You’ll wake up without that immediate rush of “what if” thoughts. Your mornings won’t start with checking rituals or mental reviews of yesterday’s actions. Instead, you’ll move through your day with the confidence that comes from knowing you can handle uncertainty without falling back on compulsions.
The intrusive thoughts might still show up occasionally, but they won’t hijack your entire day. You’ll have the tools to let them pass without engaging in the exhausting cycle of mental or physical rituals. Your relationships improve because you’re not constantly seeking reassurance or avoiding situations that trigger your OCD.
This isn’t about perfection or never feeling anxious again. It’s about reclaiming the time and mental energy that OCD has been stealing from you, so you can focus on what actually matters in your life.
We bring together nationally recognized researchers, published clinicians, and advocates—many with lived experience of OCD themselves. This combination gives us unique insight into what you’re actually going through, not just what the textbooks say.
Our team includes professionals who have shaped international OCD treatment guidelines and written foundational books in the field. But more importantly, we understand that behind every case study is a real person trying to get their life back.
Located to serve the greater Houston area including Pearland, we’ve built our practice on transparency and accessibility. You’ll know exactly what to expect from treatment, what it costs, and why we recommend specific approaches. No surprises, no generic treatment plans—just evidence-based care tailored to your specific situation.
Your first step is a comprehensive assessment where we identify your specific OCD patterns—the thoughts that trigger you and the compulsions you use to manage the anxiety. This isn’t a generic questionnaire; it’s a detailed mapping of how OCD shows up in your particular life.
Next, we’ll work together to create a hierarchy of your fears, ranking them from least to most anxiety-provoking. Treatment starts with manageable exposures, gradually building your confidence as you learn that you can tolerate the discomfort without performing compulsions.
The key is response prevention—learning to sit with the anxiety instead of immediately rushing to neutralize it through rituals. We guide you through this process, helping you discover that the anxiety naturally decreases over time, even without compulsions. Sessions can be conducted virtually or in-person, depending on what works best for your situation and the specific exposures needed.
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We offer both traditional weekly sessions and intensive treatment options, including our innovative four-day intensive program. This concentrated approach can achieve in weeks what might otherwise take months of weekly sessions.
For Pearland residents, this means less time traveling to appointments and faster progress toward your goals. The intensive format is particularly effective because it prevents the typical between-session forgetting that can slow down traditional therapy. You build momentum and see real changes quickly.
We also provide secure telehealth options throughout Texas, which is especially valuable for exposures that need to happen in your actual environment—like your home, car, or workplace. This flexibility means you can access expert ERP therapy regardless of your schedule or location within the greater Houston area. Virtual sessions also allow for real-time coaching during exposures that would be impossible to recreate in a traditional office setting.
Research consistently shows that 50-60% of people who complete ERP therapy experience significant long-term improvement in their OCD symptoms. This makes ERP the gold standard treatment for OCD, recommended by major medical organizations worldwide.
What makes these success rates particularly meaningful is that they represent lasting change, not just temporary relief. People learn skills they can use for life, reducing their reliance on therapy over time. We’ve seen these results replicated in our own practice, with clients achieving substantial symptom reduction often in less time than traditional weekly therapy approaches.
The key is working with therapists who are specifically trained in ERP and understand the nuances of OCD treatment. Generic anxiety therapy often doesn’t produce the same results because OCD requires this specialized approach.
Regular talk therapy focuses on discussing thoughts and feelings, while ERP involves actually confronting your fears in a structured, gradual way. Traditional therapy might help you understand why you have OCD, but ERP teaches you how to break free from it.
In ERP, you’ll do specific exercises designed to trigger your obsessions while learning to resist the compulsions. For example, if you have contamination fears, you might gradually touch objects you consider “dirty” without washing your hands afterward. This hands-on approach retrains your brain’s response to anxiety-provoking situations.
The difference in results is significant. While talk therapy might provide some relief, ERP directly addresses the cycle that keeps OCD going. It’s the difference between understanding your problem and actually solving it. Most people find that ERP gives them concrete tools they can use in real-world situations, not just insights they can think about.
Most people start noticing changes within the first few weeks of consistent ERP therapy, though significant improvement typically occurs over 12-20 sessions. Our intensive programs can accelerate this timeline considerably.
The exact timeframe depends on several factors: how long you’ve had OCD, how severe your symptoms are, and how consistently you practice the skills between sessions. Some people see dramatic improvements in just a few weeks, while others need several months to achieve their goals.
What’s important to understand is that progress in ERP isn’t always linear. You might have breakthrough moments followed by more challenging days. This is normal and part of the process. We’ll help you recognize progress even when it doesn’t feel obvious, and adjust the treatment plan based on your specific response to different interventions.
ERP therapy can be highly effective through virtual sessions, and in some cases, it’s actually more beneficial than in-person treatment. Virtual ERP allows us to guide you through exposures in your actual environment—your home, car, or workplace—where your OCD symptoms typically occur.
This real-world application is often more powerful than trying to recreate situations in a therapist’s office. For example, if you have checking compulsions about locking doors or turning off appliances, virtual sessions let you practice these exposures with the actual objects that trigger your anxiety.
We offer both options throughout Texas, so you can choose what works best for your situation. Some people prefer the convenience and privacy of virtual sessions, while others benefit from the structure of in-person appointments. Many clients use a combination of both, depending on the specific exposures they’re working on and their personal preferences.
Your first appointment will focus on understanding your specific OCD patterns and creating a personalized treatment plan. You’ll discuss your obsessions, compulsions, and how they impact your daily life, without any judgment about how “weird” or “disturbing” your thoughts might seem.
We’ll help you map out your OCD symptoms and identify the situations, thoughts, or feelings that trigger your compulsions. Together, we’ll create a hierarchy of your fears, ranking them from least to most anxiety-provoking. This becomes your roadmap for treatment.
You won’t do any actual exposures in the first session—this appointment is about assessment and planning. We’ll explain exactly how ERP works, what to expect in future sessions, and answer any questions about the process. You’ll leave with a clear understanding of your treatment plan and realistic expectations about the work ahead. The goal is for you to feel informed and prepared, not overwhelmed.
ERP therapy is effective for virtually all types of OCD, including contamination fears, checking compulsions, harm obsessions, religious or moral scrupulosity, and symmetry concerns. The specific techniques may vary, but the core principle—facing fears while resisting compulsions—applies across all OCD presentations.
What makes ERP particularly powerful is that it’s customized to your exact symptoms and triggers. Whether you’re dealing with intrusive thoughts about harming others, fears about being contaminated, or compulsions around order and symmetry, we’ll design exposures that target your specific patterns.
Our team has experience with even the most complex and seemingly unusual OCD presentations. We understand that OCD can involve thoughts and fears that feel too shameful or disturbing to discuss, and we create a safe environment where you can be completely honest about your experiences. This specialized expertise means you get treatment that actually addresses your real symptoms, not a generic approach that misses the mark.
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