Obsessive-Compulsive (OCD) Therapists in Southborough, MA

Photo of Rebecca Tull Guarino, MA, LMHC, CIMHP, Counselor
Rebecca Tull Guarino
Counselor, MA, LMHC, CIMHP
Verified Verified
1 Endorsed
Southborough, MA 01772  (Online Only)
Do you want to find a way to accomplish important life goals? Are you dealing with overwhelming anxiety? Are you interested in finding natural ways to improve your mood? If so, I may be able to help. Therapy can help us to process life events, family dynamics, and personal identity. Therapy teaches us techniques to overcome symptoms and feel better. It can help us to focus on what is in our control and make small steps toward recovery. Life coaching can help to break down big goals into smaller attainable steps and lead to follow through. Through life coaching you can improve health, career, relationships, family, and home.
Do you want to find a way to accomplish important life goals? Are you dealing with overwhelming anxiety? Are you interested in finding natural ways to improve your mood? If so, I may be able to help. Therapy can help us to process life events, family dynamics, and personal identity. Therapy teaches us techniques to overcome symptoms and feel better. It can help us to focus on what is in our control and make small steps toward recovery. Life coaching can help to break down big goals into smaller attainable steps and lead to follow through. Through life coaching you can improve health, career, relationships, family, and home.
(774) 489-3058 View (774) 489-3058
Photo of Sandra Peters, MA, LMHC, Counselor
Sandra Peters
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Southborough, MA 01772  (Online Only)
Waitlist for new clients
If you are having difficulty managing the physical, emotional, and psychological demands that life invariably brings, perhaps I can help. I have twenty years' experience working with children, families, and adults. The core of my treatment revolves around identifying strengths and building on resiliency. I can help you manage daily stressors, form meaningful relationships, and rebuild a healthy sense of self.
If you are having difficulty managing the physical, emotional, and psychological demands that life invariably brings, perhaps I can help. I have twenty years' experience working with children, families, and adults. The core of my treatment revolves around identifying strengths and building on resiliency. I can help you manage daily stressors, form meaningful relationships, and rebuild a healthy sense of self.
(617) 934-8626 View (617) 934-8626
Photo of Josephine Banigo - Victoria Counseling Services, PMNP-BC, ACNP-BC
Victoria Counseling Services
PMNP-BC, ACNP-BC
Verified Verified
Southborough, MA 01772
As an Acute/Critical Care Nurse Practitioner, I was not cognizant of the impact of mental illness on family and society, until I decided to pursue a Psychiatric Nurse Practitioner Degree. I believe that societal stigmatization of mental illness, and the shame felt by families who have a loved one with mental illness, makes it difficult for these patients to recover, and live peacefully for the rest of their lives. Psychiatric illness should be treated like a medical illness with no stigma, no blame or shame.
As an Acute/Critical Care Nurse Practitioner, I was not cognizant of the impact of mental illness on family and society, until I decided to pursue a Psychiatric Nurse Practitioner Degree. I believe that societal stigmatization of mental illness, and the shame felt by families who have a loved one with mental illness, makes it difficult for these patients to recover, and live peacefully for the rest of their lives. Psychiatric illness should be treated like a medical illness with no stigma, no blame or shame.
(508) 906-7395 View (508) 906-7395
Photo of Sarah Chelio, MA, LMHC, Counselor
Sarah Chelio
Counselor, MA, LMHC
Verified Verified
Southborough, MA 01745
As a therapist my goal is to provide a comfortable, non-judgmental space for clients to share thoughts and feelings openly. I work with individuals to navigate a wide variety of treatment issues, including anxiety, stress, depression, anger, grief, and difficult life transitions.
As a therapist my goal is to provide a comfortable, non-judgmental space for clients to share thoughts and feelings openly. I work with individuals to navigate a wide variety of treatment issues, including anxiety, stress, depression, anger, grief, and difficult life transitions.
(508) 455-4335 View (508) 455-4335
Photo of Yeonjoo Son, LMHC, Counselor
Yeonjoo Son
Counselor, LMHC
Verified Verified
1 Endorsed
Southborough, MA 01745
Hi there! I am a CBT trained therapist with extensive experience in effective treatment strategies. I work collaboratively with clients to determine what is working well for them and what may need to be adjusted to live a life of emotional well-being and relational satisfaction. If you are unsure of your goal, I will be there to help identify your goals. I believe in the power of therapy to help people heal and grow. I have a special place in my heart to work with individuals who experienced trauma in their life. I truly find it rewarding to be invited in the journey to process the traumatic experiences and to create the meaning.
Hi there! I am a CBT trained therapist with extensive experience in effective treatment strategies. I work collaboratively with clients to determine what is working well for them and what may need to be adjusted to live a life of emotional well-being and relational satisfaction. If you are unsure of your goal, I will be there to help identify your goals. I believe in the power of therapy to help people heal and grow. I have a special place in my heart to work with individuals who experienced trauma in their life. I truly find it rewarding to be invited in the journey to process the traumatic experiences and to create the meaning.
(508) 392-5044 View (508) 392-5044
Photo of Danielle Johnson, LMHC, Counselor
Danielle Johnson
Counselor, LMHC
Verified Verified
Southborough, MA 01772  (Online Only)
Danielle Johnson is a Licensed Mental Health Counselor (LMHC) who is skilled in providing therapy to individuals ages 15-80 years old. Danielle has over 7 years of clinical experience working with young adults and children, as well as 5 years of crisis management experience with individuals of all ages. Working with a wide scope of the population, Danielle understands the importance of advocating for her clients, even when they are unable to do so for themselves. She also recognizes that it is essential to have a team-based approach in order to create and implement the treatment goals of individual clients.
Danielle Johnson is a Licensed Mental Health Counselor (LMHC) who is skilled in providing therapy to individuals ages 15-80 years old. Danielle has over 7 years of clinical experience working with young adults and children, as well as 5 years of crisis management experience with individuals of all ages. Working with a wide scope of the population, Danielle understands the importance of advocating for her clients, even when they are unable to do so for themselves. She also recognizes that it is essential to have a team-based approach in order to create and implement the treatment goals of individual clients.
(774) 310-4001 View (774) 310-4001
Photo of Jesse D Kosiba, PhD, Psychologist
Jesse D Kosiba
Psychologist, PhD
Verified Verified
Southborough, MA 01745
I am a licensed clinical psychologist specializing in the assessment and treatment of addictions, substance use problems, anxiety and mood disorders, and persistent pain conditions. My therapeutic approach is built on thoughtful collaboration as a foundation for meaningful and lasting change. I believe that therapy is most effective when approached in a supportive and flexible manner and grounded in the most up-to-date evidence-based treatments. In terms of substance use/addictions, I work with clients to carefully identify and work toward their goals regardless of moderation or abstinence.
I am a licensed clinical psychologist specializing in the assessment and treatment of addictions, substance use problems, anxiety and mood disorders, and persistent pain conditions. My therapeutic approach is built on thoughtful collaboration as a foundation for meaningful and lasting change. I believe that therapy is most effective when approached in a supportive and flexible manner and grounded in the most up-to-date evidence-based treatments. In terms of substance use/addictions, I work with clients to carefully identify and work toward their goals regardless of moderation or abstinence.
(857) 340-5579 View (857) 340-5579
Photo of Sabrina Mueller - Sabrina Mueller Counseling, MA, LMHC, Counselor
Sabrina Mueller Counseling
Counselor, MA, LMHC
Verified Verified
Southborough, MA 01772
In person and virtual sessions available. Want to reduce anxiety, depression, and sadness? Struggling with adjustments, transitions, relationship issues or grieving? Want to feel more peace? I can help. I will help you reduce symptoms, figure out ways to make improvements, and dissolve limiting beliefs and blocks. I do not take payment from insurance, but you may be able to use your OON benefits and get reimbursed. I can be reached by phone at 774-217-1589, by email and via my website at www.sabrinamuellercounseling.com. Looking forward to meeting and assisting you in finding more happiness, peace and joy.
In person and virtual sessions available. Want to reduce anxiety, depression, and sadness? Struggling with adjustments, transitions, relationship issues or grieving? Want to feel more peace? I can help. I will help you reduce symptoms, figure out ways to make improvements, and dissolve limiting beliefs and blocks. I do not take payment from insurance, but you may be able to use your OON benefits and get reimbursed. I can be reached by phone at 774-217-1589, by email and via my website at www.sabrinamuellercounseling.com. Looking forward to meeting and assisting you in finding more happiness, peace and joy.
(508) 794-8407 View (508) 794-8407
Photo of Meghan C. Foucher, LICSW, Clinical Social Work/Therapist
Meghan C. Foucher
Clinical Social Work/Therapist, LICSW
Verified Verified
Southborough, MA 01772  (Online Only)
Are you finding yourselves falling into the same arguments over and over again? Do you attempt to avoid conflict by walking on eggshells, isolating from each other, or not talking about what needs to be addressed until another “blow-up” happens? Even when you both are in the same space, does it feel like you're miles apart? Are you both feeling lonely, frustrated, and really missing each other? I help couples just like you increase connection, intimacy, and directly communicate with each other about what truly matters.
Are you finding yourselves falling into the same arguments over and over again? Do you attempt to avoid conflict by walking on eggshells, isolating from each other, or not talking about what needs to be addressed until another “blow-up” happens? Even when you both are in the same space, does it feel like you're miles apart? Are you both feeling lonely, frustrated, and really missing each other? I help couples just like you increase connection, intimacy, and directly communicate with each other about what truly matters.
(774) 458-9807 View (774) 458-9807
Photo of Rachael Macknight, LMHC, Counselor
Rachael Macknight
Counselor, LMHC
Verified Verified
Southborough, MA 01745
Not accepting new clients
I have extensive experience within the anxiety spectrum and take special interest in postpartum mental health, obsessive compulsive disorder, trauma, and body image work.
In my practice, I focus on relational, client-centered approaches that incorporate elements of brain biology, cognitive behavioral awareness, and mindfulness. I also practice from a trauma informed lens and am trained in EMDR therapy
I have extensive experience within the anxiety spectrum and take special interest in postpartum mental health, obsessive compulsive disorder, trauma, and body image work.
In my practice, I focus on relational, client-centered approaches that incorporate elements of brain biology, cognitive behavioral awareness, and mindfulness. I also practice from a trauma informed lens and am trained in EMDR therapy
(508) 466-4752 View (508) 466-4752
Photo of Dawna Gabowitz, PhD, Psychologist
Dawna Gabowitz
Psychologist, PhD
Verified Verified
Southborough, MA 01772
Not accepting new clients
Welcome to my practice. I have been helping people of all ages who are struggling with a variety of life's challenges ranging from general stress, anxiety and depression, grief and loss, to the aftermath of severe traumas. I understand that often times the decision to enter therapy and to share the experience of pain and stress can be extraordinarily challenging. I consider my style to be warm, gentle and highly supportive, helping clients identify their strengths and resources as we work together toward your healing.
Welcome to my practice. I have been helping people of all ages who are struggling with a variety of life's challenges ranging from general stress, anxiety and depression, grief and loss, to the aftermath of severe traumas. I understand that often times the decision to enter therapy and to share the experience of pain and stress can be extraordinarily challenging. I consider my style to be warm, gentle and highly supportive, helping clients identify their strengths and resources as we work together toward your healing.
(617) 544-3985 View (617) 544-3985
Photo of Adam M Volungis, PhD, LMHC, Counselor
Adam M Volungis
Counselor, PhD, LMHC
Verified Verified
2 Endorsed
Southborough, MA 01745
Not accepting new clients
***NOT ACCEPTING NEW CLIENTS*** My overarching approach is Relationship-Based Cognitive-Behavioral Therapy. I find that integrating CBT with key therapeutic relationship factors such as validation, empathy, unconditional positive regard, and genuineness produce the best outcomes. When appropriate, I also utilize such approaches as mindfulness, acceptance, dialectical behavioral therapy (DBT) skills, and Trauma-Focused CBT and Prolonged Exposure for trauma. My goal is to not only reduce the distress from your presenting problems but also improve your overall well-being and experience personal growth across many facets of life.
***NOT ACCEPTING NEW CLIENTS*** My overarching approach is Relationship-Based Cognitive-Behavioral Therapy. I find that integrating CBT with key therapeutic relationship factors such as validation, empathy, unconditional positive regard, and genuineness produce the best outcomes. When appropriate, I also utilize such approaches as mindfulness, acceptance, dialectical behavioral therapy (DBT) skills, and Trauma-Focused CBT and Prolonged Exposure for trauma. My goal is to not only reduce the distress from your presenting problems but also improve your overall well-being and experience personal growth across many facets of life.
(508) 348-7162 View (508) 348-7162

More Therapists Nearby

Photo of Katie Belmore, MA, LMHC
Katie Belmore
Licensed Mental Health Counselor, MA, LMHC
Verified Verified
Milford, MA 01757  (Online Only)
Waitlist for new clients
Generally those having difficulty with OCD respond well to exposure and response prevention (ERP), which is facing what you are afraid of (in a very controlled, supportive environment) and resisting the compulsions that have become so second-nature.
Not accepting new clients-waitlist- telehealth only! Hello! I’m Katie, and I look forward to supporting you. My specialty is working with adults who are struggling with obsessive-compulsive disorder (OCD). I also enjoy supporting those dealing with other anxiety disorders and depression. OCD is often unrecognized for what it is, as it can take a lot of different forms. Some indicators are recurrent doubts about whether one has done a certain action or about who they are at their core, significant trouble moving past certain unsettling thoughts/urges, and having to do something a certain way to "make up" for unnerving thoughts/urges.
Generally those having difficulty with OCD respond well to exposure and response prevention (ERP), which is facing what you are afraid of (in a very controlled, supportive environment) and resisting the compulsions that have become so second-nature.
Not accepting new clients-waitlist- telehealth only! Hello! I’m Katie, and I look forward to supporting you. My specialty is working with adults who are struggling with obsessive-compulsive disorder (OCD). I also enjoy supporting those dealing with other anxiety disorders and depression. OCD is often unrecognized for what it is, as it can take a lot of different forms. Some indicators are recurrent doubts about whether one has done a certain action or about who they are at their core, significant trouble moving past certain unsettling thoughts/urges, and having to do something a certain way to "make up" for unnerving thoughts/urges.
(508) 422-5260 View (508) 422-5260
Photo of Jennifer D Lish, PhD, Psychologist
Jennifer D Lish
Psychologist, PhD
Verified Verified
6 Endorsed
Westborough, MA 01581  (Online Only)
I specialize in using cognitive behavior therapy (CBT) techniques that have been shown by research to be effective for specific disorders such as obsessive-compulsive disorder, anxiety, panic, phobias, post-traumatic stress disorder, selective mutism, separation anxiety disorder, oppositional-defiant disorder, tics and depression. I treat adults, teens and children. I am active, directive, and involved in working with you to get you rapid relief from suffering. Treatment starts with a comprehensive diagnostic evaluation. Make sure you get the exact kind of treatment that has been shown by scientific research to be effective for the condition from which you are suffering. You deserve that.
I specialize in using cognitive behavior therapy (CBT) techniques that have been shown by research to be effective for specific disorders such as obsessive-compulsive disorder, anxiety, panic, phobias, post-traumatic stress disorder, selective mutism, separation anxiety disorder, oppositional-defiant disorder, tics and depression. I treat adults, teens and children. I am active, directive, and involved in working with you to get you rapid relief from suffering. Treatment starts with a comprehensive diagnostic evaluation. Make sure you get the exact kind of treatment that has been shown by scientific research to be effective for the condition from which you are suffering. You deserve that.
(508) 281-9597 View (508) 281-9597
Photo of Julie Y Winnick - Julie Y Winnick, MA LMHC, MA, LMHC, Counselor
Julie Y Winnick, MA LMHC
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Northborough, MA 01532  (Online Only)
I specialize in treating OCD, anxiety and Pervasive Developmental Disorders.
My empathic and supportive nature allows me to build productive therapeutic relationships in which clients discover paths to surpass their obstacles. I coordinate my expertise with clients' style of coping in order to create action strategies that best suit their needs. I find it important for my clients to feel they are empowered in their treatment, in turn feeling a sense of pride and renewal in their lives. I work with clients to find a balance in their lives by focusing on themselves, emotionally, physically and intellectually.
I specialize in treating OCD, anxiety and Pervasive Developmental Disorders.
My empathic and supportive nature allows me to build productive therapeutic relationships in which clients discover paths to surpass their obstacles. I coordinate my expertise with clients' style of coping in order to create action strategies that best suit their needs. I find it important for my clients to feel they are empowered in their treatment, in turn feeling a sense of pride and renewal in their lives. I work with clients to find a balance in their lives by focusing on themselves, emotionally, physically and intellectually.
(978) 956-0990 View (978) 956-0990
Photo of Jessica Spaman, LICSW, Clinical Social Work/Therapist
Jessica Spaman
Clinical Social Work/Therapist, LICSW
Verified Verified
Natick, MA 01760
In addition to my work with OCD and anxiety, I have experience in treating depression, trauma, body image issues, perinatal/maternal mental health, and life transitions.
I take a holistic approach to mental health that integrates the mind and body to foster healing and growth. My practice is trauma-informed, rooted in evidence-based techniques, and tailored to meet the unique needs of each individual. I specialize in treating OCD and anxiety-related disorders using Exposure and Response Prevention (ERP), a highly effective form of therapy that empowers clients to confront their fears and break free from the cycle of anxiety. I also integrate mindfulness, somatic work, practical self-care strategies, and lifestyle changes to support client's holistic well-being.
In addition to my work with OCD and anxiety, I have experience in treating depression, trauma, body image issues, perinatal/maternal mental health, and life transitions.
I take a holistic approach to mental health that integrates the mind and body to foster healing and growth. My practice is trauma-informed, rooted in evidence-based techniques, and tailored to meet the unique needs of each individual. I specialize in treating OCD and anxiety-related disorders using Exposure and Response Prevention (ERP), a highly effective form of therapy that empowers clients to confront their fears and break free from the cycle of anxiety. I also integrate mindfulness, somatic work, practical self-care strategies, and lifestyle changes to support client's holistic well-being.
(508) 501-9855 View (508) 501-9855
Photo of Nancy Leung, LICSW, Clinical Social Work/Therapist
Nancy Leung
Clinical Social Work/Therapist, LICSW
Verified Verified
Framingham, MA 01701  (Online Only)
Hi, my name is Nancy Nelson. I specialize in Anxiety, OCD, and Postpartum Anxiety/Depression. I have over 8 years of clinical experience. I collaboratively work with clients to help them suffer less, understand themselves more, and recognize triggers and overcome them with self-agency.I worked in inpatient psychiatric as a social worker years before I decided to be a therapist. After 4 years of being a therapist, I found myself gravitating more towards in treating those who have Anxiety/OCD/Post Partum-Depression/Anxiety.
Hi, my name is Nancy Nelson. I specialize in Anxiety, OCD, and Postpartum Anxiety/Depression. I have over 8 years of clinical experience. I collaboratively work with clients to help them suffer less, understand themselves more, and recognize triggers and overcome them with self-agency.I worked in inpatient psychiatric as a social worker years before I decided to be a therapist. After 4 years of being a therapist, I found myself gravitating more towards in treating those who have Anxiety/OCD/Post Partum-Depression/Anxiety.
(617) 398-4276 View (617) 398-4276
Photo of Kristen Springer, PhD, Psychologist
Kristen Springer
Psychologist, PhD
Verified Verified
Hopkinton, MA 01748  (Online Only)
I have expertise in Exposure & Response Prevention (ERP) for OCD and Cognitive Behavioral Therapy (CBT) for anxiety (social anxiety, panic, phobias, health anxiety) and depressive disorders.
Currently accepting new patients! I am a clinical psychologist who is committed to helping you reach your goals using structured and evidence-based treatment for OCD, anxiety, panic, phobias, depression & related disorders. I have authored a CBT book on the treatment of OCD and anxiety as well as several scientific journal articles and book chapters in the fields of anxiety, OCD, hoarding, and chronic pain. I use this knowledge to provide you with the best and most up-to-date care. The goal is to get you feeling better quickly so you can go back to using your time and energy toward the things that matter most to you.
I have expertise in Exposure & Response Prevention (ERP) for OCD and Cognitive Behavioral Therapy (CBT) for anxiety (social anxiety, panic, phobias, health anxiety) and depressive disorders.
Currently accepting new patients! I am a clinical psychologist who is committed to helping you reach your goals using structured and evidence-based treatment for OCD, anxiety, panic, phobias, depression & related disorders. I have authored a CBT book on the treatment of OCD and anxiety as well as several scientific journal articles and book chapters in the fields of anxiety, OCD, hoarding, and chronic pain. I use this knowledge to provide you with the best and most up-to-date care. The goal is to get you feeling better quickly so you can go back to using your time and energy toward the things that matter most to you.
(617) 767-0847 View (617) 767-0847
Photo of Shane MacDonald - OCD Specialist, Shane MacDonald, LICSW , LICSW, Clinical Social Work/Therapist
OCD Specialist, Shane MacDonald, LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Marlborough, MA 01752  (Online Only)
Our broad goal––of course––is “the end of unnecessary suffering.” Sound about right? While we all strive for this, I specialize in helping folks with a very-unique kind of suffering: OCD. I can tell you that few people understand the pain and complexity of OCD—(even most therapists). I will listen intently to your unique story. Just know that I can introduce you to an arsenal of tools that can help: mindfulness, ERP (exposure and response prevention) and on and on. Yes, thoughts can be “sticky.” But––with hard work––if (or when) those thoughts come back around…they can be as quiet & as harmless as a yellow post-it.
Our broad goal––of course––is “the end of unnecessary suffering.” Sound about right? While we all strive for this, I specialize in helping folks with a very-unique kind of suffering: OCD. I can tell you that few people understand the pain and complexity of OCD—(even most therapists). I will listen intently to your unique story. Just know that I can introduce you to an arsenal of tools that can help: mindfulness, ERP (exposure and response prevention) and on and on. Yes, thoughts can be “sticky.” But––with hard work––if (or when) those thoughts come back around…they can be as quiet & as harmless as a yellow post-it.
(617) 675-2000 View (617) 675-2000
Photo of Shane MacDonald -  OCD Specialist, Shane MacDonald, LICSW , LICSW, Clinical Social Work/Therapist
OCD Specialist, Shane MacDonald, LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Framingham, MA 01702  (Online Only)
Our broad goal––of course––is “the end of unnecessary suffering.” Sound about right? While we all strive for this, I specialize in helping folks with a very-unique kind of suffering: OCD. I can tell you that few people understand the pain and complexity of OCD—(even most therapists). I will listen intently to your unique story. Just know that I can introduce you to an arsenal of tools that can help: mindfulness, ERP (exposure and response prevention) and on and on. Yes, thoughts can be “sticky.” But––with hard work––if (or when) those thoughts come back around…they can be as quiet & as harmless as a yellow post-it.
Our broad goal––of course––is “the end of unnecessary suffering.” Sound about right? While we all strive for this, I specialize in helping folks with a very-unique kind of suffering: OCD. I can tell you that few people understand the pain and complexity of OCD—(even most therapists). I will listen intently to your unique story. Just know that I can introduce you to an arsenal of tools that can help: mindfulness, ERP (exposure and response prevention) and on and on. Yes, thoughts can be “sticky.” But––with hard work––if (or when) those thoughts come back around…they can be as quiet & as harmless as a yellow post-it.
(617) 675-2000 View (617) 675-2000

See more therapy options for Southborough

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.