For those of us who get stuck in extra interesting thinking loops
Specialized OCD Treatment for Adults
Online in San Francisco & all of California,
Massachusetts, New York, and Florida
I have a waitlist, but request a consult call anyway!
New spots available as soon as November 2025.
OCD, and its fellow obsessive-compulsive disorders, can make the smallest tasks feel daunting or downright dangerous.
And at times, truly shitty. It’s not like you like living this way! You have probably tried to change a few (thousand) times already. If it makes you feel better, I couldn’t figure out how to exit the obsessive-compulsive cycle on my own, and have never heard of anyone else doing it either. The important thing is that when you’re ready, there is an effective exit strategy 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. Yay, I have them too!
I tried the same treatment I now provide and got way better. From my experience on both sides of the therapy room, I describe exposure and response prevention (ERP) as “therapy that sounds like it’s going to suck but then surprisingly doesn’t.”
Therapy with me is practical and emotional: you can share any parts of your life to whatever degree works for you. You can cry, laugh, and make meaning. We also set treatment goals and meet them, using the same gold-standard therapy used by the big names in the OCD and anxiety world.
Exposure & Response Prevention = teaching your brain it’s safe to relax
People often assume ERP = anxiety management. In reality, your brain changes in response to learning. Learning doesn’t happen randomly or just because we wish it would. We have to set up carefully designed experiments that can prove or disprove specific negative assumptions your brain is making about how the world works. Your brain doesn’t learn when compulsions are present. It also doesn’t learn from poorly designed exposure exercises, including the torture people put themselves through at home after they read a few books on ERP and decide to wing it. I can’t say it enough:
ERP is not about suffering. It’s about learning that it’s safe to relax.
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? 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 totally fine
