
Specialized OCD Treatment for Adults
For those of us with extra persistent worries
Online in San Francisco & all of California,
Massachusetts, New York, and Florida

OCD, and its fellow obsessive-compulsive disorders, can make the smallest tasks feel overwhelming, scary, daunting, and dangerous.
And at times, truly shitty. It’s not like you like living this way—in fact, I bet you have tried to change a few (thousand) times already. If it makes you feel any better, I couldn’t figure out how to fix my OCD/obsessive-compulsive stuff on my own, and I’ve never heard of anyone else doing it either. But the most important thing is that when you’re ready, there is an excellent treatment just for us.
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 received the same treatment I now provide and got way better. From my experience on both sides of the therapy equation, I describe exposure and response prevention (ERP) as “therapy that sounds scary but isn’t.”
Therapy with me is super 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.
Exposure & Response Prevention = teaching your brain to chill
People often assume ERP = anxiety management. In fact, the process of change is your brain learning it’s safe to tone down the “fight or flight” reaction to your challenging situations. (Believe it or not, you still remember to wisely navigate risks.) Effective anxiety management is great, but having less anxiety in the first place is even better.
Note: That probably sounds too good to be true considering all you’ve been through. Do consult other ERP therapists and review research on effectiveness to feel more confident before proceeding with treatment. And read on—I have a whole page coming up on ERP.

What do you treat?
OCD
At any given point, about 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 and 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 Relatives
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.
Meet Reno the therapy bunny!
Therapy bunny is a stretch, but in any case, Reno says hello! He prefers to be a floor bunny, so he will mostly 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.
Schedule a free 20-minute phone consult
If you cry on the call that’s fine