Obsessive-Compulsive (OCD) Therapists in Sequim, WA

Photo of Michele Ann Bryant - Michele Bryant, LICSW, MSW, LCSW, Clinical Social Work/Therapist
Michele Bryant, LICSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Sequim, WA 98382  (Online Only)
Waitlist for new clients
I have worked with individuals, couples, and families for more than 20 years, helping people to become the healthy, productive people they were meant to be. Good therapy is hard work, requiring a safe environment, a trusting therapeutic relationship, and mutual respect. It can be the most rewarding work someone will ever enter into. I want to be the therapist for people who are willing to work to achieve their most desired goals, be it individual growth, compatible, productive relationships, or a more peaceful and nurturing family life.
I have worked with individuals, couples, and families for more than 20 years, helping people to become the healthy, productive people they were meant to be. Good therapy is hard work, requiring a safe environment, a trusting therapeutic relationship, and mutual respect. It can be the most rewarding work someone will ever enter into. I want to be the therapist for people who are willing to work to achieve their most desired goals, be it individual growth, compatible, productive relationships, or a more peaceful and nurturing family life.
(360) 703-9146 View (360) 703-9146
Photo of Doug Blessington - Sequim Counseling, Counselor
Sequim Counseling
Counselor
Verified Verified
1 Endorsed
Sequim, WA 98382
We have over 40 therapists to help you with whatever you are experiencing. From anxiety to depression to relationship struggles, we've got you covered. We will match you with the provider that works best for you. If it's not a good fit, no worries. We can easily match you with another therapist. We accept insurance and can quickly get you an appointment. Just give us a call or email us and we'll reach out to start getting you the help you need.
We have over 40 therapists to help you with whatever you are experiencing. From anxiety to depression to relationship struggles, we've got you covered. We will match you with the provider that works best for you. If it's not a good fit, no worries. We can easily match you with another therapist. We accept insurance and can quickly get you an appointment. Just give us a call or email us and we'll reach out to start getting you the help you need.
(360) 309-0334 View (360) 309-0334
Photo of Nathon James Maxwell - Maxwell Counseling, MA, MHP, LMHC, Counselor
Maxwell Counseling
Counselor, MA, MHP, LMHC
Verified Verified
1 Endorsed
Sequim, WA 98382
I am taking on new clients that are Veterans and working professionals such as, Medical professionals, police officers, or firefighters. I'm eclectic in my therapeutic orientation and because of this I'm able to help people through many different emotional issues, ranging from grief or loss, depression, and anxiety. I teach coping skills that help regulate a persons emotions. I have developed skills that help me tailor therapy to meet your personality and mental needs.
I am taking on new clients that are Veterans and working professionals such as, Medical professionals, police officers, or firefighters. I'm eclectic in my therapeutic orientation and because of this I'm able to help people through many different emotional issues, ranging from grief or loss, depression, and anxiety. I teach coping skills that help regulate a persons emotions. I have developed skills that help me tailor therapy to meet your personality and mental needs.
(360) 362-7652 View (360) 362-7652
Photo of Joshua Talbert, MA, LMHC, Counselor
Joshua Talbert
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Sequim, WA 98382
I believe you hold the answers to the challenges that bring you to counseling. It is my job to support you finding them. I aim to work with acceptance, respect, and trust - allowing our work to be guided by you. In session, I listen both for what is said, as well as process – the often unspoken patterns and strategies of relating. I see mental health and well-being as a sense of wholeness. In this state, the many parts of ourselves are in agreement. I firmly believe that even the most disturbing or distressing experiences are potentials for growth and learning.
I believe you hold the answers to the challenges that bring you to counseling. It is my job to support you finding them. I aim to work with acceptance, respect, and trust - allowing our work to be guided by you. In session, I listen both for what is said, as well as process – the often unspoken patterns and strategies of relating. I see mental health and well-being as a sense of wholeness. In this state, the many parts of ourselves are in agreement. I firmly believe that even the most disturbing or distressing experiences are potentials for growth and learning.
(833) 970-1465 View (833) 970-1465
Photo of Stephanie Halvorsen Parrish, LMFT, Marriage & Family Therapist
Stephanie Halvorsen Parrish
Marriage & Family Therapist, LMFT
Verified Verified
Sequim, WA 98382  (Online Only)
It is my belief that healing can come from brave moments of self-exploration in an environment of safety and openness. I have witnessed the incredible power of authentic therapeutic connection and It is my joy to share and experience these beautiful moments of healing and growth with my clients. I work from a person-centered, strength-based perspective and strive to individualize my therapeutic approach to fit you as a client and the specific context of your life and relationships. It is my hope that my clients experience therapy as time filled with healing and growth, but also connection, learning, humor, joy, and hope.
It is my belief that healing can come from brave moments of self-exploration in an environment of safety and openness. I have witnessed the incredible power of authentic therapeutic connection and It is my joy to share and experience these beautiful moments of healing and growth with my clients. I work from a person-centered, strength-based perspective and strive to individualize my therapeutic approach to fit you as a client and the specific context of your life and relationships. It is my hope that my clients experience therapy as time filled with healing and growth, but also connection, learning, humor, joy, and hope.
(360) 469-5319 View (360) 469-5319
Photo of Roberta Helena Carling - A Tranquil Mind Clinical Hypnotherapy, CCHt
A Tranquil Mind Clinical Hypnotherapy
CCHt
Verified Verified
Sequim, WA 98382
Do you wish you could feel less anxious, less depressed, better about yourself? Or are you traumatized? Maybe it's weight management or quitting smoking or other emotional distress? As successful Certified Clinical Hypnotherapists we have proven success in making positive changes to emotional issues & lots more! Look at our numerous 5 star reviews online - they reassure you that clients like you have been helped to overcome low self esteem, stress, anxiety, trauma, shyness, unwanted habits & much more....to help you be the person you wish to be. We understand & happily support you. FREE tel consult & REMOTE therapy available.
Do you wish you could feel less anxious, less depressed, better about yourself? Or are you traumatized? Maybe it's weight management or quitting smoking or other emotional distress? As successful Certified Clinical Hypnotherapists we have proven success in making positive changes to emotional issues & lots more! Look at our numerous 5 star reviews online - they reassure you that clients like you have been helped to overcome low self esteem, stress, anxiety, trauma, shyness, unwanted habits & much more....to help you be the person you wish to be. We understand & happily support you. FREE tel consult & REMOTE therapy available.
(719) 722-3710 View (719) 722-3710
Photo of David P Eekhoff, LMFT, MDiv, Marriage & Family Therapist
David P Eekhoff
Marriage & Family Therapist, LMFT, MDiv
Verified Verified
Sequim, WA 98382  (Online Only)
I bring over 20 years of experience to the Presbyterian Counseling Center. I offer a unique opportunity for people who come to me for counseling to become aware of issues about their relationships with others, and also develop a deeper awareness and appreciation of their world and their place in it...a spiritual search. When spirituality and hope meet, many say they experience a transformative change. No matter where you are in your journey, I offer you an experience in which you will be encouraged to take small steps that can make a huge difference. I welcome you to this journey...
I bring over 20 years of experience to the Presbyterian Counseling Center. I offer a unique opportunity for people who come to me for counseling to become aware of issues about their relationships with others, and also develop a deeper awareness and appreciation of their world and their place in it...a spiritual search. When spirituality and hope meet, many say they experience a transformative change. No matter where you are in your journey, I offer you an experience in which you will be encouraged to take small steps that can make a huge difference. I welcome you to this journey...
(360) 328-7354 View (360) 328-7354
Photo of Dr. Julie Lesperance, PsyD, Psychologist
Dr. Julie Lesperance
Psychologist, PsyD
Verified Verified
Sequim, WA 98382  (Online Only)
I identify as a (W)holistic Psychologist in orientation. Human beings have complex connections between their psyche, socio-cultural background and biological self, and are influenced by personal life experiences. The interplay of these aspects are where imbalances may occur and informative symptoms may arise. In my practice, we would collaborate on identifying these connections and reveal unconscious internal reactions that cause us to act, and react in our interpersonal relationships and life choices. My patients seek an authentic life, with increased self-knowledge and a decrease in pain and symptoms
I identify as a (W)holistic Psychologist in orientation. Human beings have complex connections between their psyche, socio-cultural background and biological self, and are influenced by personal life experiences. The interplay of these aspects are where imbalances may occur and informative symptoms may arise. In my practice, we would collaborate on identifying these connections and reveal unconscious internal reactions that cause us to act, and react in our interpersonal relationships and life choices. My patients seek an authentic life, with increased self-knowledge and a decrease in pain and symptoms
(360) 467-6957 View (360) 467-6957
Photo of Natalie Sovde, MA, SUDP, LMFTA, Marriage & Family Therapist Associate
Natalie Sovde
Marriage & Family Therapist Associate, MA, SUDP, LMFTA
Verified Verified
Sequim, WA 98382  (Online Only)
Do you feel tired and feel as though life won’t let up? Maybe you’re noticing that you no longer roll with the punches like you used to. Or worse, you’re sleep deprived, your anxiety is shattering, and you feel like a hot mess. Maybe you don’t feel like you recognize the person in the mirror. All the while you dream of bouncing back to your old self – a person who can roll with the punches. As women we can take on the world, while leaving ourselves behind. Together we’ll plot out the life you want, create a action plan, and work through the roadblocks.
Do you feel tired and feel as though life won’t let up? Maybe you’re noticing that you no longer roll with the punches like you used to. Or worse, you’re sleep deprived, your anxiety is shattering, and you feel like a hot mess. Maybe you don’t feel like you recognize the person in the mirror. All the while you dream of bouncing back to your old self – a person who can roll with the punches. As women we can take on the world, while leaving ourselves behind. Together we’ll plot out the life you want, create a action plan, and work through the roadblocks.
(206) 495-6340 View (206) 495-6340
Photo of Kristin Warner - Kristin Warner Counseling PLLC, LMHC, ATR-BC, NCC, Counselor
Kristin Warner Counseling PLLC
Counselor, LMHC, ATR-BC, NCC
Verified Verified
Sequim, WA 98382  (Online Only)
Not accepting new clients
I believe the most successful outcomes in counseling and psychotherapy include the development of a trusting therapeutic relationship. My approach to this is having genuine acceptance, respect, and empathy toward those who are looking for help. Whether you are going through a difficult transition in life, having relationship problems, struggling with anxiety, depression, or trauma, finding the right therapist for you is part of the solution. Depending on what your needs are, I can help you navigate this experience of working on what you want to resolve or change in your life.
I believe the most successful outcomes in counseling and psychotherapy include the development of a trusting therapeutic relationship. My approach to this is having genuine acceptance, respect, and empathy toward those who are looking for help. Whether you are going through a difficult transition in life, having relationship problems, struggling with anxiety, depression, or trauma, finding the right therapist for you is part of the solution. Depending on what your needs are, I can help you navigate this experience of working on what you want to resolve or change in your life.
(360) 526-8309 View (360) 526-8309

Online Therapists

Photo of Niloufar Amirmoezi, LMFTA, MA, Marriage & Family Therapist Associate
Niloufar Amirmoezi
Marriage & Family Therapist Associate, LMFTA, MA
Verified Verified
1 Endorsed
Bellevue, WA 98004
My areas of expertise include: family conflicts, anxiety, depression, OCD,PTSD,Bipolar Disorder, TS(transgender),LGBT,Women's issues and childhood traumas.
My interest for this job stems from my spiritual artistic insight and the love of helping human beings. I hope to give my clients a comfort environment by being culturally respectful and providing a non-judgmental atmosphere in which you can examine and clarify the issues that concern you in your life.
My areas of expertise include: family conflicts, anxiety, depression, OCD,PTSD,Bipolar Disorder, TS(transgender),LGBT,Women's issues and childhood traumas.
My interest for this job stems from my spiritual artistic insight and the love of helping human beings. I hope to give my clients a comfort environment by being culturally respectful and providing a non-judgmental atmosphere in which you can examine and clarify the issues that concern you in your life.
(425) 403-7163 View (425) 403-7163
Photo of Kelly Allred, PhD, Psychologist
Kelly Allred
Psychologist, PhD
Verified Verified
2 Endorsed
Seattle, WA 98126
I offer treatment for anxiety, depression, trauma, OCD, sleep, ADHD, chronic pain, interpersonal concerns, general life stress, and race-based stress.
Immediate openings available. As a therapist, my goal is to help you lead a meaningful, fulfilling life. I firmly believe that you are the expert on your experience and that your values, beliefs, and background have a powerful impact on your life and worldview. I view therapy as a collaboration where we will work together to identify what matters most to you and to develop a treatment plan that meets your needs. To do this, we will define specific treatment goals and targets as we begin to work together. We will also check in throughout the process to ensure that therapy continues to be helpful and enriching for you.
I offer treatment for anxiety, depression, trauma, OCD, sleep, ADHD, chronic pain, interpersonal concerns, general life stress, and race-based stress.
Immediate openings available. As a therapist, my goal is to help you lead a meaningful, fulfilling life. I firmly believe that you are the expert on your experience and that your values, beliefs, and background have a powerful impact on your life and worldview. I view therapy as a collaboration where we will work together to identify what matters most to you and to develop a treatment plan that meets your needs. To do this, we will define specific treatment goals and targets as we begin to work together. We will also check in throughout the process to ensure that therapy continues to be helpful and enriching for you.
(206) 260-2304 View (206) 260-2304
Photo of Nik Conroy, MA, LMHC, CSAT, Counselor
Nik Conroy
Counselor, MA, LMHC, CSAT
Verified Verified
4 Endorsed
Puyallup, WA 98371
I specialize in working with clients struggling with porn, sex, and masturbation addiction, chronic infidelity, and OCD. I also have a passion for assisting individuals as they navigate through challenges and doubts regarding their Christian faith. I am currently a Ph.D. student in Clinical Sexology and Behavioral Addictions at the International Institute of Clinical Sexology (IICS). I am also a Certified Sex Addiction Therapist (CSAT) and member of the International Institute for Trauma and Addiction Professionals (IITAP).
I specialize in working with clients struggling with porn, sex, and masturbation addiction, chronic infidelity, and OCD. I also have a passion for assisting individuals as they navigate through challenges and doubts regarding their Christian faith. I am currently a Ph.D. student in Clinical Sexology and Behavioral Addictions at the International Institute of Clinical Sexology (IICS). I am also a Certified Sex Addiction Therapist (CSAT) and member of the International Institute for Trauma and Addiction Professionals (IITAP).
(253) 544-5743 View (253) 544-5743
Photo of Mary O'Leary, MA, PhD, MS, Psychologist
Mary O'Leary
Psychologist, MA, PhD, MS
Verified Verified
Bainbridge Island, WA 98110
My Specialties are: Bipolar Disorder, Depression, Anxiety (including PTSD, OCD, Social Anxiety, Panic Disorder, and Specific Phobias), Trauma, Dual Diagnosis (mental health plus substance use problems), Stress Management, Relationship and Couples Counseling (Emotionally Focused Therapy - EFT), Career and Life Transitions, and Personal Growth.
As a Clinical Psychologist with 30+ years of experience, I strive to help you find pathways to enjoy your life, feel more deeply connected to others, and to enhance your sense of meaning in life. My goal is to help you find ways to better cope with the difficulties that bring you to therapy and make healthy changes that enhance the quality of your life. I provide evidence-based therapeutic interventions in a warm, supportive, and professional therapeutic environment. My approach is collaborative and tailored to the personal history and present goals of each of my clients.
My Specialties are: Bipolar Disorder, Depression, Anxiety (including PTSD, OCD, Social Anxiety, Panic Disorder, and Specific Phobias), Trauma, Dual Diagnosis (mental health plus substance use problems), Stress Management, Relationship and Couples Counseling (Emotionally Focused Therapy - EFT), Career and Life Transitions, and Personal Growth.
As a Clinical Psychologist with 30+ years of experience, I strive to help you find pathways to enjoy your life, feel more deeply connected to others, and to enhance your sense of meaning in life. My goal is to help you find ways to better cope with the difficulties that bring you to therapy and make healthy changes that enhance the quality of your life. I provide evidence-based therapeutic interventions in a warm, supportive, and professional therapeutic environment. My approach is collaborative and tailored to the personal history and present goals of each of my clients.
(206) 743-9943 View (206) 743-9943
Photo of Chelsea Kozikowski - Dr. Koz Psychological Services, PLLC, PhD, LP, Psychologist
Dr. Koz Psychological Services, PLLC
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Bothell, WA 98011
Welcome! I provide therapy and assessment services to neurodiverse (Autism and ADHD) and neurotypical children and teens. I believe in therapy supported by research evidence, that honors the life experiences of my clients. I specialize in Autism, Trauma, OCD, ADHD, Anxiety, Depression, Parent-Training and Medical Complexity. I use targeted treatments that have been demonstrated to work. If your goal is to make the most traction with each session, you may appreciate this approach. The talents and gifts your child has are valuable and deserve to be recognized. www.eastsidepsychologicalassociates.com/kozikowski-profile
Welcome! I provide therapy and assessment services to neurodiverse (Autism and ADHD) and neurotypical children and teens. I believe in therapy supported by research evidence, that honors the life experiences of my clients. I specialize in Autism, Trauma, OCD, ADHD, Anxiety, Depression, Parent-Training and Medical Complexity. I use targeted treatments that have been demonstrated to work. If your goal is to make the most traction with each session, you may appreciate this approach. The talents and gifts your child has are valuable and deserve to be recognized. www.eastsidepsychologicalassociates.com/kozikowski-profile
(425) 295-2304 View (425) 295-2304
Photo of Christopher J Lowe, PsyD, Psychologist
Christopher J Lowe
Psychologist, PsyD
Verified Verified
Seattle, WA 98102  (Online Only)
I work frequently with individuals and couples who are motivated to gain more insight into themselves and who are struggling with career stress, overcoming early trauma and neglect, mild addictive behaviors, depression, anxiety, obsessive thoughts and behaviors, relationship conflict, and those who are trying to find a sense of meaning and purpose in their lives. My aim is to not only treat or view you as a set of symptoms, but to also help you acquire a deeper understanding of your self and from where those symptoms might be coming.
I work frequently with individuals and couples who are motivated to gain more insight into themselves and who are struggling with career stress, overcoming early trauma and neglect, mild addictive behaviors, depression, anxiety, obsessive thoughts and behaviors, relationship conflict, and those who are trying to find a sense of meaning and purpose in their lives. My aim is to not only treat or view you as a set of symptoms, but to also help you acquire a deeper understanding of your self and from where those symptoms might be coming.
(206) 589-5627 View (206) 589-5627
Photo of Shamus Chierotti, LMFTA, Marriage & Family Therapist Associate
Shamus Chierotti
Marriage & Family Therapist Associate, LMFTA
Verified Verified
3 Endorsed
Gig Harbor, WA 98335
Addressing such issues as flourishing in Gender Transition, Self-Defining Masculinity, Communicating as a couple/family, Self Harm, Suicidal Ideation, OCD, Anxiety, and Depression.
Do you feel stuck? Have questions about yourself? Do you struggle with gender dysphoria? Find yourself obsessing about repeated thoughts? Feel that you are a burden? You are not alone in any of these thoughts, and you do not need to face them alone. These are questions I have had the honor of addressing in therapy with many of my clients. If these or any other concerns resonate with you, I would be happy to help you address them. Wether that ultimately means us working together or helping you find services that will best support you and your needs.
Addressing such issues as flourishing in Gender Transition, Self-Defining Masculinity, Communicating as a couple/family, Self Harm, Suicidal Ideation, OCD, Anxiety, and Depression.
Do you feel stuck? Have questions about yourself? Do you struggle with gender dysphoria? Find yourself obsessing about repeated thoughts? Feel that you are a burden? You are not alone in any of these thoughts, and you do not need to face them alone. These are questions I have had the honor of addressing in therapy with many of my clients. If these or any other concerns resonate with you, I would be happy to help you address them. Wether that ultimately means us working together or helping you find services that will best support you and your needs.
(253) 785-6399 View (253) 785-6399
Photo of Sophie Edelman, LMHC, LPC
Sophie Edelman
LMHC, LPC
Verified Verified
Redmond, WA 98052  (Online Only)
Taking new clients! Hello, welcome to my profile! I specialize in treating OCD, eating disorders, trauma / PTSD, and anxiety disorders. I also support those exploring their LGBTQ+ identity. I have experience working with kids and adults, in person and virtually. My goal is to create a safe, trauma informed, space for you to process and heal.
Taking new clients! Hello, welcome to my profile! I specialize in treating OCD, eating disorders, trauma / PTSD, and anxiety disorders. I also support those exploring their LGBTQ+ identity. I have experience working with kids and adults, in person and virtually. My goal is to create a safe, trauma informed, space for you to process and heal.
(425) 868-5777 View (425) 868-5777
Photo of Steve Williams, LMFT, Marriage & Family Therapist
Steve Williams
Marriage & Family Therapist, LMFT
Verified Verified
Tumwater, WA 98512  (Online Only)
Waitlist for new clients
Steve Williams has been in private practice for 29 years. He seeks to provide professional and respectful psychotherapy services for individuals, couples, and adolescents for issues such as: Marital Conflict/Communication, Infidelity, Couples Counseling, Divorce Recovery, Depression, and Anxiety including: OCD, Generalized, Panic, PTSD, and Social Phobia. Steve also treats Anger, Addictions, Trauma, and Childhood Abuse. He uses a direct method to provide effective interpretations and tools for developing a healthy individual self and a healthy couple closeness.
Steve Williams has been in private practice for 29 years. He seeks to provide professional and respectful psychotherapy services for individuals, couples, and adolescents for issues such as: Marital Conflict/Communication, Infidelity, Couples Counseling, Divorce Recovery, Depression, and Anxiety including: OCD, Generalized, Panic, PTSD, and Social Phobia. Steve also treats Anger, Addictions, Trauma, and Childhood Abuse. He uses a direct method to provide effective interpretations and tools for developing a healthy individual self and a healthy couple closeness.
(360) 979-1013 View (360) 979-1013
Photo of Vidya M Subramanian - Kids and Family Counseling PLLC., MS, MA, LMHC, BCBA, MHP, Counselor
Kids and Family Counseling PLLC.
Counselor, MS, MA, LMHC, BCBA, MHP
Verified Verified
1 Endorsed
Duvall, WA 98019
Empowering children, teens and adults to overcome challenges in their everyday life and help them rediscover their strengths and interpersonal competencies is the focus of my practice. Are you or someone you know, experiencing lack of motivation, facing friendship and self worth challenges, are defiant, aggressive, anxious, depressed, moody and lonely? Is your family in crisis? If so, do give me a call. People come to me for help with mood/ anxiety issues, Autism, ADHD, Anger problems, depression, OCD, PTSD , stress., multicultural and relational issues, social skills support and behavioral, parenting and school based challenges.
Empowering children, teens and adults to overcome challenges in their everyday life and help them rediscover their strengths and interpersonal competencies is the focus of my practice. Are you or someone you know, experiencing lack of motivation, facing friendship and self worth challenges, are defiant, aggressive, anxious, depressed, moody and lonely? Is your family in crisis? If so, do give me a call. People come to me for help with mood/ anxiety issues, Autism, ADHD, Anger problems, depression, OCD, PTSD , stress., multicultural and relational issues, social skills support and behavioral, parenting and school based challenges.
(425) 549-9710 View (425) 549-9710

See more therapy options for Sequim

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.