OCD Therapy
Living with uncertainty.
OCD is often misunderstood. It isn’t just about cleanliness, organization, or checking the stove. At its core, OCD is a struggle with uncertainty.
What is OCD?
The search for an answer.
A thought, feeling, image, or doubt shows up: What if I hurt someone? What if I’m secretly a bad person? What if I’m sick? What if I made the wrong decision? Naturally, you want an answer. So you check, analyze, avoid, research, ask for reassurance, replay the situation in your head, or try to make the thought go away.
And maybe it works—for a moment.
But OCD has a way of turning the search for certainty into another reason to doubt. The more you try to finally “figure it out,” the more important the question becomes.
How is OCD treated?
Not one-size-fits-all.
There is no single way OCD shows up, so treatment shouldn’t feel one-size-fits-all. I draw from several approaches depending on what is keeping you stuck and what we discover together in therapy.
Exposure and Response Prevention (ERP) helps you gradually face the thoughts, situations, feelings, or uncertainties that trigger OCD while practicing something different: not performing the compulsion that usually follows. The goal isn’t to make you comfortable with everything. It’s to learn that discomfort and uncertainty don’t have to control what you do.
Acceptance and Commitment Therapy (ACT) takes this a step further by asking: If we stopped organizing your life around getting rid of anxiety, what would you want your life to be about? We work on making room for difficult internal experiences while moving toward your relationships, values, interests, and the parts of life OCD may have pushed aside.
Inference-Based CBT (I-CBT) looks at how OCD pulls you away from what is actually happening and into imagined possibilities—what could be true, what might have happened, or what something could mean. Together, we examine the reasoning process that turns a possibility into something that suddenly feels urgent and real.
Treatment usually begins by getting a clear picture of how your OCD works. Together, we identify the obsessions, triggers, compulsions, avoidance, reassurance seeking, and mental rituals that make up the cycle. Sometimes compulsions are obvious, like checking or washing. Other times they happen entirely in your head, like reviewing memories, analyzing thoughts, or trying to convince yourself that everything is okay.
Much of the work also happens between sessions. You may practice exposures, notice compulsions as they occur in everyday life, or intentionally make different choices when OCD asks you to check, analyze, avoid, or seek certainty.
Over time, the goal is for OCD to take up less space—not necessarily because every uncomfortable thought disappears, but because you become better at recognizing the cycle and choosing how you want to respond to it.
My approach
Gentle, collaborative, individualized.
While OCD treatment sometimes asks us to move toward things that feel uncomfortable, I don’t believe therapy needs to feel like something being done to you. We work together to understand what feels challenging, what feels manageable, and when it may be helpful to push a little further.
I often use Subjective Units of Distress (SUDS) to help us put language to how difficult something feels in the moment. Rather than simply asking you to “face your fear,” we can better understand where you are, what feels realistically achievable, and how to build from there. The goal is to challenge OCD without losing sight of the person experiencing it.
I also integrate psychodynamic therapy to explore some of the deeper themes that may exist alongside OCD—relationships, identity, shame, self-worth, past experiences, and patterns that continue to show up in the present. OCD may be what brings you into therapy, but you are more than your OCD.
Finally, my work is influenced by Eastern philosophy and practices of acceptance. There is a paradox at the heart of anxiety: the harder we fight to completely eliminate uncertainty or discomfort, the more power we can give it. Therapy can become a place to practice something different—allowing uncertainty to exist without surrendering your life to it.
A note from Sasha
Why this work is personal to me.
For most of my life, I believed I struggled with generalized anxiety and panic disorder. And while that was true, it never quite explained the full picture.
I couldn’t understand why the techniques that seemed to help others didn’t work the same way for me. Why couldn’t I simply take a few deep breaths and calm myself down? Why couldn’t I rationalize my way out of my anxiety? Why did I remain so overwhelmed, flooded, and mentally exhausted while others seemed capable of moving on?
I spent years sitting in different therapy rooms, sharing my fears, dissecting my thoughts, and searching for relief. And often, I would find it. I’d leave a session feeling lighter, reassured, and hopeful that perhaps I had finally figured things out.
But by that very same night, I could find myself experiencing some of the worst panic attacks imaginable.
What I didn’t understand at the time was that much of what I had been doing in those rooms was seeking reassurance. And while reassurance offered temporary relief, it was also feeding the very cycle that kept me suffering. What felt like the solution was actually helping sustain the problem.
By the time I recognized OCD in my own struggles, I was at a mental breaking point.
I often compare that realization to an addict recognizing that their drug of choice is slowly destroying their peace. My drug was reassurance, rumination, and compulsive rituals. They promised relief, but the price was becoming unbearable. I had reached a point where I was finally willing to give up the temporary comfort of those rituals in pursuit of something more meaningful: freedom.
The path wasn’t easy. It required learning to tolerate uncertainty, resisting the urge to find answers to every frightening thought, and developing an entirely different relationship with my own mind.
But slowly, the dark fog began to lift.
And something unexpected happened along the way. My suffering began to develop into a sense of purpose.
I started spending time in NOCD communities, sharing what I had learned with people who were still struggling. I recognized so much of myself in their stories. The desperation for certainty, the mental exhaustion, the feeling of being trapped inside your own thoughts. I wanted people to know that there was another way to live.
Eventually, I realized that helping others navigate these experiences was something I wanted to dedicate my professional life to.
Which brings me to where I am today.
As a licensed therapist, I value clinical training, evidence-based treatment, and continuing education. But I also believe there are dimensions of human suffering that cannot be fully understood through textbooks alone.
My personal experience doesn’t replace my clinical knowledge. It deepens my relationship with it.
I know what it feels like to understand something intellectually and still feel completely consumed by it emotionally. I know how convincing OCD can be, how exhausting the rituals become, and how frightening it can feel to stop doing the very things you believe are keeping you safe.
And I also know that change is possible.
Today, I continue to learn, both as a clinician and as a human being. My goal isn’t simply to understand OCD or teach clients how it works. It’s to help people apply that understanding to their own lives, reclaim their freedom, and begin living according to what matters to them rather than what their fears demand.
Because sometimes the most meaningful part of therapy isn’t just having someone who understands the science behind your suffering.
It’s having someone who understands the humanity of it, too.
Complimentary 15-minute consultation
How can I help?
Reach out by email, phone, or the contact page. I aim to respond quickly—usually within one business day.