Photo of Melissa Shepard, Psychiatrist in North Carolina
Melissa Shepard
Psychiatrist, MD
Verified Verified
Charlotte, NC 28202
I have expertise in anxiety, OCD, ADHD, mood disorders (depression and bipolar disorder), psychotic disorders, women's mental health (including pregnancy), and more.
I have openings for medication management, but unfortunately a waitlist for therapy at this time. I am in-network with some Aetna, Cigna, and United Healthcare plans. I am also happy to provide a superbill that can be submitted to insurance for any out-of-network benefits. Email preferred. Hi, I'm Melissa (aka Dr. Shepard)! Since deciding to pursue psychiatry, I've made it my mission to end mental health stigma and make mental health treatment less scary.
I have expertise in anxiety, OCD, ADHD, mood disorders (depression and bipolar disorder), psychotic disorders, women's mental health (including pregnancy), and more.
I have openings for medication management, but unfortunately a waitlist for therapy at this time. I am in-network with some Aetna, Cigna, and United Healthcare plans. I am also happy to provide a superbill that can be submitted to insurance for any out-of-network benefits. Email preferred. Hi, I'm Melissa (aka Dr. Shepard)! Since deciding to pursue psychiatry, I've made it my mission to end mental health stigma and make mental health treatment less scary.
(301) 265-2644 View (301) 265-2644
Photo of Psychiatric Associates of NC, Psychiatrist in North Carolina
Psychiatric Associates of NC
Psychiatrist, MD
Verified Verified
Raleigh, NC 27607
We have a wonderful therapist and several psychiatric providers able to provide therapy & medication management specializing in areas of mood disorders, anxiety, psychosis, substance use, insomnia, OCD & ADHD.
Immediate availability for private therapy & medication management. Seeing adults & children ages 15+. LGBTQ+ welcoming. Spanish-speaking psychiatrist and therapist available. Appointments may be in office in Raleigh or virtually across North Carolina! Evening and weekend hours offered by some providers at request. Most insurance plans are accepted.
We have a wonderful therapist and several psychiatric providers able to provide therapy & medication management specializing in areas of mood disorders, anxiety, psychosis, substance use, insomnia, OCD & ADHD.
Immediate availability for private therapy & medication management. Seeing adults & children ages 15+. LGBTQ+ welcoming. Spanish-speaking psychiatrist and therapist available. Appointments may be in office in Raleigh or virtually across North Carolina! Evening and weekend hours offered by some providers at request. Most insurance plans are accepted.
(984) 689-9841 View (984) 689-9841
Photo of Dr. De'Edda Powell, Psychiatric Nurse Practitioner in North Carolina
Dr. De'Edda Powell
Psychiatric Nurse Practitioner, DNP, MSN, PMHNPBC
Verified Verified
Charlotte, NC 28212
Hello, I am so happy you are here. My name is Dr. Powell. I am a board-certified psychiatric mental health nurse practitioner serving North Carolina. I prided myself in providing comprehensive mental health care with a patient-centered and holistic approach to adolescents, adults, and geriatrics. I am experienced in addressing unique mental health disparities of the underrepresented populations in the African American and LGBTQ+ communities and offer treatment for a variety of mental health disorders, such as ADHD, depression, anxiety, OCD, schizophrenia, bipolar, and drug, alcohol addiction and more.
Hello, I am so happy you are here. My name is Dr. Powell. I am a board-certified psychiatric mental health nurse practitioner serving North Carolina. I prided myself in providing comprehensive mental health care with a patient-centered and holistic approach to adolescents, adults, and geriatrics. I am experienced in addressing unique mental health disparities of the underrepresented populations in the African American and LGBTQ+ communities and offer treatment for a variety of mental health disorders, such as ADHD, depression, anxiety, OCD, schizophrenia, bipolar, and drug, alcohol addiction and more.
(704) 703-4422 View (704) 703-4422
Photo of Daya Mental Health and Wellness, PLLC, Psychiatric Nurse Practitioner in North Carolina
Daya Mental Health and Wellness, PLLC
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
Asheville, NC 28801
Accepting New Clients! Please fill out our new patient forms on our website at www.dayamentlahealth.com to become a client. Our practice contains Psychiatric Nurse Practitioners, Physician Assistants and Therapists who provide comprehensive treatment plans for individuals age 18+ for a wide range of mental health needs. Our specialties include substance use, depression, anxiety, bipolar, self esteem concerns, obsessive compulsive disorders, eating disorders and post traumatic stress. We are providers of MAT: Suboxone, Sublocade and Vivitrol and we also provide ketamine assisted psychotherapy.
Accepting New Clients! Please fill out our new patient forms on our website at www.dayamentlahealth.com to become a client. Our practice contains Psychiatric Nurse Practitioners, Physician Assistants and Therapists who provide comprehensive treatment plans for individuals age 18+ for a wide range of mental health needs. Our specialties include substance use, depression, anxiety, bipolar, self esteem concerns, obsessive compulsive disorders, eating disorders and post traumatic stress. We are providers of MAT: Suboxone, Sublocade and Vivitrol and we also provide ketamine assisted psychotherapy.
(828) 412-3330 View (828) 412-3330
Photo of Aris Azar, Psychiatric Nurse Practitioner in North Carolina
Aris Azar
Psychiatric Nurse Practitioner, PMHNP, AGNP
Verified Verified
Charlotte, NC 28210
I'm a board-certified Psychiatric Nurse Practitioner offering a blend of psychotherapy and medication management to help you achieve your goals. My aim is to deliver expert care that aligns with your values and addresses your concerns by offering flexible scheduling, 7 days a week that includes weekends and evenings for your convenience. I have expertise in the diagnosis and treatment of a wide range of psychiatric conditions including ADHD, Anxiety, Depression, OCD, Bipolar Disorder, PTSD, panic disorder and many others. I also provide a holistic approach that integrates therapy seamlessly into your sessions.
I'm a board-certified Psychiatric Nurse Practitioner offering a blend of psychotherapy and medication management to help you achieve your goals. My aim is to deliver expert care that aligns with your values and addresses your concerns by offering flexible scheduling, 7 days a week that includes weekends and evenings for your convenience. I have expertise in the diagnosis and treatment of a wide range of psychiatric conditions including ADHD, Anxiety, Depression, OCD, Bipolar Disorder, PTSD, panic disorder and many others. I also provide a holistic approach that integrates therapy seamlessly into your sessions.
(704) 610-5876 View (704) 610-5876
Photo of Stephen Narigon, Psychiatric Nurse Practitioner in North Carolina
Stephen Narigon
Psychiatric Nurse Practitioner, DNP, MBA, PMHNP
Verified Verified
1 Endorsed
Mount Airy, NC 27030  (Online Only)
Behavioral Problems • Autism • Depression • Anxiety Disorders • PTSD • Anger Management • Bipolar Disorder • Disruptive Mood Dysregulation Disorder • Personality Disorders • Autism • PTSD • OCD •Trauma or Abuse • Depression • Schizophrenia and other psychotic disorders • Eating Disorders • Grief & Loss.
We are accepting new pediatric and adult clients in North Carolina and Virginia. I am a Board-Certified Psychiatric Nurse Practitioner with 15 years of experience in psychiatry treating Autism, personality disorders, and mood disorders. The care provided includes solution-focused therapy, medication support, and psycho-education. My primary areas of interest include positive and supportive psychology, optimizing human performance, and evidence-based methodologies in psychiatry. I collaborate with my clients to help discover personal treatment goals and formulate a mutually agreed-upon strategy for treatment.
Behavioral Problems • Autism • Depression • Anxiety Disorders • PTSD • Anger Management • Bipolar Disorder • Disruptive Mood Dysregulation Disorder • Personality Disorders • Autism • PTSD • OCD •Trauma or Abuse • Depression • Schizophrenia and other psychotic disorders • Eating Disorders • Grief & Loss.
We are accepting new pediatric and adult clients in North Carolina and Virginia. I am a Board-Certified Psychiatric Nurse Practitioner with 15 years of experience in psychiatry treating Autism, personality disorders, and mood disorders. The care provided includes solution-focused therapy, medication support, and psycho-education. My primary areas of interest include positive and supportive psychology, optimizing human performance, and evidence-based methodologies in psychiatry. I collaborate with my clients to help discover personal treatment goals and formulate a mutually agreed-upon strategy for treatment.
(984) 203-9158 View (984) 203-9158
Photo of Sheila Marano, Psychiatric Nurse Practitioner in North Carolina
Sheila Marano
Psychiatric Nurse Practitioner, MSN, FNP-C, PMHNP
Verified Verified
1 Endorsed
New Bern, NC 28562  (Online Only)
I have a passion for populations with IDD, OCD, anxiety, depression and Bipolar.
Appointments are Available! Call or TEXT Sheila to 919-535-9342 or go to the website and click on Request Services. The journey towards mental health and wellness is a marathon and not a race. As a Psychiatric Nurse Practitioner, the foundation of my training is seeing and treating the person holistically. My goal is to partner with each individual client to foster the highest quality of life which is sustainable over time. Most clients benefit from a combination of medication and psychotherapy.
I have a passion for populations with IDD, OCD, anxiety, depression and Bipolar.
Appointments are Available! Call or TEXT Sheila to 919-535-9342 or go to the website and click on Request Services. The journey towards mental health and wellness is a marathon and not a race. As a Psychiatric Nurse Practitioner, the foundation of my training is seeing and treating the person holistically. My goal is to partner with each individual client to foster the highest quality of life which is sustainable over time. Most clients benefit from a combination of medication and psychotherapy.
(910) 718-9486 View (910) 718-9486
Photo of Adrienne Emery Ramirez, Psychiatric Nurse Practitioner in North Carolina
Adrienne Emery Ramirez
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Cary, NC 27511
Have you been neglecting your mental health needs? Do you feel that there is some aspect of your mental health and life goals that you could improve upon? You are not alone! I have experience working with individuals across the lifespan. I work with various diagnosis including major depressive disorder, generalized anxiety, social anxiety, ADHD, bipolar disorder, OCD, and adjustment disorders. Together we will tailor your care plan to address the areas of your life you consider to be most important. I find it best to use a combination of medication management, CBT, coaching, and mindfulness therapies to help you reach your goals.
Have you been neglecting your mental health needs? Do you feel that there is some aspect of your mental health and life goals that you could improve upon? You are not alone! I have experience working with individuals across the lifespan. I work with various diagnosis including major depressive disorder, generalized anxiety, social anxiety, ADHD, bipolar disorder, OCD, and adjustment disorders. Together we will tailor your care plan to address the areas of your life you consider to be most important. I find it best to use a combination of medication management, CBT, coaching, and mindfulness therapies to help you reach your goals.
(919) 533-2031 View (919) 533-2031
Photo of Adare Yanagihara, Psychiatrist in North Carolina
Adare Yanagihara
Psychiatrist, MD, MS
Verified Verified
Cary, NC 27513  (Online Only)
Specializing in Perinatal, Child and Adolescent Psychiatry, Dr. Adare is eager to help patients define their mental health goals and develop a treatment plan that suits their individual needs. Dr. Adare believes strongly in the mind-body connection. In addition to completing a master's in nutrition and two years in pediatrics before switching specialties to psychiatry, Dr. Adare continued to focus her training on care for the medically ill, perinatal psychiatry, and ADHD. She has completed a two-year fellowship in treating children and adolescents. She additionally treats depression, anxiety, OCD, bipolar and psychotic disorders
Specializing in Perinatal, Child and Adolescent Psychiatry, Dr. Adare is eager to help patients define their mental health goals and develop a treatment plan that suits their individual needs. Dr. Adare believes strongly in the mind-body connection. In addition to completing a master's in nutrition and two years in pediatrics before switching specialties to psychiatry, Dr. Adare continued to focus her training on care for the medically ill, perinatal psychiatry, and ADHD. She has completed a two-year fellowship in treating children and adolescents. She additionally treats depression, anxiety, OCD, bipolar and psychotic disorders
(919) 737-2808 View (919) 737-2808
Photo of Karen Shugart, Psychiatric Nurse Practitioner in North Carolina
Karen Shugart
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Clemmons, NC 27012
I enjoy working with people who struggle with depression, anxiety, bipolar disorder, thought disorders, PTSD, substance abuse, and OCD.
With a focus primarily on medication evaluation and management, I offer a warm, open, and non-judgmental approach that empowers clients to share freely and fully participate as they move toward their goals. My goal is to offer evidence-based, inclusive treatment that helps clients function at their highest level.
I enjoy working with people who struggle with depression, anxiety, bipolar disorder, thought disorders, PTSD, substance abuse, and OCD.
With a focus primarily on medication evaluation and management, I offer a warm, open, and non-judgmental approach that empowers clients to share freely and fully participate as they move toward their goals. My goal is to offer evidence-based, inclusive treatment that helps clients function at their highest level.
(336) 360-5711 View (336) 360-5711
Photo of Animo Sano Psychiatry, Psychiatrist in North Carolina
Animo Sano Psychiatry
Psychiatrist, MD, PA-C, LCSW, LCMHC
Verified Verified
4 Endorsed
Durham, NC 27713
Animo Sano Psychiatry treats a wide range of behavioral health conditions, including Depression and Anxiety, Post Traumatic Stress Disorder (PTSD), Obsessive Compulsive Disorder (OCD), and sleep disorders, among others. In addition to the treatment of these noted conditions, Animo Sano Psychiatry also operates an ADHD Specialty Clinic.
Animo Sano Psychiatry treats a wide range of behavioral health conditions, including Depression and Anxiety, Post Traumatic Stress Disorder (PTSD), Obsessive Compulsive Disorder (OCD), and sleep disorders, among others. In addition to the treatment of these noted conditions, Animo Sano Psychiatry also operates an ADHD Specialty Clinic.
(919) 648-1780 View (919) 648-1780
Photo of Piedmont Behavioral Services, Psychiatrist in North Carolina
Piedmont Behavioral Services
Psychiatrist, MD
Verified Verified
Cary, NC 27513
Board certified Psychiatrists (Child & Adult), Psychologists and Therapists in Cary, Apex, Morrisville, Holly Springs and Raleigh-Durham (North Carolina) provide comprehensive psychiatric care and TMS (Transcranial Magnetic Stimulation) for Depression and OCD.
Board certified Psychiatrists (Child & Adult), Psychologists and Therapists in Cary, Apex, Morrisville, Holly Springs and Raleigh-Durham (North Carolina) provide comprehensive psychiatric care and TMS (Transcranial Magnetic Stimulation) for Depression and OCD.
(984) 369-8548 View (984) 369-8548
Photo of Raleigh Wellness & Behavioral Health, Psychiatric Nurse Practitioner in North Carolina
Raleigh Wellness & Behavioral Health
Psychiatric Nurse Practitioner, ACNP-AG
Verified Verified
Raleigh, NC 27606  (Online Only)
Welcome to Raleigh Wellness and Behavioral Health! We are a private outpatient clinic providing virtual care and medication management for mental health disorders. Our goal is to alleviate suffering and promote recovery in the lives of people with mental health disorders. We provide psychiatric evaluations and medication management for a wide range of mental health conditions, including depression, anxiety, bipolar disorder, ADHD, post-traumatic stress, OCD, and more. Our providers specialize in treating the full-spectrum of related conditions with personalized treatment plans that are right for each patient. We treat ages 6 and up.
Welcome to Raleigh Wellness and Behavioral Health! We are a private outpatient clinic providing virtual care and medication management for mental health disorders. Our goal is to alleviate suffering and promote recovery in the lives of people with mental health disorders. We provide psychiatric evaluations and medication management for a wide range of mental health conditions, including depression, anxiety, bipolar disorder, ADHD, post-traumatic stress, OCD, and more. Our providers specialize in treating the full-spectrum of related conditions with personalized treatment plans that are right for each patient. We treat ages 6 and up.
(984) 464-7189 View (984) 464-7189
Photo of Kerry Landry, Psychiatrist in North Carolina
Kerry Landry
Psychiatrist, MD, MS, CEDS, FAPA, DFAACAP
Verified Verified
1 Endorsed
Durham, NC 27707
Waitlist for new clients
I have extensive training and experience in Cognitive Behavior Therapy (CBT) for individuals with mood and anxiety disorders, including OCD.
As a psychiatrist board-certified in providing care for children, adolescents, and adults, with experience working with patients, families, and providers across all levels of care, my goal is to provide compassionate, individualized, evidence-based care and guidance to those who seek my services. Pursuit of this goal requires that I take the time to thoughtfully learn about the individuals who choose to see me. I have extensive experience caring for individuals with a wide variety of emotional and behavioral conditions through empirically-based individual and family therapy modalities, diagnostic evaluations, psychopharmacology,
I have extensive training and experience in Cognitive Behavior Therapy (CBT) for individuals with mood and anxiety disorders, including OCD.
As a psychiatrist board-certified in providing care for children, adolescents, and adults, with experience working with patients, families, and providers across all levels of care, my goal is to provide compassionate, individualized, evidence-based care and guidance to those who seek my services. Pursuit of this goal requires that I take the time to thoughtfully learn about the individuals who choose to see me. I have extensive experience caring for individuals with a wide variety of emotional and behavioral conditions through empirically-based individual and family therapy modalities, diagnostic evaluations, psychopharmacology,
(984) 217-1843 View (984) 217-1843
Photo of Piedmont Behavioral Services, Psychiatrist in North Carolina
Piedmont Behavioral Services
Psychiatrist, MD
Verified Verified
Cary, NC 27513
Board certified Psychiatrists (Child & Adult), Psychologists and Therapists in Cary, Apex, Morrisville, Holly Springs and Raleigh-Durham (North Carolina) provide comprehensive psychiatric care and TMS (Transcranial Magnetic Stimulation) for Depression and OCD.
Board certified Psychiatrists (Child & Adult), Psychologists and Therapists in Cary, Apex, Morrisville, Holly Springs and Raleigh-Durham (North Carolina) provide comprehensive psychiatric care and TMS (Transcranial Magnetic Stimulation) for Depression and OCD.
(984) 205-1952 View (984) 205-1952
Photo of David Balis Patton, Psychiatrist in North Carolina
David Balis Patton
Psychiatrist, MD, MS
Verified Verified
Charlotte, NC 28210
Please contact my office for appointments and prescription refills. I am co-founder of Pediatric & Family Behavioral Health, PLLC, (PFBH)- a psychiatry clinic in South Charlotte. PFBH specializes in the psychiatric treatment of children, adolescents, and adults. We are an evidence-based clinic that deals primarily in medication management & psychotherapy. We have experience in treating Anxiety, Depression, Bipolar Disorder, Autism Spectrum Disorder, Personality Disorder, Obsessive Compulsive Disorder, Tic Disorder, Attention Deficit/Hyperactivity Disorder, Disruptive Mood Dysregulation, Post Traumatic Stress Disorder & Psychosis.
Please contact my office for appointments and prescription refills. I am co-founder of Pediatric & Family Behavioral Health, PLLC, (PFBH)- a psychiatry clinic in South Charlotte. PFBH specializes in the psychiatric treatment of children, adolescents, and adults. We are an evidence-based clinic that deals primarily in medication management & psychotherapy. We have experience in treating Anxiety, Depression, Bipolar Disorder, Autism Spectrum Disorder, Personality Disorder, Obsessive Compulsive Disorder, Tic Disorder, Attention Deficit/Hyperactivity Disorder, Disruptive Mood Dysregulation, Post Traumatic Stress Disorder & Psychosis.
(704) 237-6843 View (704) 237-6843
Photo of Luis Emilio Betancourt, Psychiatrist in North Carolina
Luis Emilio Betancourt
Psychiatrist, MD
Verified Verified
1 Endorsed
Monroe, NC 28112
I specialize in child, adolescent and adult psychiatry. I provide comprehensive psychiatric and psychological diagnostic evaluations as well as evidenced and empirically-based psychotherapy & medication management treatment services for children, adolescents, adults and families. I have experience caring for Depressive, Bipolar, Autism spectrum, Anxiety, Substance abuse, Personality, Obsessive Compulsive, Tic, Attention Deficit/Hyperactivity, Disruptive Mood Dysregulation, Post Traumatic Stress and psychotic disorders. I also have experience and interest in the interface between religion-spirituality and psychiatry.
I specialize in child, adolescent and adult psychiatry. I provide comprehensive psychiatric and psychological diagnostic evaluations as well as evidenced and empirically-based psychotherapy & medication management treatment services for children, adolescents, adults and families. I have experience caring for Depressive, Bipolar, Autism spectrum, Anxiety, Substance abuse, Personality, Obsessive Compulsive, Tic, Attention Deficit/Hyperactivity, Disruptive Mood Dysregulation, Post Traumatic Stress and psychotic disorders. I also have experience and interest in the interface between religion-spirituality and psychiatry.
(980) 365-8429 View (980) 365-8429
Photo of Adam J Lake, Psychiatrist in North Carolina
Adam J Lake
Psychiatrist, MD
Verified Verified
Raleigh, NC 27609
Accepting New Patients (In-person & Virtual). Located in North Hills neighborhood of Raleigh. A Board Certified physician, Dr Lake offers the full spectrum of medications and psychotherapy. This includes specialties in adolescent & adult ADHD, treatment of older adults (memory/cognitive issues), college/graduate students, opioid/alcohol use issues, depression, anxiety, and sleep disorders.
Accepting New Patients (In-person & Virtual). Located in North Hills neighborhood of Raleigh. A Board Certified physician, Dr Lake offers the full spectrum of medications and psychotherapy. This includes specialties in adolescent & adult ADHD, treatment of older adults (memory/cognitive issues), college/graduate students, opioid/alcohol use issues, depression, anxiety, and sleep disorders.
(919) 289-1846 View (919) 289-1846
Photo of Trinity Wellness Center, Physician Assistant in North Carolina
Trinity Wellness Center
Physician Assistant, PA-C
Verified Verified
Wilmington, NC 28411
I am here to help you with medication management for psychiatric disorders. These disorders include anxiety, depression, substance use disorders, bipolar disorder, schizoaffective disorder, ADHD etc. I am available in office at Trinity Wellness Porter's Neck location in person or on Tele medicine.
I am here to help you with medication management for psychiatric disorders. These disorders include anxiety, depression, substance use disorders, bipolar disorder, schizoaffective disorder, ADHD etc. I am available in office at Trinity Wellness Porter's Neck location in person or on Tele medicine.
(910) 390-8389 View (910) 390-8389
Photo of Hannah Eason, Physician Assistant in North Carolina
Hannah Eason
Physician Assistant, PA
Verified Verified
1 Endorsed
Durham, NC 27705
My ideal client wants to work collaboratively to find mental health solutions that work for them. Taking care of our mental health is extremely important. Life can get overwhelming, and it's okay to ask for help. I work in psychiatry because I'm passionate about helping people live more fulfilling lives. We all face different challenges. Past experiences, family history, and everyday stressors affect our mental health. We'll talk about what's going on, your daily habits, and goals for treatment.
My ideal client wants to work collaboratively to find mental health solutions that work for them. Taking care of our mental health is extremely important. Life can get overwhelming, and it's okay to ask for help. I work in psychiatry because I'm passionate about helping people live more fulfilling lives. We all face different challenges. Past experiences, family history, and everyday stressors affect our mental health. We'll talk about what's going on, your daily habits, and goals for treatment.
(919) 887-7874 View (919) 887-7874

See more therapy options for North Carolina

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.