Obsessive-Compulsive (OCD) Therapists in Des Moines, WA

Photo of Cameron Sage, Pre-Licensed Professional
Cameron Sage
Pre-Licensed Professional
Verified Verified
1 Endorsed
Des Moines, WA 98198
Our work together will reduce intrusive thoughts and obsessive compulsive behavior while increasing interpersonal effectiveness skills and focus on overall psychological flexibility.
You have not felt like yourself, having unwanted thoughts and sensations is making life difficult. You realize the inconvenient truth that life is tough and it doles out plenty of pain. You are experiencing psychological suffering compounded by external influences of relationships and societal pressures. You want to reduce the impact of painful thoughts and feelings and take action to build a life that’s rich, full and meaningful. It is my purpose to assist you in your process by providing a safe, collaborative space, free of bias and judgement.
Our work together will reduce intrusive thoughts and obsessive compulsive behavior while increasing interpersonal effectiveness skills and focus on overall psychological flexibility.
You have not felt like yourself, having unwanted thoughts and sensations is making life difficult. You realize the inconvenient truth that life is tough and it doles out plenty of pain. You are experiencing psychological suffering compounded by external influences of relationships and societal pressures. You want to reduce the impact of painful thoughts and feelings and take action to build a life that’s rich, full and meaningful. It is my purpose to assist you in your process by providing a safe, collaborative space, free of bias and judgement.
(253) 289-7482 View (253) 289-7482
Photo of Justin Marr, LMFTA, Marriage & Family Therapist Associate
Justin Marr
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Des Moines, WA 98198
I also specialize in treating OCD.
It's become a struggle to express your needs to the people you love. Some days, it feels like you are repeating the same conversation or conflict over and over again. You feel stuck and vulnerable. I understand what you are going through. Relationships can be challenging, with twists and turns that create anxiety, confusion, and discouragement. This may not be what you expected and it can be difficult to remember what it’s like to feel excited and satisfied. I want to help you find the way back to a more fulfilling and healthier relationship. There is a way forward.
I also specialize in treating OCD.
It's become a struggle to express your needs to the people you love. Some days, it feels like you are repeating the same conversation or conflict over and over again. You feel stuck and vulnerable. I understand what you are going through. Relationships can be challenging, with twists and turns that create anxiety, confusion, and discouragement. This may not be what you expected and it can be difficult to remember what it’s like to feel excited and satisfied. I want to help you find the way back to a more fulfilling and healthier relationship. There is a way forward.
(253) 215-6418 View (253) 215-6418
Photo of Elizabeth Cabibi - Real Solutions Therapy, PLLC, LMFT, Marriage & Family Therapist
Real Solutions Therapy, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Des Moines, WA 98198
You want an affordable mental health appointment and soon. The difficulties of daily life, relationship concerns, experiences with depression, anxiety, anger, ocd or grief have you searching the internet for a therapist you can afford, that takes insurance, that has in person and virtual options. Our knowledgeable and compassionate team of Associates and Masters Candidates have morning and evening appointments available virtually, in our Des Moines, Bellingham and Lacey office. With a free no commitment 15 minute call, you get to decide if you have found a match for your needs.
You want an affordable mental health appointment and soon. The difficulties of daily life, relationship concerns, experiences with depression, anxiety, anger, ocd or grief have you searching the internet for a therapist you can afford, that takes insurance, that has in person and virtual options. Our knowledgeable and compassionate team of Associates and Masters Candidates have morning and evening appointments available virtually, in our Des Moines, Bellingham and Lacey office. With a free no commitment 15 minute call, you get to decide if you have found a match for your needs.
(206) 278-3087 View (206) 278-3087
Photo of Amber Hughes, MA, LMHC, SEP, Counselor
Amber Hughes
Counselor, MA, LMHC, SEP
Verified Verified
Des Moines, WA 98198
I work with adults, children, teens, and couples who are seeking insight into their own processes and behaviors, with a desire to heal broken places. I am passionate about helping people connect to their inner strength, beauty, and goodness, which means I will have a bias toward kindness and self-compassion. It can be intimidating and overwhelming making the first steps toward wellness-I aim to be open and authentic right off the bat to help ease some of the anxiety. I am an artist who has spent many years working in restaurants, so I especially love working with artists and folks in the service industry as they pursue wellness.
I work with adults, children, teens, and couples who are seeking insight into their own processes and behaviors, with a desire to heal broken places. I am passionate about helping people connect to their inner strength, beauty, and goodness, which means I will have a bias toward kindness and self-compassion. It can be intimidating and overwhelming making the first steps toward wellness-I aim to be open and authentic right off the bat to help ease some of the anxiety. I am an artist who has spent many years working in restaurants, so I especially love working with artists and folks in the service industry as they pursue wellness.
(253) 364-7731 View (253) 364-7731
Photo of Bill Kohlmeyer, MSW, LMHC, CCTP, Counselor
Bill Kohlmeyer
Counselor, MSW, LMHC, CCTP
Verified Verified
Des Moines, WA 98198  (Online Only)
I have over 35 years of service in individual, couples and group counseling. I am a compassionate friend, open to healing your heart and opening your mind by deepening spirit and celebrating the Real You. I have worked in community mental health centers, schools and private practice facilitating domestic violence offender programs, recovery programs, anger management programs, protective non-risk parenting groups, providing spiritual, emotional, cognitive and behavioral counseling to individuals. I love working with individuals around issues of trauma, relationships, and emotional regulation.
I have over 35 years of service in individual, couples and group counseling. I am a compassionate friend, open to healing your heart and opening your mind by deepening spirit and celebrating the Real You. I have worked in community mental health centers, schools and private practice facilitating domestic violence offender programs, recovery programs, anger management programs, protective non-risk parenting groups, providing spiritual, emotional, cognitive and behavioral counseling to individuals. I love working with individuals around issues of trauma, relationships, and emotional regulation.
(206) 557-3634 View (206) 557-3634
Photo of Trish Ferreira, LICSW, Clinical Social Work/Therapist
Trish Ferreira
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Des Moines, WA 98198  (Online Only)
Everyone goes through difficult times and needs a little additional support sometimes. I am interested in assisting you in finding ways to meet your personal goals. This is a collaborative, confidential process that can involve learning new coping skills, improving communication skills, increasing motivation for change, working through past trauma or feelings of grief, starting recovery for an addiction, or any of numerous other therapeutic goals. I have been working as a mental health therapist since 2000, and I find it very rewarding to be able to help others enrich their lives.
Everyone goes through difficult times and needs a little additional support sometimes. I am interested in assisting you in finding ways to meet your personal goals. This is a collaborative, confidential process that can involve learning new coping skills, improving communication skills, increasing motivation for change, working through past trauma or feelings of grief, starting recovery for an addiction, or any of numerous other therapeutic goals. I have been working as a mental health therapist since 2000, and I find it very rewarding to be able to help others enrich their lives.
(206) 745-4830 View (206) 745-4830
Photo of Chase Torbergson, MA, LMHC, Counselor
Chase Torbergson
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Des Moines, WA 98198
I see a wide range of clients, although I specialize in relationships, anxiety, frustration, ADHD, and problems with focus and motivation. I see both couples and individuals, as well as adolescents. Counseling focus may include relationship satisfaction, anxiety control, focus and motivational problems with both personal life and work, as well as general ADHD management. I've helped countless clients move from a place of feeling stuck and dissatisfied, to one of happiness and flourishing. I offer both short-term counseling (8-10 weeks) and long-term counseling. I also offer coaching related to focus and motivation.
I see a wide range of clients, although I specialize in relationships, anxiety, frustration, ADHD, and problems with focus and motivation. I see both couples and individuals, as well as adolescents. Counseling focus may include relationship satisfaction, anxiety control, focus and motivational problems with both personal life and work, as well as general ADHD management. I've helped countless clients move from a place of feeling stuck and dissatisfied, to one of happiness and flourishing. I offer both short-term counseling (8-10 weeks) and long-term counseling. I also offer coaching related to focus and motivation.
(206) 203-0671 View (206) 203-0671
Photo of Madeleine 'Mayda' Taney, MA, MEd, LMHC, ATR-BC, Counselor
Madeleine 'Mayda' Taney
Counselor, MA, MEd, LMHC, ATR-BC
Verified Verified
Des Moines, WA 98148
Not accepting new clients
I can help you find solutions to persistent problems like: panic attacks, not being able to say no, struggling with your children,, excessive worrying or unresolved grief & loss. I am committed to working with children & teens as well as adults. I am told that I am easy to talk to, warm, validating & practical. You are tired of banging up against the same wall, the same problem. Working with me is collaborative. WE work as a team. We focus on your strengths and needs. You are ready to put in the effort and take action to change.
I can help you find solutions to persistent problems like: panic attacks, not being able to say no, struggling with your children,, excessive worrying or unresolved grief & loss. I am committed to working with children & teens as well as adults. I am told that I am easy to talk to, warm, validating & practical. You are tired of banging up against the same wall, the same problem. Working with me is collaborative. WE work as a team. We focus on your strengths and needs. You are ready to put in the effort and take action to change.
(206) 451-7688 View (206) 451-7688

More Therapists Nearby

Photo of Mary Torres - Cornerstone OCD & Anxiety Group PLLC, MA, LMHC, NCC, Counselor
Cornerstone OCD & Anxiety Group PLLC
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Normandy Park, WA 98148  (Online Only)
We specialize working in the " Obsessive-Compulsive Spectrum".
Fastest way to our wait list is the request for service on our website. Anxiety is awful. Most people just do not understand how difficult it is to live with chronic worry, panic attacks, or obsessive thoughts and unwanted behavior. Gladly, most people will never have to know how horrible it is to have nagging obsessive thoughts, or fear panicking in public places. The variety of Cognitive-Behavioral Therapies (CBT) like Exposure & Response Prevention (ERP) and Acceptance & Commitment Therapy (ACT) are quite effective in increasing distress tolerance, reducing anxiety, and eliminating the dysfunctional behaviors that accompany it.
We specialize working in the " Obsessive-Compulsive Spectrum".
Fastest way to our wait list is the request for service on our website. Anxiety is awful. Most people just do not understand how difficult it is to live with chronic worry, panic attacks, or obsessive thoughts and unwanted behavior. Gladly, most people will never have to know how horrible it is to have nagging obsessive thoughts, or fear panicking in public places. The variety of Cognitive-Behavioral Therapies (CBT) like Exposure & Response Prevention (ERP) and Acceptance & Commitment Therapy (ACT) are quite effective in increasing distress tolerance, reducing anxiety, and eliminating the dysfunctional behaviors that accompany it.
(206) 535-1464 View (206) 535-1464
Photo of Mar Galizio, MSW, LSWAIC, Clinical Social Work/Therapist
Mar Galizio
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Burien, WA 98166  (Online Only)
I provide Dialectical Behavioral Therapy, in which I have extensive training by DBT Linehan Board-Certified clinicians, as well as Exposure and Response Prevention for OCD.
Do you feel overwhelmed by intense emotions or struggle to be connected to your life? You're not alone. Together we can work to build the skills you need to live a life that fits within your values. Being emotionally sensitive myself, I understand the difficulties many of us face when we feel things deeply. My mission as your therapist will be to support you in cherishing this aspect of yourself, while we work on any negative impacts it might have on your life. My specialty is working with adults and older teens with difficulty regulating emotion, as well as anxiety, depression, complex trauma, eating disorders, and mood disorders.
I provide Dialectical Behavioral Therapy, in which I have extensive training by DBT Linehan Board-Certified clinicians, as well as Exposure and Response Prevention for OCD.
Do you feel overwhelmed by intense emotions or struggle to be connected to your life? You're not alone. Together we can work to build the skills you need to live a life that fits within your values. Being emotionally sensitive myself, I understand the difficulties many of us face when we feel things deeply. My mission as your therapist will be to support you in cherishing this aspect of yourself, while we work on any negative impacts it might have on your life. My specialty is working with adults and older teens with difficulty regulating emotion, as well as anxiety, depression, complex trauma, eating disorders, and mood disorders.
(440) 597-2381 View (440) 597-2381
Photo of Jordan Torri, PsyD, Psychologist
Jordan Torri
Psychologist, PsyD
Verified Verified
Seatac, WA 98188
Waitlist for new clients
Many people today are struggling with self-criticism, unhealthy patterns in their relationships, and a weight of emotional pain that feels unshakeable. I'm a firm believer that people who come to see me for support are stuck, not sick. I consider myself a guide walking along side you in your journey and my role is to help you compassionately understand how your experiences have shaped you into who you are today while also finding tangible ways to navigate current obstacles. I support my clients in reclaiming love for themselves by authentically recognizing that the relationship with one's self is the foundation for our wellbeing.
Many people today are struggling with self-criticism, unhealthy patterns in their relationships, and a weight of emotional pain that feels unshakeable. I'm a firm believer that people who come to see me for support are stuck, not sick. I consider myself a guide walking along side you in your journey and my role is to help you compassionately understand how your experiences have shaped you into who you are today while also finding tangible ways to navigate current obstacles. I support my clients in reclaiming love for themselves by authentically recognizing that the relationship with one's self is the foundation for our wellbeing.
(208) 717-1884 View (208) 717-1884
Photo of Cherrise Smith, MA, LMHCA, Counselor
Cherrise Smith
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98166
Welcome, I am currently accepting new clients! Together we will create and environment that is compassionate, supportive and built on a foundation of trust. My therapeutic approach is highly relational, direct, and collaborative with the utilization of multiple therapeutic modalities. I work with children and teens struggling with social skills, emotion regulation, anxiety/depression, and coping skills. My natural ability to build rapport helps to create a space where they can recognize their challenges, build their strengths, and feel both understood and safe as they navigate through the complexities of being a youth today.
Welcome, I am currently accepting new clients! Together we will create and environment that is compassionate, supportive and built on a foundation of trust. My therapeutic approach is highly relational, direct, and collaborative with the utilization of multiple therapeutic modalities. I work with children and teens struggling with social skills, emotion regulation, anxiety/depression, and coping skills. My natural ability to build rapport helps to create a space where they can recognize their challenges, build their strengths, and feel both understood and safe as they navigate through the complexities of being a youth today.
(206) 222-4136 View (206) 222-4136
Photo of Sarah Kier, MA, LMFT, MHP, CMHS, GAL, Marriage & Family Therapist
Sarah Kier
Marriage & Family Therapist, MA, LMFT, MHP, CMHS, GAL
Verified Verified
Normandy Park, WA 98166
I AM accepting new telehealth clients. Email or text is the best way to reach me. A global pandemic has changed the way we operate overnight. Most people are finding adjusting to feelings of powerlessness, and ambivalence has taken a toll on their overall well-being, and family. Taking the first steps towards change for ourselves, and our family takes a lot of courage. I am glad you are reading this, and hope you hold how important taking care of your brain, body, and social emotional needs is. Therapy can provide a space that allows you to show up as you are and grow.
I AM accepting new telehealth clients. Email or text is the best way to reach me. A global pandemic has changed the way we operate overnight. Most people are finding adjusting to feelings of powerlessness, and ambivalence has taken a toll on their overall well-being, and family. Taking the first steps towards change for ourselves, and our family takes a lot of courage. I am glad you are reading this, and hope you hold how important taking care of your brain, body, and social emotional needs is. Therapy can provide a space that allows you to show up as you are and grow.
(253) 884-8195 View (253) 884-8195
Photo of Bjorn Eric Dale, LCSW, Clinical Social Work/Therapist
Bjorn Eric Dale
Clinical Social Work/Therapist, LCSW
Verified Verified
Seatac, WA 98188
It is difficult to deal with strong feelings of anger, guilt sadness, grief, fear, or worry on your own. At the same time, it can be extremely difficult to let others around you know when you need help. You may have even been told that you just need to "tough it out", and "deal with it" all on your own. I'm here to say that you don't have to. Managing difficult emotions is easier said than done when going through stressful situations such as losing a loved one, ending a relationship, or dealing with financial stress. I am here if you are ready to make positive changes in your life, and are tired of doing it alone.
It is difficult to deal with strong feelings of anger, guilt sadness, grief, fear, or worry on your own. At the same time, it can be extremely difficult to let others around you know when you need help. You may have even been told that you just need to "tough it out", and "deal with it" all on your own. I'm here to say that you don't have to. Managing difficult emotions is easier said than done when going through stressful situations such as losing a loved one, ending a relationship, or dealing with financial stress. I am here if you are ready to make positive changes in your life, and are tired of doing it alone.
(360) 564-5747 View (360) 564-5747
Photo of Brett Gary Gold - Gold Counseling Services, MS, LMHC , BCPC , Counselor
Gold Counseling Services
Counselor, MS, LMHC , BCPC
Verified Verified
Seatac, WA 98188  (Online Only)
Brett G. Gold, MS, is a Washington State Licensed Mental Health Counselor (LMHC- #00004341) and a Board Certified Professional Counselor (BCPD). Brett’s specialty is working with children, adolescents and their families to improve communication, teach life skills to create strategies for better decision making, problem solving, self-improvement and acceptance. Brett received his BA, BS and MS degree in Psychology from Eastern Washington University (Magna cum laude)*. in Cheney Washington. Brett received his Master's degree in Developmental and Clinical Counseling with a specific focus on the treatment of children and adolescents.
Brett G. Gold, MS, is a Washington State Licensed Mental Health Counselor (LMHC- #00004341) and a Board Certified Professional Counselor (BCPD). Brett’s specialty is working with children, adolescents and their families to improve communication, teach life skills to create strategies for better decision making, problem solving, self-improvement and acceptance. Brett received his BA, BS and MS degree in Psychology from Eastern Washington University (Magna cum laude)*. in Cheney Washington. Brett received his Master's degree in Developmental and Clinical Counseling with a specific focus on the treatment of children and adolescents.
(206) 385-1500 View (206) 385-1500
Photo of Julian Chavez-Gamez, MSW, LICSW, Clinical Social Work/Therapist
Julian Chavez-Gamez
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seatac, WA 98158  (Online Only)
Waitlist for new clients
Individual therapy with me always begins by learning how to check-in with our nervous system to ensure we are creating a neutral and/or safe space that's required to begin to take a deeper look at what's underneath some of the challenging situations you may be responding to. Therapy is an insight-oriented process where we'll improve our ability to self-regulate and connect with others. I work from a polyvagal informed approach which is also known as the science of safety and connection. It's through this approach that we will begin to understand how your nervous system responds to cues of safety and danger.
Individual therapy with me always begins by learning how to check-in with our nervous system to ensure we are creating a neutral and/or safe space that's required to begin to take a deeper look at what's underneath some of the challenging situations you may be responding to. Therapy is an insight-oriented process where we'll improve our ability to self-regulate and connect with others. I work from a polyvagal informed approach which is also known as the science of safety and connection. It's through this approach that we will begin to understand how your nervous system responds to cues of safety and danger.
(425) 243-0749 View (425) 243-0749
Photo of Niashay Whitaker, LMHC , MHP, Counselor
Niashay Whitaker
Counselor, LMHC , MHP
Verified Verified
2 Endorsed
Burien, WA 98148
I aim to provide a supportive, judgement free environment. As my client, your wants and needs will become a priority. As a team we will work together to reach your goals. I work hard to understand my clients worldview while also maintaining the ability to share outside perspective. I believe that with the right support everyone has the ability to live a fulfilling life. If you are searching for support, healing, understanding, perspective, or challenge I would love to help you with your journey.
I aim to provide a supportive, judgement free environment. As my client, your wants and needs will become a priority. As a team we will work together to reach your goals. I work hard to understand my clients worldview while also maintaining the ability to share outside perspective. I believe that with the right support everyone has the ability to live a fulfilling life. If you are searching for support, healing, understanding, perspective, or challenge I would love to help you with your journey.
(206) 203-9492 View (206) 203-9492
Photo of Issy K Kleiman - Counseling Services for Wellbeing, MA, LMFT, Marriage & Family Therapist
Counseling Services for Wellbeing
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Burien, WA 98166
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
(206) 426-0366 View (206) 426-0366
Photo of Bella Oshry, LMFT, Marriage & Family Therapist
Bella Oshry
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Seatac, WA 98188
Hello! So, you know those therapists who are calming, soothing, and usually have one of those freaking awesome rock formations with streaming water behind them? Yeah, well... I'm not one of those therapists! First off, I just used the word "freaking" in my intro, and that's when I'm trying to be my most professional self! Secondly, and more importantly, I'm just not into all the head bobbing and "tell me more." I'm more of a "Talk to me... what's going on?" kind of therapist. I will listen, and never judge you. I will laugh (and sometimes cry) with you, and I will use every therapeutic tool at my disposal to help you!
Hello! So, you know those therapists who are calming, soothing, and usually have one of those freaking awesome rock formations with streaming water behind them? Yeah, well... I'm not one of those therapists! First off, I just used the word "freaking" in my intro, and that's when I'm trying to be my most professional self! Secondly, and more importantly, I'm just not into all the head bobbing and "tell me more." I'm more of a "Talk to me... what's going on?" kind of therapist. I will listen, and never judge you. I will laugh (and sometimes cry) with you, and I will use every therapeutic tool at my disposal to help you!
(206) 339-9220 View (206) 339-9220
Photo of Leslie G Cohn, PhD, Psychologist
Leslie G Cohn
Psychologist, PhD
Verified Verified
Burien, WA 98148  (Online Only)
I am a licensed psychologist with more than 25 years of experience treating clients with anxiety, depression, substance dependence, trauma, chronic illness, mania, and relationship concerns. My approach is eclectic, encompassing Internal Family Systems, CBT, family of origin, motivational interviewing and hypnosis. Please see my website for more comprehensive information.
I am a licensed psychologist with more than 25 years of experience treating clients with anxiety, depression, substance dependence, trauma, chronic illness, mania, and relationship concerns. My approach is eclectic, encompassing Internal Family Systems, CBT, family of origin, motivational interviewing and hypnosis. Please see my website for more comprehensive information.
(206) 745-0867 View (206) 745-0867

See more therapy options for Des Moines

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.