Obsessive-Compulsive (OCD) Therapists in Westchester, NY
![Photo of Dr. Carlos Rivera New England Center For Ocd And Anxiety New York, PhD, Psychologist](https://photos.psychologytoday.com/711269d7-7261-4807-90ea-02252b0ce3c9/2/320x400.jpeg)
Dr. Carlos Rivera New England Center For Ocd And Anxiety New York
Psychologist, PhD
Verified Verified
4 Endorsed
Westchester, NY 10461
Most of those we work with struggle with anxiety, OCD, relationship issues, existential crises, family/job/school stress, motivation/satisfaction, organization, and trauma.
My work is about guiding you in a journey so you can (re)discover what it is you most care about and want to stand for in life. We'll explore helpful and unhelpful patterns in your life made up by emotions, thoughts, behaviors, urges, histories, the contexts in which they occur, and how they are related to others in your life. Based on what you deeply care about and the existing challenges, we develop a plan of action highlighting processes and skills that help you live the life you want and free yourself from suffering. for more, go to NECOANY.org or https://drive.google.com/file/d/1D4ipnpeRa5XBivyTJt1eBMSdPzVA46ql/view?usp=sharing
Most of those we work with struggle with anxiety, OCD, relationship issues, existential crises, family/job/school stress, motivation/satisfaction, organization, and trauma.
My work is about guiding you in a journey so you can (re)discover what it is you most care about and want to stand for in life. We'll explore helpful and unhelpful patterns in your life made up by emotions, thoughts, behaviors, urges, histories, the contexts in which they occur, and how they are related to others in your life. Based on what you deeply care about and the existing challenges, we develop a plan of action highlighting processes and skills that help you live the life you want and free yourself from suffering. for more, go to NECOANY.org or https://drive.google.com/file/d/1D4ipnpeRa5XBivyTJt1eBMSdPzVA46ql/view?usp=sharing
![Photo of Dr. Lauren Wadsworth, PhD, ABPP, Psychologist](https://photos.psychologytoday.com/626830d0-11a8-4bab-be5a-3b4e83b0e637/2/320x400.jpeg)
My passion is treating severe Anxiety and Obsessive Compulsive Disorder. My clients joke that I am "not a talk therapist, but a 'do' therapist," as sessions are often very active and skills focused. I provide evidence-based treatments (methods proven by research to be more effective than general talk therapy), as my goal is to help people get results as soon as possible. In addition to providing therapy I am the founding director of two Western NY based clinics: Genesee Valley Psychology and Meridian Psychology Practice. I am also affiliated with the University of Rochester Medical Center and McLean Hospital/Harvard Medical School.
My passion is treating severe Anxiety and Obsessive Compulsive Disorder. My clients joke that I am "not a talk therapist, but a 'do' therapist," as sessions are often very active and skills focused. I provide evidence-based treatments (methods proven by research to be more effective than general talk therapy), as my goal is to help people get results as soon as possible. In addition to providing therapy I am the founding director of two Western NY based clinics: Genesee Valley Psychology and Meridian Psychology Practice. I am also affiliated with the University of Rochester Medical Center and McLean Hospital/Harvard Medical School.
![Photo of Dr. Holly Schiff, PsyD, Psychologist](https://photos.psychologytoday.com/ee350212-eb45-4a81-926f-fe49158ad3d9/1/320x400.jpeg)
Dr. Holly Schiff
Psychologist, PsyD
Verified Verified
Westchester, NY 10461 (Online Only)
Waitlist for new clients
Has your child failed to connect with other mental health providers? I am a licensed clinical psychologist with an exclusive focus on children, adolescents, young adults and their families. I excel at developing a rapport with this age group which lays the groundwork for a positive therapeutic relationship. Treatment specialties include anxiety, depression, stress, underachievement, relationships, school refusal, divorce, OCD, suicidal ideation/self-harm, Autism, Eating Disorders, bullying, and grief/loss.
Has your child failed to connect with other mental health providers? I am a licensed clinical psychologist with an exclusive focus on children, adolescents, young adults and their families. I excel at developing a rapport with this age group which lays the groundwork for a positive therapeutic relationship. Treatment specialties include anxiety, depression, stress, underachievement, relationships, school refusal, divorce, OCD, suicidal ideation/self-harm, Autism, Eating Disorders, bullying, and grief/loss.
![Photo of Olivia Bucci, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/57e0b402-7de9-4733-a1fc-85c5d9078e0b/2/320x400.jpeg)
I am well-versed in treating Anxiety, Depression, Obsessive-compulsive disorder, ADHD, trauma, interpersonal relationship issues, family conflict, life transitions and defiance/behavioral issues.
I am a Licensed Clinical Social Worker practicing in Connecticut. I am also licensed in New York. I specialize in working with children, adolescents and adults on an array of issues that may be disrupting everyday functioning and affecting overall well-being. I understand that each individual life is complex, so I work to understand all of my client's internal struggles as well as external environmental stressors. Throughout my work, I use a strengths based approach, while utilizing aspects of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and psychodynamic frameworks.
I am well-versed in treating Anxiety, Depression, Obsessive-compulsive disorder, ADHD, trauma, interpersonal relationship issues, family conflict, life transitions and defiance/behavioral issues.
I am a Licensed Clinical Social Worker practicing in Connecticut. I am also licensed in New York. I specialize in working with children, adolescents and adults on an array of issues that may be disrupting everyday functioning and affecting overall well-being. I understand that each individual life is complex, so I work to understand all of my client's internal struggles as well as external environmental stressors. Throughout my work, I use a strengths based approach, while utilizing aspects of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and psychodynamic frameworks.
![Photo of Robyn Tomlin, BAPsych, MFA, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0bcb36a1-4b3c-4556-9659-73ba130b710b/2/320x400.jpeg)
Robyn Tomlin
Clinical Social Work/Therapist, BAPsych, MFA, LCSW
Verified Verified
Westchester, NY 10461 (Online Only)
Welcome. Life can become overwhelming sometimes ( understatement! ). My sessions are authentic, very interactive, empathetic, and solution focused. You will get more clarity on the issues you're facing, have more self-awareness, and insights(!), feel well supported, learn strategies to use unique to you, and grow a lot. I am experienced in successfully treating a variety of issues: Stress, Anxiety or Panic, Adapting to change, Depression, Bi-Polar, OCD, Trauma/PTSD, Fear, Spectrum Disorder, Addictions, Issues in Divorce/pre-div, Survivors of Abuse & Narcissistic Abuse, or clients who are/were psycho-emotionally violated by others.
Welcome. Life can become overwhelming sometimes ( understatement! ). My sessions are authentic, very interactive, empathetic, and solution focused. You will get more clarity on the issues you're facing, have more self-awareness, and insights(!), feel well supported, learn strategies to use unique to you, and grow a lot. I am experienced in successfully treating a variety of issues: Stress, Anxiety or Panic, Adapting to change, Depression, Bi-Polar, OCD, Trauma/PTSD, Fear, Spectrum Disorder, Addictions, Issues in Divorce/pre-div, Survivors of Abuse & Narcissistic Abuse, or clients who are/were psycho-emotionally violated by others.
![Photo of Susan Snyder Young, LCSW, DBT-LBC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ebdb9ef3-b09b-4d0c-b7af-38f4d347fc65/2/320x400.jpeg)
Susan Snyder Young
Clinical Social Work/Therapist, LCSW, DBT-LBC
Verified Verified
Westchester, NY 10461 (Online Only)
Susan strives to collaborate with her clients on a treatment roadmap that best suits their needs. Her approach relies on behavioral principles to help foster new ways of coping. Susan pairs her warm and validating demeanor with teaching evidence-based strategies to help clients effectively problem solve, improve self-esteem, manage difficult emotions, change unhelpful thoughts, and decrease relationship stress.
Susan strives to collaborate with her clients on a treatment roadmap that best suits their needs. Her approach relies on behavioral principles to help foster new ways of coping. Susan pairs her warm and validating demeanor with teaching evidence-based strategies to help clients effectively problem solve, improve self-esteem, manage difficult emotions, change unhelpful thoughts, and decrease relationship stress.
![Photo of Kristen M Decker, LMHC, Counselor](https://photos.psychologytoday.com/7b56c90a-b9cb-4682-9ffe-f10aceff6969/1/320x400.jpeg)
Throughout my career as a Licensed Mental Health Therapist, I have witnessed the transformative power of therapy and the positive impact it can have on individuals and their loved ones. I have seen firsthand the resilience and strength that people possess, and it is truly inspiring. As I continue on my journey in the helping field, I am open to new opportunities and challenges. I am committed to making a positive impact in people's lives every day; and with each new opportunity, my passion for helping others continues to grow. I am excited to see what the future holds in continuing to serve others in need.
Throughout my career as a Licensed Mental Health Therapist, I have witnessed the transformative power of therapy and the positive impact it can have on individuals and their loved ones. I have seen firsthand the resilience and strength that people possess, and it is truly inspiring. As I continue on my journey in the helping field, I am open to new opportunities and challenges. I am committed to making a positive impact in people's lives every day; and with each new opportunity, my passion for helping others continues to grow. I am excited to see what the future holds in continuing to serve others in need.
![Photo of Nicole Alicino - Dr. Nicole Alicino- Autism Specialist , PhD, Psychologist](https://photos.psychologytoday.com/43ce46da-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I specialize in providing support to individuals with Autism, neurodivergence, and those with anxiety, depression, and social difficulties. My commitment is to empower the people I work with to cultivate healthy & enriching lives. I offer a range of services, including psychotherapy for both individuals and families, as well as psychological and diagnostic assessments for children, teenagers, and adults. I also conduct assessments for Autism in adults. In my practice, I employ a personalized and collaborative approach. Using a cognitive-behavioral framework, my aim is to help clients develop a deeper self-awareness and peace.
I specialize in providing support to individuals with Autism, neurodivergence, and those with anxiety, depression, and social difficulties. My commitment is to empower the people I work with to cultivate healthy & enriching lives. I offer a range of services, including psychotherapy for both individuals and families, as well as psychological and diagnostic assessments for children, teenagers, and adults. I also conduct assessments for Autism in adults. In my practice, I employ a personalized and collaborative approach. Using a cognitive-behavioral framework, my aim is to help clients develop a deeper self-awareness and peace.
![Photo of Kevin G. O'Donoghue, LMHC, MS, Counselor](https://photos.psychologytoday.com/039659c5-fd15-4b0c-8d8e-98a44451edb2/1/320x400.jpeg)
Trained in cognitive AND feeling therapy, I combine both approaches to uncover the core of a client's issues. I encourage curiosity rather than self or other blame. Only through curiosity and self reflection can a person move from a place of feeling stuck to a place where life starts flowing again. Over 23,000 clinical hours working with symptoms like anxiety, depression, trauma, addiction, interpersonal conflict, family of origin issues, etc.. Also, specialist in Enneagram Personality System and Gregorc Learning styles.
Trained in cognitive AND feeling therapy, I combine both approaches to uncover the core of a client's issues. I encourage curiosity rather than self or other blame. Only through curiosity and self reflection can a person move from a place of feeling stuck to a place where life starts flowing again. Over 23,000 clinical hours working with symptoms like anxiety, depression, trauma, addiction, interpersonal conflict, family of origin issues, etc.. Also, specialist in Enneagram Personality System and Gregorc Learning styles.
![Photo of Warren Selekman, PhD, Psychologist](https://photos.psychologytoday.com/2d6f1a5e-a168-4a9c-b87d-94d58f8c9371/3/320x400.jpeg)
I have nearly 50 years experience as a Clinical psychologist and am Professor Emeritus at Adelphi University. For the past two years, I have been exclusively a Telehealth provider through Zoom. If you struggle with anxiety and/or PTSD, depression, sexual difficulties, marriage or relational problems, let me help you. If you are a member of emergency or law enforcement services or the military, I am familiar with the cultures and can help you. I have treated all sorts of NYC employees and administrators. I am a member of virtually all the major managed care provider panels. I look forward to your call.
I have nearly 50 years experience as a Clinical psychologist and am Professor Emeritus at Adelphi University. For the past two years, I have been exclusively a Telehealth provider through Zoom. If you struggle with anxiety and/or PTSD, depression, sexual difficulties, marriage or relational problems, let me help you. If you are a member of emergency or law enforcement services or the military, I am familiar with the cultures and can help you. I have treated all sorts of NYC employees and administrators. I am a member of virtually all the major managed care provider panels. I look forward to your call.
![Photo of Lisa Bargellini, MS, LMHC, CEDS, Counselor](https://photos.psychologytoday.com/3e3c75ba-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
If you have been struggling to feel connected with others and in life, coping by using self-destructive behaviors, or simply want to gain insight into behaviors and responses, therapy will be a useful tool. Making small changes in your way of coping can bring about positive and deserving results - and with my services, I will help you achieve just that. I tailor therapy to suit everyone's needs, and discover what works best for you in your treatment.
If you have been struggling to feel connected with others and in life, coping by using self-destructive behaviors, or simply want to gain insight into behaviors and responses, therapy will be a useful tool. Making small changes in your way of coping can bring about positive and deserving results - and with my services, I will help you achieve just that. I tailor therapy to suit everyone's needs, and discover what works best for you in your treatment.
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![Photo of Carl Jung - Jung Professional Referral Service, Licensed Psychoanalyst](https://photos.psychologytoday.com/3e8d0fb8-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jungian analysis and psychotherapy treat a wide range of life's concerns and issues. Treatment focuses on resolving current difficulties or life changes, exploring relationship patterns or work conflicts, on understanding one's personal history more deeply, and more generally, on personal meaning and an enhanced quality of life. Certified Jungian analysts and psychotherapists are located in the greater New York area, including Westchester, Connecticut and New Jersey. Referrals can also be made to Jungian analysts in the wider United States and many countries throughout the world.
Jungian analysis and psychotherapy treat a wide range of life's concerns and issues. Treatment focuses on resolving current difficulties or life changes, exploring relationship patterns or work conflicts, on understanding one's personal history more deeply, and more generally, on personal meaning and an enhanced quality of life. Certified Jungian analysts and psychotherapists are located in the greater New York area, including Westchester, Connecticut and New Jersey. Referrals can also be made to Jungian analysts in the wider United States and many countries throughout the world.
![Photo of Lauren Lascher, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5c28c7ff-c24e-4be0-be3d-cefe40b2cc92/8/320x400.jpeg)
Therapy can have a profound impact on a person’s life and overall well-being – offering assistance and guidance in uncovering and healing past wounds, and transforming ways of seeing and interacting with the world. Therapy can serve as a way to gain insight into oneself and ones environmental influences, as well as provide a deeply reparative relationship and process.
Therapy can have a profound impact on a person’s life and overall well-being – offering assistance and guidance in uncovering and healing past wounds, and transforming ways of seeing and interacting with the world. Therapy can serve as a way to gain insight into oneself and ones environmental influences, as well as provide a deeply reparative relationship and process.
![Photo of Carrol Bissoondial, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7e458b71-6dc4-4119-9df6-983055ed3a33/2/320x400.png)
Carrol Bissoondial
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Westchester, NY 10461 (Online Only)
Carrol Bissoondial, is a Licensed Clinical Social Worker with over ten years of experience. She has worked with diverse populations dealing with a wide range of mental illnesses. She has worked with clients of all ages, but her focus is mainly on adults.One of Carrol’s favorite approaches, when treating her clients, is Developing Effectiveness and Positive Skills. She believes that a positive attitude and/or perspective can make a big difference in our ability to live our best lives. She also believes in a holistic approach because she feels our minds and bodies are intertwined and must be treated as a whole.
Carrol Bissoondial, is a Licensed Clinical Social Worker with over ten years of experience. She has worked with diverse populations dealing with a wide range of mental illnesses. She has worked with clients of all ages, but her focus is mainly on adults.One of Carrol’s favorite approaches, when treating her clients, is Developing Effectiveness and Positive Skills. She believes that a positive attitude and/or perspective can make a big difference in our ability to live our best lives. She also believes in a holistic approach because she feels our minds and bodies are intertwined and must be treated as a whole.
![Photo of Dr. Erica E. Gardner-Schuster, PhD, MA, Psychologist](https://photos.psychologytoday.com/8548a280-d5f2-4ad4-9154-2382a05ae88d/1/320x400.jpeg)
Dr. Erica E. Gardner-Schuster
Psychologist, PhD, MA
Verified Verified
Westchester, NY 10461 (Online Only)
Welcome. Let's begin. You are taking an important step toward a more meaningful life. As your group therapist, I create empathic, safe group therapy spaces for you to clarify your life priorities & purpose, heal, grow, bring about lasting change & feel less lonely. Through our work together, you will foster greater authenticity and psychological/spiritual resilience as you navigate life choices, transitions & stressors. I will guide you toward more fulfilling relationships with yourself & others. Ultimately, you will feel more hopeful, empowered & free. I can help you create the life you want to be living.
Welcome. Let's begin. You are taking an important step toward a more meaningful life. As your group therapist, I create empathic, safe group therapy spaces for you to clarify your life priorities & purpose, heal, grow, bring about lasting change & feel less lonely. Through our work together, you will foster greater authenticity and psychological/spiritual resilience as you navigate life choices, transitions & stressors. I will guide you toward more fulfilling relationships with yourself & others. Ultimately, you will feel more hopeful, empowered & free. I can help you create the life you want to be living.
![Photo of Erica Gettenberg - Rappore](https://photos.psychologytoday.com/ab4bab32-116c-4615-9b1d-9ee4919999ed/5/320x400.jpeg)
Our team of therapists & psychiatrists are leading minds in mental health. We understand your unique needs and are dedicated to helping you find solutions to life’s challenges. We use the most up to date, scientifically proven treatments. When patients have the courage to place faith in us, we have a responsibility to justify their confidence.
Our team of therapists & psychiatrists are leading minds in mental health. We understand your unique needs and are dedicated to helping you find solutions to life’s challenges. We use the most up to date, scientifically proven treatments. When patients have the courage to place faith in us, we have a responsibility to justify their confidence.
![Photo of Megan Alfiere, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4b8cebcf-cfcb-4bee-87dc-877ac678dd46/1/320x400.jpeg)
Megan Alfiere
Clinical Social Work/Therapist, LCSW
Verified Verified
Westchester, NY 10461 (Online Only)
Not all big problems began big, and not all small problems remain small. There are many different reasons clients come to me for help, with the common goal of finding happiness, and living a life that feels fulfilled and peaceful. Whether it be an experience from the past that anchors you, a problem in the present that negatively affects important responsibilities such as family/relationships, career/education and overall well being, or worry of the future; everyone deserves to feel in control and empowered for their own lives. Together, we can convert negative thinking into positive/proactive thinking that generates change.
Not all big problems began big, and not all small problems remain small. There are many different reasons clients come to me for help, with the common goal of finding happiness, and living a life that feels fulfilled and peaceful. Whether it be an experience from the past that anchors you, a problem in the present that negatively affects important responsibilities such as family/relationships, career/education and overall well being, or worry of the future; everyone deserves to feel in control and empowered for their own lives. Together, we can convert negative thinking into positive/proactive thinking that generates change.
![Photo of Kaitlyn Rezny, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9f64475b-3956-46d0-9f79-329c92353b1b/1/320x400.jpeg)
Kaitlyn Rezny
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Westchester, NY 10461
If you are reading this, you may be considering working with a therapist. Whether you are feeling anxious, having a difficult time getting motivated, feeling down, or recently going through some other life change, I would love to work with you on reaching your treatment goals. Starting therapy can be an anxiety producing process in itself, but I am a very compassionate, nonjudgemental, and creative clinician so will do my best to ensure it is as comfortable as possible.
If you are reading this, you may be considering working with a therapist. Whether you are feeling anxious, having a difficult time getting motivated, feeling down, or recently going through some other life change, I would love to work with you on reaching your treatment goals. Starting therapy can be an anxiety producing process in itself, but I am a very compassionate, nonjudgemental, and creative clinician so will do my best to ensure it is as comfortable as possible.
![Photo of Lisa Lozano Czulinski, LMHC, NCC, MS, BFA, Counselor](https://photos.psychologytoday.com/70389e35-5e46-4ef6-a53f-475988e3c408/1/320x400.jpeg)
Lisa Lozano Czulinski
Counselor, LMHC, NCC, MS, BFA
Verified Verified
1 Endorsed
Westchester, NY 10461 (Online Only)
I believe each individual has what it takes to overcome obstacles by accessing their inner wisdom and unique strengths. My approach to counseling is integrative, meaning I draw from several different types of therapy to fit what is best for the client's needs. I hold sessions from a non-hierarchical and non-judgmental position while simultaneously acknowledging the differences and limitations of working with diverse populations.
I believe each individual has what it takes to overcome obstacles by accessing their inner wisdom and unique strengths. My approach to counseling is integrative, meaning I draw from several different types of therapy to fit what is best for the client's needs. I hold sessions from a non-hierarchical and non-judgmental position while simultaneously acknowledging the differences and limitations of working with diverse populations.
![Photo of Christine Havekost, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4c8caa49-661c-4bbf-adcc-a9837124af4b/1/320x400.png)
Christine Havekost
Clinical Social Work/Therapist, LCSW
Verified Verified
Westchester, NY 10461 (Online Only)
Christine Havekost is a licensed clinical social worker. Christine has been treating patients since 1996 and strives to make her patients feel comfortable and safe. She encourages her patients to confront their challenges and supports them through this process, exploring the issues in their lives and pursuing their goals. Christine’s ultimate goal is to motivate patients so they feel able to build on their strengths and enrich their lives. Christine’s style in the session is informal and interactive. She likes to use a problem-solving approach.
Christine Havekost is a licensed clinical social worker. Christine has been treating patients since 1996 and strives to make her patients feel comfortable and safe. She encourages her patients to confront their challenges and supports them through this process, exploring the issues in their lives and pursuing their goals. Christine’s ultimate goal is to motivate patients so they feel able to build on their strengths and enrich their lives. Christine’s style in the session is informal and interactive. She likes to use a problem-solving approach.
See more therapy options for Westchester
Nearby Obsessive-Compulsive (OCD) Therapists Searches for Westchester
- Bayside
- Bronx
- Bronxville
- East Elmhurst
- Elmhurst
- Flushing
- Mount Vernon
- New Rochelle
- Pelham
- Riverdale
- Whitestone
- Yonkers
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.