Therapists in Framingham, MA

Photo of Wenhui Yang, Counselor in Framingham, MA
Wenhui Yang
Counselor, LMHC
Verified Verified
Framingham, MA 01701
Wenhui Yang is a Licensed Mental Health Counselor with MAPsc LLC. Wenhui has 20+ years of experiencing working in various kinds of settings, including Community Outpatient Clinics, Emergency Services Program, Crisis Stabilization Units, Urgent Care Clinic, Psychiatric Admission Department, Trauma Center and latest Higher Education Counseling Centers. My lived in experience as an international student/an immigrant/an Asian/Asian American provider allow me to carry curious and multicultural lens while support individuals in managing emotions in relation to life events. I believe deeply in "you are the expert of your life experiences."
Wenhui Yang is a Licensed Mental Health Counselor with MAPsc LLC. Wenhui has 20+ years of experiencing working in various kinds of settings, including Community Outpatient Clinics, Emergency Services Program, Crisis Stabilization Units, Urgent Care Clinic, Psychiatric Admission Department, Trauma Center and latest Higher Education Counseling Centers. My lived in experience as an international student/an immigrant/an Asian/Asian American provider allow me to carry curious and multicultural lens while support individuals in managing emotions in relation to life events. I believe deeply in "you are the expert of your life experiences."
(508) 978-5907 View (508) 978-5907
Photo of Erin Bell, Counselor in Framingham, MA
Erin Bell
Counselor, MEd, LMHC
Verified Verified
Framingham, MA 01702
She incorporates evidence-based therapeutic approaches with a focus on Cognitive Behavioral Therapy (CBT), Mindfulness strategies, Trauma Focused techniques (EMDR), Dialectical Behavioral Therapy(DBT) and Existential modalities.
Erin is a Licensed Mental Health Counselor (LMHC) and has been working as a psychotherapist for over a decade. She has and a broad range of experience in a variety of settings. She provides individual psychotherapy for people managing issues related to depression, anxiety, trauma, ADHD, self-esteem, grief and loss, sexuality, relationships, stress, significant life events/transitions, self-harming, adolescent-focused issues and/or general life struggles. Erin's approach is client-centered and relational, drawing on one's strengths to help encourage healing and change.
She incorporates evidence-based therapeutic approaches with a focus on Cognitive Behavioral Therapy (CBT), Mindfulness strategies, Trauma Focused techniques (EMDR), Dialectical Behavioral Therapy(DBT) and Existential modalities.
Erin is a Licensed Mental Health Counselor (LMHC) and has been working as a psychotherapist for over a decade. She has and a broad range of experience in a variety of settings. She provides individual psychotherapy for people managing issues related to depression, anxiety, trauma, ADHD, self-esteem, grief and loss, sexuality, relationships, stress, significant life events/transitions, self-harming, adolescent-focused issues and/or general life struggles. Erin's approach is client-centered and relational, drawing on one's strengths to help encourage healing and change.
(508) 403-9484 View (508) 403-9484
Photo of Carol A McCoin, Clinical Social Work/Therapist in Framingham, MA
Carol A McCoin
Clinical Social Work/Therapist, LICSW, CEAP
Verified Verified
Framingham, MA 01701
I see adults individually, in couples and with families. I am also on a preferred provider list for a local Mother's group. My style is very eclectic, but I believe in a variety of theories based on the needs of my clients. I treat people who are dealing with depression, bi-polar and anxiety and am trained in trauma and using EMDR. I have extensive experience in treating people who are in recovery for alcohol abuse and I believe in the AA model.
I see adults individually, in couples and with families. I am also on a preferred provider list for a local Mother's group. My style is very eclectic, but I believe in a variety of theories based on the needs of my clients. I treat people who are dealing with depression, bi-polar and anxiety and am trained in trauma and using EMDR. I have extensive experience in treating people who are in recovery for alcohol abuse and I believe in the AA model.
(508) 213-4740 View (508) 213-4740
Photo of Pamela Carlson Alexander, Psychologist in Framingham, MA
Pamela Carlson Alexander
Psychologist, PhD
Verified Verified
Framingham, MA 01701
I work with individuals with adjustment problems, couples (using Emotion Focused Therapy), military veterans, and survivors of trauma.
My approach to psychotherapy is based on attachment theory which states that our first important relationships (namely, with our parents) influence how we relate to those closest to us now. As infants, we learn to do whatever is necessary, including distorting our thoughts and feelings, in order to maintain that connection. This early experience even affects brain development setting the stage for depression, anxiety and dysregulation. Fortunately, current relationships (including with a therapist) can provide a corrective experience. That is the beauty of psychotherapy - by understanding how our past affects our present we are better able to negotiate our future.
I work with individuals with adjustment problems, couples (using Emotion Focused Therapy), military veterans, and survivors of trauma.
My approach to psychotherapy is based on attachment theory which states that our first important relationships (namely, with our parents) influence how we relate to those closest to us now. As infants, we learn to do whatever is necessary, including distorting our thoughts and feelings, in order to maintain that connection. This early experience even affects brain development setting the stage for depression, anxiety and dysregulation. Fortunately, current relationships (including with a therapist) can provide a corrective experience. That is the beauty of psychotherapy - by understanding how our past affects our present we are better able to negotiate our future.
(508) 882-7335 View (508) 882-7335
Photo of Linda Standley: EMDR Intensives, Counselor in Framingham, MA
Linda Standley: EMDR Intensives
Counselor, MA, LMHC
Verified Verified
Framingham, MA 01701
Waitlist for new clients
With over 30 years of experience in the field, I understand that trauma can hijack your life.
As a Certified EMDR Clinician and an Approved EMDR Consultant, I specialize in working with busy career professionals who are seeking to feel unburdened by the past and who are motivated to live their best life. During much of my career I have worked with survivors of relational and complex trauma including sexual assault, domestic violence as well as with adult survivors of childhood trauma. I enjoy working with other helping professionals clinically as well as by providing clinical consultation and supervision.
With over 30 years of experience in the field, I understand that trauma can hijack your life.
As a Certified EMDR Clinician and an Approved EMDR Consultant, I specialize in working with busy career professionals who are seeking to feel unburdened by the past and who are motivated to live their best life. During much of my career I have worked with survivors of relational and complex trauma including sexual assault, domestic violence as well as with adult survivors of childhood trauma. I enjoy working with other helping professionals clinically as well as by providing clinical consultation and supervision.
(508) 618-4058 View (508) 618-4058
Photo of Jennifer Wuest, Clinical Social Work/Therapist in Framingham, MA
Jennifer Wuest
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Framingham, MA 01701  (Online Only)
My specialty is in the areas of trauma and problems with depression, anxiety, and addiction.
Welcome! It takes courage to be open and honest with a new therapist. I can help if you are struggling with your mood, feeling irritable, overwhelmed, sad or scared. If you are a bit impulsive, perhaps lapsing into old behaviors of which you are less than proud then I'd love to meet you. I am calm, kind, caring and nonjudgmental but also very practical and helpful in concrete ways.
My specialty is in the areas of trauma and problems with depression, anxiety, and addiction.
Welcome! It takes courage to be open and honest with a new therapist. I can help if you are struggling with your mood, feeling irritable, overwhelmed, sad or scared. If you are a bit impulsive, perhaps lapsing into old behaviors of which you are less than proud then I'd love to meet you. I am calm, kind, caring and nonjudgmental but also very practical and helpful in concrete ways.
(203) 544-2925 View (203) 544-2925
Photo of EMDR Therapy Solutions and Wellness, Clinical Social Work/Therapist in Framingham, MA
EMDR Therapy Solutions and Wellness
Clinical Social Work/Therapist, LICSW
Verified Verified
Framingham, MA 01701
Coping with complex trauma can be challenging.
Hey there! I'm Natasha Bourgoin, and I'm thrilled to be able to help you out. As a Licensed Independent Clinical Social Worker (LICSW) with years of experience in community health, I specialize in supporting individuals dealing with trauma as my number one focus. But that's not all - I'm also here to help you tackle depression, anxiety, substance use, and couple conflict. I've opened my private practice because I want to be able to give you the personalized care and attention that you deserve. So whether you're looking for in-person or virtual sessions, I'm here to help you achieve your goals with compassion and support.
Coping with complex trauma can be challenging.
Hey there! I'm Natasha Bourgoin, and I'm thrilled to be able to help you out. As a Licensed Independent Clinical Social Worker (LICSW) with years of experience in community health, I specialize in supporting individuals dealing with trauma as my number one focus. But that's not all - I'm also here to help you tackle depression, anxiety, substance use, and couple conflict. I've opened my private practice because I want to be able to give you the personalized care and attention that you deserve. So whether you're looking for in-person or virtual sessions, I'm here to help you achieve your goals with compassion and support.
(508) 290-5615 View (508) 290-5615
Photo of Lisa Olinger, Counselor in Framingham, MA
Lisa Olinger
Counselor, LMHC
Verified Verified
1 Endorsed
Framingham, MA 01702
Welcome - Are you noticing that your own thoughts, feelings, and actions no longer serve you? Do you feel overwhelmed, confused, lost? I treat adults throughout all stages of life and help those who are struggling with anxiety, depression, life transitions, trauma (adverse life events), and grief. Time to get relief!
Welcome - Are you noticing that your own thoughts, feelings, and actions no longer serve you? Do you feel overwhelmed, confused, lost? I treat adults throughout all stages of life and help those who are struggling with anxiety, depression, life transitions, trauma (adverse life events), and grief. Time to get relief!
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Photo of Jennifer Schneider, Clinical Social Work/Therapist in Framingham, MA
Jennifer Schneider
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Framingham, MA 01701  (Online Only)
Hi! I'm Jen, and I am a psychotherapist, seeing individuals and couples via telehealth/video only, with licensure in MA, CA, WA and IN. I help those that are polyamorous/ethically non-monogamous, utilizing EMDR for anxiety, depression and trauma-related disorders. I have clinical experience with ADHD, chronic illness, LGBTQIA+ issues, and relationship concerns, as well as perinatal emotional concerns. I also offer EMDR Intensives, so that we may get the work done in fewer sessions!
Hi! I'm Jen, and I am a psychotherapist, seeing individuals and couples via telehealth/video only, with licensure in MA, CA, WA and IN. I help those that are polyamorous/ethically non-monogamous, utilizing EMDR for anxiety, depression and trauma-related disorders. I have clinical experience with ADHD, chronic illness, LGBTQIA+ issues, and relationship concerns, as well as perinatal emotional concerns. I also offer EMDR Intensives, so that we may get the work done in fewer sessions!
(617) 362-4396 View (617) 362-4396
Photo of Stacie Perreault, Counselor in Framingham, MA
Stacie Perreault
Counselor, LMHC
Verified Verified
Framingham, MA 01701  (Online Only)
Accepting New Clients Now! The best treatment begins with a solid foundation of trust, from there all things are possible. My approach to treatment is client driven, your treatment, it's all about you! Whether you have trauma to heal, or struggling with daily-life stress, we can work together to find a way to accomplish what you feel you need. In a safe, judgement-free environment you can explore your goals to start moving forward in your life. NO waitlist!
Accepting New Clients Now! The best treatment begins with a solid foundation of trust, from there all things are possible. My approach to treatment is client driven, your treatment, it's all about you! Whether you have trauma to heal, or struggling with daily-life stress, we can work together to find a way to accomplish what you feel you need. In a safe, judgement-free environment you can explore your goals to start moving forward in your life. NO waitlist!
(508) 257-7821 View (508) 257-7821
Photo of New Hope Counseling & Neurofeedback, Counselor in Framingham, MA
New Hope Counseling & Neurofeedback
Counselor, LMHC
Verified Verified
Framingham, MA 01701
I've been changing lives for over 20 years, and I absolutely love what I do! I have a Solution Focused, Cognitive Behavioral approach that meets you where you're at in the moment. If you want to make dynamic changes in your life, then I would like to be there to help you make it! I'm also offering Neurofeedback EEG treatment that uses technology in a powerful way to treat Sleep, ADHD, PTSD, Anxiety and Autism symptoms without medication! My specialties in Neurofeedback are for Sleep Disorders, Anxiety, Autism Spectrum, and ADHD. I have been providing Neurofeedback services for 5 years, with some really great results!
I've been changing lives for over 20 years, and I absolutely love what I do! I have a Solution Focused, Cognitive Behavioral approach that meets you where you're at in the moment. If you want to make dynamic changes in your life, then I would like to be there to help you make it! I'm also offering Neurofeedback EEG treatment that uses technology in a powerful way to treat Sleep, ADHD, PTSD, Anxiety and Autism symptoms without medication! My specialties in Neurofeedback are for Sleep Disorders, Anxiety, Autism Spectrum, and ADHD. I have been providing Neurofeedback services for 5 years, with some really great results!
(508) 915-4291 View (508) 915-4291
Photo of Ayako M Reich, Clinical Social Work/Therapist in Framingham, MA
Ayako M Reich
Clinical Social Work/Therapist
Verified Verified
Framingham, MA 01701
I have had the privilege of serving people of all ages and of various backgrounds since 2005. I particularly enjoy working with youth who are excited to learn how to manage their emotions and behaviors. I also find the joy of working with individuals who would like to untangle their thoughts, heal from their old wounds, and/or feel understood and supported. You may be diagnosed with depression, anxiety, PTSD or you may be experiencing daily life struggles. I will walk with you while you go through your journey.
I have had the privilege of serving people of all ages and of various backgrounds since 2005. I particularly enjoy working with youth who are excited to learn how to manage their emotions and behaviors. I also find the joy of working with individuals who would like to untangle their thoughts, heal from their old wounds, and/or feel understood and supported. You may be diagnosed with depression, anxiety, PTSD or you may be experiencing daily life struggles. I will walk with you while you go through your journey.
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Photo of Garrett Berna, Counselor in Framingham, MA
Garrett Berna
Counselor, LMHC
Verified Verified
Framingham, MA 01701
I am experienced working with depression, anxiety, trauma/PTSD, Bipolar, Autism Spectrum Disorder, grief/loss, Substance Abuse, Schizophrenia, social skills building, self-esteem building, mood disorders, mild to severe behavioral issues, and coping skills.
I have worked with diverse populations and people of all ages ranging from 4-74 years old while working in community mental health. My clinical experience also includes treating children and adolescents with trauma and severe emotional and behavioral issues at two residential schools. I currently focus on children, teens/adolescents, families, and adults. I enjoy working with (and working alongside) athletes, taking a sports psychology approach. I also have a strong history of working well with clients who have not responded/had difficulty engaging in traditional therapy.
I am experienced working with depression, anxiety, trauma/PTSD, Bipolar, Autism Spectrum Disorder, grief/loss, Substance Abuse, Schizophrenia, social skills building, self-esteem building, mood disorders, mild to severe behavioral issues, and coping skills.
I have worked with diverse populations and people of all ages ranging from 4-74 years old while working in community mental health. My clinical experience also includes treating children and adolescents with trauma and severe emotional and behavioral issues at two residential schools. I currently focus on children, teens/adolescents, families, and adults. I enjoy working with (and working alongside) athletes, taking a sports psychology approach. I also have a strong history of working well with clients who have not responded/had difficulty engaging in traditional therapy.
(508) 544-0258 View (508) 544-0258
Photo of Nicole Barter, Counselor in Framingham, MA
Nicole Barter
Counselor, LMHC
Verified Verified
Framingham, MA 01701
I am here to assist you with a wide range of emotional, behavioral and relational challenges in areas such as: handling life transitions and loss, personal growth, managing stress, parenting, communication, family conflict, coping with depression and anxiety, trauma, self-esteem, and mood issues.
As an experienced Licensed Mental Health Clinician, I provide counseling for adolescents and adults utilizing both brief and long term treatment methods. This is a safe and confidential setting to enable my clients to heal emotionally, mentally and spiritually. I use an interactive, client-centered, and solution-focused approach; along with cognitive/behavioral therapy and psycho-educational tools. I also incorporate alternative approaches such as mindfulness, EMDR, IFS, EFT. I am here to support and guide you on your journey of healing and self-discovery.
I am here to assist you with a wide range of emotional, behavioral and relational challenges in areas such as: handling life transitions and loss, personal growth, managing stress, parenting, communication, family conflict, coping with depression and anxiety, trauma, self-esteem, and mood issues.
As an experienced Licensed Mental Health Clinician, I provide counseling for adolescents and adults utilizing both brief and long term treatment methods. This is a safe and confidential setting to enable my clients to heal emotionally, mentally and spiritually. I use an interactive, client-centered, and solution-focused approach; along with cognitive/behavioral therapy and psycho-educational tools. I also incorporate alternative approaches such as mindfulness, EMDR, IFS, EFT. I am here to support and guide you on your journey of healing and self-discovery.
(781) 996-3577 View (781) 996-3577
Photo of Marcia A. Lowry, Counselor in Framingham, MA
Marcia A. Lowry
Counselor, MA, LMHC
Verified Verified
Framingham, MA 01701
I have 20+ years of experience helping older teens and adults with depression, anxiety, past trauma, chronic disability management, high functioning autism, eating/body image problems, loss, couples conflict, childrens' divorce issues and athletes working through recovery from concussion or other injury.
Are you experiencing a personal problem that feels insurmountable, has derailed you from your path, or has become so distracting that you can't ignore it any longer? Do you have ongoing health concerns, relationship conflict, recent loss, family stress or mental health issues? I can help you identify challenges, increase personal initiative, try new things, build confidence, make constructive decisions, utilize available services, manage problems proactively, and develop success strategies. I specialize in working with individuals and couples who need a higher level of support and resources to cope, change, and thrive.
I have 20+ years of experience helping older teens and adults with depression, anxiety, past trauma, chronic disability management, high functioning autism, eating/body image problems, loss, couples conflict, childrens' divorce issues and athletes working through recovery from concussion or other injury.
Are you experiencing a personal problem that feels insurmountable, has derailed you from your path, or has become so distracting that you can't ignore it any longer? Do you have ongoing health concerns, relationship conflict, recent loss, family stress or mental health issues? I can help you identify challenges, increase personal initiative, try new things, build confidence, make constructive decisions, utilize available services, manage problems proactively, and develop success strategies. I specialize in working with individuals and couples who need a higher level of support and resources to cope, change, and thrive.
(508) 500-8661 View (508) 500-8661
Photo of Elizabeth Anderson, Clinical Social Work/Therapist in Framingham, MA
Elizabeth Anderson
Clinical Social Work/Therapist, LICSW
Verified Verified
Framingham, MA 01701  (Online Only)
If you struggle with anxiety, depression, trauma, or are simply seeking to live a life with more joy, meaning, or value, I am honored to be your guide.
Therapy is a gift you can offer yourself. I meet people where they are on their journey, offering compassion and guidance, in the hopes that clients begin to cultivate self compassion.
If you struggle with anxiety, depression, trauma, or are simply seeking to live a life with more joy, meaning, or value, I am honored to be your guide.
Therapy is a gift you can offer yourself. I meet people where they are on their journey, offering compassion and guidance, in the hopes that clients begin to cultivate self compassion.
(508) 978-4667 View (508) 978-4667
Photo of Onyx Counseling and Wellness, Clinical Social Work/Therapist in Framingham, MA
Onyx Counseling and Wellness
Clinical Social Work/Therapist
Verified Verified
Framingham, MA 01702
Our clinicians show a range of expertise ranging from treating addiction, depression, anxiety, and PTSD, and grief and loss.
Onyx Counseling established in 2022 offering individual counseling . Appointments with Onyx Clinicians are filling fast so please reach out. The best way to connect is via email or phone, or through the contact portion of www.onyxcounselingcenter.com.
Our clinicians show a range of expertise ranging from treating addiction, depression, anxiety, and PTSD, and grief and loss.
Onyx Counseling established in 2022 offering individual counseling . Appointments with Onyx Clinicians are filling fast so please reach out. The best way to connect is via email or phone, or through the contact portion of www.onyxcounselingcenter.com.
(774) 357-0893 View (774) 357-0893
Photo of Joella Raiche, Counselor in Framingham, MA
Joella Raiche
Counselor, MEd, LMHC
Verified Verified
3 Endorsed
Framingham, MA 01701  (Online Only)
My specialties include trauma, depression, anxiety, anger management, personality disorders, PTSD, feeling "stuck," relationship issues, life transitions and self-esteem.
I believe it takes strength and courage to seek therapy. I provide a safe, non-judgmental space in which you can explore attitudes and beliefs/patterns which get in the way of accomplishing your full potential and fully engaging in life. I utilize techniques from positive psychology, psychodynamic, cognitive-behavioral and dialectal behavioral therapy to connect my clients with their "true, inner selves," something which we most often lose touch with as we go about our lives in this often unpredictable and stressful world. I also believe in the power of humor and laughter as tools in the healing process.
My specialties include trauma, depression, anxiety, anger management, personality disorders, PTSD, feeling "stuck," relationship issues, life transitions and self-esteem.
I believe it takes strength and courage to seek therapy. I provide a safe, non-judgmental space in which you can explore attitudes and beliefs/patterns which get in the way of accomplishing your full potential and fully engaging in life. I utilize techniques from positive psychology, psychodynamic, cognitive-behavioral and dialectal behavioral therapy to connect my clients with their "true, inner selves," something which we most often lose touch with as we go about our lives in this often unpredictable and stressful world. I also believe in the power of humor and laughter as tools in the healing process.
(413) 315-4438 View (413) 315-4438
Photo of Mary (Mimi) Young Sa, Psychologist in Framingham, MA
Mary (Mimi) Young Sa
Psychologist, PsyD, MSCP, ABMP
Verified Verified
Framingham, MA 01702
Working with clients from ethnic minority groups is my passion; especially Brazilians, Latinos and Native Americans. Having experienced being an immigrant myself while living in Brazil, I am very aware of the unique difficulties facing newly arrived immigrants. Individuals needing assistance with school difficulties, parenting concerns, family conflict, marital discord, or functionally impairing mental health symptoms are my ideal client.
Working with clients from ethnic minority groups is my passion; especially Brazilians, Latinos and Native Americans. Having experienced being an immigrant myself while living in Brazil, I am very aware of the unique difficulties facing newly arrived immigrants. Individuals needing assistance with school difficulties, parenting concerns, family conflict, marital discord, or functionally impairing mental health symptoms are my ideal client.
(508) 504-1132 View (508) 504-1132
Photo of Brandon Jones, Counselor in Framingham, MA
Brandon Jones
Counselor, PhD, LMHC
Verified Verified
18 Endorsed
Framingham, MA 01701
Do you hate being touched by your partner? Do you feel misunderstood and now you are worried that your partner is starting to resent you? Ever since that awful event, do you feel distant or disconnected because you can’t get disturbing images out of your head? These are common reactions to awful or overwhelming experiences. The good news is that they can improve with the right support. I help young and not-so-young adults learn the skills they need to turn down the volume on overwhelming emotions and reconnect with their loved ones.
Do you hate being touched by your partner? Do you feel misunderstood and now you are worried that your partner is starting to resent you? Ever since that awful event, do you feel distant or disconnected because you can’t get disturbing images out of your head? These are common reactions to awful or overwhelming experiences. The good news is that they can improve with the right support. I help young and not-so-young adults learn the skills they need to turn down the volume on overwhelming emotions and reconnect with their loved ones.
(774) 462-5882 View (774) 462-5882
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.