Photo of Russ Brechbiel, Licensed Professional Counselor in West Linn, OR
Russ Brechbiel
Licensed Professional Counselor, MA, LPC
Verified Verified
West Linn, OR 97068
Focusing on the whole person (heart, mind, body and soul), I connect with my clients in a natural way, identifying negative cycles that have them stuck, whether they be patterns of thinking, feeling or behaviors. I help clients facing issues such as marital/relational dissatisfaction, struggles in parenting, depression, anxiety, OCD, and stressful life situations, to unpack their concerns, and with patient support, find the path towards resilient hope and lasting change.
Focusing on the whole person (heart, mind, body and soul), I connect with my clients in a natural way, identifying negative cycles that have them stuck, whether they be patterns of thinking, feeling or behaviors. I help clients facing issues such as marital/relational dissatisfaction, struggles in parenting, depression, anxiety, OCD, and stressful life situations, to unpack their concerns, and with patient support, find the path towards resilient hope and lasting change.
(503) 831-9717 View (503) 831-9717
Photo of Aaron Todd Overman, Psychologist in West Linn, OR
Aaron Todd Overman
Psychologist, PhD
Verified Verified
West Linn, OR 97068  (Online Only)
I’m excited to announce the opening of my new private practice. I have 20 years of experience as a psychologist working with adults, children, and families. I specialize in EMDR and my favorite part of my job is watching people let go of the pain from trauma and seeing the guilt and shame melt away. I have plenty of openings currently and look forward to hearing from you.
I’m excited to announce the opening of my new private practice. I have 20 years of experience as a psychologist working with adults, children, and families. I specialize in EMDR and my favorite part of my job is watching people let go of the pain from trauma and seeing the guilt and shame melt away. I have plenty of openings currently and look forward to hearing from you.
(971) 299-7297 View (971) 299-7297
Photo of Dr. Nicole La Verne, Licensed Professional Counselor in West Linn, OR
Dr. Nicole La Verne
Licensed Professional Counselor, PsyD, LPC, MAC, CADCIII, ACS
Verified Verified
West Linn, OR 97068
Is life becoming challenging, overwhelming, confusing, unfair, and more? I understand! I have over 28 years of experience supporting people struggling with a variety of issues - depression, anxiety, addiction, trauma & PTSD, grief & loss, life changes, abuse, and more. I personally and professionally understand the dynamics that accompany many of these life challenges.
Is life becoming challenging, overwhelming, confusing, unfair, and more? I understand! I have over 28 years of experience supporting people struggling with a variety of issues - depression, anxiety, addiction, trauma & PTSD, grief & loss, life changes, abuse, and more. I personally and professionally understand the dynamics that accompany many of these life challenges.
(503) 342-7764 View (503) 342-7764
Photo of Steven Ruiz Bettencourt, Licensed Professional Counselor in West Linn, OR
Steven Ruiz Bettencourt
Licensed Professional Counselor, PsyD, LPC, CHT, EMDR
Verified Verified
1 Endorsed
West Linn, OR 97068
Waitlist for new clients
I am a compassionate and intuitive licensed psychotherapist & hypnotist. I have been practicing for 40 years. I specialize in anger management, anxiety, depression, relationship difficulties/couples counseling, motivation, personality disorders, EMDR and hypnosis for a variety of issues. I am a member of the Oregon Counseling Association, American Counseling Association, National Anger Management Association, Oregon Mediation Association, and I am a board member of the Oregon Hypnotherapy Association, and President of World Musado Federation. I am familiar with Spanish, as my father is from Spain although I am not fluent.
I am a compassionate and intuitive licensed psychotherapist & hypnotist. I have been practicing for 40 years. I specialize in anger management, anxiety, depression, relationship difficulties/couples counseling, motivation, personality disorders, EMDR and hypnosis for a variety of issues. I am a member of the Oregon Counseling Association, American Counseling Association, National Anger Management Association, Oregon Mediation Association, and I am a board member of the Oregon Hypnotherapy Association, and President of World Musado Federation. I am familiar with Spanish, as my father is from Spain although I am not fluent.
(503) 496-7421 View (503) 496-7421
Photo of Gary Phillip Monkarsh, Psychologist in West Linn, OR
Gary Phillip Monkarsh
Psychologist, PhD
Verified Verified
2 Endorsed
West Linn, OR 97068
I evaluate and treat children, adolescents, and adults suffering from ADHD, PTSD, anxiety, depression, anger, relationship and communication problems. I assist patients who seek balance between work and play, as they develop healthy communication, and compassion for others in relationships as parents, and partners, while also achieving success in their educational pursuits, and career path.
I evaluate and treat children, adolescents, and adults suffering from ADHD, PTSD, anxiety, depression, anger, relationship and communication problems. I assist patients who seek balance between work and play, as they develop healthy communication, and compassion for others in relationships as parents, and partners, while also achieving success in their educational pursuits, and career path.
(503) 728-6660 View (503) 728-6660
Photo of David Corse, LPC: Psychotherapy., Licensed Professional Counselor in West Linn, OR
David Corse, LPC: Psychotherapy.
Licensed Professional Counselor, LPC, CADCIII, CGACII
Verified Verified
4 Endorsed
West Linn, OR 97068
Challenges we encounter in our lives are indicators of being "stuck" in our personal and relational growth. Psychotherapy can help us get "unstuck".... My approach is process and relationally oriented - "solutions" can come from changing our relationships with ourselves and others in our lives, and restructuring ourselves as we work with our life challenges. Depression, anxiety, trauma, men's issues, relationship strain, addictions -substances/alcohol, gambling, shopping, pornography, gaming. My experience can be helpful - psychotherapist, crisis worker, clinical supervisor, administrator, manager, policy analyst and educator.
Challenges we encounter in our lives are indicators of being "stuck" in our personal and relational growth. Psychotherapy can help us get "unstuck".... My approach is process and relationally oriented - "solutions" can come from changing our relationships with ourselves and others in our lives, and restructuring ourselves as we work with our life challenges. Depression, anxiety, trauma, men's issues, relationship strain, addictions -substances/alcohol, gambling, shopping, pornography, gaming. My experience can be helpful - psychotherapist, crisis worker, clinical supervisor, administrator, manager, policy analyst and educator.
(503) 451-6603 View (503) 451-6603
Photo of Rosanne Chien, Psychologist in West Linn, OR
Rosanne Chien
Psychologist, PhD, NCSP
Verified Verified
West Linn, OR 97068  (Online Only)
I am a licensed psychologist who specializes in working with children, adolescents, and their families. I offer a goal-centered, collaborative approach to therapy, using your child’s unique strengths and needs to identify challenges and develop skills to meet them. I provide a safe environment where both you and your child will be heard and supported, while giving caring, honest feedback to help you explore issues, reduce conflict and problematic behaviors, and increase happiness for both you and your family.
I am a licensed psychologist who specializes in working with children, adolescents, and their families. I offer a goal-centered, collaborative approach to therapy, using your child’s unique strengths and needs to identify challenges and develop skills to meet them. I provide a safe environment where both you and your child will be heard and supported, while giving caring, honest feedback to help you explore issues, reduce conflict and problematic behaviors, and increase happiness for both you and your family.
(971) 236-0159 View (971) 236-0159
Photo of Maggie Bortz, Licensed Professional Counselor in West Linn, OR
Maggie Bortz
Licensed Professional Counselor, MA, LPC
Verified Verified
West Linn, OR 97068  (Online Only)
Not accepting new clients
Seeking therapy is a courageous act. In the context of a safe, therapeutic relationship, I work to assist you in developing a greater sense of self-awareness and a clear internal sense of what is right for you as a unique individual. I assist you in discovering constructive ways to cope with challenges and to manage difficult feelings. I may also be proactive in respectfully challenging perceptions and behaviors that may contribute to your suffering.
Seeking therapy is a courageous act. In the context of a safe, therapeutic relationship, I work to assist you in developing a greater sense of self-awareness and a clear internal sense of what is right for you as a unique individual. I assist you in discovering constructive ways to cope with challenges and to manage difficult feelings. I may also be proactive in respectfully challenging perceptions and behaviors that may contribute to your suffering.
(503) 766-5419 View (503) 766-5419
Photo of Kate Meredith, Licensed Professional Counselor in West Linn, OR
Kate Meredith
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
West Linn, OR 97068
Not accepting new clients
Live your life more fully while enjoying better health with balance and focus. You can learn to experience relief from worry, fear and unhealthy relationships. I believe that positive growth is possible through awareness and attention to small changes in your thinking and actions. Together we can help promote healing and recovery by addressing your emotional, social, physical and spiritual needs. Most people who come in to my office wonder why they waited so long to become more healthy. My goal for you is to have a life changing and fulfilling experience and to reach your fullest potential.
Live your life more fully while enjoying better health with balance and focus. You can learn to experience relief from worry, fear and unhealthy relationships. I believe that positive growth is possible through awareness and attention to small changes in your thinking and actions. Together we can help promote healing and recovery by addressing your emotional, social, physical and spiritual needs. Most people who come in to my office wonder why they waited so long to become more healthy. My goal for you is to have a life changing and fulfilling experience and to reach your fullest potential.
(503) 446-1076 View (503) 446-1076
Photo of Mountain Peak Counseling, LLC, Licensed Professional Counselor in West Linn, OR
Mountain Peak Counseling, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
West Linn, OR 97068
Not accepting new clients
Sometimes life's challenges can be overwhelming, and you may seek counseling to regain your life balance, energy, and happiness. I facilitate clients' exploration to promote wellness, personal growth, and positive life changes. I work together with clients to develop strengths, reach goals, and to foster emotional healing. I offer insightful support to your growth in developing healthier coping strategies, identifying effective problem-solving skills, and improving communication skills. Everyone's situation is unique so together we will design the best plan to find healthy solutions to life's challenges.
Sometimes life's challenges can be overwhelming, and you may seek counseling to regain your life balance, energy, and happiness. I facilitate clients' exploration to promote wellness, personal growth, and positive life changes. I work together with clients to develop strengths, reach goals, and to foster emotional healing. I offer insightful support to your growth in developing healthier coping strategies, identifying effective problem-solving skills, and improving communication skills. Everyone's situation is unique so together we will design the best plan to find healthy solutions to life's challenges.
(503) 616-3471 View (503) 616-3471

More Therapists Nearby

Photo of Jason A Jones, Psychologist in West Linn, OR
Jason A Jones
Psychologist, PhD
Verified Verified
3 Endorsed
Portland, OR 97266
I have seen clients with OCD, PTSD, Social Anxiety, Panic Disorder, and Generalized Anxiety improve significantly, even if they have not had results before.
People often consider therapy because they want to achieve a goal (satisfying job, rewarding relationships) or because they have had an experience they want to talk through in private. I consider therapy a success when you leave feeling capable of being your own therapist. I work on a client’s capacity to independently manage their feelings and problems. I want you to be able to adapt to reality on its own terms so that you can build a meaningful and sustainable life. To do this I take an approach that is interactive, transparent, and conversational. I am currently licensed in California, Washington, Oregon, and Texas.
I have seen clients with OCD, PTSD, Social Anxiety, Panic Disorder, and Generalized Anxiety improve significantly, even if they have not had results before.
People often consider therapy because they want to achieve a goal (satisfying job, rewarding relationships) or because they have had an experience they want to talk through in private. I consider therapy a success when you leave feeling capable of being your own therapist. I work on a client’s capacity to independently manage their feelings and problems. I want you to be able to adapt to reality on its own terms so that you can build a meaningful and sustainable life. To do this I take an approach that is interactive, transparent, and conversational. I am currently licensed in California, Washington, Oregon, and Texas.
(503) 486-4358 View (503) 486-4358
Photo of Steven M Brown, Counselor in West Linn, OR
Steven M Brown
Counselor, MA, LMHC, LPC, NCC
Verified Verified
1 Endorsed
Portland, OR 97202  (Online Only)
Not only limited to the anxiety, depression, bipolar, PTSD, ADHD/ADD, OCD, anger issues, and personality disorders or attachment issues.
A responsible social practitioner, I provide psychological care, and services using American Sign Language (ASL). I work with individuals from diverse cultural backgrounds, including various populations that encompass sign language users. My interests center on developing tailored, specific psychotherapy applications that benefit the patients with hearing losses. Much of my work places an emphasis on the importance of "courageous will" to empower individuals to make choices that are useful and practical.
Not only limited to the anxiety, depression, bipolar, PTSD, ADHD/ADD, OCD, anger issues, and personality disorders or attachment issues.
A responsible social practitioner, I provide psychological care, and services using American Sign Language (ASL). I work with individuals from diverse cultural backgrounds, including various populations that encompass sign language users. My interests center on developing tailored, specific psychotherapy applications that benefit the patients with hearing losses. Much of my work places an emphasis on the importance of "courageous will" to empower individuals to make choices that are useful and practical.
(253) 466-7490 View (253) 466-7490
Photo of Ashley Terry, Clinical Social Work/Therapist in West Linn, OR
Ashley Terry
Clinical Social Work/Therapist, LPC, LMHC, CADC
Verified Verified
Oregon City, OR 97045  (Online Only)
Specialty areas include eating disorders, body image distress, anxiety disorders (social anxiety, generalized anxiety, obsessive-compulsive disorder, illness anxiety disorder), PTSD/C-PTSD, substance abuse, sex, and gambling use disorders, relational and marital issues, divorce/separation, life transitions, as well as grief and loss.
Hello I am Ashley it is nice to meet you. I am currently taking new clients in OR and WA. I am a Licensed Professional Counselor and Certified Drug and Alcohol Counselor in the State of Oregon, as well as a License Mental Health Counselor in the State of Washington. I have provided treatment to individuals suffering from eating disorders, substance use disorders, severe and persistent mental illness, marital and relational issues, grief and loss, as well as all forms of anxiety disorders, mood disorders and a vast range of substance, sex and gambling disorders.
Specialty areas include eating disorders, body image distress, anxiety disorders (social anxiety, generalized anxiety, obsessive-compulsive disorder, illness anxiety disorder), PTSD/C-PTSD, substance abuse, sex, and gambling use disorders, relational and marital issues, divorce/separation, life transitions, as well as grief and loss.
Hello I am Ashley it is nice to meet you. I am currently taking new clients in OR and WA. I am a Licensed Professional Counselor and Certified Drug and Alcohol Counselor in the State of Oregon, as well as a License Mental Health Counselor in the State of Washington. I have provided treatment to individuals suffering from eating disorders, substance use disorders, severe and persistent mental illness, marital and relational issues, grief and loss, as well as all forms of anxiety disorders, mood disorders and a vast range of substance, sex and gambling disorders.
(503) 217-2751 View (503) 217-2751
Photo of Sharon Picard, Psychologist in West Linn, OR
Sharon Picard
Psychologist, PhD
Verified Verified
Portland, OR 97201
Although it's true that children are resilient, there are times when children and their families need focused support and therapy in order to move forward and reach emotional health and balance. I am a Clinical Psychologist and Registered Play Therapist who uses cognitive-behavioral, play therapy, animal-assisted therapy, art therapy, and mindfulness techniques to help clients achieve better mental health. Having been licensed for sixteen years, I have worked extensively with children who present with anxiety, depression, a history of trauma including post-traumatic stress disorder, attention deficit, obsessive-compulsive disorder, autism, grief issues, and behavioral concerns.
Although it's true that children are resilient, there are times when children and their families need focused support and therapy in order to move forward and reach emotional health and balance. I am a Clinical Psychologist and Registered Play Therapist who uses cognitive-behavioral, play therapy, animal-assisted therapy, art therapy, and mindfulness techniques to help clients achieve better mental health. Having been licensed for sixteen years, I have worked extensively with children who present with anxiety, depression, a history of trauma including post-traumatic stress disorder, attention deficit, obsessive-compulsive disorder, autism, grief issues, and behavioral concerns.
(808) 346-8101 View (808) 346-8101
Photo of Joshua Beavers, Licensed Professional Counselor in West Linn, OR
Joshua Beavers
Licensed Professional Counselor, LPC
Verified Verified
Beaverton, OR 97007
I work with clients with a range of concerns including anxiety, depression, OCD, ADHD, addiction/substance use, autism spectrum disorder, and family conflict.
Hi, I am Joshua Beavers, a Licensed Professional Counselor (LPC), and I am excited to work alongside you! I completed a Master of Arts degree in Counseling Psychology from the University of Central Oklahoma in 2015. I have worked with clients in person at various mental health clinics and in a virtual environment since 2015. My focus in sessions is to help clients learn to regulate their emotions, cope with stress, improve relationships, and build a foundation of skills that will help them with long-term success. I'm always excited to see them recognize the positive changes that can come from meeting with a counselor.
I work with clients with a range of concerns including anxiety, depression, OCD, ADHD, addiction/substance use, autism spectrum disorder, and family conflict.
Hi, I am Joshua Beavers, a Licensed Professional Counselor (LPC), and I am excited to work alongside you! I completed a Master of Arts degree in Counseling Psychology from the University of Central Oklahoma in 2015. I have worked with clients in person at various mental health clinics and in a virtual environment since 2015. My focus in sessions is to help clients learn to regulate their emotions, cope with stress, improve relationships, and build a foundation of skills that will help them with long-term success. I'm always excited to see them recognize the positive changes that can come from meeting with a counselor.
(503) 809-5941 View (503) 809-5941
Photo of Dr. Dianna Harris (Accepting New Clients), Psychologist in West Linn, OR
Dr. Dianna Harris (Accepting New Clients)
Psychologist, PsyD, PMHNP
Verified Verified
Portland, OR 97219
I have successfully helped people reduce anxiety and depression that has only partially been helped through therapy by adding psychiatric medication that is targeted to treat worry, panic, OCD, depression and bipolar symptoms.
Accepting NEW Clients (ages 18-65) as of 5/6/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
I have successfully helped people reduce anxiety and depression that has only partially been helped through therapy by adding psychiatric medication that is targeted to treat worry, panic, OCD, depression and bipolar symptoms.
Accepting NEW Clients (ages 18-65) as of 5/6/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
(503) 476-9855 View (503) 476-9855
Photo of Samantha Forsythe, Psychologist in West Linn, OR
Samantha Forsythe
Psychologist, PsyD
Verified Verified
Portland, OR 97223  (Online Only)
I also have experience with ADHD, depression, trauma, grief, OCD, and behavioral and self-esteem issues.
Making the decision to seek therapy takes courage and finding the right therapist can seem overwhelming. Yes, it's important to find someone with the appropriate credentials and experience, but it's also just as important that you feel comfortable with your therapist. If the match is right, you should feel heard, understood, and respected. I understand the importance of the relationship between a therapist and client, thus I seek to create a safe, trusting, and welcoming environment. I approach therapy from a place of acceptance and non-judgment because I truly want to learn about you, your concerns, and your goals.
I also have experience with ADHD, depression, trauma, grief, OCD, and behavioral and self-esteem issues.
Making the decision to seek therapy takes courage and finding the right therapist can seem overwhelming. Yes, it's important to find someone with the appropriate credentials and experience, but it's also just as important that you feel comfortable with your therapist. If the match is right, you should feel heard, understood, and respected. I understand the importance of the relationship between a therapist and client, thus I seek to create a safe, trusting, and welcoming environment. I approach therapy from a place of acceptance and non-judgment because I truly want to learn about you, your concerns, and your goals.
(503) 894-5094 View (503) 894-5094
Photo of Joshua Conwell, Pastoral Counselor in West Linn, OR
Joshua Conwell
Pastoral Counselor, MA
Verified Verified
Portland, OR 97214
I enjoy working with those who struggle with pornography addiction, sexuality issues, anxiety, depression, OCD, spiritual OCD, and relationship issues.
Christian counseling engages your story without judgment, and helps change how you see yourself, others, God, and life experiences. This takes time. I would love to walk alongside you through your struggles and difficulties. My counseling experience ranges from residential treatment, church counseling ministry, and private practice.
I enjoy working with those who struggle with pornography addiction, sexuality issues, anxiety, depression, OCD, spiritual OCD, and relationship issues.
Christian counseling engages your story without judgment, and helps change how you see yourself, others, God, and life experiences. This takes time. I would love to walk alongside you through your struggles and difficulties. My counseling experience ranges from residential treatment, church counseling ministry, and private practice.
(503) 809-8634 View (503) 809-8634
Photo of Nathan Becker, Professional Counselor Associate in West Linn, OR
Nathan Becker
Professional Counselor Associate, MA, NCC
Verified Verified
1 Endorsed
Lake Oswego, OR 97034
I am committed to creating a collaborative space in which you and I can work together to cultivate change. My approach is informed by my values and qualities of empathy, authenticity, openness, and social justice. I believe in gently challenging clients and pushing them outside of their comfort zone while focusing on and acknowledging their sources of strength and resiliency. I incorporate Cognitive Behavioral Therapy (CBT) into much of my work, where we will focus on changing maladaptive behaviors and disengaging from negative thought patterns.
I am committed to creating a collaborative space in which you and I can work together to cultivate change. My approach is informed by my values and qualities of empathy, authenticity, openness, and social justice. I believe in gently challenging clients and pushing them outside of their comfort zone while focusing on and acknowledging their sources of strength and resiliency. I incorporate Cognitive Behavioral Therapy (CBT) into much of my work, where we will focus on changing maladaptive behaviors and disengaging from negative thought patterns.
(503) 739-9725 View (503) 739-9725
Photo of Brett with Ally Counseling, Marriage & Family Therapist in West Linn, OR
Brett with Ally Counseling
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Tigard, OR 97223
Brett works at Ally Counseling. His caseload is full, but he does have openings come up periodically. If Brett is not available, we will match you with another clinician or add you to his waitlist. About this clinician: Brett is a Licensed Marriage and Family who has a passion for helping teens and adults who are struggling with new or chronic issues that are preventing them from achieving their full potential in life, academics, relationships, or careers. Brett enjoys partnering with his clients to help them discover or get back on track with the things that make them feel motivated, happy, and fulfilled in life.
Brett works at Ally Counseling. His caseload is full, but he does have openings come up periodically. If Brett is not available, we will match you with another clinician or add you to his waitlist. About this clinician: Brett is a Licensed Marriage and Family who has a passion for helping teens and adults who are struggling with new or chronic issues that are preventing them from achieving their full potential in life, academics, relationships, or careers. Brett enjoys partnering with his clients to help them discover or get back on track with the things that make them feel motivated, happy, and fulfilled in life.
(503) 855-6209 View (503) 855-6209
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.