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 OCD THERAPY

When your mind keeps asking,“But what if?”

You're building your clinical skills. Navigating your first caseload. Working toward licensure. The last thing you need is supervision that feels clinical and disconnected. You need a supervisor who believes in you, challenges you thoughtfully, and walks alongside you toward becoming the clinician you want to be.

Virtual Sessions | ERP + I-CBT | FL · TN · SC · NJ | Insurance + Private Pay

WHEN OCD TAKES OVER

You can spend a lot of your day trying to feel completely sure.

Maybe you replay conversations to make sure you didn't say something wrong.

You check your body, your memory, your feelings, your relationship, or your surroundings looking for some sign that everything is okay.

A thought you don't want pops into your head and suddenly you're trying to figure out what it says about you.

You ask someone you trust for reassurance, feel better for a moment, and then the doubt comes back in a slightly different form.

Or you avoid certain situations entirely because you don't want to trigger the thoughts, feelings, or uncertainty that come with them.

OCD can become exhausting because the things you do to get relief often provide just enough relief to make you want to do them again.

OCD can look like:

✓Repeated checking or reviewing

✓Asking others for reassurance

✓Mentally replaying conversations or events

✓Googling or researching until you feel certain

✓Avoiding people, places, objects, or situations
✓Repeating words, actions, prayers, or routines
✓Trying to “cancel out” or neutralize an upsetting thought
✓Monitoring your feelings to make sure they are “right”
✓Feeling responsible for preventing something bad from happening
✓Getting stuck trying to determine what a thought means about you

And some compulsions happen entirely in your head, which can make OCD much harder for other people to see.

UNDERSTANDING THE PATTERN

OCD isn't always about
germs or checking locks.

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A doubt shows up

What if I hurt someone?

What if I don't really love my partner?

What if I missed something important?

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Your brain treats the doubt like a problem that has to be solved

You feel anxious, guilty, uncertain, disgusted, or unsettled.

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You do something to get certainty or relief

Check. Avoid. Research. Review. Confess. Ask for reassurance. Analyze the thought.

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Relief comes... temporarily

And when another doubt appears, the cycle begins again.

EVIDENCE-BASED OCD TREATMENT

Therapy for OCD needs to address the cycle keeping OCD going.

Exposure and Response Prevention

ERP helps you stop organizing your life around OCD.

 

When OCD says, “You need to check one more time,” your instinct is usually to do whatever will make the uncertainty go away.

ERP works differently.

Together, we identify the situations, thoughts, sensations, or uncertainties that trigger your OCD. You gradually practice facing them while reducing the compulsions, reassurance, avoidance, or rituals you would normally use to feel safe.

The goal isn't to make you fearless or force you into situations you're not ready for.

It's to help your brain learn that you can experience uncertainty without immediately needing to solve it.

Over time, the thing OCD has been treating like an emergency can begin to have much less control over what you do.

ERP is collaborative and generally progresses gradually rather than forcing someone into exposures without their agreement.

ERP may involve learning to:

  • Notice when OCD is asking for a compulsion

  • Reduce checking and reassurance-seeking

  • Approach situations you've been avoiding

  • Allow intrusive thoughts to be present without neutralizing them

  • Make decisions without waiting for perfect certainty

  • Tolerate the discomfort of “maybe” without continuing to investigate

Inference-Based Cognitive Behavioral Therapy (I-CBT)

What if we looked at the doubt before the anxiety even begins?

I-CBT looks closely at how OCD creates obsessional doubt in the first place.

You might be standing in your kitchen with no evidence that anything is wrong, but your mind suddenly produces:

What if I left something on?

In I-CBT, we work on recognizing the reasoning process that pulls you away from what you actually know through your senses and lived experience and into an imagined OCD possibility.

Instead of endlessly investigating the doubt, you learn to recognize when OCD's reasoning has taken over and return to the information that is actually in front of you.

I-CBT can help you work on:

  • Recognizing obsessional doubt earlier

  • Understanding how OCD turns possibilities into perceived threats

  • Separating what is happening from what your imagination says could be happening

  • Becoming less pulled into mental investigation

  • Trusting your everyday reasoning again

  • Responding differently when OCD demands certainty

You’re not too much. You’re not broken. You’re not alone.

Let’s talk about what’s possible when you feel supported, safe, and seen.
relationship therapy for individuals

Meet Your Therapist

Hi, I'm Alayna.

I know what it feels like to watch anxiety slowly take things away from you — your peace, your confidence, your ability to just be present. And I know how exhausting it is to try to power through it alone.

My job isn't to fix you. It's to create a space where you feel safe enough to actually explore what's underneath the anxiety — and help you build something more solid in its place.

I draw from CBT, mindfulness, and solution-focused approaches, always adapting to what's most helpful for you. I've worked across private practice, outpatient, inpatient, and in-home settings, and I specialize in anxiety, OCD, mood disorders, relationship challenges, and life transitions.

  • Licensed Mental Health Counselor (LMHC) — Florida

  • Licensed Professional Counselor (LPC) — South Carolina

  • LPC/MHSP — Tennessee

  • Accepting insurance & private pay clients

💙 Currently accepting new clients through insurance and private pay

Here's How We Begin

01.

Book a free 15-minute consultation

We meet (via Zoom) to discuss your caseload, goals, where you are in the licensure process, and whether we're a good fit.

02.

Supervisory Agreement

You provide required documentation (proof of master degree, letters of recommendation, progress towards rmhci registrations). We start supervision once you get that letter of approval.

03.

Begin Supervision

Weekly or bi-weekly sessions tailored to your needs. Discuss cases, receive feedback, develop skills, and track progress toward licensure requirements.

Frequently Asked Questions

Giant Strelitzia Nicolai

Ready To Take The Next Step?

You don’t have to carry it all on your own.
Therapy can be a space where you feel seen, supported, and empowered to move forward.

Let’s find what healing can look like together.

therapy with alayna

© 2026 by Alayna Bootsma.

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