OCD Therapy Las Vegas
virtual anywhere in Nevada.
ICBT • ERP • A Clear, Steady Approach to Intrusive Thoughts and Compulsive Behaviors
People don’t come to therapy because they’re “too anxious.”
They come because their mind feels like it’s running them. They come because thoughts show up that feel dangerous, humiliating, or morally charged; sadly, no matter how much logic they use, the fear doesn’t calm down. They come because they’re tired of thinking about the same thought 300 times a day. They come because the rituals are taking over their life.
OCD is not about the content.
It’s about a mechanism: the anxiety loop that convinces you that the only way to feel safe is to get rid of uncertainty.
ICBT and ERP work because they go straight to that mechanism.
How OCD Actually Works
An intrusive thought hits — maybe about harm, sexuality, morality, contamination, relationships, your body, your identity.
Your body reacts instantly: a jolt of fear, a drop in your stomach, a spike in your chest.
Your mind interprets that physical sensation as a warning.
You start checking, analyzing, confessing, googling, praying, or monitoring yourself internally.
You get momentary relief.
The brain learns the ritual “worked,” and the loop tightens.
This happens hundreds of times a week for many people.
OCD convinces you that discomfort is a sign of danger.
The real problem is not the thought. It’s the meaning you attach to the discomfort.
My Approach: ICBT + ERP + a grounded stance
toward anxiety
1. ICBT (Inference-Based Cognitive Therapy)
ICBT helps you notice the moment your mind shifts from reality to fear-based imagination. It helps you recognize the “false story” that pulls you into compulsions; the subtle moment where your brain says, “This feeling means something is wrong.”
You develop the skill of returning to actual evidence, not emotional logic.
2. ERP (Exposure and Response Prevention)
The heart of ERP is learning that
you can feel discomfort and choose not to ritualize.
This retrains your nervous system to stop treating intrusive thoughts as emergencies.
3. Anxiety Stance (influenced by Dr. Reid Wilson)
Wilson’s work emphasizes stepping toward fear, not away from it.
One of his most powerful ideas is reframing the intrusive thought as noise, not a meaningful signal.
This frees you from the trap of debating the thought.
In our work, we build a stance that sounds like:
“I can feel this discomfort. I don’t need to solve it. I can continue living.”
This is not resignation.
It’s reclaiming control.
What OCD Therapy Looks Like With Me
We start by mapping your loop with absolute clarity — all the micro-steps your brain takes automatically. Then we interrupt the loop in three places:
1. Before the ritual
You learn to feel the spike of anxiety without responding to it. This is where ICBT shines — it helps you see the moment the “false inference” begins.
2. During the ritual urge
You learn to step back from internal analysis, reassurance, checking, and avoidance.
3. After the intrusive thought
You learn to move into your life rather than into fear.
The goal is not to eliminate thoughts.
The goal is to increase your capacity to live without negotiating with them.
FAQ — OCD Therapy
Are intrusive thoughts normal in OCD?
Yes, extremely. Disturbing thoughts are a symptom of anxiety, not a sign of danger.
Is ERP overwhelming?
Good ERP is paced, steady, and collaborative. I never push your nervous system beyond what it can tolerate.
Do you reassure?
I support you, but I do not feed the OCD loop. Reassurance provides momentary comfort and long-term suffering.
What about moral or religious OCD?
We approach these themes with respect. We do not pathologize your beliefs or your values — we work with the fear that has entangled itself around them.
Can OCD improve without medication?
Many people recover with therapy alone.
