Obsessive Compulsive (OCD)

When Intrusive Thoughts Take Over

OCD isn’t about being “neat” or “organized.” It’s a cycle of intrusive thoughts and repetitive behaviors that can consume time, energy, and peace of mind.
You might know your fears don’t make sense, but that doesn’t stop them from feeling real. The more you try to ignore them, the louder they seem to get.

At Outside Therapy, we work with clients across Wyoming using Exposure and Response Prevention (ERP) — the gold standard for OCD treatment — to help you regain control and quiet the noise in your mind.

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Common Signs

Obsessive Compulsive Disorder shows up in many forms, and no two people experience it the same way. You might notice:

  • Repetitive thoughts or mental images that feel intrusive or disturbing

  • Compulsions — like checking, cleaning, counting, or seeking reassurance — to relieve anxiety

  • A strong need for things to be “just right” or symmetrical

  • Fear of contamination, losing control, or harming someone unintentionally

  • Excessive doubt, guilt, or perfectionism

  • Avoiding situations that could trigger obsessive thoughts

These patterns can take over your daily routine and leave you feeling trapped between fear and relief. But OCD is highly treatable with the right tools and support.

How OCD Works

OCD operates in a loop:

  1. Intrusive Thought — an unwanted fear or image appears.

  2. Anxiety Spike — your body reacts as if the thought is a real threat.

  3. Compulsion or Avoidance — you do something to make the anxiety drop.

  4. Temporary Relief — the fear fades briefly, but the brain learns to repeat the cycle.

ERP therapy helps break that loop by teaching you to face fears safely, without giving in to compulsions. Over time, your anxiety response weakens, and your brain learns you’re not in danger.

Approaches That Help

Our approach to OCD focuses on gradual exposure, compassion, and empowerment. You’ll work at your own pace to regain a sense of control and calm.
Common methods include:

  • Exposure and Response Prevention (ERP): Step-by-step exposure to fears while learning not to perform compulsions.

  • Cognitive Behavioral Therapy (CBT): Restructuring unhelpful thoughts that feed obsessions.

  • Mindfulness and Acceptance-Based Tools: Building awareness and self-compassion instead of judgment.

  • Lifestyle Support: Sleep, stress reduction, and grounding skills that support long-term recovery.

ERP is not about pushing you — it’s about teaching your brain that it’s safe to let go of fear.

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Living Beyond OCD

Recovery doesn’t mean your mind goes quiet forever

it means your thoughts no longer control your choices. With therapy, you’ll learn to respond instead of react, to move through uncertainty, and to trust yourself again. Life with OCD doesn’t have to be defined by rituals or fear — it can be guided by purpose and freedom.
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Alyse Pfankuch

Why Our Approach Works

At Outside Therapy, every service begins with a clear plan and measurable goals.
We combine modern mental health science with whole-person care, drawing from modalities like:

  • ACT (Acceptance and Commitment Therapy) for mindset and motivation

  • CBT (Cognitive Behavioral Therapy) for thought and behavior change

  • DBT (Dialectical Behavior Therapy) for emotional balance

  • EMDR (Eye Movement Desensitization and Reprocessing) for trauma recovery

  • ERP (Exposure and Response Prevention) for OCD and anxiety disorders

  • Positive Psychology to promote purpose and resilience

We don’t do “forever therapy.” We do focused, intentional work that helps you reach a finish line and maintain your progress long after sessions end.

Ready to Start Feeling Better?

We’re accepting new clients — no waitlist, flexible hours, telehealth statewide.
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