Structured sessions and protocols

I-CBT: Inference-Based Cognitive Behavioral Therapy

OCD isn't a thought problem. It's a doubt problem. I-CBT targets the faulty reasoning that makes an obsessional doubt feel real ("what if I'm contaminated, what if I don't love my partner, what if I did something wrong"), rather than asking you to endure the anxiety it causes. It's effective OCD treatment that doesn't start by asking you to touch the doorknob.

1. Map your doubt. How your specific obsession is constructed (sessions 1 to 3).
2. Work the modules. A defined sequence teaching you to see where the doubt story departs from your own senses and reality (the middle phase).
3. Return to the real world. Trusting your senses again; consolidation and relapse prevention.

Typical course: 14-25 weekly sessions. Exposure-based methods are incorporated where they genuinely fit.

ERP: Exposure and Response Prevention

Anxiety shrinks your life through avoidance, and avoidance is what keeps the fear alive. ERP retrains your alarm system through gradual, planned, collaborative practice, delivered here in an autistic-affirming way. Nothing is sprung on you; you'll see the whole ladder before we climb it.

1. Understand your alarm. Psychoeducation and mapping your specific fear pattern (sessions 1 to 3).
2. Build the ladder. A graded hierarchy from manageable to hard, designed together.
3. Climb it. In-session and real-world practice, one rung at a time, with skills for each step.
4. Own it. Relapse prevention and keeping your gains.

Typical course: 10-20 weekly sessions depending on the condition.

ComB: the Comprehensive Behavioral Model

"Just stop" has never worked, because BFRBs aren't a willpower problem. Pulling and picking serve real functions (sensory, emotional, motor, cognitive), and they differ for every person. ComB starts by decoding your pattern, then builds interventions matched to it.

1. Assessment. Detailed mapping of when, where, and why your behavior happens (sessions 1 to 3).
2. Your profile. Identifying which domains drive it: sensory, cognitive, affective, motor, environmental.
3. Targeted interventions. Strategies built for your specific profile, tested and refined week by week.
4. Maintenance. Locking in what works; relapse planning.

Typical course: 10-16 weekly sessions, then check-ins as your plan holds.

CBT-AR: Cognitive Behavioral Therapy for ARFID

Gentle, paced food work built around sensory needs, never about weight and never forced. We work with safe foods, interoception, and fears of choking or vomiting at a pace your system can actually use, with ERP incorporated where fear is doing the driving.

1. Understand your pattern. Mapping safe foods, your sensory profile, and what maintains the avoidance (sessions 1 to 3).
2. Stabilize. Structure and consistency before variety, at your system's pace.
3. Targeted work. Sensory work, fear-based work, or appetite and interest work, matched to your profile.
4. Maintain. Locking in gains and a relapse plan.

Typical course: 12-20 weekly sessions.

Structured arcs for neurodivergent adults

Being autistic or ADHD isn't the problem. But burnout, a lifetime of masking, and executive systems built for someone else's brain are real, and they respond to structured work. These aren't open-ended processing; each is a named arc with a beginning, middle, and end.

• Late-Identified Integration (10 sessions): making sense of a diagnosis that reframes your whole story. Grief, relief, identity, and what changes now.
• Burnout Recovery (12 sessions): stabilize, audit your energy, rebuild a life that fits your actual capacity, and plan against relapse.
• Executive Function (10-12 sessions): a skills protocol building systems designed for your brain, not another planner that assumes you're neurotypical.

Neurodiverse couples therapy

When partners run on different neurotypes, the problem usually isn't love. It's translation. This work builds a shared operating manual: communication across different processing styles, unwinding the parent-child dynamic, navigating sensory and intimacy differences, and handling conflict, meltdowns, and shutdowns as a team.

1. Assessment. Both partners' profiles, mapped individually and together.
2. Your relationship map. Where the translation breaks down, and why.
3. Skills phases. Communication, repair, and intimacy, built in sequence.
4. Consolidation. Making the new operating manual yours.

Typical course: weekly 50-55 minute sessions. If either partner needs individual therapy alongside our work, I'll connect you with a trusted ND-affirming colleague, so the couples work stays protected.