Imagine waking up without that immediate rush of intrusive thoughts. Picture yourself moving through your day without the exhausting cycle of obsessions and compulsions that currently steal hours from your life.
That’s what effective OCD treatment can offer. You’ll learn to recognize when OCD is talking versus when you are. The thoughts might still come, but they won’t control your actions or consume your time.
You’ll rediscover activities you’ve been avoiding and relationships you’ve been protecting from your “secret” struggles. Most importantly, you’ll develop the skills to live according to your values, not your fears.
We’ve been serving the New Braunfels community with specialized OCD care that goes beyond generic therapy approaches. Our team includes nationally recognized researchers, published clinicians, and specialists with advanced training from the International OCD Foundation.
What sets us apart in the Hill Country is our combination of clinical expertise and genuine understanding. Many of our clinicians have lived experience with the very conditions they treat, which means you’re working with someone who truly comprehends the daily reality of OCD.
We’ve chosen to focus exclusively on OCD and anxiety disorders because we believe specialized care gets better results. In a state where mental health access ranks among the worst nationally, we’re committed to making evidence-based treatment available to New Braunfels families through both secure telehealth and in-person appointments.
Your treatment begins with a comprehensive assessment where we map out your specific OCD patterns and triggers. No two people experience OCD the same way, so we take time to understand your unique presentation before designing your treatment plan.
The core of our approach is Exposure and Response Prevention (ERP) therapy—the gold standard treatment that research shows works for about two-thirds of people with OCD. We’ll start with manageable exposures and gradually work up to more challenging situations, always at a pace you can handle.
You’ll also learn skills from Acceptance and Commitment Therapy (ACT) to change your relationship with intrusive thoughts. Instead of fighting or analyzing them, you’ll discover how to let them exist without letting them drive your behavior. Sessions can happen in our office or through secure video calls, depending on what works best for your schedule and comfort level.
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We treat all forms of OCD, including the subtypes that other providers often overlook or misunderstand. This includes harm OCD (those terrifying thoughts about hurting someone you love), postpartum OCD (intrusive thoughts about your baby’s safety), and symmetry/orderliness OCD (the need for things to be “just right”).
Our New Braunfels location serves families throughout the Hill Country who need more than generic anxiety treatment. We understand that OCD in this close-knit community can feel especially isolating—you might worry about running into neighbors or being seen as “the person with problems.”
That’s why we offer both in-person and telehealth options, plus intensive four-day programs for those who need more concentrated care. We also provide Inference-based CBT (I-CBT) for those whose OCD centers around faulty reasoning patterns, and we integrate mindfulness approaches when appropriate for your specific needs.
ERP (Exposure and Response Prevention) is specifically designed to break the OCD cycle, while regular talk therapy often makes OCD worse. In traditional therapy, you might analyze your thoughts or try to challenge them logically—but with OCD, this actually becomes another compulsion.
ERP works by gradually exposing you to your feared situations while preventing the compulsive response. For example, if you have contamination fears, we might start by having you touch a “mildly dirty” surface without immediately washing your hands. Over time, your brain learns that the feared outcome doesn’t happen, and the anxiety naturally decreases.
The key difference is that ERP teaches your brain through experience, not logic. Research shows this approach is effective for about 65-85% of people with OCD, making it the gold standard treatment recommended by the International OCD Foundation.
Yes, we specialize in postpartum OCD treatment and understand the unique challenges new mothers face in the New Braunfels area. Many women experience terrifying thoughts about accidentally harming their babies—these are actually common and don’t indicate any real danger to your child.
Postpartum OCD responds to the same evidence-based treatments as other forms of OCD, with modifications appropriate for the postpartum period. We can work with your OB-GYN or pediatrician to ensure coordinated care, and we offer flexible scheduling to work around feeding times and sleep schedules.
The most important thing to understand is that having intrusive thoughts about your baby doesn’t make you a bad mother or a danger to your child. These thoughts are a symptom of OCD, not a reflection of your character or intentions. With proper treatment, you can bond with your baby and enjoy motherhood without the constant fear and checking behaviors.
Symmetry OCD goes far beyond preferring things organized. While many people like order and neatness, symmetry OCD involves intense anxiety when things aren’t perfectly aligned, balanced, or “just right.” You might spend 20-30 minutes arranging items on your desk each morning, or feel compelled to rewrite lists until the handwriting looks perfect.
The key difference is the level of distress and time consumption. Someone with symmetry OCD can’t simply choose to leave things slightly crooked—the discomfort becomes overwhelming until they fix it. This can affect 20-30% of people with OCD and often appears alongside perfectionism themes.
Treatment involves gradually exposing yourself to imperfection while resisting the urge to fix or arrange things. We might start by leaving one book slightly out of place on a shelf, then work up to tolerating more significant disorder. The goal isn’t to stop caring about organization, but to reduce the anxiety and compulsive behaviors that interfere with your daily life.
Yes, we provide secure telehealth sessions that are just as effective as in-person treatment for most people with OCD. This is especially helpful for New Braunfels residents who might have transportation challenges, busy work schedules, or prefer the privacy of receiving treatment from home.
Virtual ERP therapy works well because many exposures can be conducted in your own environment—which is often where OCD symptoms are most problematic anyway. We can guide you through exercises in real-time, help you resist compulsions, and provide immediate support when anxiety peaks.
We use HIPAA-compliant video platforms and can coordinate with your insurance just like in-person sessions. Many of our clients actually prefer telehealth because it eliminates travel time and allows them to practice skills in their natural environment. We’ll assess during your initial consultation whether virtual or in-person treatment would be most beneficial for your specific situation.
Most people begin noticing improvements within the first few weeks of starting ERP therapy, though significant changes typically develop over 12-20 sessions. The timeline varies based on how long you’ve had OCD, how severe your symptoms are, and how consistently you practice the skills between sessions.
For our New Braunfels clients, we also offer intensive four-day programs for those who need more concentrated treatment or haven’t seen adequate progress with weekly sessions. These intensive formats can sometimes achieve in days what might take months in traditional weekly therapy.
The key is consistent practice of ERP exercises outside of sessions. OCD got stronger over time through repetition of compulsions, so it takes repetition of healthy responses to weaken those patterns. We’ll work with you to set realistic expectations and celebrate progress along the way, remembering that recovery is about learning to manage OCD rather than eliminating every symptom forever.
Your first session focuses on understanding your unique OCD presentation and building a collaborative treatment plan. We’ll discuss your specific obsessions, compulsions, and how they’re affecting your daily life in New Braunfels—whether that’s work, relationships, or family responsibilities.
We’ll also provide education about how OCD works in the brain and why ERP therapy is so effective. Many people feel relieved just learning that their experiences have a name and that effective treatment exists. We’ll start identifying your triggers and begin creating an exposure hierarchy—a roadmap of situations we’ll work on together.
You won’t be asked to do any exposures during this first appointment. Instead, we focus on building trust, answering your questions, and making sure you feel comfortable with the treatment approach. We’ll also discuss practical matters like scheduling, insurance, and how to reach us between sessions if you need support.
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