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50 minutesLicensed in OR
Aperture
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Services

Each service is one-to-one, in person or by video in Oregon, and your clinician sets the pace.

A woman in a hoodie stands and gestures while talking with a seated woman in a bright living room

ERP for adults with OCD

For adults whose obsessions and rituals take hours, or who avoid things to stay safe. We map the cycle, build a ladder of situations and practice facing them without the ritual. Sessions are practice, not talk about why. This is not a diagnosis or a promise of a result, and results vary.

  • Exposure and response prevention (ERP), a form of CBT

  • 50-minute sessions, in person or by video

  • Short practice between visits, at your pace

How fees work
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ERP for teens, with parent sessions

For teens with OCD and the parents who live with it. Teen sessions are one to one. I also meet with parents to explain how to support practice without joining the rituals. I explain Oregon's consent and privacy rules for your teen's age on the first call. This is not a school report.

  • ERP adapted for teens

  • Parent sessions

  • Stepping back from rituals at home

How fees work
A woman with a clipboard listens to a client in a bright office with shelves

CBT for anxiety, panic and phobias

For worry that will not switch off, panic, social anxiety and specific fears. We look at what keeps the anxiety going, then practice facing situations step by step, with plain tools to use in between. I do not prescribe medication.

  • Cognitive behavioral therapy (CBT)

  • Exposure-based practice

  • Skills for body and breath

How fees work
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ACT skills alongside exposure

When thoughts feel sticky, acceptance and commitment therapy (ACT) skills can sit beside ERP. We practice noticing a thought without arguing with it, then doing what matters to you. They are used with exposure, never in place of it.

  • ACT, as an addition to ERP

  • Values and next steps

  • Noticing urges as they come and go

How fees work

Sessions

What a session looks like

Each visit follows the same simple shape, so you always know where we are.

  1. A person in a grey sweater writes in a notebook on a windowsill beside a cup of coffee
    01

    Check in

    We look at your week: what you practiced and what got in the way.

  2. A therapist with a clipboard takes notes while a young man in a maroon shirt talks
    02

    Choose a step

    We pick the next rung on the ladder together, and you can say no.

  3. A therapist in glasses takes notes as a young woman in a plaid shirt talks
    03

    Practice

    You face the rung with the ritual held off. I coach, and you decide.

  4. The sun sets behind tall grass with dew drops
    04

    Plan

    You leave with a short practice for the week and a time for the next visit.

Ready to talk?

Send a short note. I reply during office hours.

Get in touch