You replay the conversation. Then you replay it again. You catch a different word this time, a slightly different facial expression, and you wonder what it meant. You notice the time. You've been doing this for forty minutes. Or four hours. You haven't moved. You haven't solved anything. The thoughts feel important, even urgent, but the longer you stay with them, the worse you feel. This is rumination, and it's one of the most common and underappreciated drivers of anxiety, d

Many people come to therapy describing anxiety as a kind of mental noise: racing thoughts, worst-case predictions, an overactive inner critic. But for a substantial number of clients, anxiety isn't primarily a thinking problem at all. It's a physical one. A racing heart at a routine meeting. A pit in the stomach for no clear reason. A tight throat. A wave of lightheadedness in the grocery store. Numbness in the hands. The sense that the air has gone thin. Sometimes there's a

If you've spent any time in therapy, or even just reading about it, you've probably heard the message: change your thoughts, change your life. Identify the distortion, challenge it, replace it with something more accurate. For many people, that approach is genuinely helpful. But if you live with anxiety or OCD, you may have noticed something frustrating: the harder you try to argue with an anxious thought, the louder it tends to get. This is where Acceptance and Commitment Th

Obsessive-Compulsive Disorder (OCD) is a mental health condition that affects millions of people worldwide. While the symptoms of OCD can...

Exposure therapy, a transformative treatment for anxiety disorders, rests upon the fundamental principle of inhibitory learning. This...

Obsessive-Compulsive Disorder (OCD) and Autism Spectrum Disorder (ASD) are two complex conditions that can significantly impact an...

ERP for OCD

Recognizing Signs and Supporting Children with Anxiety