Care for OCD

OCD is a condition of the imagination—obsessional doubt originates in the mind, through a narrative that bypasses sensory reality to arrive at a feared possibility: “What if I am, or could be, the kind of person who...” Compulsions are the resulting attempts to resolve a doubt that was never grounded in evidence to begin with.

I-CBT treats this reasoning process directly, addressing how obsessional narratives get constructed and why they feel credible.

The goal is not to manage doubt, but to stop being convinced by it. This means understanding the specific logic of your obsessional doubts and learning to recognize them as imagination, rather than mistaking them for meaningful input about reality.

OCD, Autism, and ADHD

Years of masking and social confusion can make our minds well-practiced generators of self-doubt, especially regarding identity, social belonging, and relational safety. Obsessional themes centered on rejection, being seen, or causing harm/offense are common, and can be easily mistaken for other conditions.

Instead of tolerating uncertainty, I-CBT focuses on recognizing when the mind is constructing a narrative rather than perceiving reality. For those of us who have spent years questioning our own experience, this approach can be clarifying and freeing.

Core Premise & Care

OCD targets identity—what you might be capable of, who you might really be. I will support your process without judgment, and with the understanding that the content of obsessions reflects OCD itself, rather than you as a person.