OCD & Anxiety Therapy in Nashville, TN

for the kind of doubt that never leaves your mind.

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What if….?
Wait, what about…?
Oh, but also, what if it's really…this?

You get an answer.

The doubt creeps back in, and you find yourself on a moving train, going so fast it's almost as if you can't get off, no matter how hard you try.

Not because you're "crazy" but because sitting with the uncertain feels unsafe.

OCD is incredibly misunderstood

Could OCD actually be you?

Are you the high-achieving, perfectionist type? Compulsions can look like diligence.

Scrolling ADHD/AuDHD/Autism TikToks? OCD overlaps with neurodivergence more than people think.

Did you grow up religious? OCD often runs quietly under queer, trans, and religious-trauma experiences - where doubt attaches to identity, safety, or morality.

None of this is diagnostic criteria. But, if you've spent years being thorough, careful, and overly conscientious, OCD might be worth exploring.

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Plot twist: it’s not just about organization.

  • harm

  • health

  • responsibility

  • relationship

  • exsistential

  • “just right”

  • scrupulosity

  • sexual themes

OCD themes can include contamination or optimization, sure, but OCD shows up in far more forms than most people realize.

Different content, same engine spinning underneath.

I Frequently Work With

  • "Pure O"

    Obsessions without observable compulsions. The behavior, like rumination, plays out in the mind - an endless tape rolling on repeat. Often includes things like mental checking, replaying, reviewing, preparing and avoidance.

  • Moral Scrupulosity

    Doubt about your own goodness: whether you're a good person, or if you've done the right thing. It's often rooted in religious or purity-culture upbringing, but it doesn't have to be religious at all — it can attach to politics, ethics, relationships, anything with a "right" and "wrong." Confession, prayer, self-examination, or endless moral reasoning can quietly turn into compulsions.

  • "Just Right"

    It's about “wrongness.” Something feels off until it's adjusted, redone, repositioned, until it finally feels right. Or at least until the redoing starts again. It can show up socially, replaying a conversation to find the "right" thing you should've said, or even in session, second-guessing how to use our time or what's worth bringing up.

  • Existential

    Doubt that goes after the biggest questions - reality, identity, meaning, consciousness. It often gets meta: doubting the doubt itself, questioning whether the questioning means something's wrong, analyzing your own thoughts about your thoughts, constantly searching for the answers to the unanswerable.

How I Work

Starting therapy for OCD is inherently scary. I approach it with a holistic, somatic lens. We aren't just interrupting compulsions and throwing exposures at you haphazardly - we're building your capacity to sit with uncertainty at a tolerable pace, with choice at every step.

Treatment is directive and collaborative. I won't ask you to do any exposure that I wouldn't do myself. You'll know where we're going, every step of the way.

Let's Get to Work

  • OCD and anxiety often overlap; the distinction lies in the cycle. OCD, including obsessional doubt (sometimes called "pure O"), plays out as an obsession (an unwanted thought or doubt you can't seem to resolve), which creates distress, a compulsion relieves it, and relief reinforces the next obsession. Anxiety doesn't hinge on that loop the same way and tends to resolve. Anxiety tends to respond to reassurance and problem-solving, while OCD's doubt doesn't stay resolved: no matter how it's answered.

    To learn more about the differences between OCD and anxiety, click here.

  • It's rarely either/or. ADHD and autism can involve rigidity, repetitive thinking, or a need for things to feel "right,” which can look like OCD, or mask it entirely. The overlap is real, and it's part of why OCD gets missed in neurodivergent clients specifically. Some schools of thought consider OCD apart of the neurodivergent spectrum as well, its all clustered together.

  • That's more than welcome: I frequently work with anxiety on its own, and it also shows up as part of the OCD cycle. Alongside anxiety work, we'll build distress tolerance and practice unfusing from sticky thoughts - getting some distance from them rather than getting pulled in. [Learn more about my approach →]

  • Click here for answers to my general FAQ list

FAQ’s

You don't have to have this figured out before you reach out.

If the doubt is loud, know you're in good company. If trust in yourself feels far away, that's exactly where we can start

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