Exposure and Response Prevention, or ERP, is one of the most effective treatments for obsessive-compulsive disorder.

OCD can create a difficult cycle: an unwanted thought, image, or urge causes distress, and a ritual, avoidance, or reassurance brings only short-term relief. In ERP, I help you gradually face the situations that trigger anxiety while learning not to rely on compulsions.

We work at a pace that feels manageable and choose each step together. The goal is not to eliminate every unwanted thought, but to help you respond with greater freedom and less interference from OCD.

I conduct adult ADHD evaluations in person. An evaluation should offer more than a score: I consider your present concerns, developmental history, and the ways attention and executive functioning affect the particular demands of your life.

The process is designed to answer the diagnostic question carefully and translate the findings into useful next steps. Because anxiety, mood, sleep, stress, trauma, and other concerns can resemble ADHD, I evaluate those possibilities rather than beginning with a predetermined conclusion.

1. An initial conversation about your concerns, goals, and history.
2. Clinical interviews and validated measures focused on attention and executive functioning.
3. Review of relevant records or input from someone who knows you well, when useful and with your consent.
4. A feedback session to discuss findings and individualized recommendations.

I use psychodynamic and relational therapy to examine how earlier experiences, present relationships, and enduring emotional patterns continue to shape your choices and sense of self.

This work may be especially valuable when achievement has not resolved a quieter sense of dissatisfaction, when relationships repeat the same costly themes, or when anxiety, trauma, self-esteem concerns, men’s issues, or family conflict call for more than symptom management.

Insight matters, but I do not treat it as an end in itself. I draw from behavioral strategies, CBT, and interpersonal approaches when a concrete intervention can move the work forward. Together, we can pursue depth without losing direction.