Photo of Lisa Griffiths - Center for Valued Living, PLLC, PsyD, LPC, LCSW, LMFT, LAC, Psychologist
Center for Valued Living, PLLC
Psychologist, PsyD, LPC, LCSW, LMFT, LAC
Verified Verified
4 Endorsed
Boulder, CO 80301
com for more): Polyamory, Sexual Issues, Addictions/Substance Abuse, OCD, ERP, Parenting/Family, Postpartum, Chronic Illness/Pain, Disordered Eating, Sexual issues, ADHD, Dom.
We are a group of highly-qualified mental health therapists serving all over CO via telehealth and in-person (offices in Aurora). Our licensed therapists and supervised LPCC/SWC/intern providers take most insurances including Medicaid. See c4vl.com or photo gallery for details on our clinicians, & specialties, insurances. We are committed to anti-racist, neurodivergent-affirming, and GLBTQIA+ allied practice. We have providers who speak Spanish, French, and Russian. Hablamos Espanol tambien!
com for more): Polyamory, Sexual Issues, Addictions/Substance Abuse, OCD, ERP, Parenting/Family, Postpartum, Chronic Illness/Pain, Disordered Eating, Sexual issues, ADHD, Dom.
We are a group of highly-qualified mental health therapists serving all over CO via telehealth and in-person (offices in Aurora). Our licensed therapists and supervised LPCC/SWC/intern providers take most insurances including Medicaid. See c4vl.com or photo gallery for details on our clinicians, & specialties, insurances. We are committed to anti-racist, neurodivergent-affirming, and GLBTQIA+ allied practice. We have providers who speak Spanish, French, and Russian. Hablamos Espanol tambien!
(720) 262-5859 View (720) 262-5859
Photo of Pamela Lowell Fields - Fields Counseling LLC, LPC, LMHC, Licensed Professional Counselor
Fields Counseling LLC
Licensed Professional Counselor, LPC, LMHC
Verified Verified
Boulder, CO 80301
I have been a counselor for 40 years, working with individuals, couples, families and groups with psychological as well as addiction issues. I have extensive experience in inpatient as well as outpatient settings. I am eclectic in my evaluation and treatment methods, which gives me flexibility to treat individual needs. Primarily, I use cognitive-behavioral techniques. Many of my clients suffer with depression, anger, and anxiety (panic attacks, obsessive-compulsive disorder); all of which impact potential addictions. I also treat couples and families to better understand their dynamics and to improve their communication skills.
I have been a counselor for 40 years, working with individuals, couples, families and groups with psychological as well as addiction issues. I have extensive experience in inpatient as well as outpatient settings. I am eclectic in my evaluation and treatment methods, which gives me flexibility to treat individual needs. Primarily, I use cognitive-behavioral techniques. Many of my clients suffer with depression, anger, and anxiety (panic attacks, obsessive-compulsive disorder); all of which impact potential addictions. I also treat couples and families to better understand their dynamics and to improve their communication skills.
(720) 386-4058 View (720) 386-4058
Photo of Chelsea L. Martin, PhD, Psychologist
Chelsea L. Martin
Psychologist, PhD
Verified Verified
8 Endorsed
Boulder, CO 80309
ONLY accepting new clients for psychological evaluation. I primarily offer psychological evaluation services to adolescents (15+) and adults for the purposes of clarifying diagnoses related to, but not limited to, ADHD, Learning Disorders, Anxiety, Depression, Trauma, Bipolar Disorders, Personality Disorders, and Obsessive-Compulsive Disorders.
ONLY accepting new clients for psychological evaluation. I primarily offer psychological evaluation services to adolescents (15+) and adults for the purposes of clarifying diagnoses related to, but not limited to, ADHD, Learning Disorders, Anxiety, Depression, Trauma, Bipolar Disorders, Personality Disorders, and Obsessive-Compulsive Disorders.
(970) 399-9950 View (970) 399-9950
Photo of Rebekah Price, RN, APN, FNP
Rebekah Price
RN, APN, FNP
Verified Verified
Boulder, CO 80303
Dr. Rebekah Price is a Board-Certified Family Nurse Practitioner with nearly 20 years of experience helping individuals of all ages work through mental health challenges. She has extensive training and expertise in managing complex symptoms, including chronic pain, drug and alcohol abuse, and PTSD. Rebekah has worked in various healthcare settings, such as private practice, large hospitals, and pediatric / university clinics that focus on sexual disorders, learning disabilities, oncology, and terminal illness.
Dr. Rebekah Price is a Board-Certified Family Nurse Practitioner with nearly 20 years of experience helping individuals of all ages work through mental health challenges. She has extensive training and expertise in managing complex symptoms, including chronic pain, drug and alcohol abuse, and PTSD. Rebekah has worked in various healthcare settings, such as private practice, large hospitals, and pediatric / university clinics that focus on sexual disorders, learning disabilities, oncology, and terminal illness.
(720) 706-6672 View (720) 706-6672
Photo of Lindsay Quella Kara Lam, MA, LPC, RYT-200, Licensed Professional Counselor
Lindsay Quella Kara Lam
Licensed Professional Counselor, MA, LPC, RYT-200
Verified Verified
Boulder, CO 80301  (Online Only)
Hi and welcome! I offer counseling sessions focused on helping you thrive! I have a fully remote practice and I work with individual adults and college students. I specialize in helping people navigate anxiety and life transitions. I utilize a strengths based and integrative approach that is focused on helping you cultivate resilience in all areas of life. We do this by helping you understand your strengths, challenges, and responses to stress as well as what lights you up, what you value and what conditions help you thrive.
Hi and welcome! I offer counseling sessions focused on helping you thrive! I have a fully remote practice and I work with individual adults and college students. I specialize in helping people navigate anxiety and life transitions. I utilize a strengths based and integrative approach that is focused on helping you cultivate resilience in all areas of life. We do this by helping you understand your strengths, challenges, and responses to stress as well as what lights you up, what you value and what conditions help you thrive.
(720) 340-2357 View (720) 340-2357
Photo of Holly Brown, PhD, Psychologist
Holly Brown
Psychologist, PhD
Verified Verified
Boulder, CO 80301
I help to build a bright future for children and families. The Center for Learning and Psychological Services offers comprehensive psychological and learning based services to individuals birth to age 25. My specialty areas include;psychological and neuropsychological evaluations, behavioral services, diagnostic evaluations, and individual and group counseling, and play based therapy. I also coordinate all learning based services through our center for; tutoring, executive functioning coaching, and learning based support.
I help to build a bright future for children and families. The Center for Learning and Psychological Services offers comprehensive psychological and learning based services to individuals birth to age 25. My specialty areas include;psychological and neuropsychological evaluations, behavioral services, diagnostic evaluations, and individual and group counseling, and play based therapy. I also coordinate all learning based services through our center for; tutoring, executive functioning coaching, and learning based support.
(720) 833-8849 View (720) 833-8849
Photo of Linda Suzanne Elma - Life Skills Management Services LLC, MBA, MSW, LCSW, Clinical Social Work/Therapist
Life Skills Management Services LLC
Clinical Social Work/Therapist, MBA, MSW, LCSW
Verified Verified
Boulder, CO 80309  (Online Only)
We are licensed in Oregon, Maine, Minnesota, Florida, Pennsylvania, New York, New Jersey, North Carolina and Colorado. We currently offer telehealth and virtual therapeutic services. We work with individuals with a wide range of concerns including depression, mood disorders, family relations issues, substance use disorders, and co-occurring disorders. We combine different therapeutic approaches based on client's presenting concerns, goals, and motivation, such as, cognitive-behavioral, brief therapy, mindfulness, client-centered, solution-focused therapy.
We are licensed in Oregon, Maine, Minnesota, Florida, Pennsylvania, New York, New Jersey, North Carolina and Colorado. We currently offer telehealth and virtual therapeutic services. We work with individuals with a wide range of concerns including depression, mood disorders, family relations issues, substance use disorders, and co-occurring disorders. We combine different therapeutic approaches based on client's presenting concerns, goals, and motivation, such as, cognitive-behavioral, brief therapy, mindfulness, client-centered, solution-focused therapy.
(720) 358-8962 View (720) 358-8962
Photo of Sarah Anne Fletcher - Sandstone Care Teen & Young Adult Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A, Licensed Professional Counselor
Sandstone Care Teen & Young Adult Treatment Center
Licensed Professional Counselor, MD, LPC, LAC, CAC-III, CSAC-A
Verified Verified
Boulder, CO 80303
Sandstone Care provides substance use, addiction, and mental health treatment for young adults (ages 18 to 30) and adolescents (ages 13 to 18) including Residential Treatment, Day Treatment (PHP), Intensive Outpatient (IOP), and General Outpatient (OP) programming.
Sandstone Care provides substance use, addiction, and mental health treatment for young adults (ages 18 to 30) and adolescents (ages 13 to 18) including Residential Treatment, Day Treatment (PHP), Intensive Outpatient (IOP), and General Outpatient (OP) programming.
(720) 597-8672 View (720) 597-8672
Photo of Melissa Graham, MS, LPC, LPA, Licensed Professional Counselor
Melissa Graham
Licensed Professional Counselor, MS, LPC, LPA
Verified Verified
1 Endorsed
Boulder, CO 80302  (Online Only)
My goal in therapy is to guide others through their struggles, helping them gain insight and providing tools to resolve the challenges they face. It is always my goal to assist my clients toward the achievement of their fullest potential. I have a passion for working with women as they transition through life events; pregnancy, marriage, divorce, career, empty nest.
My goal in therapy is to guide others through their struggles, helping them gain insight and providing tools to resolve the challenges they face. It is always my goal to assist my clients toward the achievement of their fullest potential. I have a passion for working with women as they transition through life events; pregnancy, marriage, divorce, career, empty nest.
(512) 640-2037 View (512) 640-2037
Photo of Marc Esenwein, LCSW, Clinical Social Work/Therapist
Marc Esenwein
Clinical Social Work/Therapist, LCSW
Verified Verified
Boulder, CO 80303
I know that children and teens have strengths along with concerning risk factors that may need attention. If you or your family members are experiencing difficulty with your relationships because of communication and problem-solving problems, please consider evidence-based individual or episodic family therapy. Research shows lasting results when parents and youth learn ways to enhance one another's relational skill-building together. I specialize in helping clients find ways to work through risks such as substance abuse, aggression, anxiety, mood swings, trauma, loss and grief, and school issues.
I know that children and teens have strengths along with concerning risk factors that may need attention. If you or your family members are experiencing difficulty with your relationships because of communication and problem-solving problems, please consider evidence-based individual or episodic family therapy. Research shows lasting results when parents and youth learn ways to enhance one another's relational skill-building together. I specialize in helping clients find ways to work through risks such as substance abuse, aggression, anxiety, mood swings, trauma, loss and grief, and school issues.
(303) 569-4344 View (303) 569-4344
Photo of Sara D Smith - Sara D. Smith Counseling LLC, MA, LPC, LAC, EMDR, NCC, Licensed Professional Counselor
Sara D. Smith Counseling LLC
Licensed Professional Counselor, MA, LPC, LAC, EMDR, NCC
Verified Verified
1 Endorsed
Boulder, CO 80301  (Online Only)
Do you have a stack of partially read self-help books collecting dust in the corner? Maybe you had hopes they would provide the information you were seeking to stay cool and collected through challenging times - because let’s face it, 2020 was pretty much a shitshow. It is alright to feel overwhelmed, confused, and uncertain. When stressors create intrusive thoughts of not being enough or fears of abandonment, it can be helpful to talk to someone. Whether you are looking for coping strategies to build resiliency through life transitions or wanting to explore deeper parts of yourself and how you relate to the world, I am here.
Do you have a stack of partially read self-help books collecting dust in the corner? Maybe you had hopes they would provide the information you were seeking to stay cool and collected through challenging times - because let’s face it, 2020 was pretty much a shitshow. It is alright to feel overwhelmed, confused, and uncertain. When stressors create intrusive thoughts of not being enough or fears of abandonment, it can be helpful to talk to someone. Whether you are looking for coping strategies to build resiliency through life transitions or wanting to explore deeper parts of yourself and how you relate to the world, I am here.
(720) 538-0864 View (720) 538-0864
Photo of Kent S. Kinzley, MA, LMFT, Marriage & Family Therapist
Kent S. Kinzley
Marriage & Family Therapist, MA, LMFT
Verified Verified
Boulder, CO 80303
In a failing relationship, or failing to succeed in your professional or academic pursuits? Call me today to reclaim that meaningful relationship you desire, or to begin experiencing success in your vocation or studies. I have spent over 30 years helping people develop, maintain, and revive meaningful long-term relationships, and to achieve success in their work and studies. With my training in Marriage, Family and Child Counseling, Psychoanalytic and Depth Psychotherapy, Biofeedback and Neurofeedback training, I can help you.
In a failing relationship, or failing to succeed in your professional or academic pursuits? Call me today to reclaim that meaningful relationship you desire, or to begin experiencing success in your vocation or studies. I have spent over 30 years helping people develop, maintain, and revive meaningful long-term relationships, and to achieve success in their work and studies. With my training in Marriage, Family and Child Counseling, Psychoanalytic and Depth Psychotherapy, Biofeedback and Neurofeedback training, I can help you.
(720) 734-7570 View (720) 734-7570
Photo of Melissa Stolsig, PsyD, MS, MA, Psychologist
Melissa Stolsig
Psychologist, PsyD, MS, MA
Verified Verified
Boulder, CO 80302  (Online Only)
I work with adults of any age willing to engage in therapy to heal, grow or simply feel better. I am able to work with a variety of people from different populations due to my non-judgmental stance and curiosity about other people. I am adept at working with individuals who experience multiple problems simultaneously due to my willingness to work with other providers and supportive group/individual services. I specialize in dealing with chronic/developmental trauma, managing psychological sequelae due to chronic medical conditions, and working with anxiety and depression with cultural curiosity and humility.
I work with adults of any age willing to engage in therapy to heal, grow or simply feel better. I am able to work with a variety of people from different populations due to my non-judgmental stance and curiosity about other people. I am adept at working with individuals who experience multiple problems simultaneously due to my willingness to work with other providers and supportive group/individual services. I specialize in dealing with chronic/developmental trauma, managing psychological sequelae due to chronic medical conditions, and working with anxiety and depression with cultural curiosity and humility.
(805) 312-7832 View (805) 312-7832
Photo of Chelsey Alyse Langlinais, MA, LPC, ATR, Licensed Professional Counselor
Chelsey Alyse Langlinais
Licensed Professional Counselor, MA, LPC, ATR
Verified Verified
Boulder, CO 80305
Not accepting new clients
I graduated from Naropa University in May 2015 with my Master's degree in Transpersonal Counseling Psychology and Art Therapy. I work with children, teens, and adults in the areas of depression, anxiety, trauma, life transitions, grief, and self-esteem. I feel that the therapeutic relationship is a partnership, where together we will decide the pace, structure, and forms of expression that best suit the client's needs. I am primarily an art therapist who loves to help clients express themselves and their emotions in a healthy and safe way using art materials.
I graduated from Naropa University in May 2015 with my Master's degree in Transpersonal Counseling Psychology and Art Therapy. I work with children, teens, and adults in the areas of depression, anxiety, trauma, life transitions, grief, and self-esteem. I feel that the therapeutic relationship is a partnership, where together we will decide the pace, structure, and forms of expression that best suit the client's needs. I am primarily an art therapist who loves to help clients express themselves and their emotions in a healthy and safe way using art materials.
(720) 966-1986 View (720) 966-1986

More Therapists Nearby

Photo of Kathryn Montgomery, MA, LPC, NCC, CHT, BCC, Licensed Professional Counselor
Kathryn Montgomery
Licensed Professional Counselor, MA, LPC, NCC, CHT, BCC
Verified Verified
Lafayette, CO 80026  (Online Only)
Waitlist for new clients
Despite hours of talking and trying, are you still feeling defeated or overwhelmed because changes you say you want haven't materialized? Are you feeling *Stuck* in circumstances, feelings, and patterns of behavior you can't budge? Well, you're not broken -- you just need to learn how to use ALL of your resources. The parts of you that allow and sustain change are in every atom of your body - not just in your head. Allow me to help with WAY more than talk. You really can escape the imprisonment of *Stuck* and get some traction in your life. Yes ... really, you can!
Despite hours of talking and trying, are you still feeling defeated or overwhelmed because changes you say you want haven't materialized? Are you feeling *Stuck* in circumstances, feelings, and patterns of behavior you can't budge? Well, you're not broken -- you just need to learn how to use ALL of your resources. The parts of you that allow and sustain change are in every atom of your body - not just in your head. Allow me to help with WAY more than talk. You really can escape the imprisonment of *Stuck* and get some traction in your life. Yes ... really, you can!
(720) 263-4186 View (720) 263-4186
Photo of Anne C Perry - Focus Upward, LLC, PsyD, Psychologist
Focus Upward, LLC
Psychologist, PsyD
Verified Verified
Lafayette, CO 80026
We specialize in treating trauma, mood disorders, anxiety disorders, grief, stress, end of life issues, identity issues and adjustments/transitions. The healing process of therapy can result in an increase in self-esteem, an improved outlook, a greater sense of control or calmness, decreased pain and better self understanding.
We specialize in treating trauma, mood disorders, anxiety disorders, grief, stress, end of life issues, identity issues and adjustments/transitions. The healing process of therapy can result in an increase in self-esteem, an improved outlook, a greater sense of control or calmness, decreased pain and better self understanding.
(720) 507-4083 View (720) 507-4083

Online Therapists

Photo of Blakely Madison Hunze-Austin, LPCMHSP, LPC, NCC, MA, Licensed Professional Counselor
Blakely Madison Hunze-Austin
Licensed Professional Counselor, LPCMHSP, LPC, NCC, MA
Verified Verified
5 Endorsed
Colorado Springs, CO 80920
I work with teens and adults and am skilled in working with those struggling with addiction, OCD, eating disorders, perfectionism, and trauma.
Now serving Tennessee clients (online only) and Colorado residents (online and in person). Let’s be honest-therapy is uncomfortable! There’s no getting around that squirmy “I can’t believe I have to tell this stranger my problems” feeling. The only way to make progress is to move through those feelings. I am here to be by your side and guide you through the numerous emotions that come up in session. I admire my clients for their ability to face the challenges of therapy with veracity, strength, and sometimes humor. I’m here to make the therapy process marginally less uncomfortable by providing a safe, non-judgmental space.
I work with teens and adults and am skilled in working with those struggling with addiction, OCD, eating disorders, perfectionism, and trauma.
Now serving Tennessee clients (online only) and Colorado residents (online and in person). Let’s be honest-therapy is uncomfortable! There’s no getting around that squirmy “I can’t believe I have to tell this stranger my problems” feeling. The only way to make progress is to move through those feelings. I am here to be by your side and guide you through the numerous emotions that come up in session. I admire my clients for their ability to face the challenges of therapy with veracity, strength, and sometimes humor. I’m here to make the therapy process marginally less uncomfortable by providing a safe, non-judgmental space.
(719) 454-8329 View (719) 454-8329
Photo of Lisa Griffiths - Center for Valued Living, PLLC, PsyD, LPC, LCSW, LMFT, LPCC
Center for Valued Living, PLLC
PsyD, LPC, LCSW, LMFT, LPCC
Verified Verified
Aurora, CO 80015
com for more): Polyamory, Sexual Issues, Addictions/Substance Abuse, OCD, ERP, Parenting/Family, Postpartum, Chronic Illness/Pain, Disordered Eating, Sexual issues, ADHD, Dom.
We are a group of highly-qualified mental health therapists serving all over CO via telehealth and in-person (offices in Aurora). Our licensed therapists and supervised LPCC/SWC/intern providers take most insurances including Medicaid. See c4vl.com or photo gallery for details on our clinicians, & specialties, insurances. We are committed to anti-racist, neurodivergent-affirming, and GLBTQIA+ allied practice. We have providers who speak Spanish, French, and Russian. Hablamos Espanol tambien! Email us with this info: In-person or telehealth, Insurance, Age, describe needs to be addressed.
com for more): Polyamory, Sexual Issues, Addictions/Substance Abuse, OCD, ERP, Parenting/Family, Postpartum, Chronic Illness/Pain, Disordered Eating, Sexual issues, ADHD, Dom.
We are a group of highly-qualified mental health therapists serving all over CO via telehealth and in-person (offices in Aurora). Our licensed therapists and supervised LPCC/SWC/intern providers take most insurances including Medicaid. See c4vl.com or photo gallery for details on our clinicians, & specialties, insurances. We are committed to anti-racist, neurodivergent-affirming, and GLBTQIA+ allied practice. We have providers who speak Spanish, French, and Russian. Hablamos Espanol tambien! Email us with this info: In-person or telehealth, Insurance, Age, describe needs to be addressed.
(970) 715-8004 View (970) 715-8004
Photo of Rose Mary Smith, MA, LPC, NCC, DCC, Licensed Professional Counselor
Rose Mary Smith
Licensed Professional Counselor, MA, LPC, NCC, DCC
Verified Verified
Colorado Springs, CO 80917
I am a patient, insightful, and encouraging therapist with 20 years of experience in a variety of therapeutic settings. As a Licensed Professional Counselor, I work with clients ages 16 years old up through the adult life span. Client issues I work with range from low self-esteem, depression, anxiety, OCD, couple's counseling (communication skill building), grief & loss, stress and anger management. As a cognitive/behavioral therapist, I thoroughly enjoy working with clients who have a wide variety of issues and concerns. Additionally, I am trained in life coaching and mediation.
I am a patient, insightful, and encouraging therapist with 20 years of experience in a variety of therapeutic settings. As a Licensed Professional Counselor, I work with clients ages 16 years old up through the adult life span. Client issues I work with range from low self-esteem, depression, anxiety, OCD, couple's counseling (communication skill building), grief & loss, stress and anger management. As a cognitive/behavioral therapist, I thoroughly enjoy working with clients who have a wide variety of issues and concerns. Additionally, I am trained in life coaching and mediation.
(719) 355-8476 View (719) 355-8476
Photo of Cynthia (Cindy) Lyon Barrow, LCSW, Clinical Social Work/Therapist
Cynthia (Cindy) Lyon Barrow
Clinical Social Work/Therapist, LCSW
Verified Verified
Evergreen, CO 80439  (Online Only)
I work with people who have anxiety, depression, obsessive compulsive disorder, and ADHD.
I am a solution-oriented therapist who will help you with the concerns you bring to me. I have 30 years of clinical experience. I am empathic and warm. I have worked with a broad range of diagnoses and issues/concerns. I will help you set your goals and we will choose interventions to help you accomplish what you want out of therapy. I am collaborative, and energetic. My website is: therapistevergreen.com and my Facebook page is: Cindy Barrow, LCSW Individual, Couples, and Family Therapist. Client endorsements are on my webpage.
I work with people who have anxiety, depression, obsessive compulsive disorder, and ADHD.
I am a solution-oriented therapist who will help you with the concerns you bring to me. I have 30 years of clinical experience. I am empathic and warm. I have worked with a broad range of diagnoses and issues/concerns. I will help you set your goals and we will choose interventions to help you accomplish what you want out of therapy. I am collaborative, and energetic. My website is: therapistevergreen.com and my Facebook page is: Cindy Barrow, LCSW Individual, Couples, and Family Therapist. Client endorsements are on my webpage.
(720) 806-5745 View (720) 806-5745
Obsessive-Compulsive (OCD) Therapists

How long does OCD treatment take?

Obsessive-Compulsive Disorder (OCD) is often treated on a weekly or twice-weekly schedule, depending on symptom severity and the client’s preferences. Some clients may start to see a noticeable improvement in symptoms in as little as six weeks, but it’s also possible, especially in more severe cases, for treatment to take several months to a year before significant progress is made.

What happens if OCD is not treated?

Some people with OCD, especially those with mild symptoms, may find that they are able to adapt reasonably well to life with the condition, even if their symptoms never resolve completely. However, many people, particularly those whose symptoms are severe at the outset, find that their obsessions and compulsions grow more intrusive with time, making it harder to maintain relationships, hold down a job, or navigate the world successfully.

Are there medications for OCD?

Medication can be used to treat OCD. The class of drugs most often prescribed are selective serotonin reuptake inhibitors, or SSRIs, which include fluvoxamine (under the brand name Luvox), fluoxetine (Prozac), and sertraline (Zoloft), among others. In cases of treatment-resistant OCD, other classes of medication, such as tricyclic antidepressants or atypical antipsychotics, may be prescribed. Medication is frequently used in conjunction with therapy.

Can OCD come back after treatment?

Yes. Major life transitions, periods of stress, or other factors can cause symptoms to return or, if they were never fully eradicated, to ramp back up in intensity. For some, these relapses are brief and do not require additional treatment; identifying specific triggers and practicing the skills learned in therapy can help speed their course. For others, returning to therapy for a brief period can help address the underlying stress and strengthen coping mechanisms.