OCD Therapy for Adults
Therapy for obsessive-compulsive disorder: the intrusive thoughts, the doubt, the rituals visible and invisible. OCD isn't quirky perfectionism, and your thoughts were never the problem. The loop is, and it's treatable.
Your mind keeps asking questions it won't let you answer
You know the thought is irrational. Knowing has never once made it leave. So you check, review, confess, avoid, or quietly argue with your own mind for hours, and the relief lasts just long enough for the next "what if" to arrive. If this sounds familiar:
- Thoughts you'd never act on, about harm, contamination, morality, or worse, keep arriving uninvited and refusing to leave
- Checking, washing, ordering, or redoing things eats real hours of your day, even though you know it's already done
- Your compulsions are invisible: mentally reviewing, counting, praying, replaying conversations, neutralizing one thought with another
- You've built your life around avoidance: certain knives, certain roads, certain people, certain topics
- You ask the people you love the same reassurance questions again and again, and hate that you need to
- You've googled your thoughts at 2am more times than you'd ever admit, looking for proof you're not a monster
A false alarm your mind learned to believe
Everyone has intrusive thoughts. In OCD, the mind sounds an alarm about them, and every ritual that quiets the alarm teaches the mind the alarm was right. That's the whole trap, and it runs in predictable stages.
The compulsion is the loop's fuel, not its cure. That's the hopeful part: OCD is one of the most treatable conditions there is, because the loop has a known off-ramp.
Every theme, including the ones you're afraid to say
OCD picks whatever you care about most and weaponizes it. No theme is too dark, too strange, or too embarrassing to bring here. I've heard it, and I won't flinch.
Checking & contamination
Locks, stoves, germs, illness: the classic themes. Contamination OCD therapy
Taboo intrusive thoughts
Harm, sexual, religious, and moral themes: the ones people carry in total silence.
Relationship OCD
Endless checking of your feelings, your partner, your certainty. ROCD therapy
Mostly mental OCD
Sometimes called "pure O": rumination, reviewing, and neutralizing nobody can see.
Neurodivergent adults
OCD alongside autism or ADHD, where telling the conditions apart matters for treatment.
Four fronts, worked in sequence
OCD treatment has a well-mapped path. We walk it collaboratively, at a pace you agree to, one theme at a time.
Naming the loop out loud
Your themes, your triggers, and every compulsion, including the mental ones you've never called compulsions. Saying it all to someone who doesn't flinch is the first time many people feel the loop loosen.
Facing the doubt, gradually
Exposure and response prevention, done right: collaborative, graded, and always with your consent. You practice letting the alarm ring without answering it, starting small, and the alarm learns to quiet itself.
Retiring the invisible rituals
Reassurance-seeking, mental reviewing, confessing, and googling are compulsions too, and often the stickiest ones. We map them and wind them down, so relief stops feeding the loop.
A life run by values, not fear
Reclaiming what OCD took: the roads not driven, the people avoided, the decisions deferred to doubt. The measure of this work isn't fewer thoughts; it's a bigger life.
A clear, structured plan, built in sequence
This is structured work built around exposure and response prevention (ERP), the leading evidence-based treatment for OCD. By session three you'll know your plan, its phases, and roughly how long the work takes. Sessions are 50-55 minutes.
I'm trained in both ERP and inference-based CBT (I-CBT), a newer evidence-based OCD treatment that works through reasoning rather than exposure. Some people do best with one, some with a blend, and if ERP elsewhere felt like too much, I-CBT offers another route to the same recovery. We choose together. My OCD care is also neurodivergence-affirming: ERP and I-CBT adapted for Autistic and ADHD adults, where sensory needs, routines, and communication differences are part of the plan instead of mistaken for symptoms. Few OCD practices work this way. It matters if you're neurodivergent, and it helps if you're not, because the same flexibility shapes treatment to you instead of a script.
Nothing is sprung on you: every exposure is chosen together, ranked together, and paced by you. ERP is challenging work, but it's challenge you sign up for step by step, never something done to you.
Assessment
Your themes, triggers, and compulsions, visible and mental, without judgment.
Your loop map
How your specific loop runs, ranked from easiest to hardest to face.
Graded practice
ERP from the bottom of the ladder up, at a pace you set together.
Consolidation
Becoming your own therapist, with a real plan for flare-ups.
All sessions online via secure, HIPAA-compliant video. You must be physically located in Texas, Maine, Montana, or New Hampshire at the time of session. Online ERP has a real advantage: exposure practice can happen in the places where your OCD shows up.
Visit the services page to see which insurances are accepted, along with current rates and private pay options.
Trained in both exposure and response prevention (ERP) and inference-based CBT (I-CBT), with specialized experience providing ERP for neurodivergent adults. Full credentials →
About OCD therapy
Quick answers. The full FAQ page has the rest.
Some themes have their own pages: contamination OCD, relationship OCD, and perfectionism OCD.
You've been fighting this alone. You don't have to.
The consultation is free and short. We'll talk by phone (I'll call you at the time you schedule) and see if we're a fit. No pressure, no commitment.