Obsessive-Compulsive (OCD) Therapists in Fargo, ND

Photo of Renae M Reinardy, Psychologist in Fargo, ND
Renae M Reinardy
Psychologist, PsyD
Verified Verified
1 Endorsed
Fargo, ND 58103
The Lakeside Center for Behavioral Change provides empirically validated, effective treatment to children, adolescents and adults who suffer from OCD, trichotillomania, tic disorders, hoarding, stress, phobias, anxiety, and related conditions. The Center provides individual, group and family treatment in a professional, welcoming atmosphere. Dr. Reinardy is the Founder of the Lakeside Center and has given hundreds of presentations locally and nationally. The Center's mission is to provide effective therapeutic services to clients and offer training and consultation to other mental health providers.
The Lakeside Center for Behavioral Change provides empirically validated, effective treatment to children, adolescents and adults who suffer from OCD, trichotillomania, tic disorders, hoarding, stress, phobias, anxiety, and related conditions. The Center provides individual, group and family treatment in a professional, welcoming atmosphere. Dr. Reinardy is the Founder of the Lakeside Center and has given hundreds of presentations locally and nationally. The Center's mission is to provide effective therapeutic services to clients and offer training and consultation to other mental health providers.
(701) 552-6284 View (701) 552-6284
Photo of NOCD - Therapists for OCD, Psychologist in Fargo, ND
NOCD - Therapists for OCD
Psychologist, PhD
Verified Verified
Fargo, ND 58103  (Online Only)
Imagine what life would be like if you weren't bothered by OCD. NOCD is here to help you regain peace of mind. NOCD is a digital health company that’s focused on effectively treating people with Obsessive Compulsive Disorder. Inside the NOCD mobile app, you can work with one of our licensed mental health therapists with specialty training in OCD. When your therapist isn’t available, access support communities and therapeutic tools - so that you are never alone. NOCD’s protocol has been proven to reduce OCD severity by 40% in less than 10 weeks.
Imagine what life would be like if you weren't bothered by OCD. NOCD is here to help you regain peace of mind. NOCD is a digital health company that’s focused on effectively treating people with Obsessive Compulsive Disorder. Inside the NOCD mobile app, you can work with one of our licensed mental health therapists with specialty training in OCD. When your therapist isn’t available, access support communities and therapeutic tools - so that you are never alone. NOCD’s protocol has been proven to reduce OCD severity by 40% in less than 10 weeks.
(872) 231-0550 View (872) 231-0550
Photo of Darren Carter, Counselor in Fargo, ND
Darren Carter
Counselor, MS, MEd, LPCC, LPC, NCC
Verified Verified
1 Endorsed
Fargo, ND 58104
Welcome to my profile! My name is Darren and I'm a licensed therapist in North Dakota and Minnesota. I specialize in OCD and anxiety disorders, and I have expertise working with several other mental health conditions listed in my profile. Heightened levels of distress can cause disruptions and impairment in our lives and create maladaptive behaviors over time. At Carter Clinical Counseling, I collaborate with clients to work toward their treatment goals for the reduction and elimination of symptoms. As a client, your treatment will be of the utmost importance to me and you'll be treated with dignity and respect.
Welcome to my profile! My name is Darren and I'm a licensed therapist in North Dakota and Minnesota. I specialize in OCD and anxiety disorders, and I have expertise working with several other mental health conditions listed in my profile. Heightened levels of distress can cause disruptions and impairment in our lives and create maladaptive behaviors over time. At Carter Clinical Counseling, I collaborate with clients to work toward their treatment goals for the reduction and elimination of symptoms. As a client, your treatment will be of the utmost importance to me and you'll be treated with dignity and respect.
(701) 291-8719 View (701) 291-8719
Photo of John Perez, Licensed Professional Counselor in Fargo, ND
John Perez
Licensed Professional Counselor, LPCC-S, CCMHC, NCC
Verified Verified
3 Endorsed
Fargo, ND 58104
I am trained in Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Relational-Cultural Theory, EMDR and CPT, to provide therapeutic interventions for anxiety, depression, trauma, couples/marriage, personality disorders, OCD, mood disorders and ADHD.
Around 40% of the effectiveness of therapy is your relationship with your therapist! The next 30% is your own coping skill set. I pride myself in being a down to earth, relatable counselor, and I enjoy collaborating with my clients for their mental health care! With 18 years of well-rounded experience in the field, I use a combination of theories and techniques to first build a trusting and empowering relationship and then work together to reduce the suffering that comes from mental health issues or life's stressors. I believe clients are looking for connection and for a counselor they can relate to, to help with their problems!
I am trained in Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Relational-Cultural Theory, EMDR and CPT, to provide therapeutic interventions for anxiety, depression, trauma, couples/marriage, personality disorders, OCD, mood disorders and ADHD.
Around 40% of the effectiveness of therapy is your relationship with your therapist! The next 30% is your own coping skill set. I pride myself in being a down to earth, relatable counselor, and I enjoy collaborating with my clients for their mental health care! With 18 years of well-rounded experience in the field, I use a combination of theories and techniques to first build a trusting and empowering relationship and then work together to reduce the suffering that comes from mental health issues or life's stressors. I believe clients are looking for connection and for a counselor they can relate to, to help with their problems!
(701) 561-0783 View (701) 561-0783
Photo of It's a Part of, PLLC, Clinical Social Work/Therapist in Fargo, ND
It's a Part of, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Fargo, ND 58104
I serve the following populations: Anxiety, Depression, Trauma, ADD/ADHD, Behavioral Issues, OCD, Men's Issues, Suicidal Ideation, Women's Issues, Burnout Medical Professional Stress, Chronic Impulsivity.
Finding the right "FIT", in many aspects of life, can be a challenge. I have had the opportunity to work within various systems to include group home settings, inpatient hospital, human service centers, and private practice. I have been able to see clients in all parts of their journey and appreciate being able to go along side clients to work toward their goals in life. I will be offering in-person and telehealth.
I serve the following populations: Anxiety, Depression, Trauma, ADD/ADHD, Behavioral Issues, OCD, Men's Issues, Suicidal Ideation, Women's Issues, Burnout Medical Professional Stress, Chronic Impulsivity.
Finding the right "FIT", in many aspects of life, can be a challenge. I have had the opportunity to work within various systems to include group home settings, inpatient hospital, human service centers, and private practice. I have been able to see clients in all parts of their journey and appreciate being able to go along side clients to work toward their goals in life. I will be offering in-person and telehealth.
(701) 369-3181 View (701) 369-3181
Photo of Jen Morgan (Polk), Counselor in Fargo, ND
Jen Morgan (Polk)
Counselor, MS, LPCC
Verified Verified
Fargo, ND 58104
Jen is LGBTQIA+ affirmative and has experience in treating attachment issues in kids and adults, OCD in kids and teens, and phase-of-life struggles.
Immediate Openings! Jen is an experienced licensed counselor who recently relocated from Bismarck to Fargo. Jen works with children, teens, and adults who are struggling with mood disorders, anxiety, past trauma, and coping with life changes.
Jen is LGBTQIA+ affirmative and has experience in treating attachment issues in kids and adults, OCD in kids and teens, and phase-of-life struggles.
Immediate Openings! Jen is an experienced licensed counselor who recently relocated from Bismarck to Fargo. Jen works with children, teens, and adults who are struggling with mood disorders, anxiety, past trauma, and coping with life changes.
(701) 696-4602 View (701) 696-4602
Photo of Allana Danduran Psychotherapy Services, Clinical Social Work/Therapist in Fargo, ND
Allana Danduran Psychotherapy Services
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Fargo, ND 58104
Although I enjoy working with a diverse range of issues my areas with extended expertise and special interest include the following; anxiety disorders, including OCD, panic disorder and separation anxiety, depression, self-harming behaviors and suicidal ideation, adjustment issues, self-esteem issues, grief and loss and anger.
I specialize in psychotherapy for children, adolescents and young adults ranging in age from 9 to 25 years. You may be looking for therapy for yourself, your child or for your family and if so you have come to the right place. My philosophy to therapy is that goals are met and behavior change is created through the combination of an open and honest relationship with your therapist, development of new skills and increased insight into problems. I work hard to create an environment where clients can feel safe, have the ability to be open and honest and feel supported while they work through what is often a difficult part of life.
Although I enjoy working with a diverse range of issues my areas with extended expertise and special interest include the following; anxiety disorders, including OCD, panic disorder and separation anxiety, depression, self-harming behaviors and suicidal ideation, adjustment issues, self-esteem issues, grief and loss and anger.
I specialize in psychotherapy for children, adolescents and young adults ranging in age from 9 to 25 years. You may be looking for therapy for yourself, your child or for your family and if so you have come to the right place. My philosophy to therapy is that goals are met and behavior change is created through the combination of an open and honest relationship with your therapist, development of new skills and increased insight into problems. I work hard to create an environment where clients can feel safe, have the ability to be open and honest and feel supported while they work through what is often a difficult part of life.
(701) 205-0783 View (701) 205-0783
Photo of Lisa J Keller, Psychologist in Fargo, ND
Lisa J Keller
Psychologist, PsyD, LP, MN, LPCC, ND
Verified Verified
Fargo, ND 58103
I am a Licensed Psychologist (LP) in Minnesota and a Licensed Professional Clinical Counselor (LPCC) in North Dakota. I have two locations - one in Moorhead, MN and the other in Fargo, ND. My education and professional background are quite diverse and include knowledge, skills, and experience in the areas of medicine, education, counseling, psychological interventions and testing/evaluations. I specialize in anxiety disorders, mood disorders, obsessive compulsive disorders and personality disorders. Disclaimer: I am able to provide psychological testing w/ supervision in ND and w/out in MN. I will begin accepting direct pay clients
I am a Licensed Psychologist (LP) in Minnesota and a Licensed Professional Clinical Counselor (LPCC) in North Dakota. I have two locations - one in Moorhead, MN and the other in Fargo, ND. My education and professional background are quite diverse and include knowledge, skills, and experience in the areas of medicine, education, counseling, psychological interventions and testing/evaluations. I specialize in anxiety disorders, mood disorders, obsessive compulsive disorders and personality disorders. Disclaimer: I am able to provide psychological testing w/ supervision in ND and w/out in MN. I will begin accepting direct pay clients
(701) 532-0991 View (701) 532-0991
Photo of Nicole Weiss, Counselor in Fargo, ND
Nicole Weiss
Counselor, MS, LPCC, LMAC
Verified Verified
Fargo, ND 58104
Exposure and ritual prevention is also an evidence based approach for fears/phobias and OCD.
I am a Licensed Professional Clinical Counselor and Licensed Substance Use Counselor in the state of North Dakota. I obtained my Bachelor of Science degree in Psychology from NDSU and my Master of Science degree in Counseling from the University of Mary. I am passionate about helping individuals create a foundation for healing that fosters resiliency, hope, and strength. I am particularly interested in helping those looking to build skills to heal from depression, anxiety, and trauma.
Exposure and ritual prevention is also an evidence based approach for fears/phobias and OCD.
I am a Licensed Professional Clinical Counselor and Licensed Substance Use Counselor in the state of North Dakota. I obtained my Bachelor of Science degree in Psychology from NDSU and my Master of Science degree in Counseling from the University of Mary. I am passionate about helping individuals create a foundation for healing that fosters resiliency, hope, and strength. I am particularly interested in helping those looking to build skills to heal from depression, anxiety, and trauma.
(701) 401-9126 View (701) 401-9126
Photo of Jenny Frissell, Psychologist in Fargo, ND
Jenny Frissell
Psychologist, PhD
Verified Verified
Fargo, ND 58103  (Online Only)
I also have extensive training in exposure and response prevention for obsessive-compulsive disorder.
Are you experiencing symptoms associated with depression, stress, anxiety, or panic? Do you want to take your life back after a traumatic experience? Are you experiencing the struggles of being in a relationship with someone who has a difficult, high conflict, antagonistic personality style? I strive to guide my clients through their life situations in a manner that leads to a better understanding of themselves and others. I provide a supportive and nonjudgmental setting in which we can work collaboratively to help you reach your goals.
I also have extensive training in exposure and response prevention for obsessive-compulsive disorder.
Are you experiencing symptoms associated with depression, stress, anxiety, or panic? Do you want to take your life back after a traumatic experience? Are you experiencing the struggles of being in a relationship with someone who has a difficult, high conflict, antagonistic personality style? I strive to guide my clients through their life situations in a manner that leads to a better understanding of themselves and others. I provide a supportive and nonjudgmental setting in which we can work collaboratively to help you reach your goals.
(701) 658-6197 View (701) 658-6197
Photo of Natasha Braseth, Clinical Social Work/Therapist in Fargo, ND
Natasha Braseth
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
Fargo, ND 58102
Adults struggling with depression, anxiety, trauma, mood, grief/loss, ADHD, social anxiety, panic attacks, survivors of abuse, self-esteem, health issues, anger, communication skills, LGBTQ+, stress management, life transitions, relationship concerns, codependency, OCD, phobias, postpartum/pregnancy anxiety & depression. Goals focused on stress reduction, acceptance, self esteem, confidence, coping skills, communication, anxiety management, concentration, sleep, improved relationships, self care, to name a few.
Adults struggling with depression, anxiety, trauma, mood, grief/loss, ADHD, social anxiety, panic attacks, survivors of abuse, self-esteem, health issues, anger, communication skills, LGBTQ+, stress management, life transitions, relationship concerns, codependency, OCD, phobias, postpartum/pregnancy anxiety & depression. Goals focused on stress reduction, acceptance, self esteem, confidence, coping skills, communication, anxiety management, concentration, sleep, improved relationships, self care, to name a few.
(218) 443-7069 View (218) 443-7069
Photo of Sara Knudson, Counselor in Fargo, ND
Sara Knudson
Counselor, LPC
Verified Verified
Fargo, ND 58102
Hello! I have a passion for working with individuals from age ten through late adulthood. I have experience working with individuals who may be struggling with infertility, adjusting to life after baby, trauma, depression, anxiety, grief, OCD and other life transitions you may be experiencing.
Hello! I have a passion for working with individuals from age ten through late adulthood. I have experience working with individuals who may be struggling with infertility, adjusting to life after baby, trauma, depression, anxiety, grief, OCD and other life transitions you may be experiencing.
(701) 695-4664 View (701) 695-4664
Photo of Katrina Grove, Clinical Social Work/Therapist in Fargo, ND
Katrina Grove
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Fargo, ND 58103
This isn’t what you were expecting. You didn’t anticipate you would feel this way. You thought everything was going fine! Now here you are hitting snooze, cancelling plans, and feeling mentally drained. Imagine experiencing less anxiety, greater self-esteem, stronger relationships, stress relief, and resolution from emotional wounds! Working together, let's remove the obstacles that block you from living your ideal life. Some of the most significant, life-changing moments are jumpstarted in the course of a conversation. Feeling heard and respected opens the door to possibilities! You deserve to feel confident in your decisions.
This isn’t what you were expecting. You didn’t anticipate you would feel this way. You thought everything was going fine! Now here you are hitting snooze, cancelling plans, and feeling mentally drained. Imagine experiencing less anxiety, greater self-esteem, stronger relationships, stress relief, and resolution from emotional wounds! Working together, let's remove the obstacles that block you from living your ideal life. Some of the most significant, life-changing moments are jumpstarted in the course of a conversation. Feeling heard and respected opens the door to possibilities! You deserve to feel confident in your decisions.
(701) 380-8018 View (701) 380-8018
Photo of Sam Navratil, Clinical Social Work/Therapist in Fargo, ND
Sam Navratil
Clinical Social Work/Therapist, LCSW
Verified Verified
Fargo, ND 58103
My approach to therapy is down-to-earth, collaborative, and person-centered. You can expect a non-judgmental space that will help you to feel comfortable during all stages of the process. Together we will create a plan that promotes coping and growth, and incorporates evidence based therapy practices such as CBT, DBT, and a mix of trauma informed interventions such as psychosomatic therapy. I work with adult populations 18 + . I am LGBTQIA+ affirming, experienced in Veteran issues, and specialize in addressing stressful life transitions, anxiety, trauma, depression, relationship challenges, gender identity, and insomnia/ nightmares.
My approach to therapy is down-to-earth, collaborative, and person-centered. You can expect a non-judgmental space that will help you to feel comfortable during all stages of the process. Together we will create a plan that promotes coping and growth, and incorporates evidence based therapy practices such as CBT, DBT, and a mix of trauma informed interventions such as psychosomatic therapy. I work with adult populations 18 + . I am LGBTQIA+ affirming, experienced in Veteran issues, and specialize in addressing stressful life transitions, anxiety, trauma, depression, relationship challenges, gender identity, and insomnia/ nightmares.
(701) 253-1705 View (701) 253-1705
Photo of Sarah Berger, Clinical Social Work/Therapist in Fargo, ND
Sarah Berger
Clinical Social Work/Therapist, LCSW
Verified Verified
Fargo, ND 58103
Hello! I am Sarah Berger a Licensed Independent Clinical Social Worker who is dedicated, and compassionate therapist committed to supporting you on your path to emotional well-being and personal growth. I have had the privilege of guiding individuals through various challenges for over 20 years, helping each of them discover their inner strength and resilience. I have worked with people of all ages ranging from children to the elderly, with more focus devoted to those in their late teens to those in mid-life stage.
Hello! I am Sarah Berger a Licensed Independent Clinical Social Worker who is dedicated, and compassionate therapist committed to supporting you on your path to emotional well-being and personal growth. I have had the privilege of guiding individuals through various challenges for over 20 years, helping each of them discover their inner strength and resilience. I have worked with people of all ages ranging from children to the elderly, with more focus devoted to those in their late teens to those in mid-life stage.
(701) 353-8822 View (701) 353-8822
Photo of Pfeifer Counseling Services, Counselor in Fargo, ND
Pfeifer Counseling Services
Counselor, MS, LPCC
Verified Verified
3 Endorsed
Fargo, ND 58104
If I were a baker or a mechanic, then who I am as a person wouldn't matter, as long as the donuts are good or your car gets fixed. However, with counseling, how you feel about your counselor matters significantly. Being a good fit is a necessity. I hope that this brief narrative gives you an idea of what working with me might look like so that you can make an informed decision if I'd be an appropriate fit for what you need. I value the science behind what we feel and why we feel it. I value humor. I value unconditional regard for those I serve. These are integral to my work.
If I were a baker or a mechanic, then who I am as a person wouldn't matter, as long as the donuts are good or your car gets fixed. However, with counseling, how you feel about your counselor matters significantly. Being a good fit is a necessity. I hope that this brief narrative gives you an idea of what working with me might look like so that you can make an informed decision if I'd be an appropriate fit for what you need. I value the science behind what we feel and why we feel it. I value humor. I value unconditional regard for those I serve. These are integral to my work.
(701) 253-1297 View (701) 253-1297
Photo of Debbie Svobodny, Clinical Social Work/Therapist in Fargo, ND
Debbie Svobodny
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
4 Endorsed
Fargo, ND 58103
Are you feeling quarantined by the very walls you build for protection? Has past hurt left you feeling inadequate, unworthy and wondering why you are crying for no reason? Have you recently been diagnosed with a chronic medical condition and are noticing that you're more worried, sad, increasingly negative and critical? You used to be joyful. Getting out of bed used to be easy. You were optimistic. Life wasn't a chore. However, now you dilute and downplay good news with doses of your versions of reality.
Are you feeling quarantined by the very walls you build for protection? Has past hurt left you feeling inadequate, unworthy and wondering why you are crying for no reason? Have you recently been diagnosed with a chronic medical condition and are noticing that you're more worried, sad, increasingly negative and critical? You used to be joyful. Getting out of bed used to be easy. You were optimistic. Life wasn't a chore. However, now you dilute and downplay good news with doses of your versions of reality.
(701) 253-1416 View (701) 253-1416
Photo of Austen McFarren, Counselor in Fargo, ND
Austen McFarren
Counselor, MS, ND LPCC, MN LPCC
Verified Verified
3 Endorsed
Fargo, ND 58104
Whether you were born with a genetic condition, or have had an injury in the last year, living with a disability that causes ongoing pain can seem hopeless. If your pain is impacting your relationships with family and friends, you're not alone. If your conditions interfere with your ability to do ever day tasks, you are worthy. If the quality of your life feels at the mercy of others, you can experience stability. If you are looking for someone who has experienced a similar path and has found a life worth living, start your therapy journey now.
Whether you were born with a genetic condition, or have had an injury in the last year, living with a disability that causes ongoing pain can seem hopeless. If your pain is impacting your relationships with family and friends, you're not alone. If your conditions interfere with your ability to do ever day tasks, you are worthy. If the quality of your life feels at the mercy of others, you can experience stability. If you are looking for someone who has experienced a similar path and has found a life worth living, start your therapy journey now.
(701) 394-5814 View (701) 394-5814
Photo of Brian K. Moe, Psychologist in Fargo, ND
Brian K. Moe
Psychologist, PhD, LP
Verified Verified
Fargo, ND 58103
Today is your day! This is your time to make the changes you've been putting off! You've been fighting...wrestling. It's time to take control. Whether you're dealing with depression, anxiety, trauma-related anxiety or grief, low self-esteem, or domestic violence/abuse or relationship issues, now is the time to apply pressure to those areas of your life that are keeping you from achieving success and fulfillment.
Today is your day! This is your time to make the changes you've been putting off! You've been fighting...wrestling. It's time to take control. Whether you're dealing with depression, anxiety, trauma-related anxiety or grief, low self-esteem, or domestic violence/abuse or relationship issues, now is the time to apply pressure to those areas of your life that are keeping you from achieving success and fulfillment.
(701) 484-6137 View (701) 484-6137
Photo of Mystal Axtman, Counselor in Fargo, ND
Mystal Axtman
Counselor, MSEd, LPCC
Verified Verified
Fargo, ND 58104
My goal is to create a supportive environment where my clients can explore their emotional needs and overcome barriers that limit their full potential. I offer counseling sessions during daytime and evening hours for individuals and couples for topics of concern including Depression, Dual Diagnosis, Codependency, Anxiety/Stress, Communication issues, Trust issues, Loneliness, Emotional intimacy, Trauma/PTSD, Traumatic Brain Injury and Self-esteem issues. I would like the opportunity to help you heal any experiences that impact your life and to join you on your journey to becoming a better you.
My goal is to create a supportive environment where my clients can explore their emotional needs and overcome barriers that limit their full potential. I offer counseling sessions during daytime and evening hours for individuals and couples for topics of concern including Depression, Dual Diagnosis, Codependency, Anxiety/Stress, Communication issues, Trust issues, Loneliness, Emotional intimacy, Trauma/PTSD, Traumatic Brain Injury and Self-esteem issues. I would like the opportunity to help you heal any experiences that impact your life and to join you on your journey to becoming a better you.
(701) 484-0712 View (701) 484-0712

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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.