Adult OCD Therapy in Walnut Creek

Let's Connect

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

Request a Free Phone Consultation

Our Counselors who Specialize in OCD Therapy

Ashley Nazario, LCSW

Brianna Webb Almanza, LMFT

obsessive compulsive spectrum - alamo counseling - shalini mongia mft

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

Let's Connect

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.
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.
TF-CBT helps by combining practical coping skills with gradual exposure to difficult memories. It starts by teaching relaxation techniques, emotional regulation, and ways to challenge unhelpful thoughts. Once a strong foundation is built, individuals slowly and safely process their trauma with the support of a therapist. This approach reduces fear and distress, strengthens personal resilience, and fosters healthier ways of thinking and relating to others.
Motivational Interviewing (MI) is a proven, client-centered approach designed to help individuals overcome ambivalence and create lasting change. It focuses on exploring personal motivations and values, guiding clients to take actionable steps toward their goals. MI is highly effective in treating issues like addiction, unhealthy behaviors, and low motivation by strengthening confidence and commitment, empowering clients to drive their own positive transformations.
Emotionally Focused Therapy (EFT) is a proven approach that that helps couples break negative cycles and strengthen emotional bonds. In therapy, partners identify patterns of conflict and learn techniques like emotional validation and replacing reactive behaviors with empathetic responses. EFT targets underlying emotional triggers, promoting healthier attachment while deepening intimacy. It’s particularly effective for couples facing disconnection, insecurity, and trust issues, leading to genuine understanding and lasting change. This therapy is effective with treating emotional withdrawal, fear of abandonment, and attachment wounds, creating stronger, more secure relationships.
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.
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.