Spicewood is a place many people choose for more space, quiet, and breathing room. But even in a calmer setting, anxiety and OCD can create mental loops that are hard to turn off.
You might find yourself replaying conversations, worrying constantly about what could go wrong, feeling responsible for preventing something bad from happening, or getting stuck in cycles of checking, reassurance-seeking, avoidance, or mental reviewing. Some people try to push intrusive thoughts away, only to have them come back even stronger.
I offer anxiety and OCD therapy in Spicewood and across Texas for adults and teens struggling with worry, panic, intrusive thoughts, compulsions, avoidance, and uncertainty. If you’re looking for an anxiety and OCD therapist in Spicewood, my work is active and practical, with a focus on helping you understand what keeps these patterns going and practice responding differently.
PROVEN APPROACHES
How therapy can help.
I specialize in evidence-based treatment for anxiety and OCD, using approaches that help retrain the brain’s response to fear and uncertainty. These approaches focus on changing patterns that keep anxiety going and helping people build a different relationship with intrusive thoughts, worry, and discomfort.
The gold-standard treatment for OCD. ERP helps you practice facing intrusive thoughts, feared situations, and uncertainty without doing the rituals or compulsions OCD demands. Over time, this helps your brain learn that you can handle the discomfort without checking, avoiding, or seeking reassurance.
ACT helps you make room for difficult thoughts and feelings without letting them decide what you do next. The focus is on building flexibility, clarifying what matters, and taking meaningful steps even when anxiety or uncertainty is present.
CBT helps you notice the thoughts, beliefs, and behavior patterns that keep anxiety and OCD stuck. In therapy, this may include identifying anxious predictions, understanding avoidance loops, and practicing more flexible ways to respond when worry, doubt, or intrusive thoughts show up.
Anxiety Concerns
I Help With
People come to therapy for many different anxiety-related concerns. Some struggle with constant worry or overthinking that feels difficult to turn off, while others experience panic attacks, perfectionism, or a persistent fear of making mistakes. Social anxiety is also common, showing up as fear of judgment, difficulty in social situations, or a tendency to replay interactions afterward wondering if you said the wrong thing. Anxiety can also show up as difficulty quieting the mind, feeling overwhelmed by everyday decisions, or chronic stress and burnout. Therapy can help you step out of these patterns and build a calmer, more flexible relationship with uncertainty.
OCD &
Intrusive Thoughts
OCD often involves intrusive thoughts paired with behaviors or mental rituals meant to reduce anxiety. Some people feel responsible for preventing harm or making sure nothing bad happens, while others experience intrusive thoughts about relationships, morality, or causing harm. These thoughts can lead to patterns such as checking, reassurance seeking, or mentally reviewing situations in an effort to feel certain or safe. Although these experiences can feel frightening or isolating, OCD is highly treatable with structured approaches such as Exposure and Response Prevention.