You wake up without immediately checking if you locked the door three times. Your mind doesn’t spiral into “what if” scenarios that hijack your entire day. You can touch a doorknob, use a public restroom, or have an intrusive thought without spending the next hour trying to “fix” it.
80% of people with OCD who use ERP experience a reduction in symptoms within eight to 16 weeks. This isn’t about managing your OCD forever—it’s about getting your life back. You’ll develop skills that let you face uncertainty without compulsions, handle intrusive thoughts without panic, and participate fully in relationships and activities you’ve been avoiding.
The obsessive thoughts that once controlled your schedule, your relationships, and your sense of safety become background noise you can acknowledge and dismiss. You spend your mental energy on things that matter to you, not on rituals that promise relief but never deliver it.
We bring together nationally recognized researchers, published clinicians, and advocates—many of whom have lived experience with the very conditions they treat. This combination of clinical expertise and personal understanding creates a unique environment where you’re not just another case study.
Our team includes clinicians who have shaped international OCD treatment guidelines and written foundational books for the field. But more importantly, we know what it’s like to have thoughts that feel dangerous, compulsions that seem necessary, and the exhaustion that comes from fighting your own mind every day.
New Braunfels residents have been underserved when it comes to specialized OCD care. Texas ranks last in mental health care access, and the average elapsed time between an OCD diagnosis and finding effective treatment is 17.5 years. We’re changing that by making gold standard ERP therapy accessible through both virtual and in-person appointments.
ERP starts by identifying your specific compulsions—the checking, counting, avoiding, ruminating, or reassurance-seeking that temporarily reduces anxiety but keeps the OCD cycle alive. We map out when and where these behaviors happen, and more importantly, what fears drive them.
Next comes the exposure component. This involves gradually facing the situations, thoughts, or images that trigger obsessive thoughts and anxiety in a controlled, systematic way, beginning with moderately challenging exposures and progressively working toward more difficult ones. Unlike the random exposure to triggers in daily life, therapeutic exposure is planned, predictable, and accompanied by skilled support.
The response prevention piece means learning to resist compulsions when anxiety arises. By voluntarily refraining from compulsions, individuals learn through direct experience that anxiety will eventually decrease without performing compulsions. This process, called habituation, teaches your brain that the feared situation isn’t actually dangerous—not just intellectually, but at a gut level.
Our intensive programs compress this work into concentrated sessions, allowing for breakthrough moments that might take months to achieve in weekly therapy.
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Your ERP treatment includes comprehensive assessment to identify your specific OCD themes and triggers, customized exposure exercises designed for your particular fears, and response prevention strategies that break the compulsion cycle. We provide both individual sessions and our innovative four-day intensive program option.
Family education and involvement are standard because OCD affects entire households. Family members may inadvertently contribute to the maintenance of OCD symptoms by assisting in rituals and providing frequent reassurance. We teach family members how to support your recovery without accommodating compulsions.
New Braunfels residents benefit from our flexible service delivery. Whether you’re managing work at one of the area’s manufacturing companies, balancing family life, or dealing with the unique stressors of this growing community between Austin and San Antonio, we offer virtual sessions and intensive formats that fit your schedule. Our telehealth platform serves clients throughout Texas, while our intensive programs bring people from across the region for concentrated treatment.
We also coordinate with local healthcare providers and can work alongside your primary care physician or psychiatrist if medication is part of your treatment plan.
80% of people with OCD who use ERP experience a reduction in symptoms within eight to 16 weeks. However, the timeline varies based on your specific symptoms, how long you’ve had OCD, and your commitment to between-session practice.
Most people see a decrease in OCD symptoms within anywhere from eight to 16 weeks, with some even finding their symptoms disappear altogether. Our intensive four-day programs can accelerate this timeline significantly, with many clients experiencing breakthrough moments in a matter of days rather than months.
The key factor isn’t just the number of sessions—it’s the quality and frequency of exposure practice. Research suggests that those suffering with OCD will see substantial, durable benefit after completing between 60 to 100 exposures combined with response prevention. This is why our intensive programs and daily homework assignments are so effective.
Traditional talk therapy can offer support and insight, but it isn’t effective on its own for treating OCD. OCD follows a specific cycle (obsession → anxiety → compulsion → relief), which needs targeted intervention to break. Talk therapy that provides reassurance or directly argues with obsessions may unintentionally reinforce compulsions.
ERP has established itself as the preeminent psychological treatment for anxiety-related disorders and is affirmed by leading mental health organizations as the “gold-standard” and first-line intervention, particularly for Obsessive-Compulsive Disorder. Although the majority of patients treated with cognitive-behavioral therapy (without ERP specifically) or cognitive therapy also experienced a reduction in symptoms post-treatment, ERP outperformed the other treatments.
The difference is that ERP directly targets the mechanism that keeps OCD alive—the avoidance and compulsion cycle. Instead of just talking about your fears, ERP gives you concrete tools and exercises to face them in a controlled environment, building lasting confidence that extends far beyond therapy sessions.
Our team combines clinical authority with lived experience—many of our clinicians have personally navigated OCD recovery, giving them unique insight into what you’re experiencing. We’re not just applying textbook knowledge; we’re sharing strategies that have worked in real life.
We offer both traditional weekly ERP sessions and intensive four-day programs that compress months of progress into a concentrated format. This flexibility means you can choose the approach that fits your life and your urgency for change. Our clinicians include nationally recognized researchers who have shaped international OCD treatment guidelines, so you’re getting the most current, evidence-based approaches available.
Unlike general mental health practices that treat OCD as one of many conditions, we specialize exclusively in anxiety and OCD disorders. This focus means we understand the subtle differences between OCD themes, know how to adapt ERP for specific presentations, and can spot accommodation patterns that other therapists might miss. We also maintain complete transparency about our treatment process, fees, and expected outcomes—no surprises or vague promises.
Yes, our intensive four-day ERP programs are designed specifically for people who need accelerated treatment. By condensing focused ERP work into 4-5 consecutive days, clients often experience breakthrough moments that might take months to achieve in traditional weekly sessions.
These intensives run from 9 AM to 5 PM for four consecutive days, with structured exposure exercises, group support, and daily homework assignments. The concentrated format means your progress isn’t interrupted by the gaps between weekly sessions, and you can maintain momentum throughout the process.
This approach is particularly effective for people whose OCD has become severely limiting, those who have tried weekly therapy without sufficient progress, or individuals who want to make significant changes before major life events. The intensive format also works well for people traveling from other areas who want to complete treatment in a condensed timeframe. You’ll still receive follow-up support to maintain your progress, but the bulk of the breakthrough work happens during those four focused days.
Family involvement is actually crucial for ERP success. Family members and significant others may inadvertently contribute to the maintenance of OCD symptoms by assisting in rituals and providing frequent reassurance, and high levels of family accommodation have been found to predict worse ERP treatment outcome.
We provide education to help family members understand how OCD works and how their well-intentioned help might actually be maintaining the problem. This isn’t about blame—it’s about giving everyone the tools to support recovery effectively. Family members learn how to respond to requests for reassurance, how to avoid participating in rituals, and how to encourage exposure practice without becoming treatment enforcers.
Developmentally tailored interventions that address family accommodation promote more robust decreases in OCD symptoms compared to treatment as usual. We teach families how to create an environment that supports recovery while maintaining healthy relationships. This education component is included in both our traditional therapy and intensive programs, ensuring everyone in the household understands how to contribute to long-term success.
Previous ERP attempts can fail for several reasons, and understanding why helps us design more effective treatment. ERP is most effective when the therapist conducting the treatment has experience with OCD and training in ERP. At specialized centers, all therapists focus specifically on OCD and receive ERP-specific training.
Many people have tried “ERP” with therapists who weren’t adequately trained in the approach or who modified it in ways that reduced its effectiveness. Some therapists avoid the challenging exposures that are necessary for breakthrough, while others don’t understand how to structure response prevention properly. Negative beliefs about ERP amongst therapists have contributed to its underutilization, with 37.3% of therapists agreeing that exposure is strenuous for them and 14.7% disagreeing on feeling competent in conducting exposure for OCD.
Our approach addresses these common pitfalls. We use the full range of exposure techniques—including the challenging ones that other therapists might avoid. We understand that maximizing the disconfirmation of obsessions is necessary to prevent relapse, which involves including extremely distressing and out of the ordinary activities. Most importantly, we have the specialized training and experience to guide you through the process safely and effectively, even if previous attempts have been unsuccessful.
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