Specialized OCD Treatment for Adults

For the 3% of us with extra interesting worries

Online in San Francisco & all of California, 
Massachusetts, New York, and Florida

OCD, and all the obsessive-compulsive disorders, can make the smallest tasks feel overwhelming, scary, daunting, and dangerous.

And at times, truly shitty. You do not like living this way, and have probably tried a few (thousand) times to change. If it makes you feel any better, I wasn’t able to fix my OCD on my own either, and I’ve never met anyone who has.

Smiling person with long blonde hair standing in front of a wooden fence.

Welcome to the club!

I have been specializing in OCD and other obsessive-compulsive disorders for several years, but I guess you could say I have a lifetime of experience. Yep, I have them too!

I know exposure and response prevention (ERP) sounds like a terrible idea at first. Even so, it changed my life, and if your brain is anything like mine, it can change yours too.

Therapy with me is practical: you can cry and talk about your feelings (here for it!), yet we also get things done, using the same gold-standard treatment used by the big names in the OCD and anxiety world.

ERP: Exposure & Response Prevention

I could talk about ERP all day, and I do in my spare time!
Here’s the short version:

ERP = 20% learning how to manage anxiety better and 80% teaching your brain to have a less extreme anxiety response in the first place

Again:

ERP is mostly about anxiety reduction, not management

Note: I am aware that sounds too good to be true considering all you’ve been through. Do consult other ERP therapists and review research on ERP’s effectiveness if you would like to feel more confident before proceeding with treatment.

Hey, what do you treat?

OCD

At any given point, ~90% of my clients have OCD (often along with other cool stuff on this page). It’s not easy, but those of us with OCD and these related conditions are also lucky there’s a treatment for us that works extremely well. We’re six decades into using ERP for OCD (a century into exposure therapy for anxiety) and it’s helped a wild number of people get better, myself included. Join the dark side!

OCD’s Cousins

Body dysmorphic disorder (BDD)? Illness anxiety? Body-focused repetitive behaviors (BFRBs) like compulsive skin picking (excoriation), hair pulling (trichotillomania), or nail-biting? Intense social anxiety? Generalized anxiety? Panic attacks? Phobias? Guess what! ERP is still the treatment of choice, with tweaks here and there to fit each one, and a closely related treatment for BFRBs called HRT/ComB.

Misophonia

Sound sensitivity sucks. Having a name for it and more recognition in the fields of psychology and medicine? Slightly better! But seriously, we finally have techniques for reducing your exposure to irritating sounds and proactively approaching tough situations when you decide to stick them out. No cure yet, and no ERP for this one, just way more effective management, leading to dramatic distress reduction. A great second choice, at least in my case.

Meet Reno the therapy bunny!

Reno says hello! He prefers to be a floor bunny, so will likely be not-seen and not-heard during our calls. From wherever he is on the floor, he wishes you a successful and rewarding therapy journey.

Woman with curly red hair smiling and holding a smartphone, lying on a bed with a Shiba Inu dog, in a cozy room with plants and shelves.

Schedule a free 20-minute phone consult

If you cry on the call that’s fine