When people hear "OCD," they often picture someone who likes their books lined up just so. Real OCD usually looks very different. It's the thought that pops into your head and won't leave. It's checking the stove again even though you know it's off. It's needing to feel "just right" before you can move on, and feeling ashamed that you can't stop.
What OCD can look like in adults
OCD has two parts. Obsessions are unwanted thoughts, images, or urges that cause distress, such as fears about germs, harming someone, making a mistake, or doing something wrong. Compulsions are the things you do to try to make that distress go away, like checking, washing, asking for reassurance, counting, or going over things in your head again and again.
Many adults I work with have kept this to themselves for years. They hold down jobs, raise families, and show up for everyone, while quietly spending hours a day managing thoughts nobody else can see.
Intrusive thoughts don't define you
One of the most important things I tell clients is this: having a disturbing thought does not mean you want it or that it says something about who you are. In fact, OCD tends to latch onto the things you care about most. The distress you feel is a sign of your values, not a betrayal of them.
How therapy helps
Therapy for OCD focuses on slowly changing your relationship with the thoughts instead of fighting them. Using CBT-based approaches, we work on noticing the cycle, practicing small steps toward tolerating uncertainty, and reducing the compulsions that keep OCD going. We move at a pace that feels manageable. It's not about forcing anything. It's about building confidence that you can handle discomfort.
Therapy from home in Brooklyn
Whether you're in Park Slope, Bay Ridge, Williamsburg, or Flatbush, telehealth means you don't have to fit a commute into an already full day. For people with OCD, meeting from a familiar space can also make it easier to open up about things that feel embarrassing.
If OCD is taking up more of your time and energy than you'd like, you don't have to keep managing it alone. Learn more about the support I offer, or schedule a free 15-minute call.
Interested in working together?
I offer telehealth therapy to adults and older adults across New York State.
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