Photo of Shawna Cobabe, Marriage & Family Therapist in 94025, CA
Shawna Cobabe
Marriage & Family Therapist, LMFT, MA
Verified Verified
1 Endorsed
Menlo Park, CA 94025  (Online Only)
I have worked with children, families, individuals and couples in many different capacities before finding my calling as a therapist. I have specialized training in couples and marriage counseling, family counseling, PTSD/trauma, adoption and foster care, anxiety and depression, and other mental illness, life changes, grief and loss. I also work with adolescents who are struggling in school or with behavior problems, defiance, and depression and anxiety. I work with couples and families for a variety of reasons. I can help you too.
I have worked with children, families, individuals and couples in many different capacities before finding my calling as a therapist. I have specialized training in couples and marriage counseling, family counseling, PTSD/trauma, adoption and foster care, anxiety and depression, and other mental illness, life changes, grief and loss. I also work with adolescents who are struggling in school or with behavior problems, defiance, and depression and anxiety. I work with couples and families for a variety of reasons. I can help you too.
(925) 329-6259 View (925) 329-6259
Photo of Paul Kramer, Marriage & Family Therapist in 94025, CA
Paul Kramer
Marriage & Family Therapist, EdD, LMFT
Verified Verified
Menlo Park, CA 94025
At some point we all struggle to adjustment to life's changes; it's normal to feel stuck and I believe people have what it takes to adjust. For the past 20 years, I have been working with children and teens who are struggling to balance the demands of school and their social life. I integrate parents in my work as much as possible. I also work with adults and Couples often come to me for help in distress and are confused about how or why their relationship has derailed. I am dedicated to helping people build stronger; more intimate relationships and I use several modalities when attempting to help couples in distress.
At some point we all struggle to adjustment to life's changes; it's normal to feel stuck and I believe people have what it takes to adjust. For the past 20 years, I have been working with children and teens who are struggling to balance the demands of school and their social life. I integrate parents in my work as much as possible. I also work with adults and Couples often come to me for help in distress and are confused about how or why their relationship has derailed. I am dedicated to helping people build stronger; more intimate relationships and I use several modalities when attempting to help couples in distress.
(650) 668-0376 View (650) 668-0376
Obsessive-Compulsive (OCD) Therapists

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.