Obsessive-Compulsive (OCD) Counselling in North West London, London

Photo of Marta Benko, Psychologist, PsychD, HCPC - Clin. Psych.
Marta Benko
Psychologist, PsychD, HCPC - Clin. Psych.
North West London, London NW3
Supporting kids, YP, parents and adults with: mental health difficulties in the context of a physical illness (especially with endometriosis, asthma, CF, oncology, haematology, gastroenterology, dermatology, neurosurgery, and surgery), health anxiety, functional presentation/ medically unexplained symptom, relationship breakdown and divorce, children and young people, school avoidance/school anxiety, ex-pats and 3rd country children, mood difficulties (anxiety, panic attacks, fear and phobias, low mood) , stress , OCD, body repetitive behaviours ( hair pulling, skin picking, nail biting) , sleep, non-underweight eating disorders.
Strive to support those who struggle with feelings and thoughts to build a positive long-lasting change and improve strengths, coping skills, resilience. Additionally trained in different therapeutic approaches like CBT, ACT, CFT, mindfulness, play and creative arts therapy, filial therapy, narrative approaches. Provide ADHD and ASD assessments for all ages.
Supporting kids, YP, parents and adults with: mental health difficulties in the context of a physical illness (especially with endometriosis, asthma, CF, oncology, haematology, gastroenterology, dermatology, neurosurgery, and surgery), health anxiety, functional presentation/ medically unexplained symptom, relationship breakdown and divorce, children and young people, school avoidance/school anxiety, ex-pats and 3rd country children, mood difficulties (anxiety, panic attacks, fear and phobias, low mood) , stress , OCD, body repetitive behaviours ( hair pulling, skin picking, nail biting) , sleep, non-underweight eating disorders.
Strive to support those who struggle with feelings and thoughts to build a positive long-lasting change and improve strengths, coping skills, resilience. Additionally trained in different therapeutic approaches like CBT, ACT, CFT, mindfulness, play and creative arts therapy, filial therapy, narrative approaches. Provide ADHD and ASD assessments for all ages.
020 8016 3516 View 020 8016 3516
Photo of Andrea Breninek C B T Online, Psychologist, HCPC - Clin. Psych.
Andrea Breninek C B T Online
Psychologist, HCPC - Clin. Psych.
North West London, London NW3
My special interests are in the field of Depression, Anxiety Disorders, OCD, Postnatal Depression , Stress and Chronic Illness.
"Depression is the common cold of psychopathology and has touched the lives of us all" (Dr Martin Seligman). In my 20 year experience as a CBT therapist I have learned that Seligman is right - everybody will experience at one point in their life depression, anxiety or another form of mental health problems. Some of us will manage on their own, some of us will need help. Seeking help for stress and mental health problems should not have any stigma attached to it - it is one way of dealing with the impact of living in an imperfect world.
My special interests are in the field of Depression, Anxiety Disorders, OCD, Postnatal Depression , Stress and Chronic Illness.
"Depression is the common cold of psychopathology and has touched the lives of us all" (Dr Martin Seligman). In my 20 year experience as a CBT therapist I have learned that Seligman is right - everybody will experience at one point in their life depression, anxiety or another form of mental health problems. Some of us will manage on their own, some of us will need help. Seeking help for stress and mental health problems should not have any stigma attached to it - it is one way of dealing with the impact of living in an imperfect world.
020 3835 4681 View 020 3835 4681
Photo of Mustafa Omer, Psychotherapist, MSc, MBACP
Mustafa Omer
Psychotherapist, MSc, MBACP
1 Endorsed
Online Only
I specialize in obsessive-compulsive disorder ( OCD), body dysmorphic disorder (BDD), and post-traumatic stress disorder (PTSD), alongside extensive expertise in addressing anxiety, depression, trauma, and specific phobias.
For Muslim clients, I integrate elements of an Islamic therapeutic framework, fostering a deeper connection and enhancing the therapeutic alliance. My work is guided by a commitment to confidentiality, professionalism, and creating a secure, accepting space where you can feel fully supported.
I specialize in obsessive-compulsive disorder ( OCD), body dysmorphic disorder (BDD), and post-traumatic stress disorder (PTSD), alongside extensive expertise in addressing anxiety, depression, trauma, and specific phobias.
For Muslim clients, I integrate elements of an Islamic therapeutic framework, fostering a deeper connection and enhancing the therapeutic alliance. My work is guided by a commitment to confidentiality, professionalism, and creating a secure, accepting space where you can feel fully supported.
020 3535 6996 View 020 3535 6996
Photo of Will Sessions, Psychotherapist, MA, MBACP Accred
Will Sessions
Psychotherapist, MA, MBACP Accred
Online Only
I work with children and young people, specialising in anxiety and OCD.
I help young people step into things that are unknown, uncertain and feel difficult so they can connect with and grow the strengths and qualities they need. If they don’t feel ready for therapy, I can work directly with you. I’ll coach you to support them using frameworks that clarify your role, optimise skill building, resilience and growth for your child.
I work with children and young people, specialising in anxiety and OCD.
I help young people step into things that are unknown, uncertain and feel difficult so they can connect with and grow the strengths and qualities they need. If they don’t feel ready for therapy, I can work directly with you. I’ll coach you to support them using frameworks that clarify your role, optimise skill building, resilience and growth for your child.
020 3984 7929 View 020 3984 7929
Photo of Owen Newman, Psychotherapist, MNCPS Acc.
Owen Newman
Psychotherapist, MNCPS Acc.
North West London, London NW3
I'm an experienced therapist specialising in problems with anxiety, depression, anger management, OCD, self-confidence, motivation, work stress and relationship issues.
The types of therapy I specialise in are Rational Emotive Behavioural Therapy (REBT), Acceptance and Commitment Therapy (ACT), Cognitive Therapy and Mindfulness-based CBT. These are very effective forms of Cognitive Behavioural Therapy or CBT. I work in a collaborative way, adapting and integrating these these approaches to suit your needs.
I'm an experienced therapist specialising in problems with anxiety, depression, anger management, OCD, self-confidence, motivation, work stress and relationship issues.
The types of therapy I specialise in are Rational Emotive Behavioural Therapy (REBT), Acceptance and Commitment Therapy (ACT), Cognitive Therapy and Mindfulness-based CBT. These are very effective forms of Cognitive Behavioural Therapy or CBT. I work in a collaborative way, adapting and integrating these these approaches to suit your needs.
020 4538 8051 View 020 4538 8051
Photo of Amir Oren, Psychologist, MA, CPsychol
Amir Oren
Psychologist, MA, CPsychol
North West London, London NW4
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 Guy Klein, Psychotherapist, MBABCP
Guy Klein
Psychotherapist, MBABCP
North West London, London NW6
I am an experienced CBT and EMDR therapist, specializing in treating OCD, as well as Trauma and PTSD, Generalised anxiety and anxiety attacks, Depression, and low self-esteem.
We may all need some time and space to work through challenges in order to find a way forward. I offer evidence-based, short and medium-term therapy aimed at managing strong emotions more effectively, and rooting out the negative behaviour and thinking patterns that maintain your unhappiness.
I am an experienced CBT and EMDR therapist, specializing in treating OCD, as well as Trauma and PTSD, Generalised anxiety and anxiety attacks, Depression, and low self-esteem.
We may all need some time and space to work through challenges in order to find a way forward. I offer evidence-based, short and medium-term therapy aimed at managing strong emotions more effectively, and rooting out the negative behaviour and thinking patterns that maintain your unhappiness.
020 4538 5157 View 020 4538 5157
Photo of Jenny Lynn Simmonds - Jenny Simmonds Psychotherapy - Hampstead &Highgate, Counsellor, BACP
Jenny Simmonds Psychotherapy - Hampstead &Highgate
Counsellor, BACP
1 Endorsed
Online Only
Specialties: Bereavement Borderline Personality Disorder (BPD) Obsessive-Compulsive Disorder ( OCD) Anxiety Loss of Purpose Couples Counselling/Mediation.
I am deeply committed to providing a space where you feel comfortable and accepted, free from judgment. My approach is warm, empathetic, and rooted in authenticity—always showing up as my true self to help you navigate life’s challenges. I believe that healing and growth happen most effectively when you can be fully yourself, and I am here to walk alongside you with honesty, understanding, and compassion. Together, we will create a meaningful connection that empowers you to move forward with confidence and clarity.
Specialties: Bereavement Borderline Personality Disorder (BPD) Obsessive-Compulsive Disorder ( OCD) Anxiety Loss of Purpose Couples Counselling/Mediation.
I am deeply committed to providing a space where you feel comfortable and accepted, free from judgment. My approach is warm, empathetic, and rooted in authenticity—always showing up as my true self to help you navigate life’s challenges. I believe that healing and growth happen most effectively when you can be fully yourself, and I am here to walk alongside you with honesty, understanding, and compassion. Together, we will create a meaningful connection that empowers you to move forward with confidence and clarity.
020 8059 4012 View 020 8059 4012
Photo of Arti Hughes - Cognitive Behavioural Therapist, Arti Hughes, Psychotherapist, MBABCP
Cognitive Behavioural Therapist, Arti Hughes
Psychotherapist, MBABCP
North West London, London NW11
We treat Depression, Obsessive compulsive disorder ( OCD), Intrusive thoughts, Social anxiety, Panic attacks, Phobias, Excessive worry/ overwhelmed with anxiety, Post-traumatic stress disorder (PTSD), Health anxiety, Perfectionism, Body dysmorphic disorders (BDD), Eating disorders, Phobias, Agoraphobia, Low self-confidence, & LTC’s.
We run a very successful therapy practice with a small team of highly qualified clinicians with five-star Google reviews called BRITISH psychotherapy. Visit www.Britishpsychotherapy.Co.uk or for a FREE consultation appointment CALL 02081918757. face-to-face therapy in Herts or online therapy- we have been rated amongst the best in the county!
We treat Depression, Obsessive compulsive disorder ( OCD), Intrusive thoughts, Social anxiety, Panic attacks, Phobias, Excessive worry/ overwhelmed with anxiety, Post-traumatic stress disorder (PTSD), Health anxiety, Perfectionism, Body dysmorphic disorders (BDD), Eating disorders, Phobias, Agoraphobia, Low self-confidence, & LTC’s.
We run a very successful therapy practice with a small team of highly qualified clinicians with five-star Google reviews called BRITISH psychotherapy. Visit www.Britishpsychotherapy.Co.uk or for a FREE consultation appointment CALL 02081918757. face-to-face therapy in Herts or online therapy- we have been rated amongst the best in the county!
01707 240833 View 01707 240833
Photo of Dr Rob Agnew, Psychologist, HCPC - Clin. Psych.
Dr Rob Agnew
Psychologist, HCPC - Clin. Psych.
1 Endorsed
Online Only
I've been qualified since 2008, treating fatigue, issues related to ADHD and ASD, issues related to head injury, trauma, OCD, health anxiety and BDD; but I can help with most difficulties.
I am trained to use a number of therapies and I integrate these with my training as a psychologist to develop a psychological understanding (a formulation) which I test and adjust with my patient. I use a number of approaches CBT, DBT, RO-DBT, systemic and behavioural approaches with a professional, but an informal and relaxed manner.
I've been qualified since 2008, treating fatigue, issues related to ADHD and ASD, issues related to head injury, trauma, OCD, health anxiety and BDD; but I can help with most difficulties.
I am trained to use a number of therapies and I integrate these with my training as a psychologist to develop a psychological understanding (a formulation) which I test and adjust with my patient. I use a number of approaches CBT, DBT, RO-DBT, systemic and behavioural approaches with a professional, but an informal and relaxed manner.
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Photo of Smita Pandey - Holistic Well-being Solutions Ltd, Psychotherapist, MA, MBABCP
Holistic Well-being Solutions Ltd
Psychotherapist, MA, MBABCP
1 Endorsed
North West London, London NW6
I specialise in employing structured and research-backed approaches, such as Roth and Pilling Competencies, to address disorders like depression, OCD, and anxiety.
My extensive experience, culturally inclusive approach, and commitment to evidence based care position me to effectively support clients in achieving their mental health goals. By providing personalized, compassionate interventions, I strive to make a positive, lasting impact on their wellbeing. Ensuring client safety I conduct thorough risk assessments and collaboratively develop risk management plans. By fostering an environment of unconditional positive regard, I aim to empower clients to identify their strengths and achieve personal growth.
I specialise in employing structured and research-backed approaches, such as Roth and Pilling Competencies, to address disorders like depression, OCD, and anxiety.
My extensive experience, culturally inclusive approach, and commitment to evidence based care position me to effectively support clients in achieving their mental health goals. By providing personalized, compassionate interventions, I strive to make a positive, lasting impact on their wellbeing. Ensuring client safety I conduct thorough risk assessments and collaboratively develop risk management plans. By fostering an environment of unconditional positive regard, I aim to empower clients to identify their strengths and achieve personal growth.
020 4572 2692 View 020 4572 2692
Photo of Carina Lisbeth Palmer - LivedExperienceOCDTherapy, Counsellor, MBACP
LivedExperienceOCDTherapy
Counsellor, MBACP
Online Only
All of these themes are extremely common with OCD.
I have personal experience of OCD, which I manage well. As a therapist, I have been working in private practice with adults and young people with OCD over the last three years. I hold a level 4 Diploma in Integrative CounselIing and am registered with the BACP. I work via Skype and WhatsApp only. Assessments are charged at £85 and therapy sessions at £60.
All of these themes are extremely common with OCD.
I have personal experience of OCD, which I manage well. As a therapist, I have been working in private practice with adults and young people with OCD over the last three years. I hold a level 4 Diploma in Integrative CounselIing and am registered with the BACP. I work via Skype and WhatsApp only. Assessments are charged at £85 and therapy sessions at £60.
01268 269993 View 01268 269993
Photo of Tehani Benjamin, Psychologist, HCPC - Clin. Psych.
Tehani Benjamin
Psychologist, HCPC - Clin. Psych.
Online Only
I have lived experiences and specialist training in OCD.
At the heart of my work, I strive to create a warm and compassionate space for clients from all walks of life. I work with clients presenting with various challenges including relationship difficulties, self-esteem issues, anxiety and low mood. I also have experience working with complex mental health and co-morbid difficulties, including trauma and childhood abuse. Whether your issue feels vague or specific, therapy can help you understand how the past informs current patterns, develop coping skills to process difficult feelings, and nurture the internal strengths and resources that we all hold.
I have lived experiences and specialist training in OCD.
At the heart of my work, I strive to create a warm and compassionate space for clients from all walks of life. I work with clients presenting with various challenges including relationship difficulties, self-esteem issues, anxiety and low mood. I also have experience working with complex mental health and co-morbid difficulties, including trauma and childhood abuse. Whether your issue feels vague or specific, therapy can help you understand how the past informs current patterns, develop coping skills to process difficult feelings, and nurture the internal strengths and resources that we all hold.
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Photo of Emily Gardner - Emily Gardner OCD, Psychotherapist, MBABCP
Emily Gardner OCD
Psychotherapist, MBABCP
6 Endorsed
Online Only
Living with OCD can be overwhelming.
OCD often begins with unwanted, intrusive thoughts that can be distressing. While many can brush these off, those with OCD become trapped, questioning what these thoughts mean. This anxiety triggers compulsions—repetitive physical or mental actions aimed at neutralising distress. Compulsions keep you stuck in the OCD cycle, and make life increasingly hard.
Living with OCD can be overwhelming.
OCD often begins with unwanted, intrusive thoughts that can be distressing. While many can brush these off, those with OCD become trapped, questioning what these thoughts mean. This anxiety triggers compulsions—repetitive physical or mental actions aimed at neutralising distress. Compulsions keep you stuck in the OCD cycle, and make life increasingly hard.
020 3002 6611 View 020 3002 6611
Photo of Luke Cahill - Luke Cahill - in-person and online, Counsellor, MBACP
Luke Cahill - in-person and online
Counsellor, MBACP
Serves Area
Waitlist for new clients
TLDR I mostly work with people dealing with anxiety, depression, and/or OCD stuff/intrusive thoughts, to better understand what's happening and find ways to improve things.
I’ll encourage your interest in yourself and your life, including the overlooked or unwanted aspects, as it’s hard to change what we don’t pay attention to. I don’t know what anyone should do and I don’t push solutions. Mostly I listen, offering thoughts, questions and ideas, and hopefully furthering a shared understanding of whatever we're talking about.
TLDR I mostly work with people dealing with anxiety, depression, and/or OCD stuff/intrusive thoughts, to better understand what's happening and find ways to improve things.
I’ll encourage your interest in yourself and your life, including the overlooked or unwanted aspects, as it’s hard to change what we don’t pay attention to. I don’t know what anyone should do and I don’t push solutions. Mostly I listen, offering thoughts, questions and ideas, and hopefully furthering a shared understanding of whatever we're talking about.
0161 524 1128 View 0161 524 1128
Photo of Shira Freeman, Psychotherapist, MA
Shira Freeman
Psychotherapist, MA
Serves Area
Using solution- focused strategies from CBT and ACT (acceptance and commitment therapy and mindfulness), I have successfully treated many clients with various forms of anxiety, OCD, depression and life crises.
I am passionate about tailoring each therapy to the individual and sensitively supporting their needs. Together with the client, we explore setting goals and using techniques and strategies from ACT and CBT to make meaningful changes to their well-being. I also draw on psychodynamic understanding to reach deeper conflicts when needed.
Using solution- focused strategies from CBT and ACT (acceptance and commitment therapy and mindfulness), I have successfully treated many clients with various forms of anxiety, OCD, depression and life crises.
I am passionate about tailoring each therapy to the individual and sensitively supporting their needs. Together with the client, we explore setting goals and using techniques and strategies from ACT and CBT to make meaningful changes to their well-being. I also draw on psychodynamic understanding to reach deeper conflicts when needed.
020 4538 0922 View 020 4538 0922
Photo of Dr Emily Fletcher - Flourishing Futures Psychology - Dr Emily Fletcher, Psychologist, PsychD, HCPC - Clin. Psych.
Flourishing Futures Psychology - Dr Emily Fletcher
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
With a specialist interest in working with young people and their families, I have enjoyed particular successes in helping teenagers and young adults manage both mild and complex social anxiety; generalised anxiety; phobias; and OCD.
Perhaps you’re a teenager or young adult, who experiences physical symptoms of anxiety (such as stomach aches or racing heart), which make you want to avoid certain situations. Or maybe you’re a parent or guardian, eager to get the best support for a loved one who struggles with anxious thoughts or behaviours. Rest assured, you’ve come to the right place. I care. My interest in providing timely treatment for difficulties such as these is the reason why I founded Flourishing Futures Psychology. I too was prone to getting tangled up with anxiety when I was younger, so I know how it can try to trip you up.
With a specialist interest in working with young people and their families, I have enjoyed particular successes in helping teenagers and young adults manage both mild and complex social anxiety; generalised anxiety; phobias; and OCD.
Perhaps you’re a teenager or young adult, who experiences physical symptoms of anxiety (such as stomach aches or racing heart), which make you want to avoid certain situations. Or maybe you’re a parent or guardian, eager to get the best support for a loved one who struggles with anxious thoughts or behaviours. Rest assured, you’ve come to the right place. I care. My interest in providing timely treatment for difficulties such as these is the reason why I founded Flourishing Futures Psychology. I too was prone to getting tangled up with anxiety when I was younger, so I know how it can try to trip you up.
07438 329979 View 07438 329979
Photo of Christina Johnson, Psychotherapist, MSc, MHGI
Christina Johnson
Psychotherapist, MSc, MHGI
North West London, London NW1
Are you currently impacted by anxiety, depression, OCD, trauma, ADHD, phobia, addiction, overeating, grief , or anger ?
It is my aim for you to leave each session feeling hopeful and confident that recovery is possible ,that you are supported to make the changes you wish to make to create a life that works for you. We will identify your goals for therapy together and your therapy will till be tailored to meet those goals and work at a pace that is comfortable for you.
Are you currently impacted by anxiety, depression, OCD, trauma, ADHD, phobia, addiction, overeating, grief , or anger ?
It is my aim for you to leave each session feeling hopeful and confident that recovery is possible ,that you are supported to make the changes you wish to make to create a life that works for you. We will identify your goals for therapy together and your therapy will till be tailored to meet those goals and work at a pace that is comfortable for you.
020 3856 4075 View 020 3856 4075
Photo of Valdete Kapedani, Psychotherapist, MBACP
Valdete Kapedani
Psychotherapist, MBACP
North West London, London NW3
I work with Couples & Individuals who present with: Narcissistic Personality, Borderline Personality, Bipolar, Trauma, ADHD, PTSD, Anxiety, Infidellity, Marriage, Divorce, Addictions & OCD in a caring, safe, confidential & non-judgmental space.
Using Psychodynamic and CBT approach. In our therapeutic work together I will help you explore & navigate your emotional difficulties, relationship challenges, your past & present unconscious rooted patterns. This will help you develop self-awareness, personal growth, and you will build healthier ways of relating to yourself and others.
I work with Couples & Individuals who present with: Narcissistic Personality, Borderline Personality, Bipolar, Trauma, ADHD, PTSD, Anxiety, Infidellity, Marriage, Divorce, Addictions & OCD in a caring, safe, confidential & non-judgmental space.
Using Psychodynamic and CBT approach. In our therapeutic work together I will help you explore & navigate your emotional difficulties, relationship challenges, your past & present unconscious rooted patterns. This will help you develop self-awareness, personal growth, and you will build healthier ways of relating to yourself and others.
020 3856 4178 View 020 3856 4178
Photo of Dr Elnaz Mihanmehr, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Elnaz Mihanmehr
Psychologist, DCounsPsych, HCPC - Couns. Psych.
1 Endorsed
Online Only
I specialise in providing psychological support to individuals experiencing a range of difficulties, including depression, anxiety, birth trauma, tokophobia, pregnancy loss, grief, depression, anxiety, OCD, PTSD, and trauma.
Therapy offers a path for enhancing your understanding of your struggles within a safe environment and developing coping strategies to help you navigate challenging situations and make impactful changes in your life. I am a chartered and HCPC-registered Counselling Psychologist as well as a BACP-licensed therapist. I currently work as a perinatal psychologist within the NHS Maternal Mental Health Service. It may help you know that others have described me as a kind, compassionate, and approachable psychologist.
I specialise in providing psychological support to individuals experiencing a range of difficulties, including depression, anxiety, birth trauma, tokophobia, pregnancy loss, grief, depression, anxiety, OCD, PTSD, and trauma.
Therapy offers a path for enhancing your understanding of your struggles within a safe environment and developing coping strategies to help you navigate challenging situations and make impactful changes in your life. I am a chartered and HCPC-registered Counselling Psychologist as well as a BACP-licensed therapist. I currently work as a perinatal psychologist within the NHS Maternal Mental Health Service. It may help you know that others have described me as a kind, compassionate, and approachable psychologist.
020 3772 3165 View 020 3772 3165
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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.