Obsessive-Compulsive (OCD) Psychiatrists in Poulsbo, WA

Photo of Kim Young-Oak, Psychiatric Nurse Practitioner in Poulsbo, WA
Kim Young-Oak
Psychiatric Nurse Practitioner, MN, ARNP, PMHNP, BC
Verified Verified
Poulsbo, WA 98370
I specialize in psychopharmacological ( Psychiatric Medication) evaluations and the treatment of Mood and Anxiety Disorders, OCD, and ADHD. I hold two Board Certifications; Child/Adolescent and Adult. I have 27 years of independent practice experience as an Advanced Registered Nurse Practitioner in Kitsap county preceeded by 17 years of experience as an RN in the areas of Nursing Education, Medical, Surgical, Family Practice, and Community Health nursing. My passion is treating those patients considered "treatment resistant" with the most effective methods available.
I specialize in psychopharmacological ( Psychiatric Medication) evaluations and the treatment of Mood and Anxiety Disorders, OCD, and ADHD. I hold two Board Certifications; Child/Adolescent and Adult. I have 27 years of independent practice experience as an Advanced Registered Nurse Practitioner in Kitsap county preceeded by 17 years of experience as an RN in the areas of Nursing Education, Medical, Surgical, Family Practice, and Community Health nursing. My passion is treating those patients considered "treatment resistant" with the most effective methods available.
(360) 464-1917 View (360) 464-1917
Photo of Sean Dunn, Psychiatric Nurse Practitioner in Poulsbo, WA
Sean Dunn
Psychiatric Nurse Practitioner, PMHNP, MSN, BSN, BA
Verified Verified
Poulsbo, WA 98370
I know all too well that finding the right provider can be a struggle. I run a client-centered practice, which means YOU come first. Through my patient portal, you can make your own appointments, submit refill requests, track lab results, and get in touch all without lifting a phone. I run an intentionally small-scale, streamlined practice, which means less logistical hassles and phone-tag. While in my care, you will be with a passionate provider who adheres to the most current and evidence-based practices. Learn more and reach out at www.atcpsychiatry.com
I know all too well that finding the right provider can be a struggle. I run a client-centered practice, which means YOU come first. Through my patient portal, you can make your own appointments, submit refill requests, track lab results, and get in touch all without lifting a phone. I run an intentionally small-scale, streamlined practice, which means less logistical hassles and phone-tag. While in my care, you will be with a passionate provider who adheres to the most current and evidence-based practices. Learn more and reach out at www.atcpsychiatry.com
(206) 202-3334 View (206) 202-3334
Photo of Amy Brumbaugh, Psychiatric Nurse Practitioner in Poulsbo, WA
Amy Brumbaugh
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Poulsbo, WA 98370  (Online Only)
My clients come from different backgrounds and walks of life, all seeking support for their emotional well-being and mental balance. I specialize in helping those dealing with mood disorders and anxiety, offering a tailored approach to address their unique struggles (including medication management, supplements & exercise programs, and therapy options). My ideal client is someone who's ready to work together on this journey towards better mental health, with trust, understanding, and a shared commitment to positive change.
My clients come from different backgrounds and walks of life, all seeking support for their emotional well-being and mental balance. I specialize in helping those dealing with mood disorders and anxiety, offering a tailored approach to address their unique struggles (including medication management, supplements & exercise programs, and therapy options). My ideal client is someone who's ready to work together on this journey towards better mental health, with trust, understanding, and a shared commitment to positive change.
(206) 207-0191 View (206) 207-0191
Photo of Neupathway (Mirandine Fitchette), Psychiatric Nurse Practitioner in Poulsbo, WA
Neupathway (Mirandine Fitchette)
Psychiatric Nurse Practitioner, FPMHNP, BC, MSN/DNP
Verified Verified
Poulsbo, WA 98370
Accepting New Clients! Same Week Availability! ......... Mirandine is a board certified family psychiatric mental health nurse practitioner. She provides psychiatric/mental health services to clients across the lifespan (adults, adolescents, children as young as six years old). Our utmost dedication lies in offering exceptional in-person and tele-psychiatry services that encompass comprehensive care and prioritize the delivery of high-quality healthcare. If you are interested in scheduling an appointment, we kindly invite you to visit our website at neupathway.com/appointments.
Accepting New Clients! Same Week Availability! ......... Mirandine is a board certified family psychiatric mental health nurse practitioner. She provides psychiatric/mental health services to clients across the lifespan (adults, adolescents, children as young as six years old). Our utmost dedication lies in offering exceptional in-person and tele-psychiatry services that encompass comprehensive care and prioritize the delivery of high-quality healthcare. If you are interested in scheduling an appointment, we kindly invite you to visit our website at neupathway.com/appointments.
(206) 339-6842 View (206) 339-6842
Photo of Deanette James, Psychiatric Nurse Practitioner in Poulsbo, WA
Deanette James
Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP
Verified Verified
7 Endorsed
Poulsbo, WA 98370  (Online Only)
Deanette James specializes in providing mental health medication management to women, especially those in the working-class group, who are experiencing the burdens of life. If you are a woman who is a wife, a homemaker, a mother, a professional, a daughter, has family responsibilities, or other factors contributing to a decline in your mental health, she is the person to see. Her services focus on women experiencing anxiety, depression, and PTSD. She understands that these disorders are very prevalent and act as determinants of the outcome of a woman's daily life.
Deanette James specializes in providing mental health medication management to women, especially those in the working-class group, who are experiencing the burdens of life. If you are a woman who is a wife, a homemaker, a mother, a professional, a daughter, has family responsibilities, or other factors contributing to a decline in your mental health, she is the person to see. Her services focus on women experiencing anxiety, depression, and PTSD. She understands that these disorders are very prevalent and act as determinants of the outcome of a woman's daily life.
(253) 252-5269 View (253) 252-5269

More Psychiatrists Nearby

Photo of Jasmyne Lyons, Psychiatric Nurse Practitioner in Poulsbo, WA
Jasmyne Lyons
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
Seattle, WA 98110
My proficiency extends to a broad spectrum of mental health disorders, including depression, anxiety, OCD, panic, bipolar disorder, psychosis, ADHD, Autism Spectrum Disorder, and PTSD.
I have 15 yeas of combined experience as a Psych NP & therapist. I conduct ADHD/executive function evaluations & Autism screening assessments. I work with all age groups 5 years old and up. I provide accommodation & intervention planning for adults in school or work & for child/adolescents school 504/IEP plans. I do not conduct assessments for SSDI/disability. My services include assessments, medication management, nutrition planning and solution focused behavioral modifications. I firmly believe medication is one element of the solution & holistic, supportive care is essential for overall well-being.
My proficiency extends to a broad spectrum of mental health disorders, including depression, anxiety, OCD, panic, bipolar disorder, psychosis, ADHD, Autism Spectrum Disorder, and PTSD.
I have 15 yeas of combined experience as a Psych NP & therapist. I conduct ADHD/executive function evaluations & Autism screening assessments. I work with all age groups 5 years old and up. I provide accommodation & intervention planning for adults in school or work & for child/adolescents school 504/IEP plans. I do not conduct assessments for SSDI/disability. My services include assessments, medication management, nutrition planning and solution focused behavioral modifications. I firmly believe medication is one element of the solution & holistic, supportive care is essential for overall well-being.
(206) 210-1128 View (206) 210-1128
Photo of Dr. Bridget Carnahan, Psychiatrist in Poulsbo, WA
Dr. Bridget Carnahan
Psychiatrist, DO
Verified Verified
Bainbridge Island, WA 98110
Dr. Carnahan is an osteopathic physician with specialized training in integrative psychiatry. Her approach to care prioritizes the understanding of your unique life experience so that we can find solutions that best support you as an individual.
Dr. Carnahan is an osteopathic physician with specialized training in integrative psychiatry. Her approach to care prioritizes the understanding of your unique life experience so that we can find solutions that best support you as an individual.
(206) 737-3424 View (206) 737-3424
Photo of Kelly Lawson Telehealth Available, Psychiatric Nurse Practitioner in Poulsbo, WA
Kelly Lawson Telehealth Available
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP, BC
Verified Verified
1 Endorsed
Bainbridge Island, WA 98110
I’m a board certified Psychiatric Nurse Practitioner with over 30 years of experience as a Registered Nurse. I take a holistic approach to mental health focusing on the whole person using an empathic and non-judgmental style. I use evidence-based, complimentary, and integrative approaches to care that include lifestyle and behavioral change, in addition to medications when appropriate and safe. I practice from a client-centered approach in which we work together to make treatment and medication decisions that include your preferences and values.
I’m a board certified Psychiatric Nurse Practitioner with over 30 years of experience as a Registered Nurse. I take a holistic approach to mental health focusing on the whole person using an empathic and non-judgmental style. I use evidence-based, complimentary, and integrative approaches to care that include lifestyle and behavioral change, in addition to medications when appropriate and safe. I practice from a client-centered approach in which we work together to make treatment and medication decisions that include your preferences and values.
(253) 289-7408 View (253) 289-7408
Photo of Michael M Defilippo, Psychiatric Nurse in Poulsbo, WA
Michael M Defilippo
Psychiatric Nurse, DNP, ARNP, PMHNP
Verified Verified
2 Endorsed
Silverdale, WA 98383  (Online Only)
I work with children, adolescents, and adults (ages 5 and older) performing comprehensive psychiatric evaluations utilizing both a psychopharmacologic and brief supportive psychotherapeutic approach with a cognitive behavioral underpinning. I have experience in the diagnosis and treatment of a wide range of psychiatric syndromes. My knowledge and training add an invaluable perspective into the integrated nature of mental illness. I believe in collaborative integrated care to ensure optimal mental health.
I work with children, adolescents, and adults (ages 5 and older) performing comprehensive psychiatric evaluations utilizing both a psychopharmacologic and brief supportive psychotherapeutic approach with a cognitive behavioral underpinning. I have experience in the diagnosis and treatment of a wide range of psychiatric syndromes. My knowledge and training add an invaluable perspective into the integrated nature of mental illness. I believe in collaborative integrated care to ensure optimal mental health.
(360) 301-7445 View (360) 301-7445
Photo of Jeneane Keller, Psychiatric Nurse Practitioner in Poulsbo, WA
Jeneane Keller
Psychiatric Nurse Practitioner, DNP, PMHNP, BC
Verified Verified
3 Endorsed
Silverdale, WA 98383  (Online Only)
“I never lose. Either I win or I learn." -Nelson Mandela. Jeneane Keller, DNP received her Doctor of Nursing Practice (DNP) degree with honors from George Mason University, Fairfax Virginia in 2016. She has clinical expertise in the outpatient and inpatient settings. Jeneane Keller, DNP is located in Arizona and offers treatment via telepsychiatry in the state of Arizona and Washington (Front Street Clinic).
“I never lose. Either I win or I learn." -Nelson Mandela. Jeneane Keller, DNP received her Doctor of Nursing Practice (DNP) degree with honors from George Mason University, Fairfax Virginia in 2016. She has clinical expertise in the outpatient and inpatient settings. Jeneane Keller, DNP is located in Arizona and offers treatment via telepsychiatry in the state of Arizona and Washington (Front Street Clinic).
(206) 260-0376 View (206) 260-0376
Photo of Bainbridge Holistic Psychiatry, PLLC, Psychiatric Nurse Practitioner in Poulsbo, WA
Bainbridge Holistic Psychiatry, PLLC
Psychiatric Nurse Practitioner, DNP , ARNP , PMHNP
Verified Verified
1 Endorsed
Bainbridge Island, WA 98110  (Online Only)
I’m a board certified Psychiatric Nurse Practitioner with over 30 years of experience as a Registered Nurse. I take a holistic approach to mental health focusing on the whole person using an empathic and non-judgmental style. I use evidence-based, complimentary, and integrative approaches to care that include lifestyle and behavioral change, in addition to medications when appropriate and safe. I practice from a client-centered approach in which we work together to make treatment and medication decisions that include your preferences and values.
I’m a board certified Psychiatric Nurse Practitioner with over 30 years of experience as a Registered Nurse. I take a holistic approach to mental health focusing on the whole person using an empathic and non-judgmental style. I use evidence-based, complimentary, and integrative approaches to care that include lifestyle and behavioral change, in addition to medications when appropriate and safe. I practice from a client-centered approach in which we work together to make treatment and medication decisions that include your preferences and values.
(206) 558-8286 View (206) 558-8286
Photo of Neupathway (Gabriel Taylor-Parsons), Psychiatric Nurse Practitioner in Poulsbo, WA
Neupathway (Gabriel Taylor-Parsons)
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
1 Endorsed
Bremerton, WA 98311
ACCEPTING NEW CLIENTS! SAME WEEK AVAILABILITY! ..................UPDATED WEEKLY! SELF-SCHEDULING .................... My name is Gabriel Parsons, I am a board-certified Psychiatric Nurse Practitioner who focuses on the combination of medication management and psychotherapy in treating patients who are suffering from ADHD, Bipolar Disorder, Major Depression, Generalized Anxiety Disorder, Schizophrenia, Post Traumatic Stress Disorder, Panic Attacks, and other mental health disorders.
ACCEPTING NEW CLIENTS! SAME WEEK AVAILABILITY! ..................UPDATED WEEKLY! SELF-SCHEDULING .................... My name is Gabriel Parsons, I am a board-certified Psychiatric Nurse Practitioner who focuses on the combination of medication management and psychotherapy in treating patients who are suffering from ADHD, Bipolar Disorder, Major Depression, Generalized Anxiety Disorder, Schizophrenia, Post Traumatic Stress Disorder, Panic Attacks, and other mental health disorders.
(360) 569-1736 View (360) 569-1736

Online Psychiatrists

Photo of Jacqueline Marcell-Koledin | TMS, Psychiatric Nurse Practitioner in Poulsbo, WA
Jacqueline Marcell-Koledin | TMS
Psychiatric Nurse Practitioner, PMHNP, ARNP
Verified Verified
1 Endorsed
Seattle, WA 98116
We are a very experienced mental health practice and have an extensive background in working with those with mood challenges, including those seeking help when medication and/or therapy may not be working. TMS (Transcranial Magnetic Stimulation) is FDA-approved and is an effective treatment with a high rate of response and remission. It can be helpful for mood challenges such as: Depression; Anxiety; OCD; Addiction; Bipolar/Depression; ADHD; PTSD; tinnitus; smoking cessation. We look forward to working with you to help you achieve your goals and optimal wellness.
We are a very experienced mental health practice and have an extensive background in working with those with mood challenges, including those seeking help when medication and/or therapy may not be working. TMS (Transcranial Magnetic Stimulation) is FDA-approved and is an effective treatment with a high rate of response and remission. It can be helpful for mood challenges such as: Depression; Anxiety; OCD; Addiction; Bipolar/Depression; ADHD; PTSD; tinnitus; smoking cessation. We look forward to working with you to help you achieve your goals and optimal wellness.
(206) 673-2408 View (206) 673-2408
Neupathway LLC
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
Bellevue, WA 98005
Accepting new clients same week availability................................... Neupathway is deeply passionate about delivering exceptional mental health care that makes a significant positive impact on her patients' well-being. Her unwavering commitment to the field is reflected in her dedication to addressing the complexities of mental health, with a particular emphasis on anxiety, depression, and obsessive-compulsive disorder.In an ever-evolving field, Eirin stays current with the latest research and therapeutic techniques to ensure that her patients receive the highest standard of care.
Accepting new clients same week availability................................... Neupathway is deeply passionate about delivering exceptional mental health care that makes a significant positive impact on her patients' well-being. Her unwavering commitment to the field is reflected in her dedication to addressing the complexities of mental health, with a particular emphasis on anxiety, depression, and obsessive-compulsive disorder.In an ever-evolving field, Eirin stays current with the latest research and therapeutic techniques to ensure that her patients receive the highest standard of care.
(425) 584-6202 View (425) 584-6202
Photo of Dr. Jade Goodloe, Psychiatric Nurse Practitioner in Poulsbo, WA
Dr. Jade Goodloe
Psychiatric Nurse Practitioner, DNP, APRN, PMHNPBC
Verified Verified
Bellevue, WA 98006  (Online Only)
We are currently welcoming new patients for Telehealth appointments. As a board-certified psychiatric nurse practitioner, I specialize in the diagnostic assessment, medication management, & therapeutic treatment of Anxiety, Bipolar Disorder, Depression, OCD, & PTSD. Given my background as an active-duty service member & psychiatry provider, I additionally specialize in military & veteran mental health. I treat adults of all backgrounds, 18 years & older located throughout the state.
We are currently welcoming new patients for Telehealth appointments. As a board-certified psychiatric nurse practitioner, I specialize in the diagnostic assessment, medication management, & therapeutic treatment of Anxiety, Bipolar Disorder, Depression, OCD, & PTSD. Given my background as an active-duty service member & psychiatry provider, I additionally specialize in military & veteran mental health. I treat adults of all backgrounds, 18 years & older located throughout the state.
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Photo of Dr. Ronil Shah, Psychiatrist in Poulsbo, WA
Dr. Ronil Shah
Psychiatrist, MD
Verified Verified
Seattle, WA 98101
Dr. Shah is welcoming new patients for video appointments. As a Board-certified M.D. psychiatrist, he specializes in assessing and treating anxiety, depression, bipolar disorder, OCD, PTSD and other psychiatric issues. A holistic provider, he combines non-pharmacologic approaches - including psychodynamic psychotherapy and cognitive behavioral therapy - in addition to medication. He utilizes such therapeutic modalities in medication management appointments as well as dedicated therapy sessions. Consequently, patients benefit from well-integrated treatment that is both systematic and thorough.
Dr. Shah is welcoming new patients for video appointments. As a Board-certified M.D. psychiatrist, he specializes in assessing and treating anxiety, depression, bipolar disorder, OCD, PTSD and other psychiatric issues. A holistic provider, he combines non-pharmacologic approaches - including psychodynamic psychotherapy and cognitive behavioral therapy - in addition to medication. He utilizes such therapeutic modalities in medication management appointments as well as dedicated therapy sessions. Consequently, patients benefit from well-integrated treatment that is both systematic and thorough.
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Photo of Bernard Chessum, Psychiatric Nurse Practitioner in Poulsbo, WA
Bernard Chessum
Psychiatric Nurse Practitioner
Verified Verified
Tacoma, WA 98402
My practice focuses on medication management for ADD/ADHD, Depressive diosrders, Anxiety disorders, Panic disorders, Sleep disorders, OCD, PTSD, Thought disorder, Bipolar disorder, and much more.
I am accepting NEW clients with same day appointments available. Also after-hours and weekends appointments available as well. In network with most major insurances in Washington State. Private pay rates made affordable. I value meeting my clients at any level they are without making them feel judged. During the initial session, i focus on patient-centered strategies and come up with a treatment plan that best suits your needs. The goal is to develop the best therapeutic relationship possible to ease any stress related to having appointments. Most treatment plan involves medication, therapy, or a combination of both.
My practice focuses on medication management for ADD/ADHD, Depressive diosrders, Anxiety disorders, Panic disorders, Sleep disorders, OCD, PTSD, Thought disorder, Bipolar disorder, and much more.
I am accepting NEW clients with same day appointments available. Also after-hours and weekends appointments available as well. In network with most major insurances in Washington State. Private pay rates made affordable. I value meeting my clients at any level they are without making them feel judged. During the initial session, i focus on patient-centered strategies and come up with a treatment plan that best suits your needs. The goal is to develop the best therapeutic relationship possible to ease any stress related to having appointments. Most treatment plan involves medication, therapy, or a combination of both.
(253) 528-8235 View (253) 528-8235
Photo of Avery Schearer, Psychiatric Nurse Practitioner in Poulsbo, WA
Avery Schearer
Psychiatric Nurse Practitioner, ARNP
Verified Verified
1 Endorsed
Olympia, WA 98502
I have clinical experience in diagnosing and managing depression, anxiety, OCD, autism, and ADHD.
Currently accepting new patients under 18! I specialize in working with children and adolescents. My primary practice goal is to partner with children and their families and to provide personalized, evidence-based, and collaborative care. I approach recommendations from a holistic perspective and often discuss lifestyle modifications along with evaluation of appropriateness of medications. I use medications judiciously and strive to ensure that any medications prescribed effectively address symptoms while minimizing side effects.
I have clinical experience in diagnosing and managing depression, anxiety, OCD, autism, and ADHD.
Currently accepting new patients under 18! I specialize in working with children and adolescents. My primary practice goal is to partner with children and their families and to provide personalized, evidence-based, and collaborative care. I approach recommendations from a holistic perspective and often discuss lifestyle modifications along with evaluation of appropriateness of medications. I use medications judiciously and strive to ensure that any medications prescribed effectively address symptoms while minimizing side effects.
(360) 995-1931 View (360) 995-1931
Photo of Dr. Jade Goodloe, Psychiatric Nurse Practitioner in Poulsbo, WA
Dr. Jade Goodloe
Psychiatric Nurse Practitioner, DNP, APRN, PMHNPBC
Verified Verified
Seattle, WA 98103  (Online Only)
We are currently welcoming new patients for Telehealth appointments. As a board-certified psychiatric nurse practitioner, I specialize in the diagnostic assessment, medication management, & therapeutic treatment of Anxiety, Bipolar Disorder, Depression, OCD, & PTSD. Given my background as an active-duty service member & psychiatry provider, I additionally specialize in military & veteran mental health. I treat adults of all backgrounds, 18 years & older located throughout the state.
We are currently welcoming new patients for Telehealth appointments. As a board-certified psychiatric nurse practitioner, I specialize in the diagnostic assessment, medication management, & therapeutic treatment of Anxiety, Bipolar Disorder, Depression, OCD, & PTSD. Given my background as an active-duty service member & psychiatry provider, I additionally specialize in military & veteran mental health. I treat adults of all backgrounds, 18 years & older located throughout the state.
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Photo of Holly Brezynski, Psychiatric Nurse Practitioner in Poulsbo, WA
Holly Brezynski
Psychiatric Nurse Practitioner, DNP, PMHNP, ARNP
Verified Verified
1 Endorsed
Fife, WA 98424  (Online Only)
Holly is a Washington State board-certified nurse practitioner with a Doctorate of Nursing Practice (DNP) degree specializing in psychiatry practicing at Wapato Creek Health and Wellness. She offers evidence-based trauma-informed diagnoses of mental health conditions with focuses on depression, anxiety, adjustment disorders, bipolar disorder, insomnia, OCD, PTSD, and ADHD for individuals aged 18 through 65. Please note, I am not taking Apple Health patients at this time.
Holly is a Washington State board-certified nurse practitioner with a Doctorate of Nursing Practice (DNP) degree specializing in psychiatry practicing at Wapato Creek Health and Wellness. She offers evidence-based trauma-informed diagnoses of mental health conditions with focuses on depression, anxiety, adjustment disorders, bipolar disorder, insomnia, OCD, PTSD, and ADHD for individuals aged 18 through 65. Please note, I am not taking Apple Health patients at this time.
(253) 352-3048 View (253) 352-3048

See more therapy options for Poulsbo

Obsessive-Compulsive (OCD) Psychiatrists

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.