When Coping Skills Don’t Touch It
Specialized telehealth therapy for OCD, anxiety, and BFRBs when insight, reassurance, and coping skills have not changed the pattern.
If your thoughts feel shameful, your habits feel out of control, or your anxiety ignores what “should” work, you do not have to make it sound normal before getting help.
Free 15-minute fit call · No intake forms before the call · Confidential request
10+
Years focused on complex anxiety care
3
Licensed in TX, WA, NH; FL telehealth
12-14
Small caseload, focused work
CLINICAL SPECIALTIES
If This Sounds Like You
For patterns that have not shifted with reassurance, insight, or coping skills alone.
OCD & intrusive thoughts
ERP-focused care for shame-heavy intrusive thoughts, reassurance loops, checking, mental rituals, and avoidance.
Anxiety and panic
Targeted care for overthinking, panic, body alarm, and avoidance that has started shrinking life.
Trauma and PTSD
EMDR and trauma-focused care when the past still feels active in memory, body, and relationships.
BFRBs: skin picking & hair pulling
HRT-informed care for skin picking, hair pulling, urges, shame, and stop-start cycles that willpower has not solved.
HOW TREATMENT IS CHOSEN
I Do Not Start With a Modality. I Start With What Keeps the Problem Going.
The starting point is not “which modality do you like?” It is what is reinforcing the loop.
01
If OCD is running the loop
ERP and response prevention become central. ACT supports the work when reassurance, rituals, mental review, or certainty-seeking are running the day.
02
If anxiety has built life around avoidance
Treatment targets predictions, body alarm, escape habits, and safety behaviors, not just the feeling of anxiety.
03
If trauma keeps the past feeling present
EMDR or trauma-focused treatment is paced around stability, tolerance, and what your system can realistically hold.
04
If urges and habits have become automatic
HRT and behaviorally specific work target awareness, triggers, competing responses, and the habit loops generic talk therapy often misses.
WHY PEOPLE END UP HERE
When Therapy Has Felt Supportive But Not Specific
Most people who contact me are not new to therapy. They are tired of being understood without getting unstuck. The difference here is precision: treatment chosen around the mechanism, structured clearly, and honest about what the work asks of you.
Small caseload, more focused work
This practice stays intentionally small so the work stays focused.
Direct, collaborative treatment
You will know what we are doing, why we are doing it, and what the work is asking of you.
Specialist care for problems that get missed
OCD, shame-heavy intrusive thoughts, avoidance-driven anxiety, trauma, and BFRBs often need more than general supportive therapy.
NEXT STEP
What the First Step Looks Like
The first step is a fit check, not a commitment to start therapy. View pricing.
1. Request a consultation
Share what has stayed stuck and request a brief fit call.
2. Clarify the fit
Ask questions, name the main concern, and get a direct sense of whether the approach fits.
3. Start with a clear plan
If therapy begins, the first sessions clarify priorities, risks, and what has kept the pattern stuck.
FAQ:
Therapy Without Shame, Posturing, or Judgment
This practice is for adults who want structured, evidence-based therapy without having to shrink, translate, or justify the parts of life that shaped them. Identity, culture, religion, family systems, shame, and lived experience can be part of the clinical picture.
Respect is non-negotiable
This practice does not tolerate hate, racism, harassment, or dehumanization. Therapy here can be direct and challenging without becoming shaming.
Affirming care is clinical care
LGBTQIA+ clients are welcome and affirmed. Your identity is not treated as a side issue, a debate, or a problem to explain away.
Context comes into the room
BIPOC, multicultural, immigrant, veteran, religious, nonreligious, and historically marginalized clients are welcome. Culture, family systems, belief, and lived experience are part of the clinical picture.
The full person matters
Symptoms are never treated in isolation from identity, shame, values, relationships, history, and the cost of hiding. The work is structured because the whole person matters.
You will be asked to do real work here. You will not be asked to earn basic respect.
If This Is the Pattern, Start With a Consultation
You do not need the perfect explanation before reaching out. If you recognize the loop, the next step is a focused fit call to see whether this work is right.
Free 15-minute fit call · No intake forms before the call · Confidential request