Trauma and PTSD Therapists in Carlstadt, NJ

Photo of Ruth E. Viera, LCSW, Clinical Social Work/Therapist in Carlstadt, NJ
Ruth E. Viera, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Carlstadt, NJ 07072
Working with a therapist that you trust can be a life changing experience. Are you having problems with a relationship or work, financial stress, substance abuse or another addiction? Or are you anxious, sad, or overwhelmed? Things can get better. One of my clients told me that my office was a sacred space. In this environment you may feel free to truly express yourself and face the problems that are bothering you. Some of my work has been with people who were in unhealthy relationships or exposed to trauma in their early years.
Working with a therapist that you trust can be a life changing experience. Are you having problems with a relationship or work, financial stress, substance abuse or another addiction? Or are you anxious, sad, or overwhelmed? Things can get better. One of my clients told me that my office was a sacred space. In this environment you may feel free to truly express yourself and face the problems that are bothering you. Some of my work has been with people who were in unhealthy relationships or exposed to trauma in their early years.
(201) 778-5120 View (201) 778-5120
Photo of Graciela Montero, Clinical Social Work/Therapist in Carlstadt, NJ
Graciela Montero
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Carlstadt, NJ 07072  (Online Only)
I love using the skills I've developed to treat those going through trauma, depression, anxiety, mental illness, and other challenges. I have 5 years of experience working one-on-one with children and their families in an in-home environment. Though I work with adults as well, one of my niches is working with adolescents and teenagers.
I love using the skills I've developed to treat those going through trauma, depression, anxiety, mental illness, and other challenges. I have 5 years of experience working one-on-one with children and their families in an in-home environment. Though I work with adults as well, one of my niches is working with adolescents and teenagers.
(201) 762-8864 View (201) 762-8864
Photo of Melissa MacKenzie, Clinical Social Work/Therapist in Carlstadt, NJ
Melissa MacKenzie
Clinical Social Work/Therapist, LCSW, LICSW, RYT 200
Verified Verified
Carlstadt, NJ 07072
Through my journey I was called to integrative and trauma informed approaches in healing. I specialize in working with individuals going through transitional periods of life, trauma, women's issues, adolescents/adults on the autism spectrum, and individuals with disabilities and/or chronic illness. Please see my website for more information www.be-balanced-wellness.com
Through my journey I was called to integrative and trauma informed approaches in healing. I specialize in working with individuals going through transitional periods of life, trauma, women's issues, adolescents/adults on the autism spectrum, and individuals with disabilities and/or chronic illness. Please see my website for more information www.be-balanced-wellness.com
(201) 500-3290 View (201) 500-3290
Photo of Caroline Kushner, Clinical Social Work/Therapist in Carlstadt, NJ
Caroline Kushner
Clinical Social Work/Therapist, LSW, MSW
Verified Verified
Carlstadt, NJ 07072  (Online Only)
Hi, my name is Caroline. I am pleased to be here and looking forward to meeting you. My primary goal is that you feel comfortable expressing anything you need to talk about. I believe most of our feelings and thoughts are universal but at the same time, many of us feel judged and therefore remain secretive. We often shrug off our thoughts due to shame and each time we do this we are further away from healing. Personal growth starts with self-acceptance. In a judgmental world, many of us remain hidden and maybe in emotional pain. It is important to be able to talk freely. Make peace with ourselves and grow from there.
Hi, my name is Caroline. I am pleased to be here and looking forward to meeting you. My primary goal is that you feel comfortable expressing anything you need to talk about. I believe most of our feelings and thoughts are universal but at the same time, many of us feel judged and therefore remain secretive. We often shrug off our thoughts due to shame and each time we do this we are further away from healing. Personal growth starts with self-acceptance. In a judgmental world, many of us remain hidden and maybe in emotional pain. It is important to be able to talk freely. Make peace with ourselves and grow from there.
(609) 312-5048 View (609) 312-5048
Photo of Roberta Monteiro, Clinical Social Work/Therapist in Carlstadt, NJ
Roberta Monteiro
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Carlstadt, NJ 07072
I am the founder of Inner Light Psychotherapy and Wellness, LLC. We offer individual, couple and family therapy for English, Portuguese and Spanish speakers. We are a private practice with a team network of wellness providers. Also providing clinical evaluation to immigration and court cases; Extreme Hardship, Asylum, Vawa, U and T visas.
I am the founder of Inner Light Psychotherapy and Wellness, LLC. We offer individual, couple and family therapy for English, Portuguese and Spanish speakers. We are a private practice with a team network of wellness providers. Also providing clinical evaluation to immigration and court cases; Extreme Hardship, Asylum, Vawa, U and T visas.
(201) 834-0582 View (201) 834-0582

More Therapists Nearby

Photo of BetterWay Counseling Tamara Leah Sauer-Diner LMFT, Marriage & Family Therapist in Carlstadt, NJ
BetterWay Counseling Tamara Leah Sauer-Diner LMFT
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Passaic, NJ 07055  (Online Only)
Tamara Leah Sauer-Diner is an experienced therapist licensed in both NJ and California. Tamara tailors her approach to best suit the client and their needs and draws from a variety of evidence-based modalities such as CBT, DBT, Exposure Therapy, Solution Focused Therapy. Tamara has experience with crisis management, trauma, anxiety, eating disorders, depression, body image and relationship issues. Tamara obtained her master’s degree in Marriage And Family Therapy from Touro University Worldwide with Summa Cum Laude. Tamara accepts insurance.
Tamara Leah Sauer-Diner is an experienced therapist licensed in both NJ and California. Tamara tailors her approach to best suit the client and their needs and draws from a variety of evidence-based modalities such as CBT, DBT, Exposure Therapy, Solution Focused Therapy. Tamara has experience with crisis management, trauma, anxiety, eating disorders, depression, body image and relationship issues. Tamara obtained her master’s degree in Marriage And Family Therapy from Touro University Worldwide with Summa Cum Laude. Tamara accepts insurance.
(201) 817-1858 View (201) 817-1858
Photo of Heather Feigin, Clinical Social Work/Therapist in Carlstadt, NJ
Heather Feigin
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Passaic, NJ 07055
If you are suffering from anxiety, trauma, relationship issues, depression, anger, addiction or grief, help is here! With over 15 years of experience and 100s of clients treated successfully, I have the skills and understanding to help you lead a more content, fulfilling and functional life. I am a Certified Clinical Trauma Specialist with extensive training in Cognitive behavioral Therapy (CBT), Psychoanalytic Theory, and Gottman Method couples therapy. More importantly, I treat people, not modalities or disorders! Therefore, my treatment style draws on a number of different methods depending on your specific needs.
If you are suffering from anxiety, trauma, relationship issues, depression, anger, addiction or grief, help is here! With over 15 years of experience and 100s of clients treated successfully, I have the skills and understanding to help you lead a more content, fulfilling and functional life. I am a Certified Clinical Trauma Specialist with extensive training in Cognitive behavioral Therapy (CBT), Psychoanalytic Theory, and Gottman Method couples therapy. More importantly, I treat people, not modalities or disorders! Therefore, my treatment style draws on a number of different methods depending on your specific needs.
(973) 348-5279 View (973) 348-5279
Photo of Nicole Mendicino, Clinical Social Work/Therapist in Carlstadt, NJ
Nicole Mendicino
Clinical Social Work/Therapist, LCSW, CCTP, LMSW
Verified Verified
2 Endorsed
Wood Ridge, NJ 07075  (Online Only)
As a Certified Clinical Trauma Professional trained in EMDR, I understand the gravity of painful past experiences.
It's nice to meet you! Does your mind ever get the better of you? Are your thoughts so consuming that you can't seem to slow them down? Are you feeling unsettled, tense, or like you've lost yourself? You may be experiencing the unwanted effects of anxiety, chronic pain, or ongoing distress. These can feel debilitating when we do not know what to do with it all. Collaboratively, let's work towards reclaiming the life you truly deserve! To learn more about my practice, please view my website at wholeheartedcnslng.com
As a Certified Clinical Trauma Professional trained in EMDR, I understand the gravity of painful past experiences.
It's nice to meet you! Does your mind ever get the better of you? Are your thoughts so consuming that you can't seem to slow them down? Are you feeling unsettled, tense, or like you've lost yourself? You may be experiencing the unwanted effects of anxiety, chronic pain, or ongoing distress. These can feel debilitating when we do not know what to do with it all. Collaboratively, let's work towards reclaiming the life you truly deserve! To learn more about my practice, please view my website at wholeheartedcnslng.com
(973) 671-3048 View (973) 671-3048
Photo of Natasha Lee Blair, Clinical Social Work/Therapist in Carlstadt, NJ
Natasha Lee Blair
Clinical Social Work/Therapist, LCSW
Verified Verified
East Rutherford, NJ 07073
I will work with you hand in hand to assist you with learning effective techniques to manage your emotions, anxiety, depression, trauma, and daily life stressors.
Hello, I'm Natasha Lee and I am looking forward to getting to know you. You've already taken the first step in seeking therapy and should be proud of yourself. It takes bravery to seek help and express vulnerability. I have extensive experience working with children, adolescents, and adults from diverse backgrounds. I offer in-person sessions as well as tele-therapy.
I will work with you hand in hand to assist you with learning effective techniques to manage your emotions, anxiety, depression, trauma, and daily life stressors.
Hello, I'm Natasha Lee and I am looking forward to getting to know you. You've already taken the first step in seeking therapy and should be proud of yourself. It takes bravery to seek help and express vulnerability. I have extensive experience working with children, adolescents, and adults from diverse backgrounds. I offer in-person sessions as well as tele-therapy.
(856) 391-0751 View (856) 391-0751
Photo of Tara Rossine, Clinical Social Work/Therapist in Carlstadt, NJ
Tara Rossine
Clinical Social Work/Therapist, LCSW
Verified Verified
East Rutherford, NJ 07073  (Online Only)
Hello! I’m so glad you’re here. I am an OCD specialist who also works with people experiencing BFRBs (skin picking & hair pulling), anxiety, and trauma. Do you doubt yourself to the point where making everyday decisions feels impossible? Do you constantly overthink social interactions and replay situations that occur? Do you feel the need to repeat actions so that bad things don’t happen? Do you spend hours questioning if you are a good person, if you’ve made a mistake, your identity, or if your relationship is perfect? If any of this resonates with you in your search for a therapist, I may be a good fit to work with you.
Hello! I’m so glad you’re here. I am an OCD specialist who also works with people experiencing BFRBs (skin picking & hair pulling), anxiety, and trauma. Do you doubt yourself to the point where making everyday decisions feels impossible? Do you constantly overthink social interactions and replay situations that occur? Do you feel the need to repeat actions so that bad things don’t happen? Do you spend hours questioning if you are a good person, if you’ve made a mistake, your identity, or if your relationship is perfect? If any of this resonates with you in your search for a therapist, I may be a good fit to work with you.
(973) 221-8544 View (973) 221-8544
Photo of Alexandra Descalzi, Licensed Professional Counselor in Carlstadt, NJ
Alexandra Descalzi
Licensed Professional Counselor, MA, LPC, ACS, CT
Verified Verified
Rutherford, NJ 07070  (Online Only)
I am a bilingual, licensed psychotherapist with over 15 years of experience. My passion is in working with children, adolescents, and adults who experience stress, anxiety, depression, and trauma. My goal is to provide a safe, judgment-free environment for healing.
I am a bilingual, licensed psychotherapist with over 15 years of experience. My passion is in working with children, adolescents, and adults who experience stress, anxiety, depression, and trauma. My goal is to provide a safe, judgment-free environment for healing.
(973) 434-5940 View (973) 434-5940
Photo of Tova Brody, Clinical Social Work/Therapist in Carlstadt, NJ
Tova Brody
Clinical Social Work/Therapist, LCSW
Verified Verified
Passaic, NJ 07055
Are you searching for clarity, purpose, or peace of mind? Feeling anxious or struggling to find a new direction? Are you tired of trying to figure it out on your own? I help clients access their inner strength and resources, the keys to ultimate healing. I work with young adults and women through their struggles with anxiety, depression, low self-esteem, challenging relationships, trauma, or any other concern they want to discuss in the context of a warm and supportive environment.
Are you searching for clarity, purpose, or peace of mind? Feeling anxious or struggling to find a new direction? Are you tired of trying to figure it out on your own? I help clients access their inner strength and resources, the keys to ultimate healing. I work with young adults and women through their struggles with anxiety, depression, low self-esteem, challenging relationships, trauma, or any other concern they want to discuss in the context of a warm and supportive environment.
(973) 221-9620 View (973) 221-9620
Photo of Lori A Harris, Clinical Social Work/Therapist in Carlstadt, NJ
Lori A Harris
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Rutherford, NJ 07070
I have advanced training in PTSD, grief, disaster mental health, addiction, family counseling/mediation.
People seek therapy for many reasons. Perhaps you are in a crisis, confronting a life transition (divorce, retirement, death, illness, empty nest, new relationship), having difficulty coping with work stress, using/abusing substances, or "feeling stuck" and unable to make positive life changes. I believe that most of us have blind spots - emotional patterns or behaviors that can get in the way of our healing or fully exploring life’s challenges and opportunities. My role is to provide clinical insight and guidance that is collaborative and respectful, supporting your unique journey toward recovery and growth.
I have advanced training in PTSD, grief, disaster mental health, addiction, family counseling/mediation.
People seek therapy for many reasons. Perhaps you are in a crisis, confronting a life transition (divorce, retirement, death, illness, empty nest, new relationship), having difficulty coping with work stress, using/abusing substances, or "feeling stuck" and unable to make positive life changes. I believe that most of us have blind spots - emotional patterns or behaviors that can get in the way of our healing or fully exploring life’s challenges and opportunities. My role is to provide clinical insight and guidance that is collaborative and respectful, supporting your unique journey toward recovery and growth.
(973) 528-1852 View (973) 528-1852
Photo of Berta Rodrigues, Clinical Social Work/Therapist in Carlstadt, NJ
Berta Rodrigues
Clinical Social Work/Therapist, LCSW
Verified Verified
East Rutherford, NJ 07073  (Online Only)
I draw from different theoretical frameworks, including Cognitive-Behavioral Therapy, Emotionally Focused Therapy, Trauma Informed Therapy, Humanistic Therapy, Mindfulness-Based Therapy, Motivational Interviewing, Positive Psychology, Psychodynamic Therapy, Developmental Psychology, Narrative Therapy, and Interpersonal Psychotherapy.
I am a licensed Psychotherapist in the states of New Jersey and New York and have been providing psychotherapy services for 25+ years. I am also a certified Clinical Telemental Health Provider and certified Integrative Mental Health Professional. One of the most rewarding aspects of my work is witnessing the progress and growth of my clients. Seeing a client make positive changes and improvements in their mental and emotional well-being is truly gratifying.
I draw from different theoretical frameworks, including Cognitive-Behavioral Therapy, Emotionally Focused Therapy, Trauma Informed Therapy, Humanistic Therapy, Mindfulness-Based Therapy, Motivational Interviewing, Positive Psychology, Psychodynamic Therapy, Developmental Psychology, Narrative Therapy, and Interpersonal Psychotherapy.
I am a licensed Psychotherapist in the states of New Jersey and New York and have been providing psychotherapy services for 25+ years. I am also a certified Clinical Telemental Health Provider and certified Integrative Mental Health Professional. One of the most rewarding aspects of my work is witnessing the progress and growth of my clients. Seeing a client make positive changes and improvements in their mental and emotional well-being is truly gratifying.
(973) 798-9044 View (973) 798-9044
Photo of Jennifer Brea, Counselor in Carlstadt, NJ
Jennifer Brea
Counselor, LPC, NCC, EdS
Verified Verified
3 Endorsed
Rutherford, NJ 07070  (Online Only)
Waitlist for new clients
I use Cognitive Behavioral, Trauma Focused, EMDR and Internal Family Systems therapeutic approaches.
Seeking counseling therapy takes courage, willingness to invite change, exploring difficulties, and learning new strategies. We will work together to learn healthy coping skills, to assist you in navigating challenges faced throughout life's journey. If you are struggling with anxiety, depression, substance use, thoughts of self-doubt, negative beliefs, or a sense of hopelessness, counseling therapy will provide a safe space to talk. My goal is to ensure you feel safe, supported, and empowered to manage whatever comes your way.
I use Cognitive Behavioral, Trauma Focused, EMDR and Internal Family Systems therapeutic approaches.
Seeking counseling therapy takes courage, willingness to invite change, exploring difficulties, and learning new strategies. We will work together to learn healthy coping skills, to assist you in navigating challenges faced throughout life's journey. If you are struggling with anxiety, depression, substance use, thoughts of self-doubt, negative beliefs, or a sense of hopelessness, counseling therapy will provide a safe space to talk. My goal is to ensure you feel safe, supported, and empowered to manage whatever comes your way.
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Photo of Barbara Samaan, Licensed Professional Counselor in Carlstadt, NJ
Barbara Samaan
Licensed Professional Counselor, LPC
Verified Verified
Rutherford, NJ 07070
Are you feeling tired, emotionally drained,or struggle to get out of bed? Do you experience painful emotions including anger, resentment, or shame? Are you repeating the cycle of unhealthy or self-destructive behavior? Does your child or teenager seem sad, anxious, or irritable? My name is Barbara Samaan. I am a Licensed Professional Counselor. I have over 12 years of experience counseling children, adolescents and adults and working with individuals, couples, and families. Areas of expertise include: working with individuals with chronic illnesses, disability, depression and other mood disorders, anxiety, faith based counseling, and trauma, abuse, and neglect.
Are you feeling tired, emotionally drained,or struggle to get out of bed? Do you experience painful emotions including anger, resentment, or shame? Are you repeating the cycle of unhealthy or self-destructive behavior? Does your child or teenager seem sad, anxious, or irritable? My name is Barbara Samaan. I am a Licensed Professional Counselor. I have over 12 years of experience counseling children, adolescents and adults and working with individuals, couples, and families. Areas of expertise include: working with individuals with chronic illnesses, disability, depression and other mood disorders, anxiety, faith based counseling, and trauma, abuse, and neglect.
(201) 470-6355 View (201) 470-6355
Photo of Maria Luisa Molina, Clinical Social Work/Therapist in Carlstadt, NJ
Maria Luisa Molina
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Hackensack, NJ 07601  (Online Only)
I understand that speaking to a stranger about your past, being vulnerable, and sharing your life story can feel scary. Congratulations for being brave and taking this first step to work on your emotional health and well-being. I want to empower you to learn more about mental health and explore how your history impacts your present and your future. I prioritize providing you with an empathetic, non-judgmental environment to explore your life story. I can help you deal with issues related to: anxiety, coping with chronic health conditions, depression, emotional regulation, life transitions, relationship struggles, trauma, and PTSD.
I understand that speaking to a stranger about your past, being vulnerable, and sharing your life story can feel scary. Congratulations for being brave and taking this first step to work on your emotional health and well-being. I want to empower you to learn more about mental health and explore how your history impacts your present and your future. I prioritize providing you with an empathetic, non-judgmental environment to explore your life story. I can help you deal with issues related to: anxiety, coping with chronic health conditions, depression, emotional regulation, life transitions, relationship struggles, trauma, and PTSD.
(201) 335-8271 View (201) 335-8271
Photo of Marrium Guirguis, Clinical Social Work/Therapist in Carlstadt, NJ
Marrium Guirguis
Clinical Social Work/Therapist, LCSW
Verified Verified
East Rutherford, NJ 07073  (Online Only)
Hey, my name is Marrium Guirguis and I am here to help you wherever you are in life. I believe we all have a story to tell and regardless of how similar two experiences sound, they will still be very different from each other and deserve to be heard, validated and worked with uniquely. Throughout my career, I have specialized in working with adults and adolescents 14+ with PTSD, Anxiety, working with survivors of human trafficking and domestic violence, family dynamics, supportive therapy through challenges, people with disabilities, and young couples.
Hey, my name is Marrium Guirguis and I am here to help you wherever you are in life. I believe we all have a story to tell and regardless of how similar two experiences sound, they will still be very different from each other and deserve to be heard, validated and worked with uniquely. Throughout my career, I have specialized in working with adults and adolescents 14+ with PTSD, Anxiety, working with survivors of human trafficking and domestic violence, family dynamics, supportive therapy through challenges, people with disabilities, and young couples.
(551) 292-8734 View (551) 292-8734
Ally Sachko
MS
Verified Verified
Rutherford, NJ 07070
I use integrated techniques that combine EMDR, Somatic Experiencing, Hypnotherapy (Hypnosis), Attachment-based and Trauma-informed therapy. I help people manage and improve their lives burdened by painful life events & triggers stemming from Developmental Trauma and Attachment Ruptures. The goal is to learn how to minimize maladaptive reactions to triggers and better manage stressful situations. The way we get there is by integrating our body, mind, and spirit.
I use integrated techniques that combine EMDR, Somatic Experiencing, Hypnotherapy (Hypnosis), Attachment-based and Trauma-informed therapy. I help people manage and improve their lives burdened by painful life events & triggers stemming from Developmental Trauma and Attachment Ruptures. The goal is to learn how to minimize maladaptive reactions to triggers and better manage stressful situations. The way we get there is by integrating our body, mind, and spirit.
(201) 942-5521 View (201) 942-5521
Photo of Saadia Parvez, MPS, ATR-BC, LPAT , Art Therapist in Carlstadt, NJ
Saadia Parvez, MPS, ATR-BC, LPAT
Art Therapist, MPS, ATR-BC, LPAT
Verified Verified
1 Endorsed
Wood Ridge, NJ 07075
Saadia Parvez is a licensed, Masters Level Art Therapist and specialized in Trauma Studies from Institute of Contemporary Psychotherapy, NY.
Welcome to the beginning of therapy. You have made an important choice for yourself—starting the process of exploring what brings you distress and wanting relief. Together, with your therapist, you will have a private space to wonder out loud and make connections between your past, present and important relationships. If this is your first time in therapy, then this beginning may bring up a lot of questions. If you are coming back to therapy remind yourself what worked for you. Each person is unique with their presenting problem and their story. You are the expert on your situation and you can find the right help for you.
Saadia Parvez is a licensed, Masters Level Art Therapist and specialized in Trauma Studies from Institute of Contemporary Psychotherapy, NY.
Welcome to the beginning of therapy. You have made an important choice for yourself—starting the process of exploring what brings you distress and wanting relief. Together, with your therapist, you will have a private space to wonder out loud and make connections between your past, present and important relationships. If this is your first time in therapy, then this beginning may bring up a lot of questions. If you are coming back to therapy remind yourself what worked for you. Each person is unique with their presenting problem and their story. You are the expert on your situation and you can find the right help for you.
(973) 821-3909 View (973) 821-3909

See more therapy options for Carlstadt

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.