Expert Cognitive Behavioral Therapy (CBT) for Generalized Anxiety Disorder and Chronic Worry

Exposure and Response Prevention (ERP) is the gold-standard treatment for OCD. Meaning it has the most evidence supporting its efficacy, and should be the first treatment someone with OCD tries. It helps you gradually face the thoughts, situations, or sensations that trigger anxiety while resisting the compulsions that keep the cycle going. I provide ERP therapy online throughout Colorado, making this specialized OCD treatment accessible whether you live in Denver, Grand Junction, Fort Collins, Colorado Springs, or anywhere in the state.

Yes. ERP is equally effective for every OCD theme because the underlying mechanics are the same, whether the fears involve harm, contamination, morality, relationships, identity, or memories. People who believe they have “Pure-O” typically engage in mental compulsions like reviewing, analyzing, or seeking internal reassurance. ERP targets both outward and mental rituals, and I offer this specialized treatment across Colorado for all OCD subtypes.

Most people I work with here in Colorado begin experiencing meaningful improvement within the first 8–12 sessions, depending on the severity of symptoms and how consistently they practice exposure and response prevention. Some individuals prefer weekly sessions, while others choose a more intensive outpatient approach for faster progress. In Colorado, I offer both traditional weekly ERP sessions as well as a Colorado OCD Intensive Outpatient Program.

Yes. In many cases, online ERP therapy is even more effective than traditional office-based treatment. Online ERP allows us to do exposures in your real environment. Places like your home, your car, school, work, or wherever your triggers tend to show up. You’re not limited to recreating scenarios in a therapist’s office. This real-world exposure makes the therapy more natural, relevant, and powerful. It also allows me to join you for exposures in places where, traditionally, you would have to do them alone. I prefer to join my clients during exposures, at least for the first few times, to help coach them through the experience. So, regardless of where you reside in Colorado, whether it be Denver or far away like Grand Junction, I can help you with online ERP throughout the state.

My Colorado practice is private-pay only, but I can provide a superbill for out-of-network reimbursement. Many clients across the state are able to use their out-of-network mental health benefits to receive partial reimbursement. I’m happy to explain how to navigate that process.

Online ERP therapy offers a major advantage for people in Colorado: you can do exposure work in the exact environments where your OCD symptoms appear. Instead of trying to manufacture a trigger in an office, we work with real triggers in your actual surroundings. Places like your home, your kitchen, your neighborhood, your workplace, or even outdoor locations like the park, parking lots, or public spaces. And, this allows me to join you in exposures in settings where it would not normally have been possible. I prefer to join you in exposures, especially for the first few times, to help coach you through them. This often leads to faster, more meaningful progress. Online therapy also removes travel time and expands access to specialized ERP treatment statewide.

I specialize in all forms of OCD, including harm OCD, contamination OCD, sexual orientation OCD, relationship OCD, religious/scrupulosity OCD, health anxiety, real-event and false-memory OCD, sensorimotor OCD, and “just-right” OCD. But the truth is that OCD can manifest in countless ways, many of which are hard to neatly categorize or describe. Over my years of treating OCD, I’ve worked with every theme and presentation imaginable. If you don’t see your exact symptoms listed here, or anywhere else, that doesn’t mean your experience is unusual or “atypical.” It simply reflects the fact that there’s no way to capture the endless creativity of OCD. ERP works because it targets the core cycle underneath every theme, and rest assured, there is no thought, image, or fear you could bring to me that would lead to judgment.

Absolutely. I would estimate that at least 50% of my clients with OCD don’t have outward rituals or compulsions. Instead, they engage in mental compulsions such as rumination, memory checking, reassurance seeking, or analyzing their thoughts. ERP is highly effective for these internal rituals as well. We work together to identify and reduce the mental patterns that keep the cycle going.

You can schedule a free 20-minute online consultation with me. Whether you’re in Denver, Boulder, Fort Collins, Colorado Springs, or anywhere in Colorado, we’ll talk through your symptoms, goals, and what ERP therapy would look like for you. If it’s a good fit, we’ll begin with a personalized, evidence-based treatment plan to help you break the OCD cycle.