Therapists in Chester County, PA

Photo of James T. Chok, Psychologist in Chester County, PA
James T. Chok
Psychologist, PhD, BCBA-D
Verified Verified
West Chester, PA 19380
I am a neuropsychologist, licensed psychologist, and Board Certified Behavior Analyst. I conduct neuropsychological assessments for a variety of individuals experiencing emotional and learning difficulties. I work with clients of all ages with OCD, panic disorder, mood disorders, tic disorders, and individuals having difficulty with school or job performance due to emotional or learning challenges. I use a blend of CBT, Mindfulness, and ACT approaches to help clients overcome their difficulties. My approach is rooted in the science of psychology and clients learn practical skills to address their problems.
I am a neuropsychologist, licensed psychologist, and Board Certified Behavior Analyst. I conduct neuropsychological assessments for a variety of individuals experiencing emotional and learning difficulties. I work with clients of all ages with OCD, panic disorder, mood disorders, tic disorders, and individuals having difficulty with school or job performance due to emotional or learning challenges. I use a blend of CBT, Mindfulness, and ACT approaches to help clients overcome their difficulties. My approach is rooted in the science of psychology and clients learn practical skills to address their problems.
(610) 364-5883 View (610) 364-5883
Photo of Rolf A Ritchie, Psychologist in Chester County, PA
Rolf A Ritchie
Psychologist, PhD
Verified Verified
West Chester, PA 19380  (Online Only)
Hello! I am Dr. Ritchie I am a licensed Clinical Psychologist in three states and I specialize in treating anxiety, OCD, trauma, and chronic stress. Anxiety and depression can come to dominate our lives and feel so overwhelming that even everyday tasks seem impossible. With the right kind of support, however, the patterns you find yourself stuck in are possible to escape! I have a strong background in evidence-based psychotherapy and use modern treatments to assist you in breaking unhelpful habits. I have been treating clients through individual psychotherapy for 7 years and I take an active, collaborative approach to treatment.
Hello! I am Dr. Ritchie I am a licensed Clinical Psychologist in three states and I specialize in treating anxiety, OCD, trauma, and chronic stress. Anxiety and depression can come to dominate our lives and feel so overwhelming that even everyday tasks seem impossible. With the right kind of support, however, the patterns you find yourself stuck in are possible to escape! I have a strong background in evidence-based psychotherapy and use modern treatments to assist you in breaking unhelpful habits. I have been treating clients through individual psychotherapy for 7 years and I take an active, collaborative approach to treatment.
(302) 253-7794 View (302) 253-7794
Photo of CBT Center for Anxiety & OCD in Chester County, PA
CBT Center for Anxiety & OCD
PsyD
Verified Verified
2 Endorsed
West Chester, PA 19382
The CBT Center for Anxiety and OCD believes in providing the community with the most cutting-edge, expert Cognitive Behavioral Therapy for anxiety, OCD, OC Spectrum Disorders and related conditions. We successfully treat clients with generalized anxiety, separation anxiety, social anxiety, phobias and panic. The Center also treats all OC Spectrum conditions including Body Dysmorphic Disorder, hoarding, caretakers of people who hoard, Trichotillomania (hair pulling), Excoriation (skin picking) and tics. We treat ALL forms of OCD including many of the lesser known types: relationship, existential, just right, pedophile, harm/violence, sexual orientation, hit & run, magical thinking, postpartum, moral scrupulosity/religious, symmetry/equalizing, health anxiety/hypochondriasis, olfactory reference syndrome (fear of body odor), muscle dysmorphia (obsessive focus on muscles), emotional contamination, PANS/PANDAS, orthorexia (obsession with healthy eating), sensorimotor/hyperawareness and hyper-responsibility. The Center also specializes in working with people who have anxiety co-occurring with introversion, giftedness, people-pleasing and perfectionism as well as Sensory Processing Disorder, Developmental Coordination Disorder, Dyslexia and medical conditions. We frequently treat individuals with comorbid depression, ADHD and Bipolar Disorder. Specializing in anxiety, OCD and related conditions allows us to stay on top of the latest scientific research and utilize the most effective strategies for you.
The CBT Center for Anxiety and OCD believes in providing the community with the most cutting-edge, expert Cognitive Behavioral Therapy for anxiety, OCD, OC Spectrum Disorders and related conditions. We successfully treat clients with generalized anxiety, separation anxiety, social anxiety, phobias and panic. The Center also treats all OC Spectrum conditions including Body Dysmorphic Disorder, hoarding, caretakers of people who hoard, Trichotillomania (hair pulling), Excoriation (skin picking) and tics. We treat ALL forms of OCD including many of the lesser known types: relationship, existential, just right, pedophile, harm/violence, sexual orientation, hit & run, magical thinking, postpartum, moral scrupulosity/religious, symmetry/equalizing, health anxiety/hypochondriasis, olfactory reference syndrome (fear of body odor), muscle dysmorphia (obsessive focus on muscles), emotional contamination, PANS/PANDAS, orthorexia (obsession with healthy eating), sensorimotor/hyperawareness and hyper-responsibility. The Center also specializes in working with people who have anxiety co-occurring with introversion, giftedness, people-pleasing and perfectionism as well as Sensory Processing Disorder, Developmental Coordination Disorder, Dyslexia and medical conditions. We frequently treat individuals with comorbid depression, ADHD and Bipolar Disorder. Specializing in anxiety, OCD and related conditions allows us to stay on top of the latest scientific research and utilize the most effective strategies for you.
(610) 756-1601 View (610) 756-1601
Photo of Kathy Muhlenberg, Licensed Professional Counselor in Chester County, PA
Kathy Muhlenberg
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Malvern, PA 19355
I am so glad you’re here! I work with pre-teens, teens and young adults. I specialize in treating OCD, anxiety, depression, ADHD, trauma, grief and loss, sexual orientation, gender identity, academic struggles, self-injury, and major life events. Life can be hard, and challenges often come our way when we least expect it. Nobody achieves anything alone. Weekend and evening appointment times are available.
I am so glad you’re here! I work with pre-teens, teens and young adults. I specialize in treating OCD, anxiety, depression, ADHD, trauma, grief and loss, sexual orientation, gender identity, academic struggles, self-injury, and major life events. Life can be hard, and challenges often come our way when we least expect it. Nobody achieves anything alone. Weekend and evening appointment times are available.
(610) 859-4830 View (610) 859-4830
Photo of Phoebe E McElhenny, Licensed Professional Counselor in Chester County, PA
Phoebe E McElhenny
Licensed Professional Counselor, MS, NCC, LPC, CSP
Verified Verified
West Chester, PA 19382
Children, Adolecents, and Adults: ADHD, ADD, anxiety, depression, bipolar disorder, and OCD.
Thank you for considering my professional counseling services. No matter what has brought you here today, you have just taken your first step toward a successful change in your life. If you are suffering from a divorce, illness or loss, depression, anxiety, ADD, developmental issues, anger, or a disruption or transition in your life or your child's life; allow me to help you. As a therapist, I will utilize a warm, confidential, non-judgemental approach to assisting you with your issue. I enjoy helping children, adolescents and adults understand and cope with their issues. Together, we find solutions so you can meet your goals.
Children, Adolecents, and Adults: ADHD, ADD, anxiety, depression, bipolar disorder, and OCD.
Thank you for considering my professional counseling services. No matter what has brought you here today, you have just taken your first step toward a successful change in your life. If you are suffering from a divorce, illness or loss, depression, anxiety, ADD, developmental issues, anger, or a disruption or transition in your life or your child's life; allow me to help you. As a therapist, I will utilize a warm, confidential, non-judgemental approach to assisting you with your issue. I enjoy helping children, adolescents and adults understand and cope with their issues. Together, we find solutions so you can meet your goals.
(484) 313-4146 View (484) 313-4146
Photo of TriCounty Counseling, Licensed Professional Counselor in Chester County, PA
TriCounty Counseling
Licensed Professional Counselor, MS, NCC, LPC, CSP
Verified Verified
West Chester, PA 19382
Children, Adolecents, and Adults: ADHD, ADD, anxiety, depression, bipolar disorder, and OCD.
Thank you for considering my professional counseling services. No matter what has brought you here today, you have just taken your first step toward a successful change in your life. If you are suffering from a divorce, illness or loss, depression, anxiety, ADD, developmental issues, anger, or a disruption or transition in your life or your child's life; allow me to help you. As a therapist, I will utilize a warm, confidential, non-judgemental approach to assisting you with your issue. I enjoy helping children, adolescents and adults understand and cope with their issues. Together, we find solutions so you can meet your goals.
Children, Adolecents, and Adults: ADHD, ADD, anxiety, depression, bipolar disorder, and OCD.
Thank you for considering my professional counseling services. No matter what has brought you here today, you have just taken your first step toward a successful change in your life. If you are suffering from a divorce, illness or loss, depression, anxiety, ADD, developmental issues, anger, or a disruption or transition in your life or your child's life; allow me to help you. As a therapist, I will utilize a warm, confidential, non-judgemental approach to assisting you with your issue. I enjoy helping children, adolescents and adults understand and cope with their issues. Together, we find solutions so you can meet your goals.
(484) 271-6738 View (484) 271-6738
Photo of Joy L Wawrzyniak, Clinical Social Work/Therapist in Chester County, PA
Joy L Wawrzyniak
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Exton, PA 19341
The teenage years are the most vulnerable, exciting, and growing years of a young person’s life. Self discovery can often yield low self esteem, independence can easily shift to rebellion, and a slow maturation process often creates impulsive decision making. And when a parent’s warnings and worries don’t seem to have an impact on the teenager’s course, or when it feels too heavy to carry alone, it’s helpful to have another guiding force to help. Through counseling, an adolescent can feel understood, begin to understand themselves, and learn to understand and accept their role in the family and society.
The teenage years are the most vulnerable, exciting, and growing years of a young person’s life. Self discovery can often yield low self esteem, independence can easily shift to rebellion, and a slow maturation process often creates impulsive decision making. And when a parent’s warnings and worries don’t seem to have an impact on the teenager’s course, or when it feels too heavy to carry alone, it’s helpful to have another guiding force to help. Through counseling, an adolescent can feel understood, begin to understand themselves, and learn to understand and accept their role in the family and society.
(610) 851-4876 View (610) 851-4876
Dr. Lisa Cerullo
Clinical Social Work/Therapist, PhD, MHS, LCSW, CAADC
Verified Verified
Chester Springs, PA 19425  (Online Only)
Every day gives you choices, sometimes too many choices. Yet, it is “your” choice to make today or tomorrow. Through practicing as a psychotherapist for the past ten years, being a parent, professor, and an athlete I have experienced many people having difficulties making choices. So many of us get stuck with feelings of depression, fear and anxiety that making even one choice becomes too difficult. It helps to have someone assist by listening, guiding and being a support. This role is a role that I feel comfortable with as a therapist. My therapeutic style is best described as engaged & supportive
Every day gives you choices, sometimes too many choices. Yet, it is “your” choice to make today or tomorrow. Through practicing as a psychotherapist for the past ten years, being a parent, professor, and an athlete I have experienced many people having difficulties making choices. So many of us get stuck with feelings of depression, fear and anxiety that making even one choice becomes too difficult. It helps to have someone assist by listening, guiding and being a support. This role is a role that I feel comfortable with as a therapist. My therapeutic style is best described as engaged & supportive
(610) 880-2309 View (610) 880-2309
Photo of Carrissa Delaney, Licensed Professional Counselor in Chester County, PA
Carrissa Delaney
Licensed Professional Counselor, MA, BSL, LPC, LPCMH
Verified Verified
3 Endorsed
"I count it as a blessing to devote my professional time to serving individuals and families struggling with a wide range of mental health struggles including depression, addictions, anxiety, maladaptive personality features, parenting strategies, parenting a child with autism, and familial adjustment to separation or divorce. A proponent of technical eclecticism as an outpatient and community-based therapist, I specialize in Psychoanalytic, Trauma-Focused, and Cognitive Behavioral Therapy.
"I count it as a blessing to devote my professional time to serving individuals and families struggling with a wide range of mental health struggles including depression, addictions, anxiety, maladaptive personality features, parenting strategies, parenting a child with autism, and familial adjustment to separation or divorce. A proponent of technical eclecticism as an outpatient and community-based therapist, I specialize in Psychoanalytic, Trauma-Focused, and Cognitive Behavioral Therapy.
(717) 210-5185 View (717) 210-5185
Photo of Tracy Sciulli, Licensed Professional Counselor in Chester County, PA
Tracy Sciulli
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Devon, PA 19333
I encourage personal growth and support my clients through the joys and challenges of life. My expertise is in helping adolescents, adults, and parents build strategies that support their goals toward a more fulfilling life. I am a Licensed Professional Counselor specializing in anxiety, stress, and significant life transitions. I focus on the values of my clients to help them create a balance in our work together including educational tools, therapeutic skills, processing, and celebrating progress. Therapy takes courage and compassion to talk about the challenges and celebrate meaningful, positive changes.
I encourage personal growth and support my clients through the joys and challenges of life. My expertise is in helping adolescents, adults, and parents build strategies that support their goals toward a more fulfilling life. I am a Licensed Professional Counselor specializing in anxiety, stress, and significant life transitions. I focus on the values of my clients to help them create a balance in our work together including educational tools, therapeutic skills, processing, and celebrating progress. Therapy takes courage and compassion to talk about the challenges and celebrate meaningful, positive changes.
(610) 580-2747 View (610) 580-2747
Photo of Sharon Kelly, Psychologist in Chester County, PA
Sharon Kelly
Psychologist, PsyD, MBA
Verified Verified
2 Endorsed
West Chester, PA 19380
In person and remote available. Therapy supports positive, healthy personal changes, improvement of anxiety and depression, and progress toward desired goals. Therapy helps clients improve relationships, cope with negative people or influences in their lives, and develop responsible, confident self-images. Individual Therapy, Couples or Co-Parenting Counseling and Life Coaching are available for all ages and backgrounds. The Gay St office is in the center of West Chester, near WCU and directly behind/adjacent to the Justice Center. St Peter’s office is situated along French Creek in historic St Peter's Village.
In person and remote available. Therapy supports positive, healthy personal changes, improvement of anxiety and depression, and progress toward desired goals. Therapy helps clients improve relationships, cope with negative people or influences in their lives, and develop responsible, confident self-images. Individual Therapy, Couples or Co-Parenting Counseling and Life Coaching are available for all ages and backgrounds. The Gay St office is in the center of West Chester, near WCU and directly behind/adjacent to the Justice Center. St Peter’s office is situated along French Creek in historic St Peter's Village.
(484) 602-2892 View (484) 602-2892
Photo of Springfield Psychological of West Chester, Psychologist in Chester County, PA
Springfield Psychological of West Chester
Psychologist
Verified Verified
West Chester, PA 19380
We are a friendly and professional mental health practice that has been providing outstanding and affordable therapy for adults, couples, families, teens and children since 1985. With seven locations in Havertown, King of Prussia, North Wales, Philadelphia, Sinking Spring, Springfield, and West Chester as well as flexible scheduling options, we are able to offer appointments during the daytime, evening, and weekends for your convenience. In addition, we accept most insurance plans.
We are a friendly and professional mental health practice that has been providing outstanding and affordable therapy for adults, couples, families, teens and children since 1985. With seven locations in Havertown, King of Prussia, North Wales, Philadelphia, Sinking Spring, Springfield, and West Chester as well as flexible scheduling options, we are able to offer appointments during the daytime, evening, and weekends for your convenience. In addition, we accept most insurance plans.
(610) 364-5156 View (610) 364-5156
Photo of Erin Eckman, Clinical Social Work/Therapist in Chester County, PA
Erin Eckman
Clinical Social Work/Therapist, MSW , LSW
Verified Verified
West Chester, PA 19380
Are you dealing with anxiety, depression, and ADHD symptoms that are exacerbated by external life circumstances? Do you want to understand your emotions and learn how to cope with them? My ideal client is seeking support and wants to begin the journey of improving their mental health. The client may have short-term or long-term goals but needs support to achieve them. The client might also want to improve their self-esteem through therapeutic work. Working with a strengths-based, trauma-informed, person-centered eclectic approach can help clients feel supported, develop coping skills, and improve self-esteem.
Are you dealing with anxiety, depression, and ADHD symptoms that are exacerbated by external life circumstances? Do you want to understand your emotions and learn how to cope with them? My ideal client is seeking support and wants to begin the journey of improving their mental health. The client may have short-term or long-term goals but needs support to achieve them. The client might also want to improve their self-esteem through therapeutic work. Working with a strengths-based, trauma-informed, person-centered eclectic approach can help clients feel supported, develop coping skills, and improve self-esteem.
(484) 897-7512 View (484) 897-7512
Photo of Sage Windemaker, Clinical Social Work/Therapist in Chester County, PA
Sage Windemaker
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Oxford, PA 19363  (Online Only)
Hi there! I'm Sage. I would be grateful for the opportunity to empower you to become the healthiest and happiest you. I am passionate about working with clients from a person-first, holistic approach. I utilize a strengths-based approach as I work to build a strong and supportive therapeutic alliance with my clients that fosters a safe, judgment-free environment for personal exploration and growth. Together, we can create change and growth by discovering where you want to be in life and how to get there.
Hi there! I'm Sage. I would be grateful for the opportunity to empower you to become the healthiest and happiest you. I am passionate about working with clients from a person-first, holistic approach. I utilize a strengths-based approach as I work to build a strong and supportive therapeutic alliance with my clients that fosters a safe, judgment-free environment for personal exploration and growth. Together, we can create change and growth by discovering where you want to be in life and how to get there.
(484) 804-4274 View (484) 804-4274
Photo of William Morgan, Psychologist in Chester County, PA
William Morgan
Psychologist, PsyD
Verified Verified
Paoli, PA 19301
As a psychologist, counselor, and evaluator, I look at sessions as a collaborative process. Together we work towards making the changes my clients desire so that they experience more contentment, peace, satisfaction and success. I specialize in Cognitive Behavioral Therapy, an evidence-based approach that helps people learn skills that last a lifetime. I am a licensed psychologist with over twenty years experience as a counselor, therapist, and diagnostician, and am active in training therapists.
As a psychologist, counselor, and evaluator, I look at sessions as a collaborative process. Together we work towards making the changes my clients desire so that they experience more contentment, peace, satisfaction and success. I specialize in Cognitive Behavioral Therapy, an evidence-based approach that helps people learn skills that last a lifetime. I am a licensed psychologist with over twenty years experience as a counselor, therapist, and diagnostician, and am active in training therapists.
(610) 644-8182 View (610) 644-8182
Photo of John J. Novielli, Psychologist in Chester County, PA
John J. Novielli
Psychologist, MS
Verified Verified
Devon, PA 19333
Have the life you want, not the one you live. Develop with your partner the relationship you always desired and stop living the one that keeps you stuck. I am a Clinical Psychologist with over thirty years of experience specializing in marital and family relationships and in dismantling the black holes that minimize our lives. Whatever your marital or family situation, my experience allows me to help you develop a plan of change (one or two sessions), and then implement this plan. I serve as your Psychologist and Coaching guide from the start.
Have the life you want, not the one you live. Develop with your partner the relationship you always desired and stop living the one that keeps you stuck. I am a Clinical Psychologist with over thirty years of experience specializing in marital and family relationships and in dismantling the black holes that minimize our lives. Whatever your marital or family situation, my experience allows me to help you develop a plan of change (one or two sessions), and then implement this plan. I serve as your Psychologist and Coaching guide from the start.
(484) 962-0938 View (484) 962-0938
Photo of Dr. Dorothy Gail Monteith, Counselor in Chester County, PA
Dr. Dorothy Gail Monteith
Counselor, LPC, EdD, MHS
Verified Verified
Downingtown, PA 19335
I work well with clients that want to add to their own improvement and are motivated to change. I want to help with this need, or their want to improve. I want to help how you feel, and make you feel more positive. I am a positive, caring, compassionate person and i I listen carefully, and want to help.
I work well with clients that want to add to their own improvement and are motivated to change. I want to help with this need, or their want to improve. I want to help how you feel, and make you feel more positive. I am a positive, caring, compassionate person and i I listen carefully, and want to help.
(610) 347-5704 View (610) 347-5704
Photo of Heather Jacoby, Clinical Social Work/Therapist in Chester County, PA
Heather Jacoby
Clinical Social Work/Therapist, LCSW
Verified Verified
West Chester, PA 19382
I am a Licensed Clinical Social Worker, Equestrian, Yoga Teacher, Student of Life... I am curious, interested, hungry for more...I am tattooed, spry, witty...I say these things not to brag about myself, but to simple put out the intention behind Pathways to Peace. I am not defined by a single aspect, of my life and neither are you! That being said, considering we are all unique beings with our individual needs, qualities and experiences, how is it reasonable to expect one to follow one path of healing, typically traditional psychotherapy and/or medication management?
I am a Licensed Clinical Social Worker, Equestrian, Yoga Teacher, Student of Life... I am curious, interested, hungry for more...I am tattooed, spry, witty...I say these things not to brag about myself, but to simple put out the intention behind Pathways to Peace. I am not defined by a single aspect, of my life and neither are you! That being said, considering we are all unique beings with our individual needs, qualities and experiences, how is it reasonable to expect one to follow one path of healing, typically traditional psychotherapy and/or medication management?
(610) 624-2070 View (610) 624-2070
Photo of Jeffrey S Selman, Psychologist in Chester County, PA
Jeffrey S Selman
Psychologist, PsyD, BCBA-D
Verified Verified
West Chester, PA 19382
My name is Dr. Jeff Selman and I am a licensed psychologist, Board Certified Behavior Analyst (BCBA), and a certified school psychologist. I offer evidence-based psychological services to individuals across the lifespan and their families. These services include Autism and ADHD assessment, individual and family therapy, parent behavior management training and coaching, and consultation and training for schools and community agencies. My approach is grounded in cognitive-behavioral therapy (CBT) and behavior therapy, and my sessions tend to be active, collaborative, goal-oriented, and engaging.
My name is Dr. Jeff Selman and I am a licensed psychologist, Board Certified Behavior Analyst (BCBA), and a certified school psychologist. I offer evidence-based psychological services to individuals across the lifespan and their families. These services include Autism and ADHD assessment, individual and family therapy, parent behavior management training and coaching, and consultation and training for schools and community agencies. My approach is grounded in cognitive-behavioral therapy (CBT) and behavior therapy, and my sessions tend to be active, collaborative, goal-oriented, and engaging.
(484) 276-1633 View (484) 276-1633
Photo of Nicholas G DeMaria, Licensed Professional Counselor in Chester County, PA
Nicholas G DeMaria
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Malvern, PA 19355
Do you feel like you need to take a closer look at your life? Maybe something doesn't feel quite right, and you're looking for guidance to identify and overcome that challenge. Therapy with me is a process which involves examining your feelings and experiences to illuminate a path to a better quality of life. Getting the help you need through therapy can be courageous and empowering. It would be my privilege to help light the way forward for you.
Do you feel like you need to take a closer look at your life? Maybe something doesn't feel quite right, and you're looking for guidance to identify and overcome that challenge. Therapy with me is a process which involves examining your feelings and experiences to illuminate a path to a better quality of life. Getting the help you need through therapy can be courageous and empowering. It would be my privilege to help light the way forward for you.
(610) 600-6461 View (610) 600-6461

See more therapy options for Chester County

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.