self-esteem, relationship difficulties, women's issues and trauma.
My therapeutic approach is eclectic, strength-based and humanistic, while adjusting therapy to each individual and meeting them where they are at. I draw from various approaches that include: Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Trauma-Focused CBT, Solutions-Focused Therapy, Acceptance and Commitment Therapy, Mindfulness practices and a sense of humor!
Much of my experience and passion is embedded in working with individuals struggling with depression, anxiety, self-esteem, relationship difficulties, women's issues and trauma.
My therapeutic approach is eclectic, strength-based and humanistic, while adjusting therapy to each individual and meeting them where they are at. I draw from various approaches that include: Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Trauma-Focused CBT, Solutions-Focused Therapy, Acceptance and Commitment Therapy, Mindfulness practices and a sense of humor!
(608) 530-6091 View (608) 530-6091
Photo of Jen Cummings, Clinical Social Work/Therapist, LCSW
Jen Cummings
Clinical Social Work/Therapist, LCSW
Monona, WI 53716
I help clients heal from trauma, strengthen relationships, manage anxiety & depression.
You’re trying to hold everything together- career, family, relationships, it all feels like too much. The work never ends, your to do list runs on repeat when you’re trying to sleep, rest feels impossible. You’re working so hard, spread thin, and at the same time the work you’re doing is invisible and the demands for more keep coming. Anxiety hums under the surface, irritability replaces joy, you dream of running away. It shows up in your relationship – two good people drifting apart, unsure how to reconnect, resentment creeping in. You worry, am I modeling a healthy relationship for my kids? You long for more balance.
I help clients heal from trauma, strengthen relationships, manage anxiety & depression.
You’re trying to hold everything together- career, family, relationships, it all feels like too much. The work never ends, your to do list runs on repeat when you’re trying to sleep, rest feels impossible. You’re working so hard, spread thin, and at the same time the work you’re doing is invisible and the demands for more keep coming. Anxiety hums under the surface, irritability replaces joy, you dream of running away. It shows up in your relationship – two good people drifting apart, unsure how to reconnect, resentment creeping in. You worry, am I modeling a healthy relationship for my kids? You long for more balance.
(608) 599-5071 View (608) 599-5071
Photo of Chris Kangas - Chris Kangas of Good Karma Counseling, LLC, Marriage & Family Therapist, MS, LMFT
Chris Kangas of Good Karma Counseling, LLC
Marriage & Family Therapist, MS, LMFT
Online Only
Adversity and trauma can have a profound impact on our thoughts, feelings, behavior and the relationships with ourself and others.
For over 33 years, I have served a diverse group of individuals, couples and families facing a wide range of complex issues. I specialize in recovering from trauma/adversity, and the impact it has on other aspects of our lives, using a holistic and integrative approach. I am also a peacetime Army veteran, who served honorably as a medic from 1986 to 1995.
Adversity and trauma can have a profound impact on our thoughts, feelings, behavior and the relationships with ourself and others.
For over 33 years, I have served a diverse group of individuals, couples and families facing a wide range of complex issues. I specialize in recovering from trauma/adversity, and the impact it has on other aspects of our lives, using a holistic and integrative approach. I am also a peacetime Army veteran, who served honorably as a medic from 1986 to 1995.
(414) 775-0945 View (414) 775-0945
Photo of Nancy L. Miller, Licensed Professional Counselor, Nancy L, LPC, NCC
Nancy L. Miller
Licensed Professional Counselor, Nancy L, LPC, NCC
1 Endorsed
Serves Area
I’m passionate about supporting clients as they navigate challenges related to anxiety, depression, PTSD, grief, and relationship concerns.
Life doesn’t always go as planned, and there are times when extra support can make all the difference. I’m here to help you navigate challenges, reconnect with your inner strength, and move forward with clarity and confidence. Even when things feel overwhelming or uncertain, growth and healing are possible. I consider it a privilege to walk alongside my clients as they rediscover peace, joy, and a sense of purpose. You already have the capacity within you to live authentically and thrive. I’m here to help you access it. Your story is still being written, and you have the power to turn the page and create a new chapter.
I’m passionate about supporting clients as they navigate challenges related to anxiety, depression, PTSD, grief, and relationship concerns.
Life doesn’t always go as planned, and there are times when extra support can make all the difference. I’m here to help you navigate challenges, reconnect with your inner strength, and move forward with clarity and confidence. Even when things feel overwhelming or uncertain, growth and healing are possible. I consider it a privilege to walk alongside my clients as they rediscover peace, joy, and a sense of purpose. You already have the capacity within you to live authentically and thrive. I’m here to help you access it. Your story is still being written, and you have the power to turn the page and create a new chapter.
(608) 467-5798 View (608) 467-5798
Photo of Sara Todd, Clinical Social Work/Therapist, LCSW
Sara Todd
Clinical Social Work/Therapist, LCSW
1 Endorsed
Madison, WI 53704
I specialize in the treatment of depression, trauma, grief, childhood emotional neglect, and the mental health impact of chronic illness and/or chronic pain.
I work collaboratively with those who are deeply curious about themselves and wanting to get to the root of what troubles them. Clients who seek me out are tired of repeating old patterns and ready for something new to emerge in their lives. I am skilled in supporting people who have endured and overcome a wide range of stressful life events and challenges and who value living the examined life. Powerful and painful emotions such as sadness, fear, guilt or shame may rule over all your thoughts and actions. We will help you relate to your feelings in a new and deeper way allowing for more vitality and connectedness in your being.
I specialize in the treatment of depression, trauma, grief, childhood emotional neglect, and the mental health impact of chronic illness and/or chronic pain.
I work collaboratively with those who are deeply curious about themselves and wanting to get to the root of what troubles them. Clients who seek me out are tired of repeating old patterns and ready for something new to emerge in their lives. I am skilled in supporting people who have endured and overcome a wide range of stressful life events and challenges and who value living the examined life. Powerful and painful emotions such as sadness, fear, guilt or shame may rule over all your thoughts and actions. We will help you relate to your feelings in a new and deeper way allowing for more vitality and connectedness in your being.
(503) 751-8660 View (503) 751-8660
Photo of Kathryn Hartman Valine - Katy Valine, Licensed Professional Clinical Counselor, MA, LPCC, LADC
Katy Valine
Licensed Professional Clinical Counselor, MA, LPCC, LADC
3 Endorsed
Online Only
As a trauma therapist working primarily with c- ptsd, I view therapy as a holistic pursuit, nurturing mind, body, and spirit.
I’m an IFS Level 2-trained and EMDRIA-certified EMDR therapist. I LOVE helping clients connect with internal parts of their personality and increase health and peace in their lives. My intention is to create a safe, affirming experience, using IFS as my primary modality.
As a trauma therapist working primarily with c- ptsd, I view therapy as a holistic pursuit, nurturing mind, body, and spirit.
I’m an IFS Level 2-trained and EMDRIA-certified EMDR therapist. I LOVE helping clients connect with internal parts of their personality and increase health and peace in their lives. My intention is to create a safe, affirming experience, using IFS as my primary modality.
(651) 877-6576 View (651) 877-6576
Photo of Marilsa Hansen, Licensed Professional Counselor, MS, LPC
Marilsa Hansen
Licensed Professional Counselor, MS, LPC
Monona, WI 53716
The decision to begin therapy can be overwhelming and can carry a multitude of fears, uncertainties and challenges (Whether you are adjusting to loss, coping with anxiety or depression, or searching for ways to change behavior or attitudes which interfere with relationships or personal growth). Your concerns, whether for yourself alone or in relation to others, will be heard with caring and nonjudgmental attention.
The decision to begin therapy can be overwhelming and can carry a multitude of fears, uncertainties and challenges (Whether you are adjusting to loss, coping with anxiety or depression, or searching for ways to change behavior or attitudes which interfere with relationships or personal growth). Your concerns, whether for yourself alone or in relation to others, will be heard with caring and nonjudgmental attention.
(608) 807-5991 View (608) 807-5991
Photo of Holly J Erskine, Clinical Social Work/Therapist, LCSW
Holly J Erskine
Clinical Social Work/Therapist, LCSW
Online Only
Trauma and PTSD can make it difficult to feel safe, connected, rested, and fully present in your life and relationships.
I work with adults whose nervous system has been shaped by trauma. Using trauma-focused therapy and DBT skills, you’ll learn how to regulate emotions, calm your body, and respond to triggers with greater control. Our work focuses on building safety, developing practical skills that restore stability, and healing your trauma so it no longer holds you back.
Trauma and PTSD can make it difficult to feel safe, connected, rested, and fully present in your life and relationships.
I work with adults whose nervous system has been shaped by trauma. Using trauma-focused therapy and DBT skills, you’ll learn how to regulate emotions, calm your body, and respond to triggers with greater control. Our work focuses on building safety, developing practical skills that restore stability, and healing your trauma so it no longer holds you back.
(715) 322-3408 View (715) 322-3408
Photo of Jennie R` Bowyer, Clinical Social Work/Therapist, MSW, LCSW
Jennie R` Bowyer
Clinical Social Work/Therapist, MSW, LCSW
Madison, WI 53718
As a person who faced trauma, I strive to help those who are struggling so that everyone can find mental health recovery.
I offer trauma therapy as my specialty. I am trained in TF-CBT and EMDR. I use EMDR with people of all ages. I have recently added EMDR intensives to my specialties. I workwith individuals, couples, and LGBTQ+. For more information, please reach out. Supervision is available for clinical licensing.
As a person who faced trauma, I strive to help those who are struggling so that everyone can find mental health recovery.
I offer trauma therapy as my specialty. I am trained in TF-CBT and EMDR. I use EMDR with people of all ages. I have recently added EMDR intensives to my specialties. I workwith individuals, couples, and LGBTQ+. For more information, please reach out. Supervision is available for clinical licensing.
(608) 336-5175 View (608) 336-5175
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.