Obsessive-Compulsive (OCD) Therapists in Littleton, CO
Josh Kaplan - Anxiety, OCD & Depression Specialist
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Littleton, CO 80120
In my practice, I specialize in treating these conditions using both Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP), two of the most effective therapies for overcoming the challenges of Anxiety, OCD, and Depression.
Hi, and thanks for viewing my profile. My name is Josh Kaplan, I’m a compassionate and experienced therapist with a mission to help individuals overcome Anxiety Disorders, Obsessive-Compulsive Disorder, and Depression. With over a decade of experience specializing in these areas, I have developed a deep understanding of these conditions and their profound impact on one's life. Whether you are dealing with the recurrent cycle of OCD, endless thoughts of anxiety, or the deep sadness of depression, I'm here to guide you through your recovery journey.
In my practice, I specialize in treating these conditions using both Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP), two of the most effective therapies for overcoming the challenges of Anxiety, OCD, and Depression.
Hi, and thanks for viewing my profile. My name is Josh Kaplan, I’m a compassionate and experienced therapist with a mission to help individuals overcome Anxiety Disorders, Obsessive-Compulsive Disorder, and Depression. With over a decade of experience specializing in these areas, I have developed a deep understanding of these conditions and their profound impact on one's life. Whether you are dealing with the recurrent cycle of OCD, endless thoughts of anxiety, or the deep sadness of depression, I'm here to guide you through your recovery journey.
I specialize in treating OCD and Anxiety-Related Disorders, such as Social Anxiety, Panic/Agoraphobia, Generalized Anxiety, and other similar disorders.
Are you or your child struggling with OCD, Panic Disorder/Agoraphobia, Social Anxiety, or another Anxiety-Related Disorder? Would you like to have a set of tools to help you or your child do the things you need and want to do in life?
I specialize in treating OCD and Anxiety-Related Disorders, such as Social Anxiety, Panic/Agoraphobia, Generalized Anxiety, and other similar disorders.
Are you or your child struggling with OCD, Panic Disorder/Agoraphobia, Social Anxiety, or another Anxiety-Related Disorder? Would you like to have a set of tools to help you or your child do the things you need and want to do in life?
Gabriel Atherton
Licensed Professional Counselor Candidate , MA, LPCC
Verified Verified
1 Endorsed
Littleton, CO 80123
Gabriel’s primary focuses include working with children, teenagers, and adults who struggle with the effects of trauma, anxiety, and OCD. She worked as a therapist with the Child Trauma Services Program within the OU Health Sciences Center where she supported youth with PTSD, has practiced within the UCO Psychology Clinic supporting adults with various presentations of anxiety (e.g. social anxiety, phobias), and has practiced within a specialized group supporting individuals with OCD and PTSD. Gabriel is committed to utilizing evidence-based therapy practices and recognizes each client as deserving of individualized care.
Gabriel’s primary focuses include working with children, teenagers, and adults who struggle with the effects of trauma, anxiety, and OCD. She worked as a therapist with the Child Trauma Services Program within the OU Health Sciences Center where she supported youth with PTSD, has practiced within the UCO Psychology Clinic supporting adults with various presentations of anxiety (e.g. social anxiety, phobias), and has practiced within a specialized group supporting individuals with OCD and PTSD. Gabriel is committed to utilizing evidence-based therapy practices and recognizes each client as deserving of individualized care.
I work in the states of Colorado (CO) and Montana (MT) passionately working with teens and adults with anxiety, OCD, Body Focused Repetitive Behaviors (BFRB's), and depression find ways to manage their symptoms and live the life they wish to pursue. Being a human is hard. I know you are nervous or self-conscious and I believe in providing you with autonomy and being present for your needs. You don't have to do it alone. I encourage you to advocate for yourself in and outside of our therapeutic relationship. This will help you maintain and continue to build improvement on your progress in our sessions.
I work in the states of Colorado (CO) and Montana (MT) passionately working with teens and adults with anxiety, OCD, Body Focused Repetitive Behaviors (BFRB's), and depression find ways to manage their symptoms and live the life they wish to pursue. Being a human is hard. I know you are nervous or self-conscious and I believe in providing you with autonomy and being present for your needs. You don't have to do it alone. I encourage you to advocate for yourself in and outside of our therapeutic relationship. This will help you maintain and continue to build improvement on your progress in our sessions.
Mark E Prange
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Littleton, CO 80120
Waitlist for new clients
My personal experiences give me a unique perspective and ability to address OCD, anxiety, depression, and trauma.
I am a very realistic, down-to-earth, straightforward therapist, and I strive to be both a genuine human being and an effective clinician. I work very well with teens, young adults, and adults from a wide variety of backgrounds, and have a solid understanding of a range of behavioral and developmental issues that can occur during these stages of life. In particular, I specialize in treating Obsessive-Compulsive Disorder ( OCD), anxiety, depression, and PTSD.
My personal experiences give me a unique perspective and ability to address OCD, anxiety, depression, and trauma.
I am a very realistic, down-to-earth, straightforward therapist, and I strive to be both a genuine human being and an effective clinician. I work very well with teens, young adults, and adults from a wide variety of backgrounds, and have a solid understanding of a range of behavioral and developmental issues that can occur during these stages of life. In particular, I specialize in treating Obsessive-Compulsive Disorder ( OCD), anxiety, depression, and PTSD.
Vivid Psychology Group (Medicaid, OCD & Anxiety)
Psychologist, PsyD
Verified Verified
Littleton, CO 80121
Vivid Psychology Group is able to support you if you meet the following criteria: Your primary concern is anxiety, OCD, Body-focused Repetitive Behavior (BFRB), or a related issue; You carry Colorado Access Medicaid (Regions 3 & 5, CHP+, DHMC); You’re 14 years or older.
Welcome to Vivid Psychology Group! We are an outpatient group practice located in Englewood, Colorado. We specialize in treating OCD and anxiety-related issues for ages 14+. We currently accept Colorado Access Medicaid (Regions 3 & 5, DHC+, CHP+). We pride ourselves on providing gold-standard treatments for anxiety, panic, OCD, phobias, and many other anxiety-related problems.
Vivid Psychology Group is able to support you if you meet the following criteria: Your primary concern is anxiety, OCD, Body-focused Repetitive Behavior (BFRB), or a related issue; You carry Colorado Access Medicaid (Regions 3 & 5, CHP+, DHMC); You’re 14 years or older.
Welcome to Vivid Psychology Group! We are an outpatient group practice located in Englewood, Colorado. We specialize in treating OCD and anxiety-related issues for ages 14+. We currently accept Colorado Access Medicaid (Regions 3 & 5, DHC+, CHP+). We pride ourselves on providing gold-standard treatments for anxiety, panic, OCD, phobias, and many other anxiety-related problems.
Your mental health affects every aspect of your life. Whether you are dealing with intense anxiety, depression, intrusive thoughts and compulsions, setting boundaries, or the myriad other mental health challenges, seeking help is the first step to feeling better and beginning to enjoy your life again. I work with general mental health issues and specialize in OCD ( obsessive compulsive disorder), ADHD, and anxiety of all types. I work with children as young as 8, adolescents, and adults. Whatever your age, you deserve to have optimal mental health.
Your mental health affects every aspect of your life. Whether you are dealing with intense anxiety, depression, intrusive thoughts and compulsions, setting boundaries, or the myriad other mental health challenges, seeking help is the first step to feeling better and beginning to enjoy your life again. I work with general mental health issues and specialize in OCD ( obsessive compulsive disorder), ADHD, and anxiety of all types. I work with children as young as 8, adolescents, and adults. Whatever your age, you deserve to have optimal mental health.
Devon Garza - NOCD
Licensed Professional Counselor, MC, LPC, LPCC
Verified Verified
Littleton, CO 80123 (Online Only)
I recognize that OCD has gotten out of control and is dominating your life.
As a therapist, I'm direct and comfortable pushing you to do what you need to do. I don't shy away from topics that might seem weird or uncomfortable—I’m here to help you tackle those. Accountability is crucial to me—we'll discuss what's going well and what isn't. At NOCD, my team and I specialize in providing evidence-based treatment for OCD. Our deep understanding of its nuances enables us to properly diagnose and treat it. We have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
I recognize that OCD has gotten out of control and is dominating your life.
As a therapist, I'm direct and comfortable pushing you to do what you need to do. I don't shy away from topics that might seem weird or uncomfortable—I’m here to help you tackle those. Accountability is crucial to me—we'll discuss what's going well and what isn't. At NOCD, my team and I specialize in providing evidence-based treatment for OCD. Our deep understanding of its nuances enables us to properly diagnose and treat it. We have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
Ke-Anna Myers - NOCD
Licensed Professional Counselor, MA, LPC
Verified Verified
Littleton, CO 80123 (Online Only)
I look forward to working with you and helping you conquer your OCD.
As an OCD therapist, I am present and dedicated to helping members live a less stressful life. I love giving others a sense of hope and support. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of the nuances of OCD and related conditions enables us to diagnose and treat them properly. We have received training in evidence-based treatments, including Exposure Response and Prevention (ERP) therapy—the gold standard treatment for OCD.
I look forward to working with you and helping you conquer your OCD.
As an OCD therapist, I am present and dedicated to helping members live a less stressful life. I love giving others a sense of hope and support. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of the nuances of OCD and related conditions enables us to diagnose and treat them properly. We have received training in evidence-based treatments, including Exposure Response and Prevention (ERP) therapy—the gold standard treatment for OCD.
Deborah Nickens - NOCD
Licensed Professional Counselor
Verified Verified
Littleton, CO 80123 (Online Only)
Plus, we offer support between sessions through direct messaging and a community of peers with OCD, ensuring you never feel alone.
In therapy, I first establish that this is a judgment-free zone—I’m a safe person to speak with. Second, I want to make sure you know exactly what OCD is and the best ways to treat it. Third, I'll walk with you as you do exposure response prevention exercises to slowly defeat the OCD monster. At NOCD, we specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances and intricacies of OCD enables us to properly diagnose and treat it. We have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
Plus, we offer support between sessions through direct messaging and a community of peers with OCD, ensuring you never feel alone.
In therapy, I first establish that this is a judgment-free zone—I’m a safe person to speak with. Second, I want to make sure you know exactly what OCD is and the best ways to treat it. Third, I'll walk with you as you do exposure response prevention exercises to slowly defeat the OCD monster. At NOCD, we specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances and intricacies of OCD enables us to properly diagnose and treat it. We have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
Nikki Dahl - NOCD
Clinical Social Work/Therapist, LCSW
Verified Verified
Littleton, CO 80123 (Online Only)
Plus, we offer support between sessions through direct messaging and a community of peers with OCD, ensuring you never feel alone.
I have a pretty flexible approach to therapy. You can expect a steady flow of smiley faces in your messaging inbox, but you are not obligated to respond. My focus allows for a completely unique experience for every member. I tend to get along well with members who are very particular about details because I care about the mapping of your OCD being accurate to your experience. The only thing more important is that you feel like you have agency throughout the entire therapy process. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD.
Plus, we offer support between sessions through direct messaging and a community of peers with OCD, ensuring you never feel alone.
I have a pretty flexible approach to therapy. You can expect a steady flow of smiley faces in your messaging inbox, but you are not obligated to respond. My focus allows for a completely unique experience for every member. I tend to get along well with members who are very particular about details because I care about the mapping of your OCD being accurate to your experience. The only thing more important is that you feel like you have agency throughout the entire therapy process. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD.
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Bill McKeon - NOCD
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Littleton, CO 80123 (Online Only)
We have received training in evidence-based treatments, including Exposure Response and Prevention (ERP) therapy—the gold standard treatment for OCD.
I wanted to pursue a vocation that positively impacted our world. As I became a therapist and saw the positive impact on people's lives, I realized I could never be anything but a therapist. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of the nuances of these conditions enables us to diagnose and treat them properly.
We have received training in evidence-based treatments, including Exposure Response and Prevention (ERP) therapy—the gold standard treatment for OCD.
I wanted to pursue a vocation that positively impacted our world. As I became a therapist and saw the positive impact on people's lives, I realized I could never be anything but a therapist. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of the nuances of these conditions enables us to diagnose and treat them properly.
Carrie Wells - NOCD
Licensed Professional Counselor, MS, LPC
Verified Verified
Littleton, CO 80123 (Online Only)
Plus, we offer support between sessions through direct messaging and a community of peers with OCD, ensuring you never feel alone.
At the core, I approach our work in therapy as a partner and collaborator. I don't profess to know any member better than they know themselves. OCD often puts very challenging material in people’s minds, leading to thoughts that can be embarrassing and shameful. However, I am neither shocked nor judgmental about what comes up for people. I like to remind members that OCD attacks what is most precious to them and that their thoughts are not who they are. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our understanding of the nuances of OCD enables us to properly diagnose and treat it.
Plus, we offer support between sessions through direct messaging and a community of peers with OCD, ensuring you never feel alone.
At the core, I approach our work in therapy as a partner and collaborator. I don't profess to know any member better than they know themselves. OCD often puts very challenging material in people’s minds, leading to thoughts that can be embarrassing and shameful. However, I am neither shocked nor judgmental about what comes up for people. I like to remind members that OCD attacks what is most precious to them and that their thoughts are not who they are. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our understanding of the nuances of OCD enables us to properly diagnose and treat it.
Mandy Travis - NOCD
Licensed Professional Counselor, MA, LPC
Verified Verified
Littleton, CO 80123 (Online Only)
In treating OCD, I want to get to know you and understand what brings you to seek therapy. Knowing your goals helps me collaborate with you on creating an effective treatment plan. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of the nuances of these conditions enables us to diagnose and treat them properly. We have received training in evidence-based treatments, including Exposure Response and Prevention (ERP) therapy—the gold standard treatment for OCD.
In treating OCD, I want to get to know you and understand what brings you to seek therapy. Knowing your goals helps me collaborate with you on creating an effective treatment plan. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of the nuances of these conditions enables us to diagnose and treat them properly. We have received training in evidence-based treatments, including Exposure Response and Prevention (ERP) therapy—the gold standard treatment for OCD.
Hannah Rodriguez - NOCD
Licensed Professional Clinical Counselor, MA, LPCC, LPC, NCC
Verified Verified
Littleton, CO 80123 (Online Only)
Plus, we offer support between sessions through direct messaging and a community of peers with OCD, ensuring you never feel alone.
As a very person-centered therapist, I provide a safe and non-judgmental space where you can bring anything to the table and know you'll be met with kindness, compassion, and empathy. I'm here to support you, no matter what. At NOCD, my team and I specialize in providing evidence-based treatment for OCD. Our deep understanding of its nuances enables us to properly diagnose and treat it. We have received training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD. When you start with NOCD, you’ll either work with me or be paired with one of my colleagues, based on your preferences.
Plus, we offer support between sessions through direct messaging and a community of peers with OCD, ensuring you never feel alone.
As a very person-centered therapist, I provide a safe and non-judgmental space where you can bring anything to the table and know you'll be met with kindness, compassion, and empathy. I'm here to support you, no matter what. At NOCD, my team and I specialize in providing evidence-based treatment for OCD. Our deep understanding of its nuances enables us to properly diagnose and treat it. We have received training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD. When you start with NOCD, you’ll either work with me or be paired with one of my colleagues, based on your preferences.
Get started with a 90-minute online OCD diagnostic assessment.
Imagine what life would be like if you weren't bothered by OCD. NOCD is here to help you regain peace of mind. NOCD is a digital health company that’s focused on treating people with Obsessive Compulsive Disorder. Inside the NOCD Mobile app, people can access one of NOCD’s licensed mental health therapists with specialty training in OCD. When their therapist isn’t available, NOCD members can access support communities and therapeutic tools - so that they are never alone. NOCD’s protocol has been proven to reduce OCD severity by 40% in 8 weeks.
Get started with a 90-minute online OCD diagnostic assessment.
Imagine what life would be like if you weren't bothered by OCD. NOCD is here to help you regain peace of mind. NOCD is a digital health company that’s focused on treating people with Obsessive Compulsive Disorder. Inside the NOCD Mobile app, people can access one of NOCD’s licensed mental health therapists with specialty training in OCD. When their therapist isn’t available, NOCD members can access support communities and therapeutic tools - so that they are never alone. NOCD’s protocol has been proven to reduce OCD severity by 40% in 8 weeks.
Lacie Killion
Drug & Alcohol Counselor, LMFT, LAC , RPT, CSST, CSPT
Verified Verified
Littleton, CO 80128
I have a passion for the treatment of behavioral issues, OCD, anxiety, substance abuse, and trauma.
I obtained my Master's in Marriage and Family Therapy at Argosy University. I specialize in youth and family therapy, in Lakewood, CO. I am a Licensed Marriage and Family Therapist and a Licensed Addiction Counselor. I hold certificates in systemic Art, Play, and Sandplay therapy. I earned my Bachelor's in Human Services with an emphasis in Rehabilitative Counseling and minors in Art and Psychology at the University of Northern Colorado. I have a passion for providing an outlet for individuals to have a safe place to grow and reach their full potential.
I have a passion for the treatment of behavioral issues, OCD, anxiety, substance abuse, and trauma.
I obtained my Master's in Marriage and Family Therapy at Argosy University. I specialize in youth and family therapy, in Lakewood, CO. I am a Licensed Marriage and Family Therapist and a Licensed Addiction Counselor. I hold certificates in systemic Art, Play, and Sandplay therapy. I earned my Bachelor's in Human Services with an emphasis in Rehabilitative Counseling and minors in Art and Psychology at the University of Northern Colorado. I have a passion for providing an outlet for individuals to have a safe place to grow and reach their full potential.
Chelsea works with ages 18 and up. When you're in session with Chelsea, you'll enjoy her person-centered, calm and empathetic approach. You'll also feel comforted by her sense of humor and encouragement to use their own sense of humor during sessions. You'll feel encouraged and motivated to meet your goals. Chelsea can help clients overcome a multitude of issues, including those stemming from low self-esteem, later life transitions, couples challenges, unhealthy relationships, grief and loss, Obsessive Compulsive Disorder, stress, anger management and depression and anxiety.
Chelsea works with ages 18 and up. When you're in session with Chelsea, you'll enjoy her person-centered, calm and empathetic approach. You'll also feel comforted by her sense of humor and encouragement to use their own sense of humor during sessions. You'll feel encouraged and motivated to meet your goals. Chelsea can help clients overcome a multitude of issues, including those stemming from low self-esteem, later life transitions, couples challenges, unhealthy relationships, grief and loss, Obsessive Compulsive Disorder, stress, anger management and depression and anxiety.
Sherri Tobin
Licensed Professional Counselor, EdS, LPC, LPCC, NCC, NCSP
Verified Verified
2 Endorsed
Littleton, CO 80120
I have over 17 years of professional experience and have worked successfully with clients to reduce the symptoms associated with anxiety, fears, OCD, sadness/depression, life transitions, stress, self-concept, communication, parenting and trauma.
I will meet you where you're at. I will support you, and challenge you, so that you can be the you that you WANT to be. We will address your needs and work together to facilitate desired change. You will learn to identify how your thinking, feelings and behaviors are connected. We will work to understand how your life experiences are stored in your body and how they may be adjusting the way you think, function, feel, experience sensation and relate to others. You will develop a new sense of control through increased awareness and direct attention to what is and is not working, fighting fear and restoring personal power.
I have over 17 years of professional experience and have worked successfully with clients to reduce the symptoms associated with anxiety, fears, OCD, sadness/depression, life transitions, stress, self-concept, communication, parenting and trauma.
I will meet you where you're at. I will support you, and challenge you, so that you can be the you that you WANT to be. We will address your needs and work together to facilitate desired change. You will learn to identify how your thinking, feelings and behaviors are connected. We will work to understand how your life experiences are stored in your body and how they may be adjusting the way you think, function, feel, experience sensation and relate to others. You will develop a new sense of control through increased awareness and direct attention to what is and is not working, fighting fear and restoring personal power.
Hi there! My name is Megan, and I'm so glad you're here. I am an LPC who specializes in treating anxiety, obsessive-compulsive disorder and mood disorders, including perinatal mood and anxiety disorders. I am highly trained in evidence-based treatment modalities such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Exposure and Response Prevention, mindfulness, and trauma-informed approaches. My clinical work focuses on empowering individuals to access their intrinsic capacity for resiliency and healing, and topics such as vulnerability, courage, and self-compassion are core principles of my practice.
Hi there! My name is Megan, and I'm so glad you're here. I am an LPC who specializes in treating anxiety, obsessive-compulsive disorder and mood disorders, including perinatal mood and anxiety disorders. I am highly trained in evidence-based treatment modalities such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Exposure and Response Prevention, mindfulness, and trauma-informed approaches. My clinical work focuses on empowering individuals to access their intrinsic capacity for resiliency and healing, and topics such as vulnerability, courage, and self-compassion are core principles of my practice.
See more therapy options for Littleton
Nearby Obsessive-Compulsive (OCD) Therapists Searches for Littleton
- Centennial
- Cherry Hills
- Cherry Hills Village
- Denver
- Edgewater
- Englewood
- Glendale
- Greenwood Village
- Highlands Ranch
- Lakewood
- Lone Tree
- Morrison
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.