Trauma and PTSD Psychiatrists in 10007

Photo of Luis H Ripoll, Psychiatrist in 10007, NY
Luis H Ripoll
Psychiatrist, MD
Verified Verified
New York, NY 10007
I rely on additional expertise in trauma and dissociation, the neurobiology of personality, childhood development, psychoanalytic technique, and in evidence-based psychotherapies such as mentalization-based therapy, cognitive processing therapy for trauma, and transference-focused psychotherapy.
I am a psychiatrist and psychoanalyst, affiliated with Icahn School of Medicine and New York Psychoanalytic Institute. I treat people who feel stuck, either because of paralyzing anxiety, depression, or some other inexplicable emotional symptom. Others feel stuck in a particular way of relating to others, a specific view of themselves, compelling or distressing fantasies, or due to past traumatic experiences. I aim to provide individualized treatment to target a variety of difficulties in managing emotions, identity, and interpersonal functioning. When necessary, I also prescribe medication to optimize treatment.
I rely on additional expertise in trauma and dissociation, the neurobiology of personality, childhood development, psychoanalytic technique, and in evidence-based psychotherapies such as mentalization-based therapy, cognitive processing therapy for trauma, and transference-focused psychotherapy.
I am a psychiatrist and psychoanalyst, affiliated with Icahn School of Medicine and New York Psychoanalytic Institute. I treat people who feel stuck, either because of paralyzing anxiety, depression, or some other inexplicable emotional symptom. Others feel stuck in a particular way of relating to others, a specific view of themselves, compelling or distressing fantasies, or due to past traumatic experiences. I aim to provide individualized treatment to target a variety of difficulties in managing emotions, identity, and interpersonal functioning. When necessary, I also prescribe medication to optimize treatment.
(917) 267-0731 View (917) 267-0731
Photo of Sanjay Patel, Psychiatrist in 10007, NY
Sanjay Patel
Psychiatrist, MD
Verified Verified
New York, NY 10007
I am a board certified adult and child psychiatrist, and I'm also board certified in integrative and holistic medicine. I treat anxiety, attention, and mood difficulties, including adult and child ADHD, obsessive-compulsive disorder, social anxiety, panic attacks, trauma, and depression. When necessary, I recommend medication, with the lowest effective doses. I recommend traditional and natural treatments along with practical suggestions about communication, lifestyle, and stress management. I am on faculty at NYU School of Medicine.
I am a board certified adult and child psychiatrist, and I'm also board certified in integrative and holistic medicine. I treat anxiety, attention, and mood difficulties, including adult and child ADHD, obsessive-compulsive disorder, social anxiety, panic attacks, trauma, and depression. When necessary, I recommend medication, with the lowest effective doses. I recommend traditional and natural treatments along with practical suggestions about communication, lifestyle, and stress management. I am on faculty at NYU School of Medicine.
(646) 798-7270 View (646) 798-7270
Photo of Aaron Savedoff, Psychiatrist in 10007, NY
Aaron Savedoff
Psychiatrist, MD
Verified Verified
6 Endorsed
New York, NY 10007
Psychiatry is as much a science as an art, and listening carefully to my patients is key. As a teaching psychiatrist at Mount Sinai Beth Israel and assistant clinical professor of psychiatry in the Mount Sinai Icahn School of Medicine, I treat a wide range of problems including Anxiety, Depression, Sleep issues, Bipolar Disorder, Adult ADHD, Addiction, OCD, Trauma, Family issues, and Stress Management issues. Sometimes medication is not the answer. I do psychotherapy in addition to medication, but I also collaborate with a large network of outside therapists to help you find the best fit for your needs.
Psychiatry is as much a science as an art, and listening carefully to my patients is key. As a teaching psychiatrist at Mount Sinai Beth Israel and assistant clinical professor of psychiatry in the Mount Sinai Icahn School of Medicine, I treat a wide range of problems including Anxiety, Depression, Sleep issues, Bipolar Disorder, Adult ADHD, Addiction, OCD, Trauma, Family issues, and Stress Management issues. Sometimes medication is not the answer. I do psychotherapy in addition to medication, but I also collaborate with a large network of outside therapists to help you find the best fit for your needs.
(646) 798-9351 View (646) 798-9351
Photo of Soho Psychiatry Tessa Zompanis And Mariya Shavulsky, Psychiatric Nurse Practitioner in 10007, NY
Soho Psychiatry Tessa Zompanis And Mariya Shavulsky
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
New York, NY 10007  (Online Only)
With our decades of experience using a broad range of therapeutic methods, the skillful professionals at Soho Psychiatry provide customized treatments to each individual client. Working collaboratively with you and other providers we offer compassionate and effective therapeutic strategies matched to your needs and preferences, all in a discrete and confidential environment. We diagnose and create an agreed upon treatment plan that may involve medications therapy or both. We can help with a wide range of common issues like stress/ trauma, anxiety, panic, depression, OCD, and ADHD .
With our decades of experience using a broad range of therapeutic methods, the skillful professionals at Soho Psychiatry provide customized treatments to each individual client. Working collaboratively with you and other providers we offer compassionate and effective therapeutic strategies matched to your needs and preferences, all in a discrete and confidential environment. We diagnose and create an agreed upon treatment plan that may involve medications therapy or both. We can help with a wide range of common issues like stress/ trauma, anxiety, panic, depression, OCD, and ADHD .
(347) 697-4548 View (347) 697-4548
Photo of Lisa Roth, Psychiatrist in 10007, NY
Lisa Roth
Psychiatrist, MD
Verified Verified
New York, NY 10007
People come to treatment for all sorts of reasons — anxiety, depression, trauma, difficulty functioning at work or school, family conflict, challenges in relationships, low self-esteem, or simply a desire to learn more about themselves. As a child, adolescent, and adult psychiatrist with expertise in both medication management and psychotherapy, I can help patients develop a treatment plan that meets their needs. My style is guided by warmth and flexibility, with the goals of helping patients build insight and reduce symptoms. Prospective patients can find more information about my practice at https://downtownpsychiatry.com.
People come to treatment for all sorts of reasons — anxiety, depression, trauma, difficulty functioning at work or school, family conflict, challenges in relationships, low self-esteem, or simply a desire to learn more about themselves. As a child, adolescent, and adult psychiatrist with expertise in both medication management and psychotherapy, I can help patients develop a treatment plan that meets their needs. My style is guided by warmth and flexibility, with the goals of helping patients build insight and reduce symptoms. Prospective patients can find more information about my practice at https://downtownpsychiatry.com.
(646) 798-6767 View (646) 798-6767
Photo of Suhana deLeon-Sanchez, Psychiatric Nurse Practitioner in 10007, NY
Suhana deLeon-Sanchez
Psychiatric Nurse Practitioner, PMHNP, NCTTP
Verified Verified
3 Endorsed
New York, NY 10007
**Additionally, I certify clients for the use of Medical Cannabis in the treatment of PTSD.
Day-to-day life does not have to be THIS hard. You do not deserve to feel overwhelmed with feelings of sadness, despair, fear, worry, or that you cannot get yourself to sleep or focus enough to function at work or at home. Therapy, eating a well-balanced nutritious diet, and getting enough exercise are sometimes not enough. Combining talk therapy with medications can help you manage your stress so that you can regain some control in your life. Using medications can be short-term only. Speak to a prescriber who will educate, guide, and support you in selecting a safe & effective treatment option tailored specifically for you.
**Additionally, I certify clients for the use of Medical Cannabis in the treatment of PTSD.
Day-to-day life does not have to be THIS hard. You do not deserve to feel overwhelmed with feelings of sadness, despair, fear, worry, or that you cannot get yourself to sleep or focus enough to function at work or at home. Therapy, eating a well-balanced nutritious diet, and getting enough exercise are sometimes not enough. Combining talk therapy with medications can help you manage your stress so that you can regain some control in your life. Using medications can be short-term only. Speak to a prescriber who will educate, guide, and support you in selecting a safe & effective treatment option tailored specifically for you.
(347) 685-6996 View (347) 685-6996
Photo of Christopher Magoon, Psychiatrist in 10007, NY
Christopher Magoon
Psychiatrist, MD
Verified Verified
2 Endorsed
New York, NY 10007
I am a psychiatrist and Harvard Medical School faculty member with expertise treating a wide range of mental health conditions including depression, anxiety, bipolar disorder, OCD, PTSD, ADHD, substance use, and psychosis. I have additional expertise in grief/bereavement, supporting patients through complex medical decisions, advanced care planning, and anxiety disorders. I can see patients who are located in New York or Massachusetts via secure video platform or in person at my office near Harvard Square.
I am a psychiatrist and Harvard Medical School faculty member with expertise treating a wide range of mental health conditions including depression, anxiety, bipolar disorder, OCD, PTSD, ADHD, substance use, and psychosis. I have additional expertise in grief/bereavement, supporting patients through complex medical decisions, advanced care planning, and anxiety disorders. I can see patients who are located in New York or Massachusetts via secure video platform or in person at my office near Harvard Square.
(508) 501-8315 View (508) 501-8315
Photo of Jim Dhrymes MD - Psychiatrist, Holistic Care, Psychiatrist in 10007, NY
Jim Dhrymes MD - Psychiatrist, Holistic Care
Psychiatrist, MD
Verified Verified
3 Endorsed
New York, NY 10007
Do you find it difficult to manage stress, or do you struggle with depression or anxiety (including OCD & panic attacks), PTSD, alcohol or other substance abuse challenges? Working together, I can provide you with a comprehensive evaluation and suggestions for going forward. In many cases, Motivational Interviewing and other types of psychotherapy can deliver substantial improvements. Based on your needs, we will map a treatment plan that includes therapy, or a blend of therapy and medication. If you are already in psychotherapy and need medication management, your therapist and I will cooperate to deliver the best results possible.
Do you find it difficult to manage stress, or do you struggle with depression or anxiety (including OCD & panic attacks), PTSD, alcohol or other substance abuse challenges? Working together, I can provide you with a comprehensive evaluation and suggestions for going forward. In many cases, Motivational Interviewing and other types of psychotherapy can deliver substantial improvements. Based on your needs, we will map a treatment plan that includes therapy, or a blend of therapy and medication. If you are already in psychotherapy and need medication management, your therapist and I will cooperate to deliver the best results possible.
(646) 480-7215 View (646) 480-7215
Photo of David Latov, Psychiatrist in 10007, NY
David Latov
Psychiatrist, MD
Verified Verified
New York, NY 10007
I am a board-certified psychiatrist and former chief resident of the Columbia adult psychiatry program. I also completed my Child and Adolescent Psychiatry training at the combined Cornell-Columbia New York Presbyterian Hospital program. I provide therapy and medication management for a variety of issues related to anxiety, relationships, depression, Obsessive-Compulsive Disorder, and ADHD. I also provide Eye Movement Desensitization and Reprocessing (EMDR) therapy for clients who are experiencing problems related to trauma. Feel free to reach out for a free initial phone consultation.
I am a board-certified psychiatrist and former chief resident of the Columbia adult psychiatry program. I also completed my Child and Adolescent Psychiatry training at the combined Cornell-Columbia New York Presbyterian Hospital program. I provide therapy and medication management for a variety of issues related to anxiety, relationships, depression, Obsessive-Compulsive Disorder, and ADHD. I also provide Eye Movement Desensitization and Reprocessing (EMDR) therapy for clients who are experiencing problems related to trauma. Feel free to reach out for a free initial phone consultation.
(347) 609-7850 View (347) 609-7850
Photo of Kara J Gulewicz, Psychiatrist in 10007, NY
Kara J Gulewicz
Psychiatrist, MA, MD
Verified Verified
New York, NY 10007
Hello! I am a Mount Sinai affiliated psychiatrist specializing in ketamine assisted psychotherapy / psychedelic assisted psychotherapy. We work with multiple New York-based compounding pharmacies to create an effective, non-invasive under-the-tongue ketamine lozenges for use during 1.5 hour therapeutic sessions. Ketamine has been shown to accelerate progress in depression, trauma, addiction, anxiety, understanding sexual/gender orientation, and for those who feel "stuck." Clients can often seek partial out-of-network reimbursement. We serve all US states remotely. Include "ketamine" in your message if interested.
Hello! I am a Mount Sinai affiliated psychiatrist specializing in ketamine assisted psychotherapy / psychedelic assisted psychotherapy. We work with multiple New York-based compounding pharmacies to create an effective, non-invasive under-the-tongue ketamine lozenges for use during 1.5 hour therapeutic sessions. Ketamine has been shown to accelerate progress in depression, trauma, addiction, anxiety, understanding sexual/gender orientation, and for those who feel "stuck." Clients can often seek partial out-of-network reimbursement. We serve all US states remotely. Include "ketamine" in your message if interested.
(516) 701-3372 View (516) 701-3372
Photo of Savitha Rao, Psychiatrist in 10007, NY
Savitha Rao
Psychiatrist, MD
Verified Verified
New York, NY 10007  (Online Only)
Dr. Rao is a double-boarded general and child & adolescent psychiatrist. She was born and raised in NJ, attended Rutgers University as an undergraduate in the business school, and spent some time working in corporate America before pursuing a career in medicine. Dr. Rao attended New Jersey Medical School, opted to stay in NJ for psychiatric residency training at Rutgers University and then pursued fellowship training there in child and adolescent psychiatry. During training, she gained valuable experience in treating mood disorders, psychosis, trauma, addiction, forensics as well as multiple therapies.
Dr. Rao is a double-boarded general and child & adolescent psychiatrist. She was born and raised in NJ, attended Rutgers University as an undergraduate in the business school, and spent some time working in corporate America before pursuing a career in medicine. Dr. Rao attended New Jersey Medical School, opted to stay in NJ for psychiatric residency training at Rutgers University and then pursued fellowship training there in child and adolescent psychiatry. During training, she gained valuable experience in treating mood disorders, psychosis, trauma, addiction, forensics as well as multiple therapies.
(646) 833-0789 View (646) 833-0789
Photo of Dr. Carolina Tanzer, Psychiatrist in 10007, NY
Dr. Carolina Tanzer
Psychiatrist, DO, PLLC
Verified Verified
1 Endorsed
New York, NY 10007  (Online Only)
I'm a Board Certified Psychiatrist, with 15 years of experience in Adult psychiatry and and Geriatric psychiatry. I am specialized in treating Depression/mood disorders, ADD/ADHD, Anxiety disorders, PTSD, and several other psychiatric diagnoses. The treatment approach that I apply is Integrative Psychiatry. It is a psychiatric treatment approach that involves both medical and psychotherapeutic techniques.
I'm a Board Certified Psychiatrist, with 15 years of experience in Adult psychiatry and and Geriatric psychiatry. I am specialized in treating Depression/mood disorders, ADD/ADHD, Anxiety disorders, PTSD, and several other psychiatric diagnoses. The treatment approach that I apply is Integrative Psychiatry. It is a psychiatric treatment approach that involves both medical and psychotherapeutic techniques.
(480) 470-3240 View (480) 470-3240
Photo of Ankur Upadhyay, Psychiatrist in 10007, NY
Ankur Upadhyay
Psychiatrist, MD, MS
Verified Verified
New York, NY 10007  (Online Only)
Dr. Ankur Upadhyay is a licensed Psychiatrist. He provides psychiatric care supported by evidence based medical practices, highlighted by his experience with mindfulness based therapies and psychoanalysis. His journey started in India where he gained knowledge in spirituality and the practice of mindful living. He has since completed his Psychiatry residency training at the Icahn School of Medicine at Mount Sinai (Morningside-West Hospitals), and treated patients from diverse backgrounds. He has also completed training in the Intensive Psychoanalysis and Psychotherapy program at William Alanson White Institute in NYC.
Dr. Ankur Upadhyay is a licensed Psychiatrist. He provides psychiatric care supported by evidence based medical practices, highlighted by his experience with mindfulness based therapies and psychoanalysis. His journey started in India where he gained knowledge in spirituality and the practice of mindful living. He has since completed his Psychiatry residency training at the Icahn School of Medicine at Mount Sinai (Morningside-West Hospitals), and treated patients from diverse backgrounds. He has also completed training in the Intensive Psychoanalysis and Psychotherapy program at William Alanson White Institute in NYC.
(646) 956-4559 View (646) 956-4559
Photo of Michael Petetit, Psychiatrist in 10007, NY
Michael Petetit
Psychiatrist, MD
Verified Verified
1 Endorsed
New York, NY 10007  (Online Only)
Most psychiatrists do not practice psychotherapy, but this impairs a more holistic and complex appreciation for their clients, which can create a disjointed experience for many people that leads them to disengage from treatment. My approach to treatment is non-judgmental, collaborative, holistic, direct, and uses the latest evidence-based interventions. I’m fortunate to have joined like-minded doctors in a practice where you can have dedicated time for both psychotherapy and medical services, direct access to me, and a working relationship that affords you a better understanding of and control over how you address your goals.
Most psychiatrists do not practice psychotherapy, but this impairs a more holistic and complex appreciation for their clients, which can create a disjointed experience for many people that leads them to disengage from treatment. My approach to treatment is non-judgmental, collaborative, holistic, direct, and uses the latest evidence-based interventions. I’m fortunate to have joined like-minded doctors in a practice where you can have dedicated time for both psychotherapy and medical services, direct access to me, and a working relationship that affords you a better understanding of and control over how you address your goals.
(201) 389-2890 View (201) 389-2890
Photo of Irene Tetzlaff, Psychiatric Nurse Practitioner in 10007, NY
Irene Tetzlaff
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
New York, NY 10007
Irene Tetzlaff is a skilled and compassionate clinician. She specializes in psychotherapeutic methods and medication management for adults and seniors. Irene utilizes a holistic approach to wellness, treating her clients as individuals and not simply a list of symptoms to be treated. She employs modern telepsychiatry platforms for her client visits.
Irene Tetzlaff is a skilled and compassionate clinician. She specializes in psychotherapeutic methods and medication management for adults and seniors. Irene utilizes a holistic approach to wellness, treating her clients as individuals and not simply a list of symptoms to be treated. She employs modern telepsychiatry platforms for her client visits.
(332) 263-3189 View (332) 263-3189
Photo of NY Medical Practice, Psychiatric Nurse Practitioner in 10007, NY
NY Medical Practice
Psychiatric Nurse Practitioner, NP-C
Not Verified Not Verified
New York, NY 10007
Accepting new clients for medication management for an array of different medical conditions. I have prescriptive privileges in NY state. You can make your appointment online on our website at www.nymedpractice.com or by calling or texting 917-983-0050. Feel comfortable and confident knowing that my patients are my priority no matter what they are experiencing.
Accepting new clients for medication management for an array of different medical conditions. I have prescriptive privileges in NY state. You can make your appointment online on our website at www.nymedpractice.com or by calling or texting 917-983-0050. Feel comfortable and confident knowing that my patients are my priority no matter what they are experiencing.
(646) 971-1765 View (646) 971-1765
Photo of Tara Chouake, Psychiatrist in 10007, NY
Tara Chouake
Psychiatrist, MD
Verified Verified
New York, NY 10007
I am a child, adolescent, and adult psychiatrist who sees patients of all ages both for psychotherapy and medication management. I take pride in how carefully I get to know patients and families. With warmth, humor, and kindness, I perform thorough diagnostic assessments, considering how biologic predispositions, developmental challenges, family dynamics, life stressors, and cultural factors contribute to patients' symptoms. I do extensive psychotherapy myself with patients of all ages, supplementing with medication only when necessary. I also collaborate with other therapists as needed to provide medication management.
I am a child, adolescent, and adult psychiatrist who sees patients of all ages both for psychotherapy and medication management. I take pride in how carefully I get to know patients and families. With warmth, humor, and kindness, I perform thorough diagnostic assessments, considering how biologic predispositions, developmental challenges, family dynamics, life stressors, and cultural factors contribute to patients' symptoms. I do extensive psychotherapy myself with patients of all ages, supplementing with medication only when necessary. I also collaborate with other therapists as needed to provide medication management.
(332) 263-4472 View (332) 263-4472
Photo of Pavel Filimonov, Psychiatrist in 10007, NY
Pavel Filimonov
Psychiatrist, MD
Verified Verified
New York, NY 10007
Hello, my name is Dr. Pavel Filimonov, M.D. and I am a Holistic Psychiatrist. I am a bit different because I don't limit myself to just writing prescriptions and using talk therapy. I integrate Eastern healing techniques with the best researched principles of Western medicine, combining these elements to evoke change in the system as a whole--physically, mentally, spiritually and emotionally. This combined approach helps me to deal with my patients' anxiety, fear and overwhelment in a much more efficient way, markedly REDUCING NEED FOR MEDICATIONS. *IMPORTANT: Insurance pays ONLY a small portion of Holistic treatment.
Hello, my name is Dr. Pavel Filimonov, M.D. and I am a Holistic Psychiatrist. I am a bit different because I don't limit myself to just writing prescriptions and using talk therapy. I integrate Eastern healing techniques with the best researched principles of Western medicine, combining these elements to evoke change in the system as a whole--physically, mentally, spiritually and emotionally. This combined approach helps me to deal with my patients' anxiety, fear and overwhelment in a much more efficient way, markedly REDUCING NEED FOR MEDICATIONS. *IMPORTANT: Insurance pays ONLY a small portion of Holistic treatment.
(347) 983-9320 View (347) 983-9320
Photo of Dr. Jen Sweet, Psychiatrist in 10007, NY
Dr. Jen Sweet
Psychiatrist, MD
Verified Verified
1 Endorsed
New York, NY 10007  (Online Only)
I offer mental healthcare for women and their loved ones, encompassing a more holistic, and I believe, warmer approach to emotional health treatment. I aim to provide specialized and comprehensive treatment for challenges specific to your different life stages. I offer inclusive and truly quality care with the ultimate goal of helping you overcome emotional hurdles that you face, in any phase of your life.
I offer mental healthcare for women and their loved ones, encompassing a more holistic, and I believe, warmer approach to emotional health treatment. I aim to provide specialized and comprehensive treatment for challenges specific to your different life stages. I offer inclusive and truly quality care with the ultimate goal of helping you overcome emotional hurdles that you face, in any phase of your life.
(646) 847-3787 View (646) 847-3787
Photo of MindHealthNet, Psychiatric Nurse Practitioner in 10007, NY
MindHealthNet
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
New York, NY 10007  (Online Only)
Are you having trouble managing your emotions? Are you having difficulty with sleep? Do you have difficulty with attention, focus, and motivation to complete tasks? There is hope. I help people manage their anxiety, depression, and focus before it has a chance to control your life and well being. My practice is able to treat and prescribe medication for a range of mental health issues including but not limited to: Anxiety Disorders, ADHD, Depressive Disorders, Mood Disorders, Bipolar Disorders, or Personality Disorders.
Are you having trouble managing your emotions? Are you having difficulty with sleep? Do you have difficulty with attention, focus, and motivation to complete tasks? There is hope. I help people manage their anxiety, depression, and focus before it has a chance to control your life and well being. My practice is able to treat and prescribe medication for a range of mental health issues including but not limited to: Anxiety Disorders, ADHD, Depressive Disorders, Mood Disorders, Bipolar Disorders, or Personality Disorders.
(720) 594-5702 View (720) 594-5702
Trauma and PTSD Psychiatrists

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.