REFRESH DALLAS · OCD
OCD is not about being tidy.
The thought that won't leave. The reassurance you ask for over and over and cannot keep. The hours lost to mental checking that no one else sees. We treat OCD in Dallas with the medication piece, alongside the therapy that this condition actually responds to.
In-network with most major insurance · Same-week availability · Psychiatric specialists
THE CONDITION
The public image of OCD is wrong.
OCD has a clinical structure. Obsessions are intrusive, unwanted thoughts, images, or urges that produce real distress. Compulsions are the mental or physical acts done to relieve that distress. The cycle is exhausting and the relief is temporary.
Obsessions take many forms. Contamination, harm, symmetry, religious or moral scrupulosity, intrusive sexual thoughts, fear of acting against your own values. The defining feature is that the content feels unwanted and the person experiencing it finds it disturbing rather than appealing.
OCD frequently shows up alongside depression, anxiety, ADHD, tics, and disordered eating. Treating it well means recognizing it accurately, and recognizing it accurately is harder than the popular image of OCD makes it look.
OUR APPROACH
Medication, dosed for OCD specifically.
OCD responds to certain antidepressants, typically at higher doses than depression or generalized anxiety would call for. Dosing OCD as if it were depression is one of the more common reasons patients have been told their medication 'didn't work.' We dose to the diagnosis.
When first-line medication is not enough, there are evidence-based augmentation strategies. We use them when they are appropriate. We do not stack medications for the sake of stacking them.
OCD also responds substantially to a specific kind of therapy called Exposure and Response Prevention. ERP is the gold standard and we coordinate with ERP-trained therapists. Medication and ERP together outperform either one alone for most patients.
SCOPE OF CARE
Where another setting is the right call.
Exposure and Response Prevention therapy is its own specialized clinical work. We are a psychiatry practice, so the ERP piece happens with therapists trained for it. We coordinate with ERP providers closely, because the medication and the therapy work best when they are working together.
When OCD symptoms are severe enough that standard outpatient care isn't enough, an intensive outpatient program or residential setting is sometimes the right call. We help you find the right one and stay coordinated with the team there.
FAQ
Questions.
OCD has the specific obsession-compulsion structure: an intrusive thought followed by a neutralizing act. Generalized anxiety is more diffuse worry without the compulsive piece. The distinction matters because the treatments are different.
This is one of the most common presentations of OCD, sometimes called harm OCD. The defining feature is that the thoughts feel deeply distressing and ego-dystonic. That is the opposite of dangerous. We can help.
At your own pace. We need enough understanding to treat you well. The depth of disclosure that happens in ERP is its own thing and happens with your therapist, when you are ready.
Some of our providers see children and adolescents of most ages. Whether we're the right fit for a younger child depends on the situation, so reach out and we'll tell you honestly.
If this is an emergency, or if you are worried about your safety right now, please reach out for support that can meet the moment. You can call or text 988 anytime to reach the Suicide and Crisis Lifeline, or go to your nearest emergency department. When you are ready for outpatient care, we will be here.
OCD is highly treatable when treated for what it actually is.