Trauma and PTSD Treatment Centers in Richland County, OH
Square One Health - Addiction Rehab & Detox
Treatment Center
Verified Verified
Mansfield, OH 44901
Square One Health is passionate about bringing healing to clients who have been through or are suffering from drug and/or alcohol abuse, past or current trauma, severe life stressors, mental health issues, legal matters, and other unfortunate experiences. Our licensed clinical team administers evidence-based mental health and substance abuse assessments to determine the appropriate treatment needs of each client and their families. The client is then placed in the level of care that will best support their ability to succeed in healing from the inside out. Square One Health provides a multitude of treatment services to encourage clients to unveil and reach their maximum potential to live a healthy and fulfilling life. This is accomplished by incorporating services that address the mind, spirit, and body.
Square One Health is passionate about bringing healing to clients who have been through or are suffering from drug and/or alcohol abuse, past or current trauma, severe life stressors, mental health issues, legal matters, and other unfortunate experiences. Our licensed clinical team administers evidence-based mental health and substance abuse assessments to determine the appropriate treatment needs of each client and their families. The client is then placed in the level of care that will best support their ability to succeed in healing from the inside out. Square One Health provides a multitude of treatment services to encourage clients to unveil and reach their maximum potential to live a healthy and fulfilling life. This is accomplished by incorporating services that address the mind, spirit, and body.
Online Treatment Centers
The Hull Institute, LLC
Treatment Center, LISW, MBA
Verified Verified
Beachwood, OH 44122
The Hull Institute has specialized in the treatment of eating disorders for over 20 years. We are a private outpatient practice working with individuals of all ages (8-80) and backgrounds with disordered eating or an eating disorder. We have 12 therapists and 5 dietitians, all specially trained in helping people recover from an eating disorder. People who come to us often also have anxiety, depression, bipolar disorder, OCD, trauma and/or addictions. We will treat all of them together.
The Hull Institute has specialized in the treatment of eating disorders for over 20 years. We are a private outpatient practice working with individuals of all ages (8-80) and backgrounds with disordered eating or an eating disorder. We have 12 therapists and 5 dietitians, all specially trained in helping people recover from an eating disorder. People who come to us often also have anxiety, depression, bipolar disorder, OCD, trauma and/or addictions. We will treat all of them together.
Carrington Behavioral Health
Treatment Center
Verified Verified
East Cleveland, OH 44112
Individual Therapy; Cognitive Behavioral Therapy; Family/Relational Therapy; Individual and Group Drug and Alcohol Treatment; Trauma-informed Care; Coping, Anger & Stress-Management; Anxiety and Mood Management ODD/Conduct Disorder Therapy; Anxiety and Mood Management; ODD/Conduct Disorder Therapy.
Drug and Alcohol/Dependence Issues; Adjudicated delinquents; Victims of physical, sexual, emotional abuse and neglect; Survivors of human trafficking; Oppositionally defiant; At risk for suicide; Having school behavioral issues; Verbally and physically aggressive; Domestic violence victims or perpetrators; Severely emotionally disturbed youth
Individual Therapy; Cognitive Behavioral Therapy; Family/Relational Therapy; Individual and Group Drug and Alcohol Treatment; Trauma-informed Care; Coping, Anger & Stress-Management; Anxiety and Mood Management ODD/Conduct Disorder Therapy; Anxiety and Mood Management; ODD/Conduct Disorder Therapy.
Drug and Alcohol/Dependence Issues; Adjudicated delinquents; Victims of physical, sexual, emotional abuse and neglect; Survivors of human trafficking; Oppositionally defiant; At risk for suicide; Having school behavioral issues; Verbally and physically aggressive; Domestic violence victims or perpetrators; Severely emotionally disturbed youth
REACH Behavioral Health
Treatment Center, LPCC, LSW, LISW, LPC, PhD
Verified Verified
Westlake, OH 44145
REACH serves individuals, families, and couples seeking caring, empathic, community-based therapy. Therapists are trained to treat all mental wellness needs, from depression and anxiety to grief support, trauma, family conflict, relationship issues, and more. With 9 locations throughout Northeast Ohio as well as telehealth services that can be accessed from home, REACH is accessible and flexible to fit the diverse needs of families and individuals with busy schedules.
REACH serves individuals, families, and couples seeking caring, empathic, community-based therapy. Therapists are trained to treat all mental wellness needs, from depression and anxiety to grief support, trauma, family conflict, relationship issues, and more. With 9 locations throughout Northeast Ohio as well as telehealth services that can be accessed from home, REACH is accessible and flexible to fit the diverse needs of families and individuals with busy schedules.
Darby Creek Counseling
Treatment Center, MS, LPCC-S
Verified Verified
1 Endorsed
Hilliard, OH 43026
We provide trauma-informed mental health therapy for children, adolescents, and adults. We work with our clients from our first interaction to make sure their treatment is individualized to meet their mental health needs and personal goals. Our staff of over 30 diverse and skilled therapists provide the highest quality care to serve diverse communities with respect to their spiritual, cultural, and individual differences. Our offices in Hilliard, Ohio and London, Ohio are available to work in-person with community members in Central, Ohio or we are available for Telehealth services throughout the State.
We provide trauma-informed mental health therapy for children, adolescents, and adults. We work with our clients from our first interaction to make sure their treatment is individualized to meet their mental health needs and personal goals. Our staff of over 30 diverse and skilled therapists provide the highest quality care to serve diverse communities with respect to their spiritual, cultural, and individual differences. Our offices in Hilliard, Ohio and London, Ohio are available to work in-person with community members in Central, Ohio or we are available for Telehealth services throughout the State.
Square One Health
Treatment Center
Verified Verified
Youngstown, OH 44515
Square One Health believes in providing holistic care and treatment for chemical dependency, and alcohol addiction and co-occurring/dual diagnosed disorders. By clearly identifying our clients’ specific needs, we can offer client-centered treatment in a safe, nurturing, and educational environment. Treating addiction through the body, mind and spirit, along with focusing on any underlying issues, offers our patients the best chance to recover. Furthermore, it provides them with the tools necessary to continue living in sobriety leaving the Square One Health facility. Our program blends traditional treatment models, which include; cognitive behavior therapy, dialectic behavioral therapy, motivational interviewing and trauma resolution. Guided by the 12-Steps and with a strong emphasis on accountability and integrity, our approach is designed to treat not only the addiction itself but also provide spiritual enhancement, social responsibility, and living skills to our guests.
Square One Health believes in providing holistic care and treatment for chemical dependency, and alcohol addiction and co-occurring/dual diagnosed disorders. By clearly identifying our clients’ specific needs, we can offer client-centered treatment in a safe, nurturing, and educational environment. Treating addiction through the body, mind and spirit, along with focusing on any underlying issues, offers our patients the best chance to recover. Furthermore, it provides them with the tools necessary to continue living in sobriety leaving the Square One Health facility. Our program blends traditional treatment models, which include; cognitive behavior therapy, dialectic behavioral therapy, motivational interviewing and trauma resolution. Guided by the 12-Steps and with a strong emphasis on accountability and integrity, our approach is designed to treat not only the addiction itself but also provide spiritual enhancement, social responsibility, and living skills to our guests.
The Behavioral Wellness Group
Treatment Center, LICDC
Verified Verified
Mentor, OH 44060
Our evidence based program is for adults 18 and over with symptoms that are disruptive to their lives. This program can be started at any time. The DBT/CBT skills are taught in an accepting, non-judgmental, validating environment. The focus is on those who suffer from Depression, Anxiety, Bipolar Disorders, Chronic Pain, PTSD, OCD, Medical Issues causing Psychological Distress, Social Anxiety and those who need Coping Skills. We have three IOPs geared toward Mental Health. Two IOPs are DBT focused, one in the morning and one in the evening. The third IOP is a Health and Wellness IOP focused on those suffering with an acute or chronic Mental Health condition. The average results of these programs is a 64% reduction in symptoms according to client reports! Formulate your life worth living!
Our evidence based program is for adults 18 and over with symptoms that are disruptive to their lives. This program can be started at any time. The DBT/CBT skills are taught in an accepting, non-judgmental, validating environment. The focus is on those who suffer from Depression, Anxiety, Bipolar Disorders, Chronic Pain, PTSD, OCD, Medical Issues causing Psychological Distress, Social Anxiety and those who need Coping Skills. We have three IOPs geared toward Mental Health. Two IOPs are DBT focused, one in the morning and one in the evening. The third IOP is a Health and Wellness IOP focused on those suffering with an acute or chronic Mental Health condition. The average results of these programs is a 64% reduction in symptoms according to client reports! Formulate your life worth living!
Square One Health
Treatment Center
Verified Verified
Youngstown, OH 44515
Square One Health believes in providing holistic care and treatment for chemical dependency, and alcohol addiction and co-occurring/dual diagnosed disorders. By clearly identifying our clients’ specific needs, we can offer client-centered treatment in a safe, nurturing, and educational environment. Treating addiction through the body, mind and spirit, along with focusing on any underlying issues, offers our patients the best chance to recover. Furthermore, it provides them with the tools necessary to continue living in sobriety leaving the Square One Health facility. Our program blends traditional treatment models, which include; cognitive behavior therapy, dialectic behavioral therapy, motivational interviewing and trauma resolution. Guided by the 12-Steps and with a strong emphasis on accountability and integrity, our approach is designed to treat not only the addiction itself but also provide spiritual enhancement, social responsibility, and living skills to our guests.
Square One Health believes in providing holistic care and treatment for chemical dependency, and alcohol addiction and co-occurring/dual diagnosed disorders. By clearly identifying our clients’ specific needs, we can offer client-centered treatment in a safe, nurturing, and educational environment. Treating addiction through the body, mind and spirit, along with focusing on any underlying issues, offers our patients the best chance to recover. Furthermore, it provides them with the tools necessary to continue living in sobriety leaving the Square One Health facility. Our program blends traditional treatment models, which include; cognitive behavior therapy, dialectic behavioral therapy, motivational interviewing and trauma resolution. Guided by the 12-Steps and with a strong emphasis on accountability and integrity, our approach is designed to treat not only the addiction itself but also provide spiritual enhancement, social responsibility, and living skills to our guests.
Restore Compassionate Care
Treatment Center, MD, A, B, P, N
Verified Verified
Boardman, OH 44512
Restore Compassionate Care is a community behavioral health center certified by the Ohio Department of Mental Health and Addiction Services. We offer holistic treatment for those seeking psychiatric care, medication-assisted addiction treatment, Neurostar And Ketamine for MDD, PTSD , Spravato and therapy. Our staff consists of multiple prescribers, clinical counselors, and social workers with years of experience and an array of specialties, all of whom will treat you with respect, dignity, and empathy. We strive to provide you with the specialized treatment you need to achieve your individual goals. Our Clinicians :
Restore Compassionate Care is a community behavioral health center certified by the Ohio Department of Mental Health and Addiction Services. We offer holistic treatment for those seeking psychiatric care, medication-assisted addiction treatment, Neurostar And Ketamine for MDD, PTSD , Spravato and therapy. Our staff consists of multiple prescribers, clinical counselors, and social workers with years of experience and an array of specialties, all of whom will treat you with respect, dignity, and empathy. We strive to provide you with the specialized treatment you need to achieve your individual goals. Our Clinicians :
Ray Recovery
Treatment Center
Verified Verified
Hudson, OH 44236
Ray Recovery is a premier, outpatient treatment center offering outpatient substance use treatment ranging from 25 hours per week at our highest level of care to two hours per week at our least intensive level of care. Promont strongly believes in providing quality services to those who may need them. At Ray Recovery, we offer the full continuum of outpatient care; PHP, IOP and OP, with individualized treatment options. We also offer medicated assisted treatment (MAT) in all levels of care. Our staff have backgrounds working with substance use, LGBTQ+ individuals, trauma, eating disorders and many other concerns which are often co-occurring with substance use disorders. Ray Recovery recognizes that there can be many paths to recovery from substance use. Our providers are LGBTQ+ affirming and open to an all paths to recovery approach. We RAY it your way!
Ray Recovery is a premier, outpatient treatment center offering outpatient substance use treatment ranging from 25 hours per week at our highest level of care to two hours per week at our least intensive level of care. Promont strongly believes in providing quality services to those who may need them. At Ray Recovery, we offer the full continuum of outpatient care; PHP, IOP and OP, with individualized treatment options. We also offer medicated assisted treatment (MAT) in all levels of care. Our staff have backgrounds working with substance use, LGBTQ+ individuals, trauma, eating disorders and many other concerns which are often co-occurring with substance use disorders. Ray Recovery recognizes that there can be many paths to recovery from substance use. Our providers are LGBTQ+ affirming and open to an all paths to recovery approach. We RAY it your way!
Wellsprings Recovery Center LLC
Treatment Center, MA
Verified Verified
Cuyahoga Falls, OH 44223
We offer individual counseling sessions in the day for anxiety, depression, trauma, and other mental health concerns.
We understand the pain and destruction of addiction. We understand how mental health issues can derail individuals and families. Overcoming a substance use disorder or mental health concern is a journey you do not need to take alone. Wellsprings Recovery Center, LLC. is here to walk along side you as we work together through the difficult challenges and help you come to a place of wellbeing. Our passion is to help heal and rebuild the lives of those who are struggling with these real life concerns. Our goal is to provide a safe space where our patients receive the support, hope, quality counseling, genuine care, and respect they deserve throughout their healing process. You are not alone. We are here for you. Contact us.
We offer individual counseling sessions in the day for anxiety, depression, trauma, and other mental health concerns.
We understand the pain and destruction of addiction. We understand how mental health issues can derail individuals and families. Overcoming a substance use disorder or mental health concern is a journey you do not need to take alone. Wellsprings Recovery Center, LLC. is here to walk along side you as we work together through the difficult challenges and help you come to a place of wellbeing. Our passion is to help heal and rebuild the lives of those who are struggling with these real life concerns. Our goal is to provide a safe space where our patients receive the support, hope, quality counseling, genuine care, and respect they deserve throughout their healing process. You are not alone. We are here for you. Contact us.
Pathway Caring for Children
Treatment Center
Not Verified Not Verified
North Olmsted, OH 44070
We understand the strong impact trauma has on a person's physical, emotional, mental, and social experiences.
Pathway's mental health therapy and counseling services can help children, families, and adults experiencing a wide range of difficulties. Partnering with schools, parents, teachers, and physicians, Pathway therapists help to strengthen the lives of children and families. We are committed to forming an individualized plan that may include individual or group therapy, support groups, or case management in an effort to bring about positive change and growth.
We understand the strong impact trauma has on a person's physical, emotional, mental, and social experiences.
Pathway's mental health therapy and counseling services can help children, families, and adults experiencing a wide range of difficulties. Partnering with schools, parents, teachers, and physicians, Pathway therapists help to strengthen the lives of children and families. We are committed to forming an individualized plan that may include individual or group therapy, support groups, or case management in an effort to bring about positive change and growth.
Mount Carmel Behavioral Health - Adult Inpatient
Treatment Center
Verified Verified
Columbus, OH 43232
In a welcoming and confidential space, you can gain insight into topics like coping skills, communication skills, diagnosis and medication education, emotional processing, trauma, healthy lifestyle choices, relationships, resiliency, and more.
At Mount Carmel Behavioral Health, we provide clinically excellent inpatient treatment for adults age 18 and older who are suffering from mental health disorders and co-occurring addictions. The inpatient program, which lasts an average of five to seven days, is a short-term program that can help people stabilize and learn techniques for managing disruptive symptoms. This outcomes-driven program is designed to give patients the opportunity to develop the skills they need to return home or successfully transition to a lower level of care. In a safe and secure environment, individuals who are struggling with acute concerns can receive 24/7 monitoring from an attentive team of experts. Depending on each person’s unique needs, they may participate in a range of evidence-based therapies, such as cognitive behavioral therapy and dialectical behavior therapy. We understand the importance of individualized programming, which is why every adult who seeks inpatient treatment with us follows a care plan that is tailored to their needs. At our treatment center, we make it our mission to provide our patients with personalized, comprehensive support as they embark on their healing journeys.
In a welcoming and confidential space, you can gain insight into topics like coping skills, communication skills, diagnosis and medication education, emotional processing, trauma, healthy lifestyle choices, relationships, resiliency, and more.
At Mount Carmel Behavioral Health, we provide clinically excellent inpatient treatment for adults age 18 and older who are suffering from mental health disorders and co-occurring addictions. The inpatient program, which lasts an average of five to seven days, is a short-term program that can help people stabilize and learn techniques for managing disruptive symptoms. This outcomes-driven program is designed to give patients the opportunity to develop the skills they need to return home or successfully transition to a lower level of care. In a safe and secure environment, individuals who are struggling with acute concerns can receive 24/7 monitoring from an attentive team of experts. Depending on each person’s unique needs, they may participate in a range of evidence-based therapies, such as cognitive behavioral therapy and dialectical behavior therapy. We understand the importance of individualized programming, which is why every adult who seeks inpatient treatment with us follows a care plan that is tailored to their needs. At our treatment center, we make it our mission to provide our patients with personalized, comprehensive support as they embark on their healing journeys.
CJ Hendry Counseling Center
Treatment Center
Verified Verified
Westlake, OH 44145
CJ Hendry Counseling Center is your trusted partner in mental health care. Based in Westlake and serving the greater Cleveland area, CJ Hendry brings together experienced therapists specializing in individual and family counseling. Clients trust CJ Hendry therapists to guide them through all life’s challenges, from marital and relationship counseling to grief and loss, parenting, trauma, and more. With providers in many specialties, CJ Hendry will match you with a therapist whose experience and perspective best meet your needs and personality. Services are available both in person and via telehealth to allow accessible, timely, and convenient support.
CJ Hendry Counseling Center is your trusted partner in mental health care. Based in Westlake and serving the greater Cleveland area, CJ Hendry brings together experienced therapists specializing in individual and family counseling. Clients trust CJ Hendry therapists to guide them through all life’s challenges, from marital and relationship counseling to grief and loss, parenting, trauma, and more. With providers in many specialties, CJ Hendry will match you with a therapist whose experience and perspective best meet your needs and personality. Services are available both in person and via telehealth to allow accessible, timely, and convenient support.
Searchlight Family Therapy
Treatment Center
Verified Verified
1 Endorsed
Middleburg Heights, OH 44130
Welcome! I'm so glad you found our practice! Searchlight Family Therapy offers child, adolescent, adult, couples, and family therapy throughout the state of Ohio. We provide both in-person and virtual sessions. As owner of Searchlight Family Therapy, I seek to offer our clients a full range of therapy services in a place that feels welcoming and safe. Whether you're new to therapy or are searching for the right fit, it's our hope that we can provide you with a supportive environment that challenges you and helps you grow.
Welcome! I'm so glad you found our practice! Searchlight Family Therapy offers child, adolescent, adult, couples, and family therapy throughout the state of Ohio. We provide both in-person and virtual sessions. As owner of Searchlight Family Therapy, I seek to offer our clients a full range of therapy services in a place that feels welcoming and safe. Whether you're new to therapy or are searching for the right fit, it's our hope that we can provide you with a supportive environment that challenges you and helps you grow.
Jones-Wood Psychological Associates, Inc.
Treatment Center, PhD, ABPP
Verified Verified
Chagrin Falls, OH 44023
At Jones-Wood Psychological Associates, Inc., our mission is to provide high quality, comprehensive mental health services. Our staff consists of psychologists, social workers, and counselors who are dedicated to helping people live healthier, happier, and more productive lives.
At Jones-Wood Psychological Associates, Inc., our mission is to provide high quality, comprehensive mental health services. Our staff consists of psychologists, social workers, and counselors who are dedicated to helping people live healthier, happier, and more productive lives.
Serenity Behavioral Health Services
Treatment Center, LISW-S
Verified Verified
1 Endorsed
Columbus, OH 43215
Serenity Behavioral Health Services provides mental health services to children, adolescents, and adults. We provide a holistic approach to each person we serve, embracing a client-centered, and strength-oriented approach. We pride ourselves in embracing an all-inclusive practice, welcoming everyone with total respect to race, religion, culture, age, gender, sexual orientation, gender identity and socioeconomic status.
Serenity Behavioral Health Services provides mental health services to children, adolescents, and adults. We provide a holistic approach to each person we serve, embracing a client-centered, and strength-oriented approach. We pride ourselves in embracing an all-inclusive practice, welcoming everyone with total respect to race, religion, culture, age, gender, sexual orientation, gender identity and socioeconomic status.
Forward Health
Treatment Center
Verified Verified
Groveport, OH 43125
Forward Health is a substance use disorder treatment center that treats all of the factors that attribute to substance use disorder. On top of treating both substance use disorder and the mental health disorders that are associated with living in chaotic drug use, we also put a lot of emphasis on integration back into the community. We understand how important connection is when entering recovery. We have a staff of individuals with lived experience who are here to guide you back into the community. We put a huge emphasis on employment and are very plugged into the local economy to secure our clients' great jobs. Our therapists and case managers will then also help clients with life and financial skills to get them in the habit of saving money, paying bills, and rebuilding from the financial damage of their past. A lot of our staff, from ownership down, is in recovery. We’ve been there. And we know the way out. We treat both Substance Abuse and Co-occurring Disorders. We help our clients change their entire lives. With continued support and structure, our clients become responsible community members. We are deeply proud of the men and women who walk through our doors each day.
Forward Health is a substance use disorder treatment center that treats all of the factors that attribute to substance use disorder. On top of treating both substance use disorder and the mental health disorders that are associated with living in chaotic drug use, we also put a lot of emphasis on integration back into the community. We understand how important connection is when entering recovery. We have a staff of individuals with lived experience who are here to guide you back into the community. We put a huge emphasis on employment and are very plugged into the local economy to secure our clients' great jobs. Our therapists and case managers will then also help clients with life and financial skills to get them in the habit of saving money, paying bills, and rebuilding from the financial damage of their past. A lot of our staff, from ownership down, is in recovery. We’ve been there. And we know the way out. We treat both Substance Abuse and Co-occurring Disorders. We help our clients change their entire lives. With continued support and structure, our clients become responsible community members. We are deeply proud of the men and women who walk through our doors each day.
Jones-Wood Psychological Associates, Inc
Treatment Center, PhD
Verified Verified
Hudson, OH 44236
At Jones-Wood Psychological Associates, Inc., our mission is to provide high quality, comprehensive mental health services. Our staff consists of psychologists, social workers, and counselors who are dedicated to helping people live healthier, happier, and more productive lives.
At Jones-Wood Psychological Associates, Inc., our mission is to provide high quality, comprehensive mental health services. Our staff consists of psychologists, social workers, and counselors who are dedicated to helping people live healthier, happier, and more productive lives.
Kindred Harbor Behavioral Health
Treatment Center
Verified Verified
Parma, OH 44134
Sometimes people are dealing with multiple life and health challenges creating a barrier to getting the most out of their mental wellness and/or addiction treatment. We offer "case management services", also called "Therapeutic Behavioral Services (TBS)", to support you in managing other life concerns outside of therapy and other treatments. TBS will remove barriers and support your ability to focus on the healing and therapeutic value of other services.
Sometimes people are dealing with multiple life and health challenges creating a barrier to getting the most out of their mental wellness and/or addiction treatment. We offer "case management services", also called "Therapeutic Behavioral Services (TBS)", to support you in managing other life concerns outside of therapy and other treatments. TBS will remove barriers and support your ability to focus on the healing and therapeutic value of other services.
See more therapy options for Richland County
Trauma and PTSD Treatment Centers
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.