OCD Therapy for Adults

OCD is often misunderstood as simply being “very organized” or liking things a certain way. In reality, OCD can be exhausting, confusing, and incredibly isolating. Many people with OCD spend hours mentally reviewing conversations, checking for certainty, questioning their intentions, or trying to prevent something bad from happening. Others struggle with intrusive thoughts that feel disturbing, shameful, or completely out of character.

Many of my clients are high-functioning adults who have learned how to keep going despite the anxiety. From the outside, they may appear successful, responsible, thoughtful, or highly capable. Internally, though, they are stuck in cycles of overthinking, compulsive reassurance seeking, avoidance, checking, guilt, or mental rituals that slowly take over more and more space.

Some of the concerns I commonly work with include:

  • Intrusive thoughts

  • Moral or responsibility OCD

  • Relationship OCD

  • Health anxiety

  • Perfectionism and compulsive checking

  • Fear of making mistakes

  • Reassurance seeking

  • Rumination and overthinking

  • Contamination fears

  • Existential OCD

  • Harm OCD

Many clients come into therapy feeling mentally exhausted from trying to “solve” uncertainty all day long. One of the goals of treatment is helping you build a different relationship with uncertainty so your life stops revolving around anxiety management.

Therapy is not about forcing yourself to “stop thinking.” It is about learning how OCD operates, reducing compulsions and avoidance, and gradually building more flexibility, confidence, and freedom in daily life.

I provide Telehealth therapy for adults throughout California and Oregon.

Therapy for Perfectionism, Overcontrol, and Rigid Thinking

Perfectionism is often praised socially, especially in people who are productive, organized, high-achieving, or dependable. But internally, perfectionism can feel relentless. Many people live with constant pressure to get things exactly right, avoid mistakes, stay in control, or meet standards that keep getting higher.

For some people, this shows up as chronic overthinking and self-criticism. For others, it looks more like rigidity, difficulty relaxing, fear of uncertainty, trouble delegating, black-and-white thinking, or feeling overwhelmed when things do not go according to plan.

A lot of my clients are thoughtful, capable adults who are used to pushing through stress and handling responsibility. They may function well professionally while privately struggling with anxiety, irritability, burnout, relationship strain, or an inability to ever fully “turn off.”

I work with adults dealing with perfectionism, overcontrol, rigid coping patterns, and anxiety-related issues using practical, evidence-based approaches including CBT, ACT, and ERP-informed strategies when appropriate.

Therapy focuses on helping you:

  • Understand the function of perfectionism and control

  • Reduce chronic overthinking and self-monitoring

  • Increase flexibility and tolerance for uncertainty

  • Improve emotional self-regulation

  • Build healthier standards without becoming passive or careless

  • Reduce guilt and fear around mistakes

  • Improve relationships affected by rigidity or control patterns

This work is not about becoming less motivated or lowering your values. It is about reducing the constant internal pressure that keeps life feeling tense, exhausting, or emotionally narrow.

Many people seeking therapy for perfectionism have spent years trying to think their way out of stress. Therapy can help shift the focus from constant mental management into more flexible and sustainable ways of functioning.

I provide Telehealth therapy for adults throughout California and Oregon.

Anxiety Therapy for High-Functioning Professionals

Many high-functioning professionals become very good at appearing calm and capable while internally running on stress, pressure, overthinking, and adrenaline.

People often assume that because someone is productive or successful, they must also feel confident or emotionally balanced. In reality, many professionals spend years operating in survival mode while trying to meet constant demands, maintain high standards, and keep everything from falling apart.

I work with adults in high-demand careers who are struggling with anxiety, chronic stress, burnout, perfectionism, overcontrol, and difficulty slowing down mentally. A large portion of my practice includes professionals working in fast-paced or high-pressure environments, including individuals in creative industries, entertainment, healthcare, leadership roles, and other demanding careers.

Some common concerns include:

  • Constant overthinking and mental exhaustion

  • Fear of failure or making mistakes

  • Difficulty disconnecting from work

  • Burnout and emotional depletion

  • Chronic stress and irritability

  • Work-related anxiety

  • Imposter syndrome

  • Perfectionism and self-pressure

  • Trouble relaxing or being present

  • Feeling emotionally disconnected despite functioning well externally

My approach is structured, collaborative, and practical. Therapy is not just about venting or talking about stress week after week. We focus on understanding the patterns keeping you stuck and building healthier ways to respond to pressure, uncertainty, and self-expectations.

Many professionals are used to handling problems alone and often wait until things feel overwhelming before reaching out for support. Therapy can provide space to slow down, step out of survival mode, and develop more sustainable ways of functioning without losing your ambition or drive.

I provide Telehealth therapy for adults throughout California and Oregon.

Therapy for Intrusive Thoughts and Chronic Overthinking

Some thoughts get stuck.

You replay conversations, question your intentions, mentally review situations over and over, or try to figure out whether something means something terrible about you. The more you try to get certainty, the more trapped you feel in your own head.

Many people struggling with intrusive thoughts fear that the thoughts themselves say something important about who they are. They may feel ashamed, frightened, confused, or emotionally exhausted from constantly monitoring their mind.

Others experience chronic overthinking that looks less dramatic externally but becomes mentally consuming internally:

  • analyzing every decision

  • mentally rehearsing conversations

  • second-guessing yourself constantly

  • worrying about making the wrong choice

  • seeking reassurance repeatedly

  • trying to predict or prevent uncertainty

Over time, this can create significant anxiety, indecision, guilt, and emotional exhaustion.

I work with adults struggling with intrusive thoughts, rumination, anxiety, and compulsive overthinking using evidence-based approaches including CBT, ERP, and ACT.

Therapy focuses on helping you:

  • Understand how anxiety and OCD cycles work

  • Reduce compulsive mental reviewing and reassurance seeking

  • Build tolerance for uncertainty

  • Respond differently to intrusive thoughts

  • Reduce avoidance and fear-based behaviors

  • Spend less time trapped in mental loops

One of the most frustrating parts of chronic overthinking is that it often feels productive in the moment. Many clients come into therapy believing that if they just think long enough, they will finally feel certain, safe, or resolved. Usually the opposite happens.

Therapy is not about controlling your thoughts perfectly. It is about changing your relationship with them so they stop dominating your attention, decisions, and emotional life.

I provide Telehealth therapy for adults throughout California and Oregon.

Stress, Burnout, and Emotional Exhaustion

Stress becomes a problem when your nervous system never fully powers down.

A lot of adults live in a near-constant state of pressure without realizing how much it is affecting them until they start feeling emotionally exhausted, detached, irritable, anxious, overwhelmed, or physically depleted.

Burnout does not always look dramatic. Sometimes it looks like:

  • difficulty concentrating

  • emotional numbness

  • increased irritability

  • trouble sleeping

  • feeling disconnected from relationships

  • constantly feeling “behind” mentally

  • losing motivation

  • relying on control or routines to manage anxiety

  • functioning well externally while feeling depleted internally

Many people I work with are used to being responsible, productive, and reliable. They have spent years prioritizing performance, stability, and meeting expectations while ignoring their own stress levels.

Therapy can help you better understand how chronic stress is affecting your thoughts, emotions, relationships, and physical well-being. We work on identifying the patterns keeping you stuck in survival mode while building healthier and more sustainable ways of functioning.

My approach is practical, structured, and collaborative. Depending on your needs, therapy may include CBT, ACT, mindfulness-based strategies, behavioral changes, and work around perfectionism, overcontrol, anxiety, and self-regulation.

The goal is not to eliminate stress completely. It is to help you function in a way that feels more balanced, flexible, and sustainable over time.

I provide Telehealth therapy for adults throughout California and Oregon.