Many people seeking treatment for OCD have spent years suffering, trying to think their way out of it — and it hasn't worked. You might feel hopeless, confused, exhausted. That's not a failure. It's actually how OCD operates.

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I work with all forms of OCD, including the most complicated and difficult-to-treat presentations, and I understand rumination to be the central engine of distress in many of them.

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I specialize in Rumination-Focused ERP (RF-ERP), an approach that recognizes what more traditional treatments often miss: in many forms of OCD — especially "Pure O" — the compulsion isn't something you do with your hands. It's something you do with your mind. The analyzing, the reviewing, the searching for certainty or resolution — that mental effort is the compulsion, and it's what keeps the cycle alive.

Treatment begins with slowing that down — building awareness of what the mind is doing in real time, and learning to respond differently when the urge to ruminate or resolve shows up.

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OCD symptoms aren't random. Beneath the cycle there are usually real fears, emotional conflicts, and the ways a person has adapted to their circumstances over time. In addition to equipping you with the skills to be able to interrupt these cycles, I also bring a psychoanalytic lens to the work, so that we can tend to the deeper emotional conflicts that keep OCD in its place. My hope is that you no longer have to struggle with this disorder by yourself, and that treatment helps through both meaningful intervention and a deeper understanding of your experience.