Psychiatrists in San Antonio, TX
Sarah Casola
Psychiatric Nurse Practitioner
Verified Verified
3 Endorsed
San Antonio, TX 78249
I support my clients with depression, anxiety, obsessive-compulsive disorder, bipolar disorder and trauma in medication management where appropriate, and supportive therapy to help them find their way forward.
Same week appointments available! Hi there! Do you find it difficult to get out of bed in the morning, have low energy, and low motivation? Is it hard to find joy even in the things you would normally enjoy doing? Do you constantly worry or have fears that hold you back? Or maybe you find yourself struggling with frequent unwanted thoughts, or have compulsions you cannot control? You do not have to face this alone. Let's work together!
I support my clients with depression, anxiety, obsessive-compulsive disorder, bipolar disorder and trauma in medication management where appropriate, and supportive therapy to help them find their way forward.
Same week appointments available! Hi there! Do you find it difficult to get out of bed in the morning, have low energy, and low motivation? Is it hard to find joy even in the things you would normally enjoy doing? Do you constantly worry or have fears that hold you back? Or maybe you find yourself struggling with frequent unwanted thoughts, or have compulsions you cannot control? You do not have to face this alone. Let's work together!
Green Pastures Mental Care
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Antonio, TX 78249
I support my patients in the treatment of depression, anxiety, bipolar disorder, trauma and OCD as well as other mental health disorders.
May 2024. Next day appointments available. Hi there! Do you feel tired, disinterested in doing things you once loved to do? Do you have low energy, low motivation, or feel hopeless? Or maybe you have constant worry, and think about worst case scenarios or a lot of 'what ifs"? If your goal is to climb out of that dark place and begin to overcome feelings of depression and anxiety because you are tired of being tired, let's work together.
I support my patients in the treatment of depression, anxiety, bipolar disorder, trauma and OCD as well as other mental health disorders.
May 2024. Next day appointments available. Hi there! Do you feel tired, disinterested in doing things you once loved to do? Do you have low energy, low motivation, or feel hopeless? Or maybe you have constant worry, and think about worst case scenarios or a lot of 'what ifs"? If your goal is to climb out of that dark place and begin to overcome feelings of depression and anxiety because you are tired of being tired, let's work together.
Steve Scott
Psychiatric Nurse Practitioner, PMHNP, FNP, APRN
Verified Verified
1 Endorsed
San Antonio, TX 78232
Mental health problems are challenging in so many ways. I can help you navigate evaluation, diagnosis, and medication management in a patient-centered manner. I am passionate about treating Post Traumatic Stress Disorder (PTSD) including Complex Post Traumatic Stress Disorder (C-PTSD) and Mood Disorders like Depression, Treatment Resistant Depression, Anxiety and Bipolar Depression. I also diagnose and treat Attention Deficit Hyperactivity Disorder (ADHD), Obsessive Compulsive Disorder (OCD), and Personality disorders.
Mental health problems are challenging in so many ways. I can help you navigate evaluation, diagnosis, and medication management in a patient-centered manner. I am passionate about treating Post Traumatic Stress Disorder (PTSD) including Complex Post Traumatic Stress Disorder (C-PTSD) and Mood Disorders like Depression, Treatment Resistant Depression, Anxiety and Bipolar Depression. I also diagnose and treat Attention Deficit Hyperactivity Disorder (ADHD), Obsessive Compulsive Disorder (OCD), and Personality disorders.
Ann Torres
Psychiatric Nurse Practitioner, PHMNP
Verified Verified
San Antonio, TX 78216
As a PMHNP, she provides services to patients across the lifespan (children, adolescents, & adults) regarding the management of a wide range of mental health conditions such as anxiety, depression, bipolar disorder, schizophrenia, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), psychosis, addiction, eating disorders and many more.
At Aura Psychiatry our Mission is to Improve the Quality of Life of our clients, to overcome Mental Barriers & truly live the life they deserve. Our purpose is to Support, Educate, & Empower clients & their families by providing them a safe & reliable place to share their problems and stories. We pride ourselves on our Patient-Focused approach that emphasizes the Highest possible Standards. Immediate Appointments Available! Evenings & some Weekend appointments available. Visit us at www.AuraPsychiatry.com
As a PMHNP, she provides services to patients across the lifespan (children, adolescents, & adults) regarding the management of a wide range of mental health conditions such as anxiety, depression, bipolar disorder, schizophrenia, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), psychosis, addiction, eating disorders and many more.
At Aura Psychiatry our Mission is to Improve the Quality of Life of our clients, to overcome Mental Barriers & truly live the life they deserve. Our purpose is to Support, Educate, & Empower clients & their families by providing them a safe & reliable place to share their problems and stories. We pride ourselves on our Patient-Focused approach that emphasizes the Highest possible Standards. Immediate Appointments Available! Evenings & some Weekend appointments available. Visit us at www.AuraPsychiatry.com
Moods and Mind Behavioral Service PLLC
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
San Antonio, TX 78253 (Online Only)
One small crack does not mean you are broken, it means you were put to the test, and you didn’t fall apart. My name is Yejide Oludare, Board certified psychiatric mental health nurse practitioner currently providing telemedicine appointment to Texas resident., takes pride in providing compassionate, and evidence based care for clients. I specialize in treating various mood disorders not limited to Adjustment disorder, depression, anxiety, bipolar disorder, schizophrenia, schizoaffective disorder, , OCD, Panic disorder, Insomnia, Substance Use Disorder, and postpartum depression.
One small crack does not mean you are broken, it means you were put to the test, and you didn’t fall apart. My name is Yejide Oludare, Board certified psychiatric mental health nurse practitioner currently providing telemedicine appointment to Texas resident., takes pride in providing compassionate, and evidence based care for clients. I specialize in treating various mood disorders not limited to Adjustment disorder, depression, anxiety, bipolar disorder, schizophrenia, schizoaffective disorder, , OCD, Panic disorder, Insomnia, Substance Use Disorder, and postpartum depression.
Kimberly Giberga
Psychiatric Nurse Practitioner, MSN , PMHNP, FNP
Verified Verified
3 Endorsed
San Antonio, TX 78232
I successfully treat all psychiatric disorders including ADHD, OCD.
If you need a partner to help you start back on the path to your best self, I understand that life can present challenges with mood disorders such as Depression, Bipolar Disorder, Anxiety, Insomnia, Post Traumatic Stress Disorder (PTSD), Irritability, Eating disorders and generally feeling 'off' or unlike yourself. I can help you face those difficulties. If you want to take that courageous first step towards getting your life back, reach out today. I'm here to help you. I also specialize in treatment resistant depression and use Spravato (esketamine) in my clinic with great success. I want to help you make your life better.
I successfully treat all psychiatric disorders including ADHD, OCD.
If you need a partner to help you start back on the path to your best self, I understand that life can present challenges with mood disorders such as Depression, Bipolar Disorder, Anxiety, Insomnia, Post Traumatic Stress Disorder (PTSD), Irritability, Eating disorders and generally feeling 'off' or unlike yourself. I can help you face those difficulties. If you want to take that courageous first step towards getting your life back, reach out today. I'm here to help you. I also specialize in treatment resistant depression and use Spravato (esketamine) in my clinic with great success. I want to help you make your life better.
Ike Uzowulu
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Antonio, TX 78232 (Online Only)
My practice specializes in treating patients who are struggling with depression, bipolar, schizophrenia, anxiety, insomnia, ADHD, OCD and stress management.
I am a board-certified family psychiatric nurse practitioner with over 12 years in psychiatric and behavioral health settings. I have verifiable experience in treating variety of psychiatric disorders. I tend to be practical and hands-on rather than presuming or committing to one treatment approach. My goal is to work with you to find what works best for you. I provide urgent & routine telehealth Psychiatric services that is interactive, urgent and seamless; such that fosters continuity of care while improving access to patient's in need.
My practice specializes in treating patients who are struggling with depression, bipolar, schizophrenia, anxiety, insomnia, ADHD, OCD and stress management.
I am a board-certified family psychiatric nurse practitioner with over 12 years in psychiatric and behavioral health settings. I have verifiable experience in treating variety of psychiatric disorders. I tend to be practical and hands-on rather than presuming or committing to one treatment approach. My goal is to work with you to find what works best for you. I provide urgent & routine telehealth Psychiatric services that is interactive, urgent and seamless; such that fosters continuity of care while improving access to patient's in need.
Precious Chandler
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
2 Endorsed
San Antonio, TX 78216
Precious specializes in providing mental health services to clients across the lifespan (children, teens, & adults) in management of variety of conditions including, but not limited to anxiety, depression, bipolar, ADHD, schizophrenia, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), psychosis, addiction, and eating disorders.
At Aura Psychiatry, PLLC our Mission is to Improve the Quality of Life of our clients, to overcome Mental Barriers & truly live the life they deserve. Our purpose is to Support, Educate, & Empower clients & their families by providing them a safe & reliable place to share their problems and stories. We pride ourselves on our Patient-Focused approach that emphasizes the Highest possible Standards. Immediate Appointments Available! Evenings & some Weekend appointments available. For more details, visit us at www.AuraPsychiatry.com
Precious specializes in providing mental health services to clients across the lifespan (children, teens, & adults) in management of variety of conditions including, but not limited to anxiety, depression, bipolar, ADHD, schizophrenia, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), psychosis, addiction, and eating disorders.
At Aura Psychiatry, PLLC our Mission is to Improve the Quality of Life of our clients, to overcome Mental Barriers & truly live the life they deserve. Our purpose is to Support, Educate, & Empower clients & their families by providing them a safe & reliable place to share their problems and stories. We pride ourselves on our Patient-Focused approach that emphasizes the Highest possible Standards. Immediate Appointments Available! Evenings & some Weekend appointments available. For more details, visit us at www.AuraPsychiatry.com
Aura Psychiatry, PLLC
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
San Antonio, TX 78216
We specialize in managing & treating Depression, Anxiety, Bipolar, Attention-deficit/hyperactivity disorder (ADD/ ADHD), Post-traumatic stress disorder (PTSD), Obsessive-compulsive conditions (OCD), Mood swings, Anger issues, Sleep problems, Substance abuse, Addiction, Eating disorders, Psychosis, Schizophrenia & many more.
At Aura Psychiatry we are committed to provide the BEST of the BEST Mental & Behavioral Health Services to Children (6+), Teens/ Adolescence & Adult clients. Our Mission is to Improve the Quality of Life of our clients, to overcome Mental Barriers & truly live the life they deserve. We pride ourselves on our Patient-Focused approach that emphasizes the Highest possible Standards. Our purpose is to Support, Educate, & Empower clients & their families by providing them a safe & reliable place to share their problems and stories. Immediate Appts Available! Evenings & Weekend appts available. Visit us at www.AuraPsychiatry.com
We specialize in managing & treating Depression, Anxiety, Bipolar, Attention-deficit/hyperactivity disorder (ADD/ ADHD), Post-traumatic stress disorder (PTSD), Obsessive-compulsive conditions (OCD), Mood swings, Anger issues, Sleep problems, Substance abuse, Addiction, Eating disorders, Psychosis, Schizophrenia & many more.
At Aura Psychiatry we are committed to provide the BEST of the BEST Mental & Behavioral Health Services to Children (6+), Teens/ Adolescence & Adult clients. Our Mission is to Improve the Quality of Life of our clients, to overcome Mental Barriers & truly live the life they deserve. We pride ourselves on our Patient-Focused approach that emphasizes the Highest possible Standards. Our purpose is to Support, Educate, & Empower clients & their families by providing them a safe & reliable place to share their problems and stories. Immediate Appts Available! Evenings & Weekend appts available. Visit us at www.AuraPsychiatry.com
Aura Psychiatry, PLLC
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
San Antonio, TX 78216
We specialize in managing & treating Depression, Anxiety, Bipolar, Attention-deficit/hyperactivity disorder (ADD/ ADHD), Post-traumatic stress disorder (PTSD), Obsessive-compulsive conditions (OCD), Mood swings, Anger issues, Sleep problems, Substance abuse, Addiction, Eating disorders, Psychosis, Schizophrenia & many more.
At Aura Psychiatry we are committed to provide the BEST of the BEST Mental & Behavioral Health Services to Children (6+), Teens/ Adolescence & Adult clients. Our Mission is to Improve the Quality of Life of our clients, to overcome Mental Barriers & truly live the life they deserve. We pride ourselves on our Patient-Focused approach that emphasizes the Highest possible Standards. Our purpose is to Support, Educate, & Empower clients & their families by providing them a safe & reliable place to share their problems and stories. SAME Day/ Immediate Appts Available! Evenings & Weekend appts available. Visit us at www.AuraPsychiatry.com
We specialize in managing & treating Depression, Anxiety, Bipolar, Attention-deficit/hyperactivity disorder (ADD/ ADHD), Post-traumatic stress disorder (PTSD), Obsessive-compulsive conditions (OCD), Mood swings, Anger issues, Sleep problems, Substance abuse, Addiction, Eating disorders, Psychosis, Schizophrenia & many more.
At Aura Psychiatry we are committed to provide the BEST of the BEST Mental & Behavioral Health Services to Children (6+), Teens/ Adolescence & Adult clients. Our Mission is to Improve the Quality of Life of our clients, to overcome Mental Barriers & truly live the life they deserve. We pride ourselves on our Patient-Focused approach that emphasizes the Highest possible Standards. Our purpose is to Support, Educate, & Empower clients & their families by providing them a safe & reliable place to share their problems and stories. SAME Day/ Immediate Appts Available! Evenings & Weekend appts available. Visit us at www.AuraPsychiatry.com
Live Oak Psychiatry and Family Practice, PLLC
Psychiatric Nurse Practitioner, APRN, FNP-C, PMHNP
Verified Verified
San Antonio, TX 78209
Our areas of clinical interests include PTSD, depression, ADHD, anxiety/OCD, bipolar disorder and schizophrenia.
Now Accepting New Patients! Appointments within a week are available including, evenings weekdays and weekends. Are you struggling with issues related to trauma, grief, depression, anxiety, or major life changes? At Live Oak Psychiatric and Family Practice, we strive to understand individuals and their symptoms within the context of their environments and relationships. We are skilled in addressing acute and chronic illnesses while maintaining a collaborative, warm and non-judgmental stance. We focus on holistic approach and evidenced based treatment modalities including pharmacologic management and psychotherapeutic interventions.
Our areas of clinical interests include PTSD, depression, ADHD, anxiety/OCD, bipolar disorder and schizophrenia.
Now Accepting New Patients! Appointments within a week are available including, evenings weekdays and weekends. Are you struggling with issues related to trauma, grief, depression, anxiety, or major life changes? At Live Oak Psychiatric and Family Practice, we strive to understand individuals and their symptoms within the context of their environments and relationships. We are skilled in addressing acute and chronic illnesses while maintaining a collaborative, warm and non-judgmental stance. We focus on holistic approach and evidenced based treatment modalities including pharmacologic management and psychotherapeutic interventions.
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Holistic Health and Psychiatry, PLLC
Psychiatric Nurse Practitioner, APRN-RN, PMHNP, FNP-BC
Verified Verified
San Antonio, TX 78245
We specialize in managing a wide range of mental and emotional difficulties including anxiety, depression, attention deficit disorder, bipolar disorder, insomnia, obsessive-compulsive behaviors, post traumatic disorder, grief and eating disorder.
NOW ACCEPTING NEW PATIENTS WITH TELEHEALTH APPOINTMENTS. MULTIPLE OPTIONS ON APPOINTMENTS AVAILABLE; AFTERNOONS, EVENINGS, WEEKDAYS AND WEEKENDS. Mental and emotional difficulties are real and can greatly limit our functioning. At Holistic health and psychiatry, we believe in a multidimensional approach in managing mental health. Our practitioners collaborate to offer therapeutic interventions including medication management and various therapy approaches to assist individuals with mental health difficulties.
We specialize in managing a wide range of mental and emotional difficulties including anxiety, depression, attention deficit disorder, bipolar disorder, insomnia, obsessive-compulsive behaviors, post traumatic disorder, grief and eating disorder.
NOW ACCEPTING NEW PATIENTS WITH TELEHEALTH APPOINTMENTS. MULTIPLE OPTIONS ON APPOINTMENTS AVAILABLE; AFTERNOONS, EVENINGS, WEEKDAYS AND WEEKENDS. Mental and emotional difficulties are real and can greatly limit our functioning. At Holistic health and psychiatry, we believe in a multidimensional approach in managing mental health. Our practitioners collaborate to offer therapeutic interventions including medication management and various therapy approaches to assist individuals with mental health difficulties.
Nelly Okere
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, BC, FNP-C
Verified Verified
San Antonio, TX 78216
Accepting NEW clients( children, teens, and adults). Are you feeling overwhelmed, struggling with focus and concentration, anxiety, sleeping, low motivation, over eating, and depression? Untreated mental health illnesses can lead to poor quality of life and make it difficult for you to reach your goals and achieve your fullest potential in life. I'm passionate about helping clients to get prompt mental health diagnosis and treatments so that they can live their lives to the fullest. I specialize in treating ADHD, anxiety, depression, OCD, PTSD, symptoms of autism disorder and bipolar disorder. Call now for a consultation.
Accepting NEW clients( children, teens, and adults). Are you feeling overwhelmed, struggling with focus and concentration, anxiety, sleeping, low motivation, over eating, and depression? Untreated mental health illnesses can lead to poor quality of life and make it difficult for you to reach your goals and achieve your fullest potential in life. I'm passionate about helping clients to get prompt mental health diagnosis and treatments so that they can live their lives to the fullest. I specialize in treating ADHD, anxiety, depression, OCD, PTSD, symptoms of autism disorder and bipolar disorder. Call now for a consultation.
Dr. Perez @ Evolve Psychiatry
Psychiatrist, MD
Verified Verified
San Antonio, TX 78258
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances?
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances?
Thomas Anthony Dietz
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Antonio, TX 78245 (Online Only)
My ideal client is someone who is looking for a whole mind and body approach for enhancing their overall wellness. I don't want to simply medicate symptoms, but rather work with my clients to discover the root cause for the way they feel. I want my clients to not only feel better, but to be better.
My ideal client is someone who is looking for a whole mind and body approach for enhancing their overall wellness. I don't want to simply medicate symptoms, but rather work with my clients to discover the root cause for the way they feel. I want my clients to not only feel better, but to be better.
Dr Perez @ Evolve Psychiatry
Psychiatrist, MD
Verified Verified
San Antonio, TX 78212
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances?
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances?
Effulgence Psychiatry
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Verified Verified
1 Endorsed
San Antonio, TX 78229
My name is Ifeoma Irokwe, a Psychiatric Mental Health Nurse Practitioner at Effulgence Psychiatry. With a deep-rooted belief in the interconnectedness of spirit, body, and soul, I strive to be a guiding light for those navigating the complex journey of mental health. I approach mental wellness from a holistic perspective, recognizing that true healing occurs when all aspects of our being are in harmony. I believe that when the spirit, body, and soul are aligned, individuals can experience a profound sense of peace and fulfillment.
My name is Ifeoma Irokwe, a Psychiatric Mental Health Nurse Practitioner at Effulgence Psychiatry. With a deep-rooted belief in the interconnectedness of spirit, body, and soul, I strive to be a guiding light for those navigating the complex journey of mental health. I approach mental wellness from a holistic perspective, recognizing that true healing occurs when all aspects of our being are in harmony. I believe that when the spirit, body, and soul are aligned, individuals can experience a profound sense of peace and fulfillment.
Dr. Brandi Milmo @ Wisemind
Psychiatrist, MD
Verified Verified
1 Endorsed
San Antonio, TX 78212
Accepting new patients with immediate availability! Dr. Brandi Milmo is a board-certified psychiatrist based in San Antonio. She has experience working with diverse patient populations and values the physician-patient relationship as the most important factor in helping patients reach their treatment goals.
Accepting new patients with immediate availability! Dr. Brandi Milmo is a board-certified psychiatrist based in San Antonio. She has experience working with diverse patient populations and values the physician-patient relationship as the most important factor in helping patients reach their treatment goals.
Dr. Riz @ Evolve Psychiatry
Psychiatrist, MD
Verified Verified
San Antonio, TX 78212
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances?
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances?
Richard P Diaz
Psychiatric Nurse Practitioner, DNP, FNP, PMHNP
Verified Verified
San Antonio, TX 78217
Se Habla Español. (We speak Spanish.)
Se Habla Español. (We speak Spanish.)
See more therapy options for San Antonio
Nearby Obsessive-Compulsive (OCD) Psychiatrists Searches for San Antonio
See More Obsessive-Compulsive (OCD) PsychiatristsNearby Searches for San Antonio
See More PsychiatristsObsessive-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.