And the thing about OCD is that the more you try to reason with it, the louder it gets. You check one more time because checking feels like relief. You ask for reassurance because the answer feels like relief.
But it's temporary,and you always end up coming back, trying a new angle, hoping this time it finally sticks.
The goal of treatment isn't to get rid of the thought. It's to change your relationship with them so the loop stops having so much power, while building distress tolerance surrounding fear and uncertainty.
(the obsession)
(the compulsion)
The good news is learning how to NOT engage with that uninvited guest is possible. They might get loud. They might get obnoxious. But you don't have to listen.
Intrusive thoughts about hurting yourself or someone else that feel horrifying and won't stop
Constant doubt about whether your partner is right for you, whether they love you, whether you love them
The project that's never quite done, the email that gets rewritten six times, the thing that looks great to everyone except you
Primarily intrusive thoughts without obvious external compulsions, though the compulsions are usually there, just internal
If you've been in therapy for what a previous therapist called "anxiety" and it never quite got to the root of things, there might be a reason for that.
OCD and generalized anxiety look similar on the surface. But the treatment is fundamentally different. And a therapist who isn't trained in OCD can accidentally make it worse by engaging with the compulsions without realizing it.
“But I don't have to wash my hands 50 times a day”
“I just like things a certain way.”
“I'm just a little anxious. Everyone's anxious.”
OCD isn't just about germs or needing things to be orderly. Those are real subtypes, but they're just two of many.
Religious OCD is a lifetime of wondering whether you're believing the right thing, doing the right thing, praying enough, being good enough. It's intrusive thoughts about sin, about hell, about whether God is angry with you. It's the checking, the confessing, the reassurance-seeking that never quite settles anything.
On its own, that's an enormous amount to carry.
Pair it with religious trauma, where the very system that caused harm is also the thing your OCD is fixated on, and it can become genuinely debilitating.
The intrusive thoughts aren't just uncomfortable. They're about going to hell for not believing the right way. The compulsions aren't just rituals. They're tied to a belief system that told you eternal consequences were real.
That specific intersection is something I understand from both a clinical and a personal place. If that's what you're dealing with, you don't have to explain it from scratch.
Of all the OCD subtypes I work with, Religious OCD (also called Moral Scrupulosity) is at the intersection of everything I do.
There are two approaches I come back to again and again with OCD clients.
We build a fear hierarchy together. Ranking your fears from least to most distressing and we work through it systematically, at a pace that's challenging but not overwhelming.
Exposures don't always happen the way you'd expect. I've had clients send a text in session because there was no reason to wait. I've pulled up videos, photos, whatever the exposure called for. ERP gets creative when it needs to.
The goal isn't to eliminate anxiety. It's to prove to your brain, over and over again, that it can tolerate the discomfort without the compulsion. That's how the loop loses its power.
That's where values come in. When we know what actually matters to you — what kind of person you want to be, what kind of life you want to live — the hard work of exposure has a reason behind it. You're not just tolerating discomfort for the sake of it. You're doing it for something.
I like to think of it as WTF — What's the Function? When an OCD behavior shows up, we get curious about it. What is it trying to do? What is it protecting you from? And is that protection actually serving you, or is it running the show?
Tolerating uncertainty while committing to what matters most — that's where the real change happens.
Checking, researching, seeking reassurance — and still not feeling okay
Tolerating uncertainty without the compulsion
Reasoning with intrusive thoughts for hours
OCD running your schedule, your relationships, your day
Living according to your values, not your fears
Feeling like something is deeply wrong with you
Understanding what's actually happening and why
A therapist who engaged with your compulsions without realizing it
A therapist who knows the cycle and won't feed it
Letting thoughts pass without engaging
Not sure if what you're experiencing is OCD?
This is probably a good fit if...
This might not be the right fit if...
Here's how to know if it's for you.
That's a completely valid place to start. Reach out and we'll figure it out together.
Great question — and a really common one. Anxiety and OCD look similar on the surface, which is part of why OCD gets misdiagnosed so often. The key difference is the cycle: OCD involves a specific loop of intrusive thoughts, distress, and compulsions that temporarily relieve the distress before the thought returns. If that sounds familiar, it's worth exploring. I administer the Y-BOCS assessment for clients who want a formal baseline, and we can talk through what you're experiencing on a consultation call.
It might have been because your previous therapist wasn't trained specifically in OCD treatment. A therapist who treats general anxiety can accidentally reinforce OCD by engaging with the content of obsessions — helping you think through the what ifs, offering reassurance, processing the thoughts as if they need to be resolved. ERP works differently. We're not solving the thoughts. We're changing your relationship with them. That distinction matters enormously.
Yes — but not all at once, and not without preparation. We build a fear hierarchy together, starting with exposures that feel challenging but manageable, and work up from there. You're always in the driver's seat. The point isn't to overwhelm you — it's to prove to your brain, incrementally, that it can handle the discomfort without the compulsion.
It can, yes. Constantly asking ChatGPT to help you think through your obsessions is a checking compulsion — it provides temporary relief but feeds the cycle. If you're using AI to manage OCD symptoms, we'll talk about how to do that in a way that doesn't work against you. It's not about avoiding AI entirely, it's about using it without letting it become another compulsion.
That's called Religious OCD or Moral Scrupulosity, and it's one of the subtypes I work with most. If your OCD intersects with religious trauma or faith deconstruction, I understand that specific combination from both a clinical and personal place. You can learn more about that work on the religious trauma page.
I don't take insurance. Sessions are $150 for 50 minutes. I offer a free 15-minute consultation call so we can figure out if this is a good fit before you commit.
Yes — I see clients in person in Chandler, Arizona and virtually across the state.