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.

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Consultations are confidential

Felix Murad, LPC-S, LMHC, CMHC, NCC, online therapist specializing in OCD, anxiety, trauma, and BFRB therapy
Felix Murad, LPC-S, LMHC, CMHC, NCC

10+

Years focused on complex anxiety care

3

Licensed in TX, WA, NH; FL telehealth

12-14

Small caseload, focused work

CLINICAL SPECIALTIES

This May Be Closer to What You’ve Been Living With

For problems that have been discussed, managed, or explained, but not fully treated.

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 choose our practice

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 actually getting unstuck. The difference here is precision. Treatment is built around the mechanism keeping the problem alive, structured clearly, and honest about what the work requires. If you have had a disappointing experience with large Telehealth companies that cycle through therapists and treat care like a volume business, and you want thoughtful, individualized treatment instead, you are in the right place.

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.

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FAQ:

That matters, and it becomes part of the assessment. If therapy was supportive but did not change the pattern, we look at what may have been missed: rituals, avoidance, reassurance, trauma pacing, urges, or the mechanism keeping the problem alive.

No. Frequency depends on severity, goals, schedule, and what the work requires. Weekly therapy is common. More frequent sessions are discussed only when they make clinical sense.

No. This practice is direct, not coercive. If you miss, pause, or step back, communication stays focused on logistics, continuity, and safety when relevant.

No. Good ERP is planned and collaborative. Exposure practice has consent, rationale, and pacing. The work should challenge avoidance without turning therapy into a surprise test.

No. OCD intrusive thoughts are usually ego-dystonic, meaning they feel unwanted, upsetting, and out of line with your values and intentions. Talking about them in therapy is part of treatment. A report is not made just because a person has intrusive thoughts. The only exception would be a real concern about immediate safety, abuse, or clear intent to harm yourself or someone else.

No. Many people reach out because avoidance, rituals, panic, shame, or trauma responses are taking too much space. Therapy can be worth it before everything collapses.

No. Intrusive, taboo, violent, sexual, religious, moral, or identity-related thoughts are treated clinically, not morally. A thought is not treated as a confession. The focus is the loop and how you respond to it.

That is a normal place to start. The consultation can help you understand the approach and decide whether now is the right time. Readiness often means being willing to look honestly at the pattern, not feeling confident.

The consultation is a fit check, not a sales call. You can ask about the approach, name what you are dealing with, and get a direct answer about whether this practice fits. If another provider, setting, or level of care makes more sense, that will be named clearly.

Yes, for many people it does. Telehealth can work very well when the treatment is structured, specific, and matched to the actual problem. For OCD, anxiety, and many trauma-related patterns, the important part is not being in the same room. It is having the right treatment plan, a clear focus, and a therapist who knows what to target.

WHO THIS PRACTICE IS FOR

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.

01

Respect is non-negotiable

This practice does not tolerate hate, racism, harassment, or dehumanization. Therapy here can be direct and challenging without becoming shaming.

02

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.

03

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.

04

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.

schedule your consultation today

Consultation requests are kept confidential.