When Coping Skills Don’t Touch It
Specialized telehealth therapy for OCD, anxiety, and BFRBs using ERP, ACT, and HRT. Not insight alone. Not reassurance. Treatment that actually changes the pattern.
If your thoughts feel shameful, your habits feel out of control, or your anxiety will not respond to what “should” work, you do not have to explain yourself before getting help.
Free 15-minute fit call · No intake forms before the call · Confidential request
10+
Years of focused clinical work
3
Licensed in TX, WA, NH; FL telehealth
12-14
Small caseload, focused care
CLINICAL SPECIALTIES
If This Sounds Like You
Specialized therapy for patterns that usually need more than reassurance, insight, or coping skills.
OCD & intrusive thoughts
ERP-focused treatment for obsessions, reassurance loops, checking, mental rituals, and avoidance.
Anxiety and panic
Targeted care for worry, panic, health anxiety, and avoidance that has started shrinking life.
Trauma and PTSD
EMDR and trauma-focused care for memories, triggers, and body responses that still feel current.
BFRBs: skin picking & hair pulling
HRT-informed treatment for skin picking, hair pulling, nail biting, and urge-driven body-focused patterns.
HOW TREATMENT IS CHOSEN
I Do Not Start With a Modality. I Start With What Keeps the Problem Going.
Most people do not need more generic insight. They need treatment aimed at the mechanism that is keeping the pattern alive.
01
If OCD is running the loop
ERP and response prevention become central. ACT may support the work by helping you stop organizing your life around reassurance, rituals, and certainty-seeking.
02
If anxiety has built life around avoidance
Treatment targets predictions, body alarm, escape habits, and safety behaviors, not just the feeling of anxiety itself.
03
If trauma keeps the past feeling present
EMDR or trauma-focused treatment is used with attention to pacing, stability, and what your system can realistically tolerate.
04
If urges and habits have become automatic
HRT and behaviorally specific work target awareness, triggers, competing responses, and the patterns 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 talking in circles, managing symptoms without real change, or being treated with approaches that never quite fit the problem. The difference here is not just warmth or credentials. It is having treatment chosen with more precision, more structure, and more honesty about what actually changes the pattern.
Small caseload, more focused work
This practice stays intentionally small so treatment does not get rushed.
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 brief fit check, not a commitment to start therapy. View pricing.
1. Request a consultation
Share what you are looking for and request a brief fit call.
2. Clarify the fit
Ask questions, name the main concern, and get a clear sense of whether the approach fits.
3. Start with a clear plan
If therapy begins, the first sessions focus on assessment, priorities, and what has kept the problem stuck.
Questions That Usually Come Up Before Starting
A few honest answers before you decide whether to reach out.
What if I have tried therapy before and it did not help?
That matters, and it becomes part of the assessment. Sometimes therapy was supportive but not specific enough for OCD, anxiety, trauma, or BFRBs. Here, the work starts by identifying what kept the problem going and what previous therapy may have missed.
Do I have to schedule twice a week?
No. Session frequency depends on severity, goals, schedule, and what the work requires. Weekly therapy is common. Sometimes more frequent sessions can be useful, but that should be discussed clearly and never treated as a pressure tactic.
Will you keep contacting me or pushing me if I miss sessions?
No. This practice is direct, but it is not coercive. If you miss, pause, or step back, communication stays focused on logistics, clinical continuity, and safety when relevant. You will not be chased, guilted, or pressured into care.
Do I need to be in crisis for therapy to be worth it?
No. Many people reach out before things collapse because avoidance, rituals, panic, shame, or trauma responses have started taking too much space. Therapy can be worth it when a pattern is limiting your life, not only when it becomes an emergency.
Will I be judged for the thoughts I am having?
No. Intrusive, taboo, violent, sexual, religious, moral, or identity-related thoughts are treated clinically, not morally. The content of a thought is not treated as a confession. The focus is how the loop works and how you respond to it.
What if I am not sure I am ready yet?
That is a normal place to start. The consultation can be used to understand the approach and decide whether now is the right time. Readiness does not have to mean confidence; often it means being willing to look honestly at the pattern.
Will I be pushed into exposures I am not ready for?
No. Good ERP is planned and collaborative. Exposure practice is built around consent, rationale, and pacing. The work should challenge avoidance without turning therapy into a surprise test.
How do I know if you are the right fit for me?
The consultation is a fit check. You can ask about the approach, share what you are dealing with, and get a direct answer about whether this practice fits. If another level or type of care makes more sense, that will be named clearly.
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.
Ready for Treatment That Targets the Pattern?
If you want therapy that targets the pattern instead of circling it, request a consultation and we can clarify whether the fit is right.
Free 15-minute fit call · No intake forms before the call · Confidential request