Obsessive-Compulsive (OCD) Psychiatrists in Clackamas County, OR
Pritham Raj
Psychiatrist, MD
Verified Verified
Clackamas, OR 97015
Have you tried several medications for your mental health and experienced no relief of symptoms? At Active Path, we are here to help your treatment-resistant depression, anxiety and OCD. Get back to you with services tailored to your specific needs. We offer Transcranial magnetic stimulation (TMS), talk therapy, Spravato (esketamine), and medication management. These services are designed to provide comprehensive support to our patients on their mental health journey. Our services are covered by most insurance plans, including Medicare and Medicaid.
Have you tried several medications for your mental health and experienced no relief of symptoms? At Active Path, we are here to help your treatment-resistant depression, anxiety and OCD. Get back to you with services tailored to your specific needs. We offer Transcranial magnetic stimulation (TMS), talk therapy, Spravato (esketamine), and medication management. These services are designed to provide comprehensive support to our patients on their mental health journey. Our services are covered by most insurance plans, including Medicare and Medicaid.
Annika Burnett
Psychiatrist, MD
Verified Verified
1 Endorsed
Lake Oswego, OR 97034
My areas of special interest include anxiety and mood disorders, obsessive compulsive disorder (OCD) and women’s mental health, including perinatal and peripartum mood disorders as well as reproductive trauma.
I’m a board-certified general adult psychiatrist with experience treating a wide range of psychiatric disorders. I earned my medical degree at the Icahn School of Medicine at Mount Sinai and completed psychiatry residence at UCLA Neuropsychiatric Institute. I practice in both Los Angeles, California and Portland, Oregon.
My areas of special interest include anxiety and mood disorders, obsessive compulsive disorder (OCD) and women’s mental health, including perinatal and peripartum mood disorders as well as reproductive trauma.
I’m a board-certified general adult psychiatrist with experience treating a wide range of psychiatric disorders. I earned my medical degree at the Icahn School of Medicine at Mount Sinai and completed psychiatry residence at UCLA Neuropsychiatric Institute. I practice in both Los Angeles, California and Portland, Oregon.
Elaina Atwell-Furrow
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
2 Endorsed
Wilsonville, OR 97070
Now accepting new clients! As a Psychiatric Mental Health Nurse Practitioner, I provide diagnostic evaluations and treatment for psychiatric disorders/mental health conditions. I offer both therapy and medication management for a wide array of disorders, however, my specialty is in the treatment of anxiety disorders, ADHD and OCD/obsessive compulsive spectrum disorders. Following completion of my Doctorate of Nursing Practice at OHSU, I co-directed and treated patients in the OCD clinic at OHSU. I have carried this experience with me into the opening of my private practice, Atwell Mental Health, LLC.
Now accepting new clients! As a Psychiatric Mental Health Nurse Practitioner, I provide diagnostic evaluations and treatment for psychiatric disorders/mental health conditions. I offer both therapy and medication management for a wide array of disorders, however, my specialty is in the treatment of anxiety disorders, ADHD and OCD/obsessive compulsive spectrum disorders. Following completion of my Doctorate of Nursing Practice at OHSU, I co-directed and treated patients in the OCD clinic at OHSU. I have carried this experience with me into the opening of my private practice, Atwell Mental Health, LLC.
Adrienne Elyse Harmon
Psychiatric Nurse Practitioner, MN, PMHNP
Verified Verified
3 Endorsed
Lake Oswego, OR 97035
I treat a variety of psychiatric conditions including, anxiety, depression, trauma, mood disorders, schizophrenia, ADHD, OCD, and first-episode psychosis.
I understand mental wellness or illness to be a dynamic interplay between environmental, physical, psychological, and social factors with the individual or family at the center of the healing process. I work in collaboration with children, families, and individuals to provide evidence-based individualized care to attain mental wellness and improve the quality of life. I diagnose and treat patients across the lifespan, specializing in children, adolescents, and young adults. I provide holistic care, taking into consideration the diverse elements in the patient's life that are barriers and strengths to improving mental health.
I treat a variety of psychiatric conditions including, anxiety, depression, trauma, mood disorders, schizophrenia, ADHD, OCD, and first-episode psychosis.
I understand mental wellness or illness to be a dynamic interplay between environmental, physical, psychological, and social factors with the individual or family at the center of the healing process. I work in collaboration with children, families, and individuals to provide evidence-based individualized care to attain mental wellness and improve the quality of life. I diagnose and treat patients across the lifespan, specializing in children, adolescents, and young adults. I provide holistic care, taking into consideration the diverse elements in the patient's life that are barriers and strengths to improving mental health.
Brooke Call
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
Lake Oswego, OR 97034
My practice is focused on the initiation and management of psychiatric medications, a supportive psychotherapeutic relationship and lifestyle interventions. I treat a wide range of issues including depression, anxiety, ADHD, trauma, bipolar disorders and OCD. I work with clients aged 14 years and older and really enjoy supporting teens and adults as they navigate the challenges of mental health diagnoses and treatment. I want my clients to be active participants in their mental health care and will collaborate with their treatment team to ensure optimal outcomes.
My practice is focused on the initiation and management of psychiatric medications, a supportive psychotherapeutic relationship and lifestyle interventions. I treat a wide range of issues including depression, anxiety, ADHD, trauma, bipolar disorders and OCD. I work with clients aged 14 years and older and really enjoy supporting teens and adults as they navigate the challenges of mental health diagnoses and treatment. I want my clients to be active participants in their mental health care and will collaborate with their treatment team to ensure optimal outcomes.
Dr. Dianna Harris (Accepting New Clients)
Psychiatric Nurse Practitioner, PsyD, PMHNP
Verified Verified
Lake Oswego, OR 97034
I have successfully helped people reduce anxiety and depression that has only partially been helped through therapy by adding psychiatric medication that is targeted to treat worry, panic, OCD, depression and bipolar symptoms.
Accepting NEW Clients (ages 18-65) as of 4/24/24 for Tele-Psychiatry (medication treatment only, not therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
I have successfully helped people reduce anxiety and depression that has only partially been helped through therapy by adding psychiatric medication that is targeted to treat worry, panic, OCD, depression and bipolar symptoms.
Accepting NEW Clients (ages 18-65) as of 4/24/24 for Tele-Psychiatry (medication treatment only, not therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
Scott Pieper
Psychiatric Nurse Practitioner, MSN, RN, PMHNP
Verified Verified
Oregon City, OR 97045
Some of my clinical specialties include treating PTSD/C-PTSD, trauma, anxiety, depression, Bipolar disorder, ADD/ADHD, OCD, disordered eating, neurodiverse patients, members of the LGBTQ+ community, and post partum patients.
Hi I'm Scott, nice to meet you. With over nine years of dedicated service as a psychiatric nurse, I have gained extensive experience in various healthcare settings. I am a board certified psychiatric nurse in the states of OR and WA. My commitment is to provide compassionate and inclusive medication management with a focus on trauma informed care. I believe in client-centered support, where your unique experiences take center stage, allowing you to feel truly heard and understood. I have current openings for patients living in OR and WA.
Some of my clinical specialties include treating PTSD/C-PTSD, trauma, anxiety, depression, Bipolar disorder, ADD/ADHD, OCD, disordered eating, neurodiverse patients, members of the LGBTQ+ community, and post partum patients.
Hi I'm Scott, nice to meet you. With over nine years of dedicated service as a psychiatric nurse, I have gained extensive experience in various healthcare settings. I am a board certified psychiatric nurse in the states of OR and WA. My commitment is to provide compassionate and inclusive medication management with a focus on trauma informed care. I believe in client-centered support, where your unique experiences take center stage, allowing you to feel truly heard and understood. I have current openings for patients living in OR and WA.
Robin L Perez
Psychiatric Nurse, PMHNP, -BC
Verified Verified
Canby, OR 97013
Most who see me seek help for various problems including depression, anxiety (and associated disorders like OCD, PTSD, etc.
I believe that happiness should be the rule and not the exception. I know of too many people who desperately want to have a better happier life but don't know where to start or how to work through their barriers. It has been my experience that those who don't give up trying will always get better, when they're willing to make healthy choices and positive changes. People don't need to fix all of their problems at once, but will quickly begin to find joy and hope from making small consistent steps forward. Regardless of one's mental or emotional issues, happiness and stability is much easier to achieve than most people realize.
Most who see me seek help for various problems including depression, anxiety (and associated disorders like OCD, PTSD, etc.
I believe that happiness should be the rule and not the exception. I know of too many people who desperately want to have a better happier life but don't know where to start or how to work through their barriers. It has been my experience that those who don't give up trying will always get better, when they're willing to make healthy choices and positive changes. People don't need to fix all of their problems at once, but will quickly begin to find joy and hope from making small consistent steps forward. Regardless of one's mental or emotional issues, happiness and stability is much easier to achieve than most people realize.
Dr. Jonathan Wilson
Psychiatrist, MD
Verified Verified
1 Endorsed
Lake Oswego, OR 97034
Waitlist for new clients
I am dedicated to helping individuals get through whatever life throws their way. I believe that individual growth can happen in a variety of ways, including a combination of psychotherapy and/or medication management. In my practice I work with patients who are struggling with anxiety, depression, grief, life transitions, trauma, PTSD, OCD and ADHD. I also believe that medications always work best with continued therapy and will partner with psychologists and therapists for medication management to ensure the optimal results.
I am dedicated to helping individuals get through whatever life throws their way. I believe that individual growth can happen in a variety of ways, including a combination of psychotherapy and/or medication management. In my practice I work with patients who are struggling with anxiety, depression, grief, life transitions, trauma, PTSD, OCD and ADHD. I also believe that medications always work best with continued therapy and will partner with psychologists and therapists for medication management to ensure the optimal results.
Compass Psychiatric Wellness
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
Lake Oswego, OR 97034
Our practice centers on the treatment of depression, anxiety, OCD, bipolar disorder, ADHD, and trauma disorders.
Compass Psychiatric Wellness is a Portland based clinic with offices in NE Portland, Lake Oswego and Hazel Dell. We work with older teens and adults dealing with a wide range of psychiatric concerns who are looking for medication management with adjunctive psychotherapy and lifestyle interventions. Our goal is to conduct a thorough psychiatric evaluation and make evidence based recommendations that align with our clients' preferences and goals.
Our practice centers on the treatment of depression, anxiety, OCD, bipolar disorder, ADHD, and trauma disorders.
Compass Psychiatric Wellness is a Portland based clinic with offices in NE Portland, Lake Oswego and Hazel Dell. We work with older teens and adults dealing with a wide range of psychiatric concerns who are looking for medication management with adjunctive psychotherapy and lifestyle interventions. Our goal is to conduct a thorough psychiatric evaluation and make evidence based recommendations that align with our clients' preferences and goals.
Frances Murphy
Psychiatric Nurse Practitioner, APRN, FNP, PMHNP
Verified Verified
2 Endorsed
Clackamas, OR 97015 (Online Only)
Frances Murphy is a dual-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-C) offering comprehensive psychiatric evaluations and follow-up visits remotely through telemedicine for adults. She provides medication management and psychoeducation to those suffering from various mental health conditions. She specializes in ADHD, anxiety, depression, obsessive-compulsive disorder, addictions, and trauma.
Frances Murphy is a dual-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-C) offering comprehensive psychiatric evaluations and follow-up visits remotely through telemedicine for adults. She provides medication management and psychoeducation to those suffering from various mental health conditions. She specializes in ADHD, anxiety, depression, obsessive-compulsive disorder, addictions, and trauma.
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Njideka Domrufus Dnp Pmhnp-Bc Fnp-C
Psychiatric Nurse Practitioner, DNP, PMHNP-B, FNP-C
Verified Verified
Lake Oswego, OR 97034
Njideka (NJ) Domrufus is a Doctor of Nursing Practice (DNP) Advance Practice Registered Nurse (APRN) with a dual board certification as a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner. She is an experienced Psychiatric Mental Health Nurse Practitioner (PMHNP) with years of clinical experience in treating psychiatric disorders and specializes in treating major depression, substance use disorders, eating disorders, mood disorder, anxiety disorder, OCD, PTSD and ADHD.
Njideka (NJ) Domrufus is a Doctor of Nursing Practice (DNP) Advance Practice Registered Nurse (APRN) with a dual board certification as a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner. She is an experienced Psychiatric Mental Health Nurse Practitioner (PMHNP) with years of clinical experience in treating psychiatric disorders and specializes in treating major depression, substance use disorders, eating disorders, mood disorder, anxiety disorder, OCD, PTSD and ADHD.
Julee Kim
Psychiatric Nurse Practitioner, PMHNP, MSN
Verified Verified
Lake Oswego, OR 97034
I have vast experience in treating all psychiatric conditions, such as ADHD, anxiety, depression, OCD, PTSD, bipolar disorder, psychosis, etc.
Currently accepting new patients! I believe that the foundation of effective mental health care lies in compassion and collaboration. I approach every patient with genuine empathy, recognizing the unique challenges they face. I aim to create a safe space where patients feel comfortable sharing their experiences. By working together, we can develop holistic treatment plans that resonate with their values and aspirations. I am dedicated to providing thorough psychoeducation, explaining the intricacies of diagnoses, treatment options, and potential outcomes.
I have vast experience in treating all psychiatric conditions, such as ADHD, anxiety, depression, OCD, PTSD, bipolar disorder, psychosis, etc.
Currently accepting new patients! I believe that the foundation of effective mental health care lies in compassion and collaboration. I approach every patient with genuine empathy, recognizing the unique challenges they face. I aim to create a safe space where patients feel comfortable sharing their experiences. By working together, we can develop holistic treatment plans that resonate with their values and aspirations. I am dedicated to providing thorough psychoeducation, explaining the intricacies of diagnoses, treatment options, and potential outcomes.
At Your Service Psychiatry, PLLC
Psychiatric Nurse Practitioner, PMHNP, APRN
Verified Verified
2 Endorsed
Portland, OR 97086
No need to call; SCHEDULE ONLINE by going to AtYourServicePsychiatry.com Telepsychiatry for South Dakota with medications sent right to your local pharmacy. This telepsychiatry practice focuses on caring for you from your home or office, with visits from a smartphone, tablet, or computer. With over ten years of psychiatry experience, I care for people remotely with ADHD, depression, anxiety, bipolar 1 and 2, PTSD, OCD, insomnia, agoraphobia, and various conditions. For more information, see our FAQ's section on the website
No need to call; SCHEDULE ONLINE by going to AtYourServicePsychiatry.com Telepsychiatry for South Dakota with medications sent right to your local pharmacy. This telepsychiatry practice focuses on caring for you from your home or office, with visits from a smartphone, tablet, or computer. With over ten years of psychiatry experience, I care for people remotely with ADHD, depression, anxiety, bipolar 1 and 2, PTSD, OCD, insomnia, agoraphobia, and various conditions. For more information, see our FAQ's section on the website
Dr. Dianna Harris (Taking New Clients)
Psychiatric Nurse Practitioner, PsyD, PMHNP
Verified Verified
Lake Oswego, OR 97035
I have successfully helped people reduce anxiety and depression that has only partially been helped through therapy by adding psychiatric medication that is targeted to treat worry, panic, OCD, depression and bipolar symptoms.
Accepting NEW Clients (ages 18-65) as of 4/24/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
I have successfully helped people reduce anxiety and depression that has only partially been helped through therapy by adding psychiatric medication that is targeted to treat worry, panic, OCD, depression and bipolar symptoms.
Accepting NEW Clients (ages 18-65) as of 4/24/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
La Lune Integrative Psychiatry PLLC
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Happy Valley, OR 97015 (Online Only)
Accepting new patients in Oregon and Washington for virtual appointments. Please book an appointment at joinlalune.com. Providers at La Lune Integrative Psychiatry offer a holistic approach to mental health care. In addition to medication management, we will help coach you through challenges in life related to your physical health, environment, and interpersonal relationships so that we can optimize your mental well-being. We specialize in treating anxiety, depression, obsessive-compulsive disorder, insomnia, post-traumatic stress disorder, and ADHD.
Accepting new patients in Oregon and Washington for virtual appointments. Please book an appointment at joinlalune.com. Providers at La Lune Integrative Psychiatry offer a holistic approach to mental health care. In addition to medication management, we will help coach you through challenges in life related to your physical health, environment, and interpersonal relationships so that we can optimize your mental well-being. We specialize in treating anxiety, depression, obsessive-compulsive disorder, insomnia, post-traumatic stress disorder, and ADHD.
Elita Wong, Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Happy Valley, OR 97086 (Online Only)
This practice specializes in treating adult patients who are struggling with depression, anxiety, insomnia, ADHD, OCD, stress management, and major life changes.
Currently accepting new patients at joinlalune.com - Elita Wong, NP is a graduate of UC Berkeley's School of Public Health and NYU's College of Nursing. She received her psychiatry training at Hunter-Bellevue College in New York City and has experience in both non-profit and private practice mental health clinics. Prior to specializing in mental health, she worked as a clinical nurse at Columbia University Medical Center in the pediatric, oncology, and hematology specialities. She currently provides psychiatric mental health services via telemedicine in Oregon and Washington States.
This practice specializes in treating adult patients who are struggling with depression, anxiety, insomnia, ADHD, OCD, stress management, and major life changes.
Currently accepting new patients at joinlalune.com - Elita Wong, NP is a graduate of UC Berkeley's School of Public Health and NYU's College of Nursing. She received her psychiatry training at Hunter-Bellevue College in New York City and has experience in both non-profit and private practice mental health clinics. Prior to specializing in mental health, she worked as a clinical nurse at Columbia University Medical Center in the pediatric, oncology, and hematology specialities. She currently provides psychiatric mental health services via telemedicine in Oregon and Washington States.
Jenn Grant
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
1 Endorsed
Clackamas, OR 97015
Now Accepting New TMS Patients at NeuStart Psychiatry & TMS! Hello and thanks for taking the time to invest in your mental health! I’m Dr. Grant and I’m a Doctor of Nursing Practice (DNP) and Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) trained in both medication management and psychotherapy. I treat a variety of conditions including (but not limited to) anxiety, depression, bipolar disorder, PTSD, ADHD, OCD, and psychosis. I also have a particular passion for functional and reproductive psychiatry, including working with clients in the pre-conception, pregnancy, and post-partum stages of life.
Now Accepting New TMS Patients at NeuStart Psychiatry & TMS! Hello and thanks for taking the time to invest in your mental health! I’m Dr. Grant and I’m a Doctor of Nursing Practice (DNP) and Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) trained in both medication management and psychotherapy. I treat a variety of conditions including (but not limited to) anxiety, depression, bipolar disorder, PTSD, ADHD, OCD, and psychosis. I also have a particular passion for functional and reproductive psychiatry, including working with clients in the pre-conception, pregnancy, and post-partum stages of life.
Paul J. McMahon
Psychiatrist, MD
Verified Verified
Lake Oswego, OR 97034
I also frequently work with traumatic brain injury, OCD, PTSD, and anxiety disorders.
I am a board certified psychiatrist, providing both medication management and therapy. My therapeutic style focuses on cognitive behavioral techniques. Treatment decisions are personalized, and evidence-based, ensuring they align with your values. I am comfortable working with medically complex cases, and draw from my additional years of experience in neurology, neuroscience and clinical research. Together, we will develop a specific plan to improve your mental health.
I also frequently work with traumatic brain injury, OCD, PTSD, and anxiety disorders.
I am a board certified psychiatrist, providing both medication management and therapy. My therapeutic style focuses on cognitive behavioral techniques. Treatment decisions are personalized, and evidence-based, ensuring they align with your values. I am comfortable working with medically complex cases, and draw from my additional years of experience in neurology, neuroscience and clinical research. Together, we will develop a specific plan to improve your mental health.
Southern Oregon Psychiatry
Psychiatric Nurse Practitioner, PMHNP, -BC
Verified Verified
Portland, OR 97086 (Online Only)
Offering psychiatric evaluation, medication management, limited psychotherapy & ketamine treatment to adults struggling with depression, anxiety, ADHD, PTSD, bipolar disorder, OCD, schizophrenia and other psychiatric & neurodevelopmental conditions throughout Oregon. Direct, open-minded & non-judgmental in my approach, I believe in partnering with patients to develop a personalized treatment plan utilizing the best available/most current evidence-based research in neuropsychiatry, as well as complementary & alternative treatments.
Offering psychiatric evaluation, medication management, limited psychotherapy & ketamine treatment to adults struggling with depression, anxiety, ADHD, PTSD, bipolar disorder, OCD, schizophrenia and other psychiatric & neurodevelopmental conditions throughout Oregon. Direct, open-minded & non-judgmental in my approach, I believe in partnering with patients to develop a personalized treatment plan utilizing the best available/most current evidence-based research in neuropsychiatry, as well as complementary & alternative treatments.
See more therapy options for Clackamas County
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.