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If one is possessed is it possible for the demon to leave on its own accord or is an exorcism required?
Spirits (angels and demons) do not have free will as humans do. Humanity as a whole was redeemed by the Sacrifice of the Cross. Every human, even one who is not remotely familiar with Christ and His Church, is not alone in the fight against the Evil One. The devil does not have free rein. That is why possession is very rare and also very difficult for theologians to understand and explain.The demon has free will
And also a good Catholic psychologist or psychiatrist. Many things have a natural root and the devil may simply be tormenting the person by increasing a natural problem that could be cured naturally.If you have some personal concerns, the first thing you need to do is go and talk to a priest in some fashion. One way you can do this is simply by going to confession and speaking to him about the issues, or you can call and make an appointment to speak with him.