The Clarity & Strategy Session is a 90-minute initial session designed to help us understand what you’ve been experiencing and get clear about what may actually be keeping you stuck.

We’ll talk through your symptoms, relevant history, what you’ve already tried, and what you most want to change. When appropriate, I’ll use specialized assessment to help clarify whether OCD is part of the picture and whether something else may need our attention, too.

From there, we’ll talk through what I’m seeing, my recommendations, and what treatment could look like for you. You won’t just leave knowing what I think—we’ll make space for what it means to you, how you’re feeling about it, and what you’re ready for next.

I treat a broad range of OCD presentations, including those involving intrusive thoughts that feel frightening, embarrassing, or difficult to talk about. OCD isn't always about contamination or checking, and many compulsions happen entirely in your mind.

OCD presentations I work with include:

• Checking, counting, contamination, and “just right” OCD — including perfectionism and the need for things to feel complete, correct, or certain.

• Relationship, responsibility, false memory, and existential OCD — involving persistent doubts, mental reviewing, and questions that never seem to have a satisfying answer.

• Harm OCD and suicidal OCD — involving unwanted, distressing intrusive thoughts or fears about causing harm to yourself or others.

• Sexual orientation OCD (SO-OCD) and pedophilia-themed OCD (POCD) — involving unwanted intrusive doubts or fears about sexual identity or attraction.

• Perinatal and postpartum OCD — including intrusive thoughts, fears, and compulsions that can emerge or intensify during pregnancy or after childbirth.

• Scrupulosity and magical thinking OCD — involving moral or religious fears, excessive responsibility, or beliefs that certain thoughts or actions might cause harm.

• Sensorimotor OCD — involving heightened attention to bodily sensations or automatic processes such as breathing or swallowing.

• “Pure O” — a term often used when compulsions are primarily mental, such as rumination, reviewing, checking feelings, or seeking certainty.

I also treat health anxiety and specific phobias, including persistent fears about serious illness, repeated symptom checking, reassurance-seeking, and avoidance.

These categories aren't always clear-cut, and many people experience more than one theme. During our Clarity & Strategy Session, we'll explore what you're experiencing, whether OCD, anxiety, or something else may be contributing, and what treatment approach makes sense.

You don't need to arrive with a diagnosis. That's part of what we'll figure out together.

Most clients begin with a 12-session treatment plan.

This gives us enough time to understand the patterns keeping you stuck, work actively on changing them, and track whether treatment is helping.

Some clients make the progress they’re looking for sooner, while others benefit from additional treatment. We’ll reassess along the way and decide together whether it makes sense to finish treatment, continue with purpose, or step down to maintenance.

Payment is accepted by credit card, HSA, or FSA and is processed securely through Ivy Pay. A card is kept on file and charged automatically after each session.

Unbound is a private-pay practice and does not bill insurance.

If your plan includes out-of-network benefits, I can provide documentation you may submit for possible reimbursement. Reimbursement varies by plan, so you’ll want to contact your insurance provider directly for details about your coverage.

All sessions are conducted virtually for clients located in Illinois and Arizona.

For OCD treatment in particular, virtual therapy can be especially useful because we can work with symptoms and triggers in the environments where they actually occur. That can make Exposure and Response Prevention (ERP) more relevant to your day-to-day life.

I ask for at least 24 hours’ notice if you need to cancel or reschedule an appointment.

Appointments canceled with less than 24 hours’ notice, as well as missed appointments, are charged a $100 late-cancellation fee.