Therapy for OCD, Anxiety,
Perfectionism & Relationships
You can be doing well on paper and still feel like something isn’t working.
These struggles can look different, but there is often something underneath them that feels very similar: you don’t trust yourself anymore.
You’re looking outside of yourself for certainty, reassurance, approval, or some indication that you’re doing things right.
A big part of my work is helping you change that.
I want to understand why you’re stuck.
What keeps pulling you into the same patterns? What are you afraid would happen if you stopped? What beliefs about yourself, other people, or the world are operating in the background? And what are you doing to feel better in the short term that may actually be keeping the problem going?
Once we understand that, we can start doing something different.
My approach is active, collaborative, and practical. I draw from evidence-based treatments including CBT, ACT, ERP, Inference-Based CBT, Gottman Method, and Emotionally Focused Therapy, but I don’t believe in applying a treatment simply because it matches a diagnosis. We’ll use the tools that make sense for you and for what is actually maintaining the problem.
I also won’t just sit back and nod.
I’ll help you notice patterns, question assumptions, practice doing things differently, and figure out what you actually want—not just what anxiety, perfectionism, guilt, or other people’s expectations are telling you that you should want.
Because ultimately, choosing yourself is about learning to trust yourself.
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OCD has a way of convincing you that this time the doubt really does need to be figured out.
What if the thought means something?
What if you missed something important?
What if you're remembering it wrong?
What if you make a decision and regret it?
What if you could know for sure if you just thought about it a little longer?For many of the people I work with, OCD happens largely inside their heads. There may be very few visible compulsions, while internally they are reviewing memories, analyzing feelings, checking reactions, comparing, researching, seeking reassurance, or trying to reach certainty.
Therapy is about understanding how that cycle works and learning how to stop treating every doubt as a problem that needs to be solved.
My work with OCD integrates Inference-Based CBT (I-CBT), Exposure and Response Prevention (ERP), and Acceptance and Commitment Therapy (ACT). The goal is not to convince you that your fears could never happen. It is to help you stop organizing your life around possibilities that OCD has taught you to take seriously.
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Anxiety is very good at making preparation feel productive.
You think through every possible outcome. You rehearse conversations before they happen and replay them afterward. You try to anticipate what could go wrong so you can prevent it. You ask other people what they think because trusting your own judgment feels risky.
And yet, despite all that thinking, you rarely feel more certain.
Therapy for anxiety is about learning to recognize when problem-solving has turned into worry, when responsibility has turned into overresponsibility, and when being careful has turned into organizing your life around fear.
We’ll work on building your ability to tolerate uncertainty, make decisions without endless analysis, set boundaries, and trust that you can handle discomfort without needing to prevent every possible negative outcome.
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Perfectionism doesn’t always look like having a perfectly organized house or color-coded calendar.
Sometimes it looks like procrastinating because you’re afraid you won’t do something well enough. Rewriting an email five times. Feeling guilty when you rest. Comparing yourself to everyone around you. Needing reassurance before making a decision. Or accomplishing something and immediately moving the goalpost.
You may have spent years believing that being hard on yourself is part of what makes you successful.
At some point, though, the thing that helped you achieve starts making it difficult to enjoy anything you’ve achieved.
Therapy can help you understand where those standards came from, decide which ones actually matter to you, and start separating your worth from your performance. We’ll work toward being able to make mistakes, disappoint people, change your mind, rest, and make choices because they are right for you—not because they are the choice least likely to be criticized.
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Most couples don’t come to therapy because they stopped caring about each other.
They come because the way they are trying to communicate isn’t working anymore.
The same argument keeps happening. One person feels like they’re carrying too much. The other feels like nothing they do is ever enough. Conversations about chores, money, parenting, sex, or schedules quickly become conversations about whether you can depend on each other or whether your needs matter.
This is especially common for couples who are used to being capable. You may both manage demanding careers, children, households, family obligations, and endless logistics—and still wonder why your relationship feels harder than everything else you manage.
Couples therapy gives us a place to slow that pattern down.
We’ll look beyond what you’re arguing about and understand what is happening between you. We’ll work on communicating more clearly, taking responsibility without becoming defensive, expressing needs before they turn into resentment, and renegotiating your relationship as your lives change.
The goal isn’t to never disagree. It’s to feel like you’re on the same team again.
Choosing yourself isn’t about ignoring other people or always putting yourself first.
It’s about developing enough trust in yourself that fear, guilt, perfectionism, and other people’s expectations no longer get to make all of your decisions for you.
That is the work we’ll do together.
Ready to get started? Schedule a consultation →