OCD

🔁 Common Obsessions & Compulsions

Obsessions may include:

• Fear of contamination or germs

• Intrusive thoughts of harming others or oneself

• Excessive doubt or need for reassurance

• Religious or moral fears (“scrupulosity”)

• Symmetry, order, or exactness

Compulsions may include:

• Repeated handwashing, checking, or cleaning

• Mental rituals like counting or “canceling out” thoughts

• Repeating words, tapping, or arranging objects

• Avoiding triggers entirely

• Seeking constant reassurance from others

🌿 Our Approach to OCD Care

We combine psychiatric expertise with an understanding of how OCD presents across different individuals—including those with co-occurring ADHD, trauma, or autism. Our treatment may include:

• Diagnostic evaluation to clarify OCD vs. other conditions

• Medication management, typically with SSRIs or adjunctive medications

• Support for ERP (Exposure & Response Prevention) when a therapist is involved

• Psychoeducation to reduce shame and increase insight

We work closely with therapists to support exposure-based treatment and help clients tolerate distress while reducing compulsive behaviors.

💊 Medication Options for OCD

Selective Serotonin Reuptake Inhibitors (SSRIs) at higher doses are commonly used for OCD, along with other medications to manage anxiety, sleep, or intrusive thoughts. We monitor closely and collaborate with you on dosing strategies.

👥 Who We Support

• Adults and teens (age 16+) with diagnosed or suspected OCD

• Individuals misdiagnosed with anxiety, ADHD, or trauma

• Clients with OCD and comorbid conditions (e.g., tics, depression, disordered eating)

• People whose OCD themes are taboo or distressing to share

We provide a judgment-free space where no thought is “too strange” or “too dark.”

🧭 What to Expect

1. Initial evaluation focused on identifying obsessions, compulsions, and insight level

2. Collaborative treatment plan with optional medication trial

3. Ongoing support for therapy coordination, symptom tracking, and adjustment

4. Tools to improve functioning and reduce time spent on rituals or distress

📍Locations We Serve

• Lexington, KY

• Anchorage, AK

• Telepsychiatry throughout Kentucky and Alaska

🙋 FAQs

Do you provide ERP therapy?
We do not provide ERP directly, but we frequently work with ERP-trained therapists and support the process with medication, psychoeducation, and care coordination.

What if my OCD thoughts are violent, sexual, or religious?
OCD can involve taboo or intrusive thoughts. We provide a safe, nonjudgmental space and understand that thoughts do not equal intent.

Is OCD related to anxiety or ADHD?
Yes, many individuals with OCD also experience anxiety, trauma responses, or ADHD. We specialize in working with overlapping conditions and complex cases.