A different kind of exposure therapy for OCD

We think exposure therapy gets a bad rap. Although it’s one of the most effective treatments for OCD, most people expect it to be grueling, rigid, and hard to maintain. The good news is: it doesn’t have to be.

Exposure therapy is essentially an intentional, guided process of loosening the grip of your OCD so your worldview widens. We take a flexible, values-based approach to help you feel more equipped to move through discomfort in service of doing things that are important to you — all at your own pace.

This means:

It's trauma-informed. We bring somatic awareness, mindfulness, and acceptance strategies into exposure work, prioritizing your agency and consent at every step.

It's client-centered. We don’t just do exposures for the sake of doing them. Your values and goals are what guide the work. What you care about most becomes the compass for what we practice together.

It's flexible. We adapt exposures for the full complexity of who you are, including your identity, your history, and the ways your OCD might be tangled up with trauma and neurodivergence.

It's about building a rich, meaningful life. We're not just trying to “minimize OCD symtoms”. We're helping you build a life where OCD has less power over what you do, who you become, and what risks you're willing to take.

This is a great approach for you if…

  • You've tried talk therapy and it just keeps you in the OCD cycle, and/or you’ve tried traditional ERP and felt pushed too hard

  • You're exhausted from rumination, rituals, reassurance-seeking, and avoidance that keep you from living the life you desire

  • You feel controlled by your OCD and are ready to take back some of your agency

  • You want a therapist who gets that OCD isn't one-size-fits-all — especially if you're queer, neurodivergent, have a highly creative mind, or someone whose intrusive thoughts are tied up with identity

How we work

We blend two modalities, Exposure and Response Prevention (ERP) with Acceptance and Commitment Therapy (ACT) to make OCD treatment more effective and sustainable.

ERP (Exposure and Response Prevention): ERP is a proven evidence-based treatment for OCD. It works by gradually exposing you to the thoughts, situations, or feelings that trigger obsessions — while resisting the compulsions or rituals that provide temporary relief. Over time, your nervous system learns that you can tolerate uncertainty without needing to escape it and even access safety in unexpected places. It's structured, evidence-based, and often works where years of talk therapy haven't.

ACT (Acceptance and Commitment Therapy): ACT shifts the question from "how do I get rid of this anxiety?" to "how do I live a meaningful life while it’s here?" Rather than fighting intrusive thoughts or trying to make them stop, ACT changes your relationship to them — observing them without letting them dictate your choices. At the center of ACT are your personal values: what feels important enough to pursue even if it requires discomfort, pain, or uncertainty.

Blending ERP + ACT: Traditional ERP builds a fear hierarchy — a ladder of situations ordered by how much anxiety they produce. We build something different: a willingness hierarchy. Instead of asking "what are you afraid of?", we ask "how willing are you to engage with XYZ behavior if it brings you closer to a meaningful life?" Exposures are designed around your values, not just your symptoms.

What we offer

We provide individual and group therapy for OCD, rumination, and anxiety, in person in Brooklyn, Manhattan, and online across New York state. Our therapists are trained in both ERP and ACT, and bring a queer-affirming, trauma-informed lens to all of our work.

  • Individual therapy — weekly sessions, in person or online

  • Group therapy — drop-in and ongoing groups for processing, skill-building, and connection

  • IFS + ERP intensives — for OCD presentations with complex trauma underneath

  • Queer-affirming care — we understand that OCD and identity are often deeply intertwined

If you're ready to stop feeling controlled by your OCD and start building a rich, full, meaningful life, we'd love to talk.


Book a free consultation

Please note: We’re an out of network provider, so while we don’t take any insurance, we can provide you with receipts for out of network reimbursement if you have those benefits. We also take FSA/HSA.