Treatment for OCD

View from above of a spiral staircase with patterned carpet and wooden railings.

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 resulting attempts to resolve doubt that was never grounded in evidence to begin with.

Inference-Based Cognitive Behavioral Therapy (I-CBT) treats this process directly, addressing how obsessional narratives get constructed and why they feel credible.

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.