Inside the work
What It's Like to Work With Me
As an OCD therapist in Charlotte NC, I have treated hundreds of clients with OCD and related disorders. This work draws on my advanced CBT skills, clinical creativity, and deep familiarity with how OCD operates in daily life. I go the extra mile and walk with my clients, especially when the work feels hard.
I do exposures with my clients, not just sending them off to figure it out independently. Before any exposure, we begin with a pre-exposure discussion to clarify the goal, identify the specific obsessions involved, and uncover hidden safety behaviors. This ensures the work is intentional, targeted, and manageable rather than overwhelming.
During exposures, I coach clients in real time, helping them notice urges toward reassurance, avoidance, or mental rituals. Afterward, we engage in a post-exposure debriefing, which is just as essential as the exposure itself. This is where we make sense of what was experienced and what was learned.
Throughout this process, I integrate my ability to challenge faulty thinking while identifying subtle OCD processes that are easy to miss, such as those seen in relationship OCD. I also design creative, targeted exposures for concerns like existential OCD themes, where the goal is not to eliminate anxiety, but to help clients learn they can tolerate uncertainty without compulsions taking over.
Today, 70%+ of my caseload is focused on OCD and related disorders. I use ERP, I-CBT, and ACT intentionally, selecting the approach that best fits how OCD is operating and what will support lasting change. A typical day can include:
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Guiding in-session ERP exercises, such as having a client touch feared surfaces in an urgent care waiting room and resist washing or sanitizing afterward, while observing urges to ritualize and practicing responding differently in real time.
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Creating a simulated vomit exposure and sitting with a client while they learn they can tolerate discomfort, uncertainty, and anxiety without escaping, neutralizing, or seeking reassurance.
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Supporting clients during exposures that target internal experiences, such as feared thoughts, sensations, or images, while reducing mental rituals and reassurance-seeking.
The common thread across all of this work is intention. Every session begins with understanding what OCD is doing in the moment and why. From there, treatment is chosen thoughtfully based on what is maintaining the cycle and what will best support lasting change.
How We Do Exposure Work
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Every exposure begins with a pre-exposure discussion to clarify the goal, identify the feared situation, and reduce behaviors that could unintentionally soften or avoid the exposure.
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Exposures are done together, with real-time coaching and support rather than being assigned as something you have to manage on your own.
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During the exposure, we focus on staying present with discomfort while resisting rituals, avoidance, or reassurance.
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We end with a post-exposure debriefing to reflect on what you noticed, how you responded, and what was learned from the experience.
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Exposures are paced intentionally to build confidence, flexibility, and trust in your ability to handle uncertainty.
It's work I love. Helping people get their lives back never gets old, and no two days look the same. I use all my training and experience to personalize exposure work and walk alongside my clients while they do hard things — and watching them come out the other side is the most rewarding part.