Adult OCD Therapy in Walnut Creek
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Explore Our Specializations
Adult Obsessive-Compulsive Disorder (OCD) often involves intrusive thoughts, mental rituals, compulsive behaviors, avoidance, and chronic doubt that interfere with daily functioning. Ivy Creek Therapy provides adult OCD therapy in-person in Walnut Creek or via telehealth across California for individuals seeking structured, evidence-based treatment.
Treatment focuses on reducing compulsions and avoidance while increasing tolerance for uncertainty and distress. Evidence-based approaches such as Exposure and Response Prevention (ERP) are used to help clients gradually face feared thoughts and situations without relying on compulsive behaviors. Therapy is goal-oriented, collaborative, and designed to support meaningful symptom reduction along with improved quality of life.
Our OCD services are provided exclusively for adults by clinicians with specialized experience in treating obsessive-compulsive disorders.
We Help With:
Intrusive or unwanted thoughts
Compulsive behaviors (checking, cleaning, reassurance-seeking)
Mental rituals and rumination
Avoidance and intolerance of uncertainty
Perfectionism and fear of making mistakes
OCD-related anxiety that interferes with daily functioning
Reducing compulsions and safety behaviors
Increasing tolerance for distress and uncertainty
Improving day-to-day functioning and quality of life
Our Counselors who Specialize in OCD Therapy
Ashley Nazario, LCSW
Brianna Webb Almanza, LMFT
What we help with:
Intrusive or unwanted thoughts
Compulsive behaviors (checking, cleaning, reassurance-seeking)
Mental rituals and rumination
Avoidance and intolerance of uncertainty
Perfectionism and fear of making mistakes
OCD-related anxiety that interferes with daily functioning
Reducing compulsions and safety behaviors
Increasing tolerance for distress and uncertainty
Improving day-to-day functioning and quality of life
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Our Preferred Evidence-Based Treatments
Cognitive Behavioral Therapy (CBT) is an empirically supported treatment that helps change distressing thought patterns that contribute to anxiety and depression. Through CBT, you'll learn to identify and challenge negative thoughts, reframe irrational beliefs, and replace them with healthier, more realistic perspectives. CBT also focuses on breaking patterns of self-doubt and worry by learning how to re-evaluate situations and adopt more constructive thinking. These tools empower you to make lasting changes in how you think and respond.
ERP is a structured therapy that helps reduce distress from obsessive thoughts and compulsive behaviors. It involves gradual, guided exposure to feared situations or thoughts without doing the habits or rituals you usually do to feel better. This process helps decrease anxiety over time and breaks the cycle of obsessions and rituals. You remain fully present and supported throughout, learning new ways to tolerate discomfort and regain control. ERP is especially effective for OCD, skin picking, hair pulling, and related anxiety challenges. Sessions are available in person and via telehealth throughout California.
Dialectical Behavior Therapy (DBT) combines cognitive-behavioral techniques with mindfulness principles to help individuals manage emotions, navigate challenges, and improve relationships. It focuses on four key areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. By building these skills, DBT empowers individuals to replace destructive patterns with practical, lasting strategies that promote resilience, balance, and a greater sense of control in daily life.
EMDR helps your brain reprocess stuck memories so they no longer feel overwhelming or intense. Unprocessed experiences can trigger or worsen anxiety, shame, distress, and physiological reactions. After EMDR, difficult experiences often feel neutral, distant, or easier to manage. We use techniques like eye movements or handheld tappers to activate both sides of the brain, supporting your brain’s natural ability to heal and make sense of the distressing experiences. Sessions follow a structured 8-phase protocol to help you build resilience and process memories, while fully awake and alert. EMDR is effective for distress related to loss, illness, trauma, childhood wounds, and relationship pain.
1870 Olympic Blvd
Walnut Creek, CA 94596
925-830-7900
Adult Obsessive-Compulsive Disorder (OCD) often involves intrusive thoughts, mental rituals, compulsive behaviors, avoidance, and chronic doubt that interfere with daily functioning. Ivy Creek Therapy provides adult OCD therapy in-person in Walnut Creek or via telehealth across California for individuals seeking structured, evidence-based treatment.
Treatment focuses on reducing compulsions and avoidance while increasing tolerance for uncertainty and distress. Evidence-based approaches such as Exposure and Response Prevention (ERP) are used to help clients gradually face feared thoughts and situations without relying on compulsive behaviors. Therapy is goal-oriented, collaborative, and designed to support meaningful symptom reduction along with improved quality of life.
Our OCD services are provided exclusively for adults by clinicians with specialized experience in treating obsessive-compulsive disorders.