OCD, Intrusive Thoughts, Tics & Related Concerns

OCD doesn’t always look like cleaning, checking, or being particular. It can involve intrusive thoughts or images, mental reviewing, reassurance-seeking, avoidance, repeating things until they feel “just right,” or an ongoing need to feel certain that something bad didn’t—or won’t—happen.

We specialize in a range of OCD presentations, including Pure O, harm OCD, moral and scrupulosity OCD, contamination OCD, relationship OCD (ROCD), and “just right” OCD, as well as related concerns such as tics and trichotillomania.

For OCD, we use Exposure and Response Prevention (ERP) to identify the rituals, avoidance, and reassurance that keep the cycle going. In therapy, we might practice sitting with an intrusive thought without trying to resolve it, gradually approach something you’ve been avoiding, reduce checking or reassurance-seeking, or learn to tolerate the feeling that something isn’t quite right. The work is collaborative and paced thoughtfully—not about forcing you into your biggest fear on day one.