Photo of Bridget Buchko, Pre-Licensed Professional in New Hampshire
Bridget Buchko
Pre-Licensed Professional, MS, CMHC
Verified Verified
1 Endorsed
Lebanon, NH 03766  (Online Only)
Waitlist for new clients
I work with adult clients via telehealth who may be struggling with anxiety, OCD, depression, new medical diagnoses, and life transitions.
I invite you to be brave and take some time to focus on yourself and your goals. Counseling can be a wonderful bridge in helping us work towards living lives with more contentment, ease, and intentionality. I aim to provide a safe counseling environment that is focused on sharing warmth, humor, authenticity, deep listening, and empathy with others. I deeply believe in the potential that each of us has to make meaningful changes and work towards that which feels important to us. We will work together to explore the challenges you may be facing at this time and develop effective strategies that can make daily life easier.
I work with adult clients via telehealth who may be struggling with anxiety, OCD, depression, new medical diagnoses, and life transitions.
I invite you to be brave and take some time to focus on yourself and your goals. Counseling can be a wonderful bridge in helping us work towards living lives with more contentment, ease, and intentionality. I aim to provide a safe counseling environment that is focused on sharing warmth, humor, authenticity, deep listening, and empathy with others. I deeply believe in the potential that each of us has to make meaningful changes and work towards that which feels important to us. We will work together to explore the challenges you may be facing at this time and develop effective strategies that can make daily life easier.
(603) 605-1114 View (603) 605-1114
Photo of Danielle Michelle Viola, Counselor in New Hampshire
Danielle Michelle Viola
Counselor, MA, LCMHC
Verified Verified
Londonderry, NH 03053
These disorders include but are not limited to Obsessive Compulsive Disorder, Phobias, Post Traumatic Stress Disorder, Generalized Anxiety Disorder & Anxiety due to transitions such as divorce, job loss & loss of a loved one.
My ideal client would be one who is willing to put in the effort it takes to achieve a healthy and happy mental status. Not every population I see has this mindset. I believe that by building trust and rapport as well as by the client seeing their own progress, the motivation to reach their personal goals will increase. I have worked with patients as young as 2 and as old as 72 with varying issues. Although I am trained to work with most populations and feel comfortable doing so, my specialty lies with those suffering from anxiety.
These disorders include but are not limited to Obsessive Compulsive Disorder, Phobias, Post Traumatic Stress Disorder, Generalized Anxiety Disorder & Anxiety due to transitions such as divorce, job loss & loss of a loved one.
My ideal client would be one who is willing to put in the effort it takes to achieve a healthy and happy mental status. Not every population I see has this mindset. I believe that by building trust and rapport as well as by the client seeing their own progress, the motivation to reach their personal goals will increase. I have worked with patients as young as 2 and as old as 72 with varying issues. Although I am trained to work with most populations and feel comfortable doing so, my specialty lies with those suffering from anxiety.
(978) 819-4631 View (978) 819-4631
Photo of David Bradley, Psychologist in New Hampshire
David Bradley
Psychologist, PhD
Verified Verified
1 Endorsed
Bedford, NH 03110
Bradley treats anxiety disorders from a cognitive-behavioral and exposure-based framework, including generalized anxiety, OCD (exposure and response prevention), health anxiety, panic attacks, trichotillomania, phobias, insomnia, PTSD (prolonged exposure and cognitive processing therapy), and depression.
Dr. David Bradley earned his Ph.D. in Clinical Psychology from Case Western Reserve University. During his post-doctoral fellowship at Dartmouth Hitchcock Medical Center, he worked with individuals experiencing a broad range of anxiety and mood-related disorders as well as insomnia. He also conducted bariatric pre-surgical evaluations. Dr. Bradley has extensive training in empirically supported treatments for anxiety and related disorders in adults of all ages.
Bradley treats anxiety disorders from a cognitive-behavioral and exposure-based framework, including generalized anxiety, OCD (exposure and response prevention), health anxiety, panic attacks, trichotillomania, phobias, insomnia, PTSD (prolonged exposure and cognitive processing therapy), and depression.
Dr. David Bradley earned his Ph.D. in Clinical Psychology from Case Western Reserve University. During his post-doctoral fellowship at Dartmouth Hitchcock Medical Center, he worked with individuals experiencing a broad range of anxiety and mood-related disorders as well as insomnia. He also conducted bariatric pre-surgical evaluations. Dr. Bradley has extensive training in empirically supported treatments for anxiety and related disorders in adults of all ages.
(603) 755-6535 View (603) 755-6535
Photo of Kelly Parsons, Counselor in New Hampshire
Kelly Parsons
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Londonderry, NH 03053
Anxiety? OCD? Sick of being anxious ALL the time? I developed a program for Anxiety/OCD that works! This is NOT a talk session. You need coping skills. In a few appointments, it will be much better! I have been working in mental health over 20 years. Specialties: Anxiety, OCD, phobias, depression, relationships/low self esteem, chronic pain. I give what I would want myself, answers & treatment that works! I respect that, having worked with thousands of clients with phobia's, OCD, chronic worry, marriage/relationships, loss, and communication problems. Panic attacks/phobias (highways, fear of medical etc.)
Anxiety? OCD? Sick of being anxious ALL the time? I developed a program for Anxiety/OCD that works! This is NOT a talk session. You need coping skills. In a few appointments, it will be much better! I have been working in mental health over 20 years. Specialties: Anxiety, OCD, phobias, depression, relationships/low self esteem, chronic pain. I give what I would want myself, answers & treatment that works! I respect that, having worked with thousands of clients with phobia's, OCD, chronic worry, marriage/relationships, loss, and communication problems. Panic attacks/phobias (highways, fear of medical etc.)
(603) 819-4733 View (603) 819-4733
Photo of Anna Bowers, Pre-Licensed Professional in New Hampshire
Anna Bowers
Pre-Licensed Professional, MS, CMHC
Verified Verified
Hanover, NH 03755
Anna is a LCMHC Candidate at Counseling Associates. Anna brings experience working with adolescents, young adults, and adults in a variety of settings including outpatient, residential, and wilderness. Her areas of specialty include anxiety, OCD, and depression.
Anna is a LCMHC Candidate at Counseling Associates. Anna brings experience working with adolescents, young adults, and adults in a variety of settings including outpatient, residential, and wilderness. Her areas of specialty include anxiety, OCD, and depression.
(603) 207-3301 View (603) 207-3301
Photo of Charles Clark Pastoral Counseling & Life Coaching, Pastoral Counselor in New Hampshire
Charles Clark Pastoral Counseling & Life Coaching
Pastoral Counselor, BSc, MAR, BCPC, ICCA LC, LicMin
Verified Verified
1 Endorsed
Kingston, NH 03848
I have worked with seperations and struggling couples; obsessive-compulsive, rage and anxiety behaviors.
Inviting God into our thoughts, experiences and feelings, we allow for redemptive healing of our whole being. Called & Equipped by God to help His hurting people, we approach answers through wisdom and biblical Faith. You'll find that I am easy to talk with, and often people begin share details that they have never told anyone. God called and gifted me to help people find life and happiness through knowing Him. As a Pastoral Counselor dealing with trauma and behaviors, or as a life Coach and mentor helping you to grow and Thrive, I am confident that When we sit together at the feet of Jesus - our lives can be made whole By Him.
I have worked with seperations and struggling couples; obsessive-compulsive, rage and anxiety behaviors.
Inviting God into our thoughts, experiences and feelings, we allow for redemptive healing of our whole being. Called & Equipped by God to help His hurting people, we approach answers through wisdom and biblical Faith. You'll find that I am easy to talk with, and often people begin share details that they have never told anyone. God called and gifted me to help people find life and happiness through knowing Him. As a Pastoral Counselor dealing with trauma and behaviors, or as a life Coach and mentor helping you to grow and Thrive, I am confident that When we sit together at the feet of Jesus - our lives can be made whole By Him.
(978) 350-0620 View (978) 350-0620
Photo of Ellen Ronka, Counselor in New Hampshire
Ellen Ronka
Counselor, LCMHC
Verified Verified
Portsmouth, NH 03801  (Online Only)
I specialize in anxiety (obsessive thoughts and behaviors, phobias, panic attacks, nightmares, post-traumatic stress), depression, chronic pain / illness, and relationship problems.
Compassion and safety, metaphors and stories, laughter and creativity, brainstorming and education are some of the tools I will combine to help you feel understood, heal, and then grow. I will adjust my style to what I sense you need as a whole person: body, mind, and spirit. I frame my work in psychodynamic theory, while using cognitive-behavioral and experiential techniques. I infuse all sessions with the principles of mindfulness. I can help you organize your thoughts on difficult decisions, coach you to be more assertive, and help you establish better boundaries. I will teach you a variety of coping skills for managing stress.
I specialize in anxiety (obsessive thoughts and behaviors, phobias, panic attacks, nightmares, post-traumatic stress), depression, chronic pain / illness, and relationship problems.
Compassion and safety, metaphors and stories, laughter and creativity, brainstorming and education are some of the tools I will combine to help you feel understood, heal, and then grow. I will adjust my style to what I sense you need as a whole person: body, mind, and spirit. I frame my work in psychodynamic theory, while using cognitive-behavioral and experiential techniques. I infuse all sessions with the principles of mindfulness. I can help you organize your thoughts on difficult decisions, coach you to be more assertive, and help you establish better boundaries. I will teach you a variety of coping skills for managing stress.
(603) 392-7340 View (603) 392-7340
Photo of Miriam R. Osofsky, Psychologist in New Hampshire
Miriam R. Osofsky
Psychologist, PhD
Verified Verified
Hanover, NH 03755  (Online Only)
Waitlist for new clients
I treat trauma, anxiety, OCD, and depression by blending techniques from Internal Family Systems and CBT.
Whether I am with a child, teen, adult, couple or family, I strive to earn my clients' trust with honesty, warmth and humor; a secure and close therapeutic relationship allows for the most healing and progress. A lot of psychological distress occurs when people feel cut off from or ashamed of some of their feelings. I help clients access and feel compassion about previously disavowed feelings and parts of themselves, allowing for better self-care and self-regulation, and greater closeness with loved ones.
I treat trauma, anxiety, OCD, and depression by blending techniques from Internal Family Systems and CBT.
Whether I am with a child, teen, adult, couple or family, I strive to earn my clients' trust with honesty, warmth and humor; a secure and close therapeutic relationship allows for the most healing and progress. A lot of psychological distress occurs when people feel cut off from or ashamed of some of their feelings. I help clients access and feel compassion about previously disavowed feelings and parts of themselves, allowing for better self-care and self-regulation, and greater closeness with loved ones.
(603) 941-4334 View (603) 941-4334
Photo of Jennifer C. Jones, Pre-Licensed Professional in New Hampshire
Jennifer C. Jones
Pre-Licensed Professional, MS
Verified Verified
Concord, NH 03301  (Online Only)
Waitlist for new clients
I specialize in complex trauma, eating disorders, abuse/domestic violence, obsessive-compulsive behaviors, death, grief and loss.
Welcome! Life is a journey and everyone’s path is unique. I offer a safe space with judgement-free listening, compassion, humor and empathy to assist you on your personal journey of health and wellness. Which treatment approach I use will vary depending on what you need or seek. I have a background in both physical health and health psychology, and my approach to mental health treatment stems from a holistic perspective that includes mind, body and spirit. Some of the modalities I utilize include IFS, EMDR, CBT, expressive arts and somatic based therapies.
I specialize in complex trauma, eating disorders, abuse/domestic violence, obsessive-compulsive behaviors, death, grief and loss.
Welcome! Life is a journey and everyone’s path is unique. I offer a safe space with judgement-free listening, compassion, humor and empathy to assist you on your personal journey of health and wellness. Which treatment approach I use will vary depending on what you need or seek. I have a background in both physical health and health psychology, and my approach to mental health treatment stems from a holistic perspective that includes mind, body and spirit. Some of the modalities I utilize include IFS, EMDR, CBT, expressive arts and somatic based therapies.
(603) 931-4270 View (603) 931-4270
Photo of David M Martin, Psychologist in New Hampshire
David M Martin
Psychologist, PhD, LP
Verified Verified
Manchester, NH 03101  (Online Only)
I have particular expertise working with Trauma, Grief, Depression, Anxiety, OCD, ADHD, Couples, Career struggles, and issues with Self-esteem and Identity.
Accepting Teletherapy Appointments Only. I work collaboratively with my clients, empowering them to find balance, wholeness, and greater happiness in life. My broad experience both in a variety of psychological treatment modalities (Internal Family Systems, EMDR, Dialectical Behavioural Therapy and Emotion Focused Therapy) as well as in working with a wide range of clients, enables me to provide therapy that is both deeply compassionate and well-rooted in psychological science. I’m here to help you create stronger, more fulfilling relationships, make peace with yourself, and start living a life of fulfillment and connection.
I have particular expertise working with Trauma, Grief, Depression, Anxiety, OCD, ADHD, Couples, Career struggles, and issues with Self-esteem and Identity.
Accepting Teletherapy Appointments Only. I work collaboratively with my clients, empowering them to find balance, wholeness, and greater happiness in life. My broad experience both in a variety of psychological treatment modalities (Internal Family Systems, EMDR, Dialectical Behavioural Therapy and Emotion Focused Therapy) as well as in working with a wide range of clients, enables me to provide therapy that is both deeply compassionate and well-rooted in psychological science. I’m here to help you create stronger, more fulfilling relationships, make peace with yourself, and start living a life of fulfillment and connection.
(802) 448-8594 View (802) 448-8594
Photo of Bethany Hardy, Counselor in New Hampshire
Bethany Hardy
Counselor, LPC, LCMHC
Verified Verified
2 Endorsed
Concord, NH 03301  (Online Only)
Our clinical experience includes working with individuals who struggle with depression, anxiety, eating disorders, abuse, trauma, OCD, relationship issues and severe mental health disorders.
Hardy Counseling Services is here to provide you support through life transitions, depression, anxiety and adjusting to various difficulties that life throws at you. We are here to walk along side you and help you identify coping skills to manage these difficulties. We are here to help you create goals and work towards the goals that you have for yourself.
Our clinical experience includes working with individuals who struggle with depression, anxiety, eating disorders, abuse, trauma, OCD, relationship issues and severe mental health disorders.
Hardy Counseling Services is here to provide you support through life transitions, depression, anxiety and adjusting to various difficulties that life throws at you. We are here to walk along side you and help you identify coping skills to manage these difficulties. We are here to help you create goals and work towards the goals that you have for yourself.
(703) 260-8928 View (703) 260-8928
Photo of Hanover Center for Cognitive Behavioral Therapies, Psychologist in New Hampshire
Hanover Center for Cognitive Behavioral Therapies
Psychologist
Verified Verified
Hanover, NH 03755
Are you looking for compassionate care to help you or a loved one address difficult emotions, experiences, or transitions? Hanover CBT is a group private practice with clinicians who specialize in working with individuals across the lifespan experiencing a wide range of mental health struggles. We seek to assist clients in cultivating awareness, wisdom, and courage in every aspect of their lives while meeting each client with compassion, integrity, and presence. We believe that it is brave to ask for support and we work with our patients to develop strength-based practices and approaches to coping with challenges.
Are you looking for compassionate care to help you or a loved one address difficult emotions, experiences, or transitions? Hanover CBT is a group private practice with clinicians who specialize in working with individuals across the lifespan experiencing a wide range of mental health struggles. We seek to assist clients in cultivating awareness, wisdom, and courage in every aspect of their lives while meeting each client with compassion, integrity, and presence. We believe that it is brave to ask for support and we work with our patients to develop strength-based practices and approaches to coping with challenges.
(603) 392-7241 View (603) 392-7241
Photo of Anna Weigle, Counselor in New Hampshire
Anna Weigle
Counselor, LCMHC
Verified Verified
Keene, NH 03431
Waitlist for new clients
Are you tired of trying to make it through the day-to-day constantly battling your your own thoughts and feelings? Many people describe a painful sense of weariness with trying to change their patterns with the current skills that they have. Working towards personal change takes hard work, and I am looking forward to taking this journey with you. Change takes a leap of faith in trying new ways of thinking and being. Working together, you will learn new ways to approach your symptoms and develop skills that you can use in everyday life.
Are you tired of trying to make it through the day-to-day constantly battling your your own thoughts and feelings? Many people describe a painful sense of weariness with trying to change their patterns with the current skills that they have. Working towards personal change takes hard work, and I am looking forward to taking this journey with you. Change takes a leap of faith in trying new ways of thinking and being. Working together, you will learn new ways to approach your symptoms and develop skills that you can use in everyday life.
(888) 893-2979 View (888) 893-2979
Photo of Denise Moquin, Psychologist in New Hampshire
Denise Moquin
Psychologist, PsyD
Verified Verified
Manchester, NH 03104
Quality of life is something for which we all strive and can include social and interpersonal, occupational, mental, and physical well-being. We all have the capacity to improve the quality of life, but sometimes this involves making some changes. Changes may include altering our situation or responding differently to things that come up in our lives. Change can be difficult, maybe because we do not know what needs to change or because we are trying to make those changes without support. Dr. Moquin helps you to identify what you want to change and supports you in making those changes.
Quality of life is something for which we all strive and can include social and interpersonal, occupational, mental, and physical well-being. We all have the capacity to improve the quality of life, but sometimes this involves making some changes. Changes may include altering our situation or responding differently to things that come up in our lives. Change can be difficult, maybe because we do not know what needs to change or because we are trying to make those changes without support. Dr. Moquin helps you to identify what you want to change and supports you in making those changes.
(603) 635-4047 View (603) 635-4047
Photo of John Longo, Clinical Social Work/Therapist in New Hampshire
John Longo
Clinical Social Work/Therapist, LICSW
Verified Verified
Exeter, NH 03833
I approach my clients collaboratively with a warm, accepting and compassionate attitude. I believe developing a trusting relationship is the most effective foundation to approach the hardships and mind habits we all face in life. I use specific CBT and Mindfulness skills to help my clients reduce symptoms and feel better soon. Anxiety, obsessiveness and depressed feelings can be significantly reduced while I teach clients how to govern the mind, creating new habits and strategies. As a practitioner of mindfulness who has attended many Insight Meditation retreats, I can share with you the benefits of attention from both personal and professional experience.
I approach my clients collaboratively with a warm, accepting and compassionate attitude. I believe developing a trusting relationship is the most effective foundation to approach the hardships and mind habits we all face in life. I use specific CBT and Mindfulness skills to help my clients reduce symptoms and feel better soon. Anxiety, obsessiveness and depressed feelings can be significantly reduced while I teach clients how to govern the mind, creating new habits and strategies. As a practitioner of mindfulness who has attended many Insight Meditation retreats, I can share with you the benefits of attention from both personal and professional experience.
(978) 820-7033 View (978) 820-7033
Photo of True North Healing Center, Clinical Social Work/Therapist in New Hampshire
True North Healing Center
Clinical Social Work/Therapist, LICSW
Verified Verified
Bedford, NH 03110
You must find the place inside yourself where nothing is impossible - Deepak Chopra. Healing emotional wounds is no easy feat and it takes bravery to initiate the process of healing. Whether it is PTSD, Anxiety, Depression, Substance Use, Eating Disorders, or more, you are no longer alone and therapists at True North Healing Center are here to help guide you to a more healed version of yourself, the true you. To learn more about our therapists please visit www.truenorthhealingcenter.com or contact us via this page!
You must find the place inside yourself where nothing is impossible - Deepak Chopra. Healing emotional wounds is no easy feat and it takes bravery to initiate the process of healing. Whether it is PTSD, Anxiety, Depression, Substance Use, Eating Disorders, or more, you are no longer alone and therapists at True North Healing Center are here to help guide you to a more healed version of yourself, the true you. To learn more about our therapists please visit www.truenorthhealingcenter.com or contact us via this page!
(603) 825-4885 View (603) 825-4885
Photo of Juleen Ann Chiaradonna, Clinical Social Work/Therapist in New Hampshire
Juleen Ann Chiaradonna
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Rochester, NH 03839  (Online Only)
Hello! If you are reading this and looking for help you are right where you need to be :) I like to think of myself as an "UNshrink" . I believe in helping to de-pathologize you and whatever it is that you are struggling w, and helping you to experience your self, situation, and LIFE in a whole new way. I'm usually a good fit for ppl that aren't into traditional "therapy" for whatever reason: anxiety, skepticism, bad or unsuccessful past experiences, if you think you, your family, everything is/are beyond hope, or if you are interested in something completely "outside the box", bc that is me.
Hello! If you are reading this and looking for help you are right where you need to be :) I like to think of myself as an "UNshrink" . I believe in helping to de-pathologize you and whatever it is that you are struggling w, and helping you to experience your self, situation, and LIFE in a whole new way. I'm usually a good fit for ppl that aren't into traditional "therapy" for whatever reason: anxiety, skepticism, bad or unsuccessful past experiences, if you think you, your family, everything is/are beyond hope, or if you are interested in something completely "outside the box", bc that is me.
(603) 387-4388 View (603) 387-4388
Photo of Rebecca Peake LMFT, Marriage & Family Therapist in New Hampshire
Rebecca Peake LMFT
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Salem, NH 03079
I work with children, adolescents, and adults to provide individual, couple, and family therapy. I work from a systems focused perspective where treatment draws from client strengths, is solution-focused, and family centered. I believe in being supportive and empowering clients in their journey to improve. I enjoy using cognitive behavioral techniques to address concerns such as self-esteem, anxiety, depression, and general life stressors.
I work with children, adolescents, and adults to provide individual, couple, and family therapy. I work from a systems focused perspective where treatment draws from client strengths, is solution-focused, and family centered. I believe in being supportive and empowering clients in their journey to improve. I enjoy using cognitive behavioral techniques to address concerns such as self-esteem, anxiety, depression, and general life stressors.
(603) 931-3451 View (603) 931-3451
Photo of David Pelletier, Counselor in New Hampshire
David Pelletier
Counselor, LCMHC
Verified Verified
Hanover, NH 03755
David Pelletier is a Licensed Clinical Mental Health Counselor (NH & VT) with extensive experience in assisting adults with a wide variety of mental health and life challenges.
David Pelletier is a Licensed Clinical Mental Health Counselor (NH & VT) with extensive experience in assisting adults with a wide variety of mental health and life challenges.
(603) 865-1321 View (603) 865-1321
Photo of Brian Driscoll, Pre-Licensed Professional in New Hampshire
Brian Driscoll
Pre-Licensed Professional, MS, CMHC
Verified Verified
2 Endorsed
Manchester, NH 03103
I believe in the power of healing and the ability of everyone to be able to overcome trauma and adversity. Having previously served in the military and first responder, and now as a school counselor for children, I am dedicated to the service of others with a humanistic, person-centered, and strengths-based approach. My passion is in helping others heal from the effects of trauma and the many other obstacles that life will present. Often times the hardest step is the first step. With a soft voice, compassion, understanding, and acceptance, I want to take that first step with you and empower you to find strength and resilience.
I believe in the power of healing and the ability of everyone to be able to overcome trauma and adversity. Having previously served in the military and first responder, and now as a school counselor for children, I am dedicated to the service of others with a humanistic, person-centered, and strengths-based approach. My passion is in helping others heal from the effects of trauma and the many other obstacles that life will present. Often times the hardest step is the first step. With a soft voice, compassion, understanding, and acceptance, I want to take that first step with you and empower you to find strength and resilience.
(603) 696-4872 View (603) 696-4872

See more therapy options for New Hampshire

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.