Obsessive-Compulsive (OCD) Counselling in Central London, London

Photo of Dr Jessica C Bird, Psychologist, PhD, HCPC - Clin. Psych.
Dr Jessica C Bird
Psychologist, PhD, HCPC - Clin. Psych.
Central London, London EC3V
My areas of expertise include the psychological treatment of OCD, paranoia, psychosis, PTSD, anxiety/phobias, and sleep problems.
I offer specialist psychological assessment and therapy. The therapy I offer is based on cognitive behavioural therapy (CBT) and EMDR, whilst always being tailored to the individual client and based on a personalised formulation of their needs. I offer sessions online or in person in London near Monument station and in East Dulwich.
My areas of expertise include the psychological treatment of OCD, paranoia, psychosis, PTSD, anxiety/phobias, and sleep problems.
I offer specialist psychological assessment and therapy. The therapy I offer is based on cognitive behavioural therapy (CBT) and EMDR, whilst always being tailored to the individual client and based on a personalised formulation of their needs. I offer sessions online or in person in London near Monument station and in East Dulwich.
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Photo of Susana Lara, Psychologist, MSc, GMBPsS
Susana Lara
Psychologist, MSc, GMBPsS
Online Only
I specialise in a wide range of areas, including anxiety disorders (such as panic attacks, OCD, health anxiety, agoraphobia, and social anxiety), specific phobias (e.g., acrophobia, zoophobia), depression, PTSD, complex trauma, and grief.
Therapy is more than just addressing individual mental health issues, it’s about transforming how you perceive your entire reality. My therapeutic approach at Strategic Minds becomes a long-term journey, helping you build a strategic mindset that empowers you to navigate life and fosters personal growth, resilience, and long-term well-being. I am a Clinical Psychologist and Psychotherapist with over 15 years of experience, specialising in Brief Strategic Therapy (BST). I am an official psychotherapist of the Centro di Terapia Strategica in Arezzo, Italy. I offer online therapy in English, Spanish, and Catalan.
I specialise in a wide range of areas, including anxiety disorders (such as panic attacks, OCD, health anxiety, agoraphobia, and social anxiety), specific phobias (e.g., acrophobia, zoophobia), depression, PTSD, complex trauma, and grief.
Therapy is more than just addressing individual mental health issues, it’s about transforming how you perceive your entire reality. My therapeutic approach at Strategic Minds becomes a long-term journey, helping you build a strategic mindset that empowers you to navigate life and fosters personal growth, resilience, and long-term well-being. I am a Clinical Psychologist and Psychotherapist with over 15 years of experience, specialising in Brief Strategic Therapy (BST). I am an official psychotherapist of the Centro di Terapia Strategica in Arezzo, Italy. I offer online therapy in English, Spanish, and Catalan.
020 4572 4215 View 020 4572 4215
Photo of Dr Heather Sequeira - Dr Heather Sequeira: The OCD & Trauma Specialist , Psychologist, PhD, HCPC - Couns. Psych.
Dr Heather Sequeira: The OCD & Trauma Specialist
Psychologist, PhD, HCPC - Couns. Psych.
Online Only
Waitlist for new clients
I am a consultant psychologist and work specifically with people who have OCD or Trauma or both.
My therapeutic methods include CBT (ERP/ACT) & new cutting-edge approaches not generally offered by other psychologists. I am duly registered with HPCP & British Psychological Society & teach OCD & ERP in Clinical Psychology at UK universities. You will get a specialised approach, directly addressing your specific OCD or trauma challenges with precision.
I am a consultant psychologist and work specifically with people who have OCD or Trauma or both.
My therapeutic methods include CBT (ERP/ACT) & new cutting-edge approaches not generally offered by other psychologists. I am duly registered with HPCP & British Psychological Society & teach OCD & ERP in Clinical Psychology at UK universities. You will get a specialised approach, directly addressing your specific OCD or trauma challenges with precision.
01296 340137 View 01296 340137
Photo of Dr Oona McEwan, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Oona McEwan
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
Central London, London EC2R
My approach focuses on creating a safe and supportive space to explore a range of difficulties including low mood and depression, OCD, ADHD, anxiety, post-traumatic stress, eating and sleeping difficulties, as well as challenges within relationships.
I work in an integrative manner within a range of modalities such as Cognitive Behavioural Therapy, Mentalisation-Based Therapy, Narrative Exposure Therapy and Compassion-Based Therapy. Through the assessment process, we will explore which approach is best suited to your needs and proceed accordingly.
My approach focuses on creating a safe and supportive space to explore a range of difficulties including low mood and depression, OCD, ADHD, anxiety, post-traumatic stress, eating and sleeping difficulties, as well as challenges within relationships.
I work in an integrative manner within a range of modalities such as Cognitive Behavioural Therapy, Mentalisation-Based Therapy, Narrative Exposure Therapy and Compassion-Based Therapy. Through the assessment process, we will explore which approach is best suited to your needs and proceed accordingly.
020 3835 2459 View 020 3835 2459
Photo of Cole Nova Sutton - Obsessless Therapy - OCD Therapist, Psychotherapist, MBACP
Obsessless Therapy - OCD Therapist
Psychotherapist, MBACP
Online Only
Online CBT therapist with lived experience of OCD recovery, offering virtual CBT, ERP, and ACT sessions, Supporting you, wherever you are and whoever you are.
I offer online CBT and ERP for a range of OCD themes, including Pure O, ROCD, harm OCD, real-event OCD, false-memory OCD, meta OCD, and more. I also use ACT to support more flexible ways of relating to thoughts and feelings. I have experience working with neurodivergent clients and warmly welcome people of all genders and backgrounds.
Online CBT therapist with lived experience of OCD recovery, offering virtual CBT, ERP, and ACT sessions, Supporting you, wherever you are and whoever you are.
I offer online CBT and ERP for a range of OCD themes, including Pure O, ROCD, harm OCD, real-event OCD, false-memory OCD, meta OCD, and more. I also use ACT to support more flexible ways of relating to thoughts and feelings. I have experience working with neurodivergent clients and warmly welcome people of all genders and backgrounds.
020 4572 5086 View 020 4572 5086
Photo of Joseph Alexis, Psychotherapist, MBABCP
Joseph Alexis
Psychotherapist, MBABCP
Online Only
My therapy approach has been particularly effective with clients with low-self esteem, depression, worry, OCD, trauma experiences and social anxiety.
Experience as a Registered Mental Health Nurse, has complimented my delivery of CBT as this allows my therapy approach to recognise the importance addressing all aspects of health: sleep, exercise and nutrition - all playing a role in the individual’s wellbeing. I am also trained in EMDR to treat PTSD and other trauma related problems.
My therapy approach has been particularly effective with clients with low-self esteem, depression, worry, OCD, trauma experiences and social anxiety.
Experience as a Registered Mental Health Nurse, has complimented my delivery of CBT as this allows my therapy approach to recognise the importance addressing all aspects of health: sleep, exercise and nutrition - all playing a role in the individual’s wellbeing. I am also trained in EMDR to treat PTSD and other trauma related problems.
01536 907758 View 01536 907758
Photo of Farah Mitha, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Farah Mitha
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Central London, London EC2M
Her clinical expereince include a wide range of emotional and psychological difficulties from mild depression and anxiety, to complex trauma, with a special interest in OCD.
Therapy is a collabrative process
Her clinical expereince include a wide range of emotional and psychological difficulties from mild depression and anxiety, to complex trauma, with a special interest in OCD.
Therapy is a collabrative process
01702 967132 View 01702 967132
Photo of Tennur Katgi - Tennur Katgi, Anxiety and OCD Therapist, Psychotherapist, MSc, MBACP Accred
Tennur Katgi, Anxiety and OCD Therapist
Psychotherapist, MSc, MBACP Accred
Central London, London WC1B
If you’re struggling with the relentless grip of OCD ( obsessive compulsive disorder) or high anxiety, you know how exhausting it is to feel trapped in cycles of overthinking, intrusive thoughts ( OCD), self-doubt, self-criticism.
I have extensive experience in helping with OCD utilizing CBT techniques, ERP for OCD, and IFS therapy for past difficulties and childhood trauma and OCD. Schema Therapy is particularly effective for chronic anxiety, worry, and childhood trauma/complex PTSD, helping individuals break free from deep-rooted patterns and build a healthier, more fulfilling life.
If you’re struggling with the relentless grip of OCD ( obsessive compulsive disorder) or high anxiety, you know how exhausting it is to feel trapped in cycles of overthinking, intrusive thoughts ( OCD), self-doubt, self-criticism.
I have extensive experience in helping with OCD utilizing CBT techniques, ERP for OCD, and IFS therapy for past difficulties and childhood trauma and OCD. Schema Therapy is particularly effective for chronic anxiety, worry, and childhood trauma/complex PTSD, helping individuals break free from deep-rooted patterns and build a healthier, more fulfilling life.
020 8103 3872 View 020 8103 3872
Photo of Amy Stoddard Ajayi, Psychotherapist, MSc, MBACP
Amy Stoddard Ajayi
Psychotherapist, MSc, MBACP
Serves Area
Many patients I support have suffered with chronic anxiety and depression, low self-esteem, self-harm, OCD, trauma, suicidal thoughts, addiction and physical and psychological pain.
I am a Cognitive Behavioural Therapist with a background in specialist NHS psychological treatment. I am the Director of Psychological Coaching Ltd, where i deliver a specialist psychological service to Grant Thornton UK LLP's Partners. I am the Mental Health Lead for the Cambridge Medical Academy (Cambridge University), where I train a global network of 800+ doctors and nurses in mental health. My research on improving access to mental health has been published internationally. I sit on a number of international Boards where I advise on mental health service design.
Many patients I support have suffered with chronic anxiety and depression, low self-esteem, self-harm, OCD, trauma, suicidal thoughts, addiction and physical and psychological pain.
I am a Cognitive Behavioural Therapist with a background in specialist NHS psychological treatment. I am the Director of Psychological Coaching Ltd, where i deliver a specialist psychological service to Grant Thornton UK LLP's Partners. I am the Mental Health Lead for the Cambridge Medical Academy (Cambridge University), where I train a global network of 800+ doctors and nurses in mental health. My research on improving access to mental health has been published internationally. I sit on a number of international Boards where I advise on mental health service design.
01243 957262 View 01243 957262
Photo of Paul James Bainbridge, Psychotherapist, MBABCP
Paul James Bainbridge
Psychotherapist, MBABCP
Online Only
I’m a BABCP-accredited CBT therapist with over 15 years’ experience helping people overcome challenges like OCD, PTSD, social anxiety, depression, health anxiety, panic, and work-related stress.
Hi there! If you’re feeling stuck with low mood, stress, anger, anxiety, or worry, therapy can be a great step forward. Life’s challenges can feel overwhelming, and CBT helps by breaking down unhelpful cycles of thoughts, feelings, and behaviours. Together, we’ll explore what’s keeping you stuck and work on practical strategies to regain control and confidence. Therapy offers a safe, supportive space to manage emotions, build resilience, and create meaningful change. Whatever you’re facing, I’m here to help you take that first step toward a brighter, more fulfilling life.
I’m a BABCP-accredited CBT therapist with over 15 years’ experience helping people overcome challenges like OCD, PTSD, social anxiety, depression, health anxiety, panic, and work-related stress.
Hi there! If you’re feeling stuck with low mood, stress, anger, anxiety, or worry, therapy can be a great step forward. Life’s challenges can feel overwhelming, and CBT helps by breaking down unhelpful cycles of thoughts, feelings, and behaviours. Together, we’ll explore what’s keeping you stuck and work on practical strategies to regain control and confidence. Therapy offers a safe, supportive space to manage emotions, build resilience, and create meaningful change. Whatever you’re facing, I’m here to help you take that first step toward a brighter, more fulfilling life.
0161 509 6105 View 0161 509 6105
Photo of Ann Twomey - CBT Online, Psychotherapist, MSc, MBABCP
CBT Online
Psychotherapist, MSc, MBABCP
Online Only
What ever the issue, panic disorder, chronic worry, OCD, eating disorder, low mood....
Hello and welcome, as a BABCP accredited CBT therapist, I work with my clients to offer a supportive and confidential online space. Online therapy is exactly the same as in-person therapy, but you do it from the convenience of your own space. My approach is tailored to your needs. I used tried and trusted evidenced based therapies to help you meet your needs.
What ever the issue, panic disorder, chronic worry, OCD, eating disorder, low mood....
Hello and welcome, as a BABCP accredited CBT therapist, I work with my clients to offer a supportive and confidential online space. Online therapy is exactly the same as in-person therapy, but you do it from the convenience of your own space. My approach is tailored to your needs. I used tried and trusted evidenced based therapies to help you meet your needs.
028 9694 3930 View 028 9694 3930
Photo of Dr Zera Brittenden, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Zera Brittenden
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
I work with people who may be experiencing difficulty with a range of issues, including anxiety (e.g. social anxiety, OCD, worry/generalised anxiety, health anxiety, panic), trauma, psychosis spectrum experiences (e.g. voices, paranoia or unusual beliefs), sleep, perfectionism and low self-esteem.
I am primarily trained in Cognitive Behaviour Therapy (CBT) but work integratively depending on each person's unique needs, e.g. drawing on Acceptance and Commitment Therapy (ACT) and Compassion Focused Therapy (CFT). I have worked in NHS, private and research settings and currently work part-time as a Clinical Tutor supporting psychologists in training.
I work with people who may be experiencing difficulty with a range of issues, including anxiety (e.g. social anxiety, OCD, worry/generalised anxiety, health anxiety, panic), trauma, psychosis spectrum experiences (e.g. voices, paranoia or unusual beliefs), sleep, perfectionism and low self-esteem.
I am primarily trained in Cognitive Behaviour Therapy (CBT) but work integratively depending on each person's unique needs, e.g. drawing on Acceptance and Commitment Therapy (ACT) and Compassion Focused Therapy (CFT). I have worked in NHS, private and research settings and currently work part-time as a Clinical Tutor supporting psychologists in training.
020 4538 4295 View 020 4538 4295
Photo of Liz White, Psychologist, HCPC - Clin. Psych.
Liz White
Psychologist, HCPC - Clin. Psych.
Serves Area
I have a special interest in anxiety, depression, OCD (I carried out doctoral research in this area), and individuals experiencing high self criticism/low self esteem and appearance concerns.
I am a highly qualified and experienced Chartered Consultant Clinical Psychologist. I have spent 16 years working in NHS mental health services, and now focus on my private practice full time. With a high level of expertise, I am able to create a bespoke therapeutic experience that helps clients move towards their goals. I focus on providing high quality, evidence based therapy that enables clients to feel empowered and understood, enabling them to learn the skills needed to make positive and long lasting changes in their lives.
I have a special interest in anxiety, depression, OCD (I carried out doctoral research in this area), and individuals experiencing high self criticism/low self esteem and appearance concerns.
I am a highly qualified and experienced Chartered Consultant Clinical Psychologist. I have spent 16 years working in NHS mental health services, and now focus on my private practice full time. With a high level of expertise, I am able to create a bespoke therapeutic experience that helps clients move towards their goals. I focus on providing high quality, evidence based therapy that enables clients to feel empowered and understood, enabling them to learn the skills needed to make positive and long lasting changes in their lives.
01992 351093 View 01992 351093
Photo of Sophie Shapter, PsychD
Sophie Shapter
Verified Verified
1 Endorsed
Online Only
Anxiety, phobias, OCD trauma, and many other mental health difficulties can quietly shape your life - until they don’t feel so quiet anymore.
Throughout my career, I’ve worked across various education and healthcare settings. I have experience working with individuals facing a wide variety of mental health difficulties. My specific interests and expertise lie in anxiety, phobias, OCD and trauma, but I also help people with depresssion, burnout and stress.
Anxiety, phobias, OCD trauma, and many other mental health difficulties can quietly shape your life - until they don’t feel so quiet anymore.
Throughout my career, I’ve worked across various education and healthcare settings. I have experience working with individuals facing a wide variety of mental health difficulties. My specific interests and expertise lie in anxiety, phobias, OCD and trauma, but I also help people with depresssion, burnout and stress.
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Photo of Amir Oren, Psychologist, MA, CPsychol
Amir Oren
Psychologist, MA, CPsychol
Serves Area
Over the years I have worked extensively with people with problems such as depression and anxiety (e.g. stress, OCD, specific phobias, health worries, sleep problems, skin picking and trichotillomania).
I am a Chartered Health Psychologist with the British Psychological Society (BPS) and registered with the Health and Care Professions Council (HCPC).
Over the years I have worked extensively with people with problems such as depression and anxiety (e.g. stress, OCD, specific phobias, health worries, sleep problems, skin picking and trichotillomania).
I am a Chartered Health Psychologist with the British Psychological Society (BPS) and registered with the Health and Care Professions Council (HCPC).
07446 870934 View 07446 870934
Photo of Dr Francesca Palmieri, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Francesca Palmieri
Psychologist, DCounsPsych, HCPC - Couns. Psych.
1 Endorsed
Online Only
I work with clients who might be struggling with any anxiety difficulties, OCD, self esteem issues, identity crises and I also specialise in Trauma work.
You might often wonder if there’s more fulfilment in your relationships, your work, your life. Many people today are experiencing heightened anxiety, uncertainty, or grief. With over 8 years of experience both in the NHS and Private sector, I offer a compassionate, safe space where healing and growth are nurtured through trust and empathy. My work focuses on addressing issues like anxiety, trauma, depression, grief, and self-esteem, equipping clients with tools to build resilience and create lasting change. I will guide you through your difficulties, helping you break free from feeling stuck and start living the life you deserve.
I work with clients who might be struggling with any anxiety difficulties, OCD, self esteem issues, identity crises and I also specialise in Trauma work.
You might often wonder if there’s more fulfilment in your relationships, your work, your life. Many people today are experiencing heightened anxiety, uncertainty, or grief. With over 8 years of experience both in the NHS and Private sector, I offer a compassionate, safe space where healing and growth are nurtured through trust and empathy. My work focuses on addressing issues like anxiety, trauma, depression, grief, and self-esteem, equipping clients with tools to build resilience and create lasting change. I will guide you through your difficulties, helping you break free from feeling stuck and start living the life you deserve.
020 4572 3596 View 020 4572 3596
Photo of Darren Abel, Psychotherapist, MBABCP
Darren Abel
Psychotherapist, MBABCP
3 Endorsed
Central London, London EC2R
I support clients with Depression, Generalised Anxiety Disorder (GAD), Sleep disorders, Stress Management, Panic Disorder with or without Agoraphobia, Specific Phobias, Obsessive-Compulsive Disorder, Health Anxiety, Social Anxiety, Post-Traumatic Stress Disorder (Single Event), Low Self-Esteem, Bereavement, Body Dysmorphic Disorder (BDD).
I specialise in delivering evidence-based Cognitive Behavioural Therapy (CBT) with experience supporting both NHS and privately funded clients. With extensive training and experience in Psychology and CBT interventions, I utilise evidence-based CBT techniques to help clients identify and challenge unhelpful thought patterns and behaviours.
I support clients with Depression, Generalised Anxiety Disorder (GAD), Sleep disorders, Stress Management, Panic Disorder with or without Agoraphobia, Specific Phobias, Obsessive-Compulsive Disorder, Health Anxiety, Social Anxiety, Post-Traumatic Stress Disorder (Single Event), Low Self-Esteem, Bereavement, Body Dysmorphic Disorder (BDD).
I specialise in delivering evidence-based Cognitive Behavioural Therapy (CBT) with experience supporting both NHS and privately funded clients. With extensive training and experience in Psychology and CBT interventions, I utilise evidence-based CBT techniques to help clients identify and challenge unhelpful thought patterns and behaviours.
020 4572 5732 View 020 4572 5732
Photo of Hinal Patel, Psychotherapist, MBABCP
Hinal Patel
Psychotherapist, MBABCP
Central London, London WC1A
I am especially passionate about supporting people struggling with social anxiety, health anxiety, spiralling worries, OCD and panic attacks.
As an experienced therapist offering Cognitive Behavioural Therapy and EMDR, I provide you with evidence-based techniques tailored to your unique needs and goals. I offer EMDR therapy intensives, 3-6 hours over 1-2 days, for those wanting to work more deeply or move through something that feels stuck, without the wait of weekly sessions.
I am especially passionate about supporting people struggling with social anxiety, health anxiety, spiralling worries, OCD and panic attacks.
As an experienced therapist offering Cognitive Behavioural Therapy and EMDR, I provide you with evidence-based techniques tailored to your unique needs and goals. I offer EMDR therapy intensives, 3-6 hours over 1-2 days, for those wanting to work more deeply or move through something that feels stuck, without the wait of weekly sessions.
020 3376 8257 View 020 3376 8257
Photo of Kora Caven, Psychotherapist, MSc, MBABCP
Kora Caven
Psychotherapist, MSc, MBABCP
Online Only
I also work with people facing intrusive thoughts and OCD, past trauma or painful experiences, perfectionism, and difficult life transitions.
“Just because no one else can heal you or do your inner work for you, doesn’t mean you have to do it alone.” We all have times when things feel too much. Whether you’re overwhelmed, stuck, or just not feeling like yourself, you don’t have to go through it alone. Therapy offers a space to talk things through, make sense of what’s going on, and start moving forward at your own pace. Hi, I’m Kora, a Cognitive Behavioural Therapist (CBT) with over 6 years of experience working in the NHS. I work remotely, offering online therapy across the UK, so you can access support from the comfort of your own space.
I also work with people facing intrusive thoughts and OCD, past trauma or painful experiences, perfectionism, and difficult life transitions.
“Just because no one else can heal you or do your inner work for you, doesn’t mean you have to do it alone.” We all have times when things feel too much. Whether you’re overwhelmed, stuck, or just not feeling like yourself, you don’t have to go through it alone. Therapy offers a space to talk things through, make sense of what’s going on, and start moving forward at your own pace. Hi, I’m Kora, a Cognitive Behavioural Therapist (CBT) with over 6 years of experience working in the NHS. I work remotely, offering online therapy across the UK, so you can access support from the comfort of your own space.
020 4538 7714 View 020 4538 7714
Photo of Lauren Wright - Lauren Wright | ADHD and Autism Online Therapy , Psychotherapist, MSc, MBABCP
Lauren Wright | ADHD and Autism Online Therapy
Psychotherapist, MSc, MBABCP
1 Endorsed
Online Only
You might be navigating anxiety, low mood, OCD, self-esteem issues, or just trying to survive in a world that isn’t built for your brain.
I’m not a blank-slate kind of therapist - I show up as my full, human, AuDHD self. I am based in London, and offer online therapy that is collaborative, warm, and grounded in real life and specialised in ADHD and Autism. We’ll figure out what’s going on, what matters to you, and what might actually help - in a way that works for your brain, not against it.
You might be navigating anxiety, low mood, OCD, self-esteem issues, or just trying to survive in a world that isn’t built for your brain.
I’m not a blank-slate kind of therapist - I show up as my full, human, AuDHD self. I am based in London, and offer online therapy that is collaborative, warm, and grounded in real life and specialised in ADHD and Autism. We’ll figure out what’s going on, what matters to you, and what might actually help - in a way that works for your brain, not against it.
020 3835 5977 View 020 3835 5977

See more therapy options for Central London, London

Obsessive-Compulsive (OCD) Counsellors

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, fluoxetine, and sertraline, 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.