When you're looking for help with OCD or anxiety, the search itself can feel overwhelming. ERP is the gold-standard treatment for OCD, and virtual ERP therapy makes it possible to get specialized care no matter where you live. But what does it actually cost? Let's walk through it so you can make a decision that fits your life and your budget. What Virtual ERP Therapy Costs Costs vary quite a bit. They depend on the therapist's experience and training, how long and how often

Living with OCD and anxiety can feel like being caught in a storm without a compass. You want to move forward, but the thoughts and fears keep pulling you back. Here's the good news: treatment works. In this post I'll walk you through what actually helps, and how you can get that help through virtual therapy. What Effective Anxiety and OCD Treatment Looks Like When you start looking for help, it's easy to drown in options. The treatments that work best combine therapy, someti

Living with OCD can leave you feeling trapped. The thoughts and rituals eat up your time and energy, and everyday tasks start to feel like too much. So let me say this plainly: there's hope. With the right treatment you can get your life back. I've watched it happen over and over, and I want to show you what that road actually looks like. What Effective OCD Therapy Actually Looks Like OCD isn't something you can talk your way out of. The treatment that works is called Exposur

Most people have had a thought they didn't want to have. Something that popped up unexpectedly, something that felt wrong, something they immediately wanted to push away. And most people let it go, eventually. It fades on its own, they go about their day, and the thought doesn't particularly stick. For people with OCD, that's not what happens. The thought shows up and it hooks. It demands attention. And then comes the trying to figure out what the thought means, or why they h

One of the first questions I get from people who are considering therapy for OCD is some version of: "How much does this cost, and can I actually afford it?" I think that's a completely fair question, and I'd rather be straightforward about it than dance around it. Online ERP therapy has made specialized OCD treatment more accessible than it's ever been, particularly for people in areas where there aren't many OCD-trained therapists locally. But cost is still a real factor, a

Anxiety is one of those words that gets used for a lot of different things. It can mean anything from everyday stress to something that's genuinely interfering with how you live. When I talk about anxiety in a clinical context, I'm talking about the latter. That persistent hum of dread, the difficulty catching your breath in certain situations, the way fear shows up physically before you've even had a conscious thought about it. A lot of my clients come in with anxiety as par

If you've been looking into treatment for OCD, you've almost certainly come across the term ERP. Exposure and Response Prevention is the gold-standard, evidence-based treatment for OCD, and it's what I use in my practice. But I find that a lot of people have a partial or mistaken idea of what it actually involves — which can make it sound scarier than it needs to be, or conversely, simpler than it really is. I want to walk you through what ERP actually is, because understandi

Living with OCD is, let's be frank, hell. The good news is that specialized therapy, ERP, can help. Thanks to technology (and COVID), you can now access expert care from anywhere. Here are the steps to schedule online OCD therapy so you can start the journey of taking back your life. Understanding the Benefits of Scheduling Online OCD Therapy Online sessions offer flexibility, privacy, and access to specialists who truly understand OCD and anxiety. You don’t have to worry abo

What is Harm OCD? If you're reading this, there's a good chance you've had thoughts that scared you. Thoughts about hurting someone you love or losing control in a way that feels unimaginable. And then maybe the thought right after that was: "What does it mean that I even thought that?" I want to be direct here: those thoughts don't make you dangerous. They make you human. When they take hold and start running your life, that's Harm OCD, and it's something I work with every d

One of the things that makes OCD so confusing is that it doesn't always look like what you'd expect. Sometimes there's no hand-washing, no visible ritual. Just thoughts that won't stop replaying the same doubt/question, over and over, with no satisfying answer ever coming. Sometimes you'll hear this described as "Pure O" or purely obsessional OCD: rumination and mental compulsions. In my experience, it's one of the more exhausting forms of OCD to live with, partly because peo

There's a subtype of OCD that a lot of people haven't heard of, even though it can be completely consuming. It doesn't involve a fear of contamination or catastrophic harm. It doesn't have an obvious "what if" at its center. Instead, it's driven by a feeling: a persistent, nagging sense that something isn't quite right, and it won't let you move on until it is. This is Just Right OCD, and it's one of the subtypes I find people are most relieved to finally have a name for. Wha

This is one of the stranger-sounding OCD subtypes until you've experienced it. And if you have, you know exactly how tormenting it can be. Sensorimotor OCD is when OCD latches onto bodily sensations and automatic processes, and suddenly things you've never had to think about become impossible to ignore. Breathing is probably the most common. You become aware of each breath in a way that feels completely unnatural, and the awareness itself makes you feel like you can't breathe

Memory is supposed to be something you can trust. For people with real event and false memory OCD, that trust has been undermined because OCD has found a way to make the past feel like a threat that can't be verified or resolved. This is a subtype I find people are often especially confused and ashamed about. "What if I actually did something wrong and I just don't remember?" "What if my memory of that event isn't real?" "What if I hurt someone and my brain has blocked it out

There's a specific kind of exhaustion that comes with checking OCD. It's not just the checking itself. It's the impossibility of ever feeling certain enough. You lock the door, and you already doubt whether you locked it. You check the stove, and within minutes you're wondering if you really turned it off. And underneath all of it is this weight of responsibility: if something goes wrong, it will be my fault. I work with this OCD theme regularly, and I want you to understand

Contamination OCD is one of the subtypes people are most familiar with from the outside: the hand-washing, the avoidance of public places, the hours spent cleaning. But from the inside, it's much more complicated than the surface behavior suggests. What drives it isn't really about germs. It's about a specific, intolerable feeling of contamination, and the desperate need to undo it. I want to explain what's actually happening in contamination OCD and what treatment looks like

This is one of the most painful OCD subtypes I work with, and one of the most isolating, largely because people feel too ashamed to tell anyone about it. If you've been experiencing unwanted sexual thoughts that horrify you, I want to start by saying something clearly: the fact that these thoughts horrify you is important. It tells me a lot about who you are. Sexual intrusive thoughts OCD involves persistent, unwanted thoughts of a sexual nature that the person finds deeply d

Scrupulosity is one of the subtypes of OCD that I approach with particular care, because it sits at the intersection of faith and mental health in a way that requires expert care. People with scrupulosity OCD are often deeply sincere in their beliefs and values, and OCD uses that sincerity against them. What Scrupe Looks Like: The obsessions in scrupulosity center on fears of sinning, behaving immorally, or failing to meet a religious or ethical standard. A person might obses

Relationship OCD, often called ROCD, is one of the more isolating subtypes I work with. People who have it typically love their partners. They want to be in the relationship. And yet OCD has found a way to make even that feel uncertain, and to turn the relationship itself into a source of constant anxiety. If you've found yourself endlessly questioning whether you're with the right person, whether your feelings are "real" enough, or whether your partner might be cheating, not