Obsessive-Compulsive (OCD) Therapists in Midtown West, New York, NY

Photo of Aimee Rubin, LCSW , MA, Clinical Social Work/Therapist
Aimee Rubin
Clinical Social Work/Therapist, LCSW , MA
Verified Verified
Midtown West, New York, NY 10019
You are not alone. I am here to help and guide you through your journey. I specialize in OCD, anxiety, PTSD, and depression. I utilize Cognitive Behavior Therapy, Dialectical Behavior Therapy, and Exposure Response Prevention Therapy. Together we will develop a treatment plan that is specific towards your needs. I strive to provide you with the support and tools for a better as well as healthier you.
You are not alone. I am here to help and guide you through your journey. I specialize in OCD, anxiety, PTSD, and depression. I utilize Cognitive Behavior Therapy, Dialectical Behavior Therapy, and Exposure Response Prevention Therapy. Together we will develop a treatment plan that is specific towards your needs. I strive to provide you with the support and tools for a better as well as healthier you.
(845) 818-3066 View (845) 818-3066
Photo of Michael Maher, PhD, Psychologist
Michael Maher
Psychologist, PhD
Verified Verified
Midtown West, New York, NY 10018
Areas of expertise include the diagnosis and treatment of anxiety, OCD, OCD spectrum disorders, mood disorders, adult ADHD, health anxiety, and chronic pain.
I realize that it takes great courage to look for help. In working together with you, I will listen carefully to your problems and goals. It is my aim to make you feel comfortable, to understand your challenges, and to provide you with the most effective solutions available based on current research and expert practices. To do this I use evidence based treatments that have been tested to ensure they are effective while tailoring these to your own needs and goals. These include cognitive behavioral therapy, Acceptance & Commitment Therapy, mindfulness meditation, and motivational training to help clarify and accomplish your goals.
Areas of expertise include the diagnosis and treatment of anxiety, OCD, OCD spectrum disorders, mood disorders, adult ADHD, health anxiety, and chronic pain.
I realize that it takes great courage to look for help. In working together with you, I will listen carefully to your problems and goals. It is my aim to make you feel comfortable, to understand your challenges, and to provide you with the most effective solutions available based on current research and expert practices. To do this I use evidence based treatments that have been tested to ensure they are effective while tailoring these to your own needs and goals. These include cognitive behavioral therapy, Acceptance & Commitment Therapy, mindfulness meditation, and motivational training to help clarify and accomplish your goals.
(917) 652-6957 View (917) 652-6957
Photo of Jason Duncan, PhD, Psychologist
Jason Duncan
Psychologist, PhD
Verified Verified
Midtown West, New York, NY 10019
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
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Photo of Jason Duncan, PhD, Psychologist
Jason Duncan
Psychologist, PhD
Verified Verified
Midtown West, New York, NY 10036
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
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Photo of Iva Svancarova, LMHC, Counselor
Iva Svancarova
Counselor, LMHC
Verified Verified
Midtown West, New York, NY 10036  (Online Only)
Certified Brainspotting Therapist specializing in OCD and trauma. I am offering safe and relaxed space, where the goal is to empower my clients to work on their issues but also give my clients concrete healing tools to take home with them and use daily. Tools from evidence based Exposure Response Prevention Therapy, Dialectical Behavioral Therapy and brain -body therapy of Brainspotting with a successful rate of healing trauma, OCD, anxiety, pain and sport injury trauma to name few.
Certified Brainspotting Therapist specializing in OCD and trauma. I am offering safe and relaxed space, where the goal is to empower my clients to work on their issues but also give my clients concrete healing tools to take home with them and use daily. Tools from evidence based Exposure Response Prevention Therapy, Dialectical Behavioral Therapy and brain -body therapy of Brainspotting with a successful rate of healing trauma, OCD, anxiety, pain and sport injury trauma to name few.
(929) 207-1426 View (929) 207-1426
Photo of Lauren J. Hoffman, PsyD, Psychologist
Lauren J. Hoffman
Psychologist, PsyD
Verified Verified
Midtown West, New York, NY 10019
I specialize in treating anxiety, obsessive compulsive disorder, and related challenges, including perfectionism, stress, sleep issues, and relationship problems. I have advanced training in Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP), as well as mindfulness and acceptance-based techniques. I am a licensed psychologist in independent practice, having recently served as Assistant Professor at Columbia University Clinic for Anxiety and Related Disorders.
I specialize in treating anxiety, obsessive compulsive disorder, and related challenges, including perfectionism, stress, sleep issues, and relationship problems. I have advanced training in Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP), as well as mindfulness and acceptance-based techniques. I am a licensed psychologist in independent practice, having recently served as Assistant Professor at Columbia University Clinic for Anxiety and Related Disorders.
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Photo of Saba Tanvir, LCSW, Clinical Social Work/Therapist
Saba Tanvir
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Midtown West, New York, NY 10019  (Online Only)
I specialize in working with children, teens and adults who are enduring anxiety, depression, OCD and/or have a history of trauma.
Choosing the right therapist can be difficult, confusing and perhaps overwhelming. I have an engaging, compassionate and easy-going style that helps my clients feel comfortable. In my practice, I utilize strength based approaches in conjunction with Cognitive Behavior Therapy, Motivational Interviewing and Psychodynamic Therapy.
I specialize in working with children, teens and adults who are enduring anxiety, depression, OCD and/or have a history of trauma.
Choosing the right therapist can be difficult, confusing and perhaps overwhelming. I have an engaging, compassionate and easy-going style that helps my clients feel comfortable. In my practice, I utilize strength based approaches in conjunction with Cognitive Behavior Therapy, Motivational Interviewing and Psychodynamic Therapy.
(929) 531-6923 View (929) 531-6923
Photo of Cameron R. Armstrong, LCSW, Clinical Social Work/Therapist
Cameron R. Armstrong
Clinical Social Work/Therapist, LCSW
Verified Verified
7 Endorsed
Midtown West, New York, NY 10001
20 years experience helping clients become good at life, not good at coming to therapy. Let's build a toolbox of specific skills that maintain good mental health to overcome depression, anxiety, trauma, OCD, and many other areas of struggle. The goal is to process, assess, and provide a clear picture of where you stand now with concrete next steps on how to grow and heal.
20 years experience helping clients become good at life, not good at coming to therapy. Let's build a toolbox of specific skills that maintain good mental health to overcome depression, anxiety, trauma, OCD, and many other areas of struggle. The goal is to process, assess, and provide a clear picture of where you stand now with concrete next steps on how to grow and heal.
(385) 474-1332 View (385) 474-1332
Photo of Eleanore Hall, PsyD, Psychologist
Eleanore Hall
Psychologist, PsyD
Verified Verified
1 Endorsed
Midtown West, New York, NY 10019
Eleanore Hall, Psy.D. is a licensed clinical psychologist specializing in the evidence-based treatment of childhood anxiety, OCD, and related disorders, as well as perinatal adjustment and mood difficulties. She has expertise in cognitive-behavioral therapy (CBT), exposure and response prevention treatment (ERP), Parent-Child Interaction Therapy (PCIT), and the SPACE parent-based treatment program. Dr. Hall also pursued specialized postdoctoral training in perinatal psychology through the Irving Harris Program. Her work is driven by a passion for helping individuals to get back in the driver’s seat and regain a sense of freedom.
Eleanore Hall, Psy.D. is a licensed clinical psychologist specializing in the evidence-based treatment of childhood anxiety, OCD, and related disorders, as well as perinatal adjustment and mood difficulties. She has expertise in cognitive-behavioral therapy (CBT), exposure and response prevention treatment (ERP), Parent-Child Interaction Therapy (PCIT), and the SPACE parent-based treatment program. Dr. Hall also pursued specialized postdoctoral training in perinatal psychology through the Irving Harris Program. Her work is driven by a passion for helping individuals to get back in the driver’s seat and regain a sense of freedom.
(646) 450-3455 View (646) 450-3455
Photo of Stacy Babbitt, LCSW, Clinical Social Work/Therapist
Stacy Babbitt
Clinical Social Work/Therapist, LCSW
Verified Verified
Midtown West, New York, NY 10019  (Online Only)
I strive to create a safe and productive space in which you can comfortably share your struggles, be it depression, anxiety, Obsessive-Compulsive Disorder, past trauma, relationship issues or discomfort of any kind. I am an active and directive participant in the therapeutic process. No matter where in your life you are struggling, together we will establish goals and achieve results. With compassion, experience, skill, and a bit of humor, I aim to help my clients get out of their own way, strengthen their ability to cope, and achieve greater satisfaction with their life and relationships.
I strive to create a safe and productive space in which you can comfortably share your struggles, be it depression, anxiety, Obsessive-Compulsive Disorder, past trauma, relationship issues or discomfort of any kind. I am an active and directive participant in the therapeutic process. No matter where in your life you are struggling, together we will establish goals and achieve results. With compassion, experience, skill, and a bit of humor, I aim to help my clients get out of their own way, strengthen their ability to cope, and achieve greater satisfaction with their life and relationships.
(347) 577-9720 View (347) 577-9720
Photo of James Bender Jr, PsyD, Psychologist
James Bender Jr
Psychologist, PsyD
Verified Verified
1 Endorsed
Midtown West, New York, NY 10019
Finding the right therapist/therapy for your struggles is very challenging. If you suffer from problems with anxiety, panic attacks, obsessive-compulsive thoughts/behaviors (see ocdintensive.com), or impulse control problems (such as hair pulling, skin picking) then the therapy that's been found in research to be the most effective is Cognitive-behavioral therapy. I have extensive experience and training using Cognitive-behavioral therapy to that these problems.
Finding the right therapist/therapy for your struggles is very challenging. If you suffer from problems with anxiety, panic attacks, obsessive-compulsive thoughts/behaviors (see ocdintensive.com), or impulse control problems (such as hair pulling, skin picking) then the therapy that's been found in research to be the most effective is Cognitive-behavioral therapy. I have extensive experience and training using Cognitive-behavioral therapy to that these problems.
(646) 502-9129 View (646) 502-9129
Photo of Shannon Harvey, MA, MS, PsyD, Psychologist
Shannon Harvey
Psychologist, MA, MS, PsyD
Verified Verified
Midtown West, New York, NY 10019
I am a NYS licensed clinical psychologist specializing in CBT for children, adolescents, and adults. Specialty areas that I treat consist of anxiety disorders, OCD, autism, attention-deficit/hyperactivity disorder (ADHD), and other behavioral and developmental disorders. In addition, I have specialized training in applied behavioral analysis, parent training, motivational interviewing, and mindfulness. I take pride in being empathic, genuine, and creative in my approaches with my clients. I believe in utilizing the latest empirical research and technological advances in the field to provide the best quality of care.
I am a NYS licensed clinical psychologist specializing in CBT for children, adolescents, and adults. Specialty areas that I treat consist of anxiety disorders, OCD, autism, attention-deficit/hyperactivity disorder (ADHD), and other behavioral and developmental disorders. In addition, I have specialized training in applied behavioral analysis, parent training, motivational interviewing, and mindfulness. I take pride in being empathic, genuine, and creative in my approaches with my clients. I believe in utilizing the latest empirical research and technological advances in the field to provide the best quality of care.
(631) 354-4386 View (631) 354-4386
Photo of Marina Gershkovich, PhD, ABPP, Psychologist
Marina Gershkovich
Psychologist, PhD, ABPP
Verified Verified
1 Endorsed
Midtown West, New York, NY 10019
Marina Gershkovich, Ph.D., ABPP, is a licensed psychologist with a practice in New York. She is board-certified in Behavioral and Cognitive Psychology, and specializes in evidence-based treatment of anxiety disorders and OCD. Dr. Gershkovich is also an Assistant Professor of Clinical Psychology (in Psychiatry) at Columbia University Medical Center at New York State Psychiatric Institute. Dr. Gershkovich received her undergraduate degree from Cornell University, and her Ph.D. in clinical psychology from Drexel University. She completed held academic appointments at the Boston University School of Medicine and Harvard Medical School.
Marina Gershkovich, Ph.D., ABPP, is a licensed psychologist with a practice in New York. She is board-certified in Behavioral and Cognitive Psychology, and specializes in evidence-based treatment of anxiety disorders and OCD. Dr. Gershkovich is also an Assistant Professor of Clinical Psychology (in Psychiatry) at Columbia University Medical Center at New York State Psychiatric Institute. Dr. Gershkovich received her undergraduate degree from Cornell University, and her Ph.D. in clinical psychology from Drexel University. She completed held academic appointments at the Boston University School of Medicine and Harvard Medical School.
(347) 695-3993 View (347) 695-3993
Photo of Andrew B Schmidt, PhD, LCSW-R, Clinical Social Work/Therapist
Andrew B Schmidt
Clinical Social Work/Therapist, PhD, LCSW-R
Verified Verified
Midtown West, New York, NY 10018
Struggling with anxiety or depression? Dealing with Obsessive Compulsive Disorder (OCD)? Recovering from a traumatic experience (PTSD)? Stuck in an unhealthy routine? With 15+ years of experience, I provide Cognitive Behavioral Therapy (CBT) in a supportive environment, encouraging change at a pace that feels right for you. I am highly skilled with CBT and have extensive training with Exposure and Response Prevention (ERP) and other exposure based approaches.
Struggling with anxiety or depression? Dealing with Obsessive Compulsive Disorder (OCD)? Recovering from a traumatic experience (PTSD)? Stuck in an unhealthy routine? With 15+ years of experience, I provide Cognitive Behavioral Therapy (CBT) in a supportive environment, encouraging change at a pace that feels right for you. I am highly skilled with CBT and have extensive training with Exposure and Response Prevention (ERP) and other exposure based approaches.
(646) 846-1178 View (646) 846-1178
Photo of Divya Robin, LMHC, Counselor
Divya Robin
Counselor, LMHC
Verified Verified
3 Endorsed
Midtown West, New York, NY 10019
With extensive training in CBT, ACT, ERP, and Interpersonal Therapy, I've helped countless individuals overcome mental health challenges like OCD, anxiety, life transitions, and trauma.
Ready to conquer anxiety once and for all? Or maybe you're yearning for the fulfilling relationships you've always wanted? Look no further – your path to a brighter, more balanced life begins here. As a licensed psychotherapist, wellness consultant, and anxiety specialist, my mission is to empower you to break free from the chains of anxiety and unlock the relationships you crave. I specialize in helping individuals like you shift those limiting beliefs, effectively navigate emotions, and build the essential skills for nurturing healthy connections.
With extensive training in CBT, ACT, ERP, and Interpersonal Therapy, I've helped countless individuals overcome mental health challenges like OCD, anxiety, life transitions, and trauma.
Ready to conquer anxiety once and for all? Or maybe you're yearning for the fulfilling relationships you've always wanted? Look no further – your path to a brighter, more balanced life begins here. As a licensed psychotherapist, wellness consultant, and anxiety specialist, my mission is to empower you to break free from the chains of anxiety and unlock the relationships you crave. I specialize in helping individuals like you shift those limiting beliefs, effectively navigate emotions, and build the essential skills for nurturing healthy connections.
(201) 817-4451 View (201) 817-4451
Photo of Dr. Shmaya (Steven) Krinsky, PsyD, Psychologist
Dr. Shmaya (Steven) Krinsky
Psychologist, PsyD
Verified Verified
6 Endorsed
Midtown West, New York, NY 10069  (Online Only)
I am a Cognitive Behavioral therapist (CBT) specializing in anxiety and obsessive compulsive disorder.
Are you feeling anxious, overwhelmed, or stressed? Does it feel like you are more anxious than other people around you feel? Does it sometimes feel as though your anxiety is taking control of your life? If you answered yes to any of the questions above, then you understand the impact anxiety can have on one's life. It can limit activities that are important or meaningful, and make life seem smaller and more constricted. This is a common experience for those struggling with anxiety disorders.
I am a Cognitive Behavioral therapist (CBT) specializing in anxiety and obsessive compulsive disorder.
Are you feeling anxious, overwhelmed, or stressed? Does it feel like you are more anxious than other people around you feel? Does it sometimes feel as though your anxiety is taking control of your life? If you answered yes to any of the questions above, then you understand the impact anxiety can have on one's life. It can limit activities that are important or meaningful, and make life seem smaller and more constricted. This is a common experience for those struggling with anxiety disorders.
(551) 292-8879 View (551) 292-8879
Photo of Javier Ballesteros, PsyD, Psychologist
Javier Ballesteros
Psychologist, PsyD
Verified Verified
Midtown West, New York, NY 10036
Welcome! I am a licensed clinical psychologist specialized in the treatment of anxiety, depression, OCD, and related disorders. I really enjoy this work. Psychotherapy is offered both in English and in Spanish either via video or in my office conveniently located in midtown Manhattan. Treatment is primarily CBT/ERP, with adjuncts of other modalities when appropriate. Within the context of a caring and warm relationship, I work with you to identify your personal goals and to develop a plan for reaching them. Please feel free to go to my website http://centeranxietyocd.com/ to learn more about me. *CURRENTLY ACCEPTING NEW CLIENTS*
Welcome! I am a licensed clinical psychologist specialized in the treatment of anxiety, depression, OCD, and related disorders. I really enjoy this work. Psychotherapy is offered both in English and in Spanish either via video or in my office conveniently located in midtown Manhattan. Treatment is primarily CBT/ERP, with adjuncts of other modalities when appropriate. Within the context of a caring and warm relationship, I work with you to identify your personal goals and to develop a plan for reaching them. Please feel free to go to my website http://centeranxietyocd.com/ to learn more about me. *CURRENTLY ACCEPTING NEW CLIENTS*
(646) 798-2756 View (646) 798-2756
Photo of Nadeen Beshai, LMSW, Clinical Social Work/Therapist
Nadeen Beshai
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Midtown West, New York, NY 10069  (Online Only)
Do you struggle with intense anxiety, low moods, compulsive behavior, or intrusive thoughts? Does it feel like your OCD is running your life? Do you feel exhausted and overwhelmed by how to manage your worries and stress? Do you feel at a loss for how to regain a sense of control? Many people struggle with anxiety and feel unsure how to manage it, so know you are not alone. I am passionate about providing clients with the support and tools needed for anxiety and OCD recovery.
Do you struggle with intense anxiety, low moods, compulsive behavior, or intrusive thoughts? Does it feel like your OCD is running your life? Do you feel exhausted and overwhelmed by how to manage your worries and stress? Do you feel at a loss for how to regain a sense of control? Many people struggle with anxiety and feel unsure how to manage it, so know you are not alone. I am passionate about providing clients with the support and tools needed for anxiety and OCD recovery.
(646) 437-8857 View (646) 437-8857
Photo of Aliza Shapiro, LCSW, Clinical Social Work/Therapist
Aliza Shapiro
Clinical Social Work/Therapist, LCSW
Verified Verified
Midtown West, New York, NY 10019
Aliza Shapiro, LCSW, is a licensed psychotherapist and Founder of Therapy In The City, PLLC. Aliza practices in NY, NJ, FL, and CA and utilizes both Cognitive and Dialectical Behavior therapies in her treatment approach. In her clinical work, Aliza helps adults, young adults, and adolescents overcome an array of mental health challenges including depression, OCD, anxiety, and general life transitions. Aliza has advanced training in Dialectical Behavior Therapy and Cognitive Behavior Therapy, and specializes in treating depression, OCD, panic, and anxiety disorders.
Aliza Shapiro, LCSW, is a licensed psychotherapist and Founder of Therapy In The City, PLLC. Aliza practices in NY, NJ, FL, and CA and utilizes both Cognitive and Dialectical Behavior therapies in her treatment approach. In her clinical work, Aliza helps adults, young adults, and adolescents overcome an array of mental health challenges including depression, OCD, anxiety, and general life transitions. Aliza has advanced training in Dialectical Behavior Therapy and Cognitive Behavior Therapy, and specializes in treating depression, OCD, panic, and anxiety disorders.
(646) 576-7874 View (646) 576-7874
Photo of Trauma And Ocd Therapist - Allison Mills, LMSW, Clinical Social Work/Therapist
Trauma And Ocd Therapist - Allison Mills
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Midtown West, New York, NY 10069  (Online Only)
Waitlist for new clients
Life can feel overwhelming and confusing when we are met with expectations that do not align with authentic self. I believe positive and effective change can happen once we become more confident and empowered within ourselves. I work with individuals to feel confident to make effective change within their life in order meet their personal and therapeutic goals. I primarily work individuals with disrupted attachments related to childhood trauma, and sexual trauma; in addition to depression, anxiety, OCD (specifically, Relationship-OCD, Contamination-OCD, Perfectionism-OCD), and personality disorders.
Life can feel overwhelming and confusing when we are met with expectations that do not align with authentic self. I believe positive and effective change can happen once we become more confident and empowered within ourselves. I work with individuals to feel confident to make effective change within their life in order meet their personal and therapeutic goals. I primarily work individuals with disrupted attachments related to childhood trauma, and sexual trauma; in addition to depression, anxiety, OCD (specifically, Relationship-OCD, Contamination-OCD, Perfectionism-OCD), and personality disorders.
(585) 476-1997 View (585) 476-1997
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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.