Trauma and PTSD
Post-traumatic Stress Disorder
Treatment can lead to post-traumatic growth.
This is our approach:
Frequently Asked Questions
What is OCD?
OCD involves intrusive, unwanted thoughts, images, or urges (obsessions) that cause distress, followed by behaviors or mental rituals (compulsions) aimed at reducing that distress. The content of obsessions can vary widely and often conflicts with a person’s values, which is why OCD can feel especially upsetting or shameful.
For example, a child may repeatedly ask for reassurance that they didn’t do something wrong. A teen may experience intrusive thoughts about harm or contamination. An adult may check locks, appliances, or relationships repeatedly despite logically knowing everything is fine.
How is OCD different from general anxiety?
While anxiety often responds to reassurance or avoidance, OCD does not. The relief gained from a compulsion is temporary and reinforces the obsession, strengthening the cycle. Each time a compulsion is performed, the brain learns that the obsession was important and dangerous.
Unlike general anxiety, OCD is driven by intolerance of uncertainty. The goal of treatment is not to eliminate intrusive thoughts but to change how the person responds to them.
What causes OCD?
OCD is associated with differences in brain circuits related to threat detection, error monitoring, and uncertainty tolerance. Genetics, temperament, and life stressors can all play a role.
A teen with OCD may fully understand that a fear is irrational yet still feel intense distress if they don’t perform a ritual. This disconnect between logic and fear is a hallmark of OCD and not a sign of resistance or lack of insight.
How does therapy treat OCD?
OCD treatment uses evidence-based approaches such as Exposure and Response Prevention (ERP). Clients gradually face feared thoughts or situations while resisting compulsions, allowing anxiety to rise and fall naturally.
Over time, the brain learns that feared outcomes do not occur and that uncertainty can be tolerated. Therapy is collaborative and paced carefully to avoid overwhelm.
Can children have OCD?
Yes. Children with OCD often feel confused or ashamed of their thoughts and may hide symptoms. Therapy helps externalize OCD—teaching the child that OCD is something they experience, not who they are.
Treatment often includes parent involvement so caregivers can support progress without reinforcing compulsions.
Does OCD go away?
OCD is typically a chronic condition, but it is highly treatable. With therapy, symptoms often become much less intrusive and manageable, allowing individuals to live full, flexible lives.
