What I offer

Services

All three use the same method: cognitive behavioral therapy with exposure, practiced a step at a time.

Panic and avoidance
Learn what panic is doing, then practice the sensations and the places you have been steering around.
Panic therapy
Social anxiety
Build a ladder of the situations you dread and climb it one rung at a time.
Social anxiety therapy
OCD and intrusive thoughts
Exposure and response prevention: face what sets off a ritual, and practice not doing it.
OCD therapy

A session, step by step

What exposure therapy looks like

A typical order, not a promise of how many sessions you will need.

What exposure therapy looks like
Session	In the room	Between sessions	You leave with
Session 1: Map the fear	In the roomWe go over what panic or social fear feels like in your body, what runs through your mind, and what you do to get through it.	Between sessionsJot down, in a line or two, when it shows up.	You leave withA map of your triggers and habits.
Session 2: Build the ladder	In the roomWe rank situations from easiest to hardest, in your words, and talk about what you expect to happen in each.	Between sessionsAdd to the list as you think of more.	You leave withA ladder you can see on paper.
Session 3: Try a first step	In the roomWe choose a low rung and do it together in the session, after agreeing what to expect and how long to stay.	Between sessionsRepeat that step once or twice before we meet.	You leave withOne exposure behind you, and notes on what happened.
Middle sessions: Practice and step up	In the roomWe review what you expected against what happened, then move to the next rung. Some steps happen outside the office.	Between sessionsPractice the next rung between sessions.	You leave withA short written recap each time.
Later sessions: Space them out	In the roomWe meet less often, plan for setbacks and decide together how to wrap up.	Between sessionsRun your own practice and bring questions.	You leave withA plan you can keep using.

Write a few general lines about what you would like to work on, and I will tell you whether this practice is the right place.