Obsessive Compulsive Disorder (OCD) Therapy in Scottsdale, AZ

Perfectionism is a high standard. OCD is a compulsion driven by anxiety, and the difference is in the felt experience rather than the behavior. A perfectionist who reorders a shelf feels satisfied. Someone with OCD who reorders a shelf feels a temporary drop in dread, followed by the dread returning.

Perfectionism is usually experienced as part of who you are. OCD is usually experienced as something intruding on who you are, which is why people describe it as unwanted. The practical test is time and distress: if rituals consume more than an hour a day, or if you cannot stop even though you want to, that is beyond a personality trait.

Yes, and there is no honest way to say otherwise. ERP asks you to approach what frightens you and then not do the thing that has always made the fear go away. That is uncomfortable in the moment by design.

What makes it tolerable is that it is graded, agreed in advance, and controlled by you rather than sprung on you. You start well below the hardest item and move up as each step stops being difficult. Most people find that the anticipation of an exposure is significantly worse than the exposure. And the discomfort is time-limited, whereas the OCD cycle, left alone, is not.

Structured OCD treatment is often shorter than people expect, with many courses running somewhere in the range of a few months of weekly sessions. Progress usually depends more on how consistently the between-session work gets done than on how severe the symptoms were at the start.

Longer-standing OCD, or OCD alongside depression or trauma, generally takes longer. We will give you a realistic range after an assessment rather than before one.

Yes. Therapy alone, particularly ERP, is an established treatment for OCD and many people do well with it without medication. Others find that medication reduces the baseline anxiety enough to make the therapy work possible, and combined treatment is common.

That decision belongs to you and your physician. We do not prescribe, we do not push either way, and we work alongside a prescriber when you have one.

Biltmore Psychology & Counseling is an out-of-network provider and does not bill insurance directly. If your plan includes out-of-network mental health benefits, we provide a receipt you can submit to your insurer for reimbursement, and many clients are reimbursed for a portion of each session.

Fees vary by clinician and by the type of session, so call (480) 999-7070 and we will give you the current rate before you book anything.

Our office is in Phoenix at 6245 N 24th Parkway, near 24th Street and Camelback beside Biltmore Fashion Park, about 20 minutes from Old Town Scottsdale on Camelback Road. We have served the Scottsdale area since 2012. Online sessions are also available to any Arizona resident.

Yes, and for OCD there is a specific advantage to it. Because so many compulsions are tied to particular rooms and objects at home, working online lets your therapist do exposure work with you where the triggers actually live rather than at one remove. Online sessions are available to any Arizona resident. Call (480) 999-7070 to arrange it.

We treat anxiety and depression alongside OCD, and everything else we offer locally in Scottsdale starts with the same free consultation.