OCD Therapist in Austin, TX
OCD requires specialized treatment — not general anxiety therapy. At Resilience Room Counseling, OCD is our primary clinical focus. Loni Itah, MA, LPC, LCPC, LMHC, provides in-person OCD therapy in Austin and telehealth sessions across Texas and select states, using ERP, ACT, and I-CBT — the most effective, evidence-based approaches available.
What to Expect When You Work With Us
Austin has no shortage of therapists — but very few who specialize exclusively in OCD. General anxiety treatment and OCD treatment are not the same thing. If you’ve spent months in therapy that felt helpful but didn’t actually move the needle on your intrusive thoughts, compulsions, or reassurance-seeking, that’s not a you problem. It’s a specialization problem.
At Resilience Room Counseling, sessions are structured around ERP, ACT, and I-CBT — approaches built specifically for the obsessive-compulsive cycle. You’ll work with a therapist who treats OCD every single day, tailoring each session to your specific presentation. The goal isn’t managing symptoms indefinitely. It’s changing how you respond to intrusive thoughts so OCD stops running your life.
Our work commonly supports people experiencing:
- Intrusive thoughts that feel urgent, disturbing, or “wrong”
- Mental compulsions, reassurance-seeking, and rumination
- Avoidance patterns that shrink your life
- Perfectionism, overcontrol, and decision-making anxiety
- "Just Right" feelings and urges getting in the way of daily life
Many clients come to us after being told to “just sit with the anxiety” — without any structured plan for doing so. That’s where we come in. Whether you’re dealing with harm OCD, ROCD, Pure O, scrupulosity, or a presentation that’s hard to name, sessions are active, specific, and built around you.
OCD Subtypes We Treat in Austin
We work with adults and teens experiencing all forms of obsessive-compulsive disorder, including (but not limited to):
- Contamination OCD (fear of germs, illness, impurity)
- Harm OCD (HOCD)
- Relationship OCD (ROCD)
- Sexual Orientation OCD (SO-OCD)
- Religious or Moral OCD (Scrupulosity)
- Health or Somatic OCD (fears focused on bodily sensations, illness, or urination rituals)
- “Pure O” (primarily mental compulsions)
- Responsibility OCD (overwhelming sense of personal accountability for preventing disasters)
- Perfectionism or “Just-Right” OCD
- Existential OCD (questioning reality or meaning)
- POCD (intrusive sexual or moral thoughts that deeply conflict with one’s values)
- Hit-and-Run OCD (fear of accidentally harming someone while driving)
- Real-Event or Memory OCD (ruminating on past events or trying to recall every detail perfectly)
- Bathroom or Sensorimotor OCD (repetitive bathroom rituals or over-focus on bodily urges and sensations)
- Postpartum or Perinatal OCD — intrusive thoughts of harm coming to one’s baby (Note: This is not perinatal specialty care; we’ll coordinate referrals if indicated)
What OCD Therapy Looks Like in Austin
OCD treatment is collaborative, structured, and deeply human. We integrate three evidence-based approaches:
ERP (Exposure & Response Prevention)
The gold standard for OCD. We’ll gradually help you face feared thoughts, sensations, or situations without performing compulsions — retraining your brain to tolerate uncertainty.
ACT (Acceptance & Commitment Therapy)
Builds psychological flexibility and self-compassion. Instead of trying to eliminate uncomfortable thoughts or feelings, ACT helps you make room for them while living in alignment with your values.
I-CBT (Inference-Based Cognitive Behavioral Therapy)
Targets obsessional doubt at its source — helping you understand how false fears are formed and rebuild trust in your reasoning, intuition, and reality.
OCD treatment works best when it’s tailored to your specific presentation.
Let’s talk about yours.
Loni Itah, MA, LPC
Founder & OCD Specialist,
Resilience Room Counseling
Loni Itah, LPC, LCPC, LMHC, is the founder of Resilience Room Counseling and a licensed therapist specializing in the treatment of Obsessive-Compulsive Disorder (OCD), anxiety disorders, phobias, and intrusive thoughts. She works with teens and adults using evidence-based approaches including Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), Inference-Based Cognitive Behavioral Therapy (I-CBT), and Cognitive Behavioral Therapy (CBT).
Loni provides in-person OCD therapy in Austin, TX, and offers secure telehealth services for clients throughout Texas and select states.
Why Clients Choose Our Austin, TX Location
Personalized, Evidence-Based Care
Every session is tailored to your specific goals, using proven therapies for OCD, anxiety, and perfectionism.
Calm, Private Setting
Our Austin office offers a quiet, welcoming space designed for focus and healing.
Flexible Scheduling
Choose between in-person or secure telehealth sessions that fit your lifestyle.
Trusted Expertise
Led by licensed therapists trained in ERP, ACT, and I-CBT, we help high-achieving and high-anxiety individuals create lasting change.
"Resilience isn’t about being fearless, it’s about doing things scared, tolerating discomfort, and discovering growth on the other side. You’re more resilient than you think."
-Loni Itah, Founder of Resilience Room
Do things scared.
Frequently Asked Questions
Obsessive Compulsive Disorder (OCD) involves recurring intrusive thoughts, images, or urges (obsessions) and behaviors or mental rituals (compulsions) performed to reduce anxiety. These patterns can become time-consuming and distressing, often interfering with daily life, relationships, and decision-making. OCD therapy in Austin can help individuals learn how to respond differently to these patterns and regain a sense of control.
Intrusive thoughts are unwanted, repetitive thoughts, images, or urges that feel distressing or out of character. In OCD, the problem is not the thoughts themselves, but how much importance and meaning they are given — which leads to anxiety and compulsive behaviors aimed at getting certainty or relief.
No. Intrusive thoughts are a normal part of how the brain works. In OCD, the mind becomes overly focused on certain thoughts and treats them as meaningful or dangerous. Therapy focuses on changing your response to these thoughts rather than trying to eliminate them.
Exposure and Response Prevention (ERP) is the most effective treatment for OCD. It involves gradually facing feared thoughts, situations, or sensations (exposure) while resisting compulsions (response prevention). Over time, this helps reduce anxiety and retrains the brain to tolerate uncertainty without relying on rituals. ERP is widely used in OCD therapy in Austin as the gold standard treatment for intrusive thoughts and compulsions.
ERP can temporarily increase anxiety at the beginning — and that’s expected. The goal is not to avoid anxiety, but to learn that you can handle it without needing to perform compulsions. With consistent practice, anxiety becomes more manageable and less controlling over time.
The length of OCD therapy varies depending on the individual, but many people begin to see meaningful progress within a few months of consistent work. Clients seeking OCD therapy in Austin often notice early improvements as they begin applying ERP and response prevention strategies in daily life.
Yes. OCD therapy is structured and skills-based. Approaches like ERP focus on changing behavioral patterns and your relationship with thoughts, rather than analyzing or trying to resolve the content of intrusive thoughts.
Reassurance may provide temporary relief, but it reinforces the cycle of OCD by teaching the brain that uncertainty is dangerous and must be resolved. Over time, this increases the need for reassurance and strengthens obsessive patterns. Therapy focuses on building tolerance for uncertainty instead.
What to expect
- Evidence-based therapy (ERP, ACT, CBT)
- Weekly, biweekly, or intensive session options
- Warm, structured, and collaborative environment
- Hybrid flexibility — in-person OCD therapy in Austin, TX, with secure telehealth available across TX, IL, NV, WA, and FL
Next Steps
You don’t have to stay stuck in OCD’s cycle of doubt and reassurance.
If you’re ready for specialized support around OCD, you can schedule a consultation or reach out using the form below.
Prefer to call instead? Reach us at (512) 850-6655
Have questions? info@resilienceroomcounseling.com
Loni Itah, MA, LPC, LCPC, LMHC, CPC
Licensed in Texas, Illinois, Nevada, and Washington
Registered Florida Telehealth Provider
Resilience Room Counseling, PLLC
Serving Clients in Austin & Surrounding Areas
Resilience Room Counseling provides in-person OCD therapy in Austin, TX, serving adults throughout Austin and surrounding neighborhoods. Telehealth services are also available for clients across Texas and select states.
If you’re searching for specialized OCD therapy in Austin, evidence-based ERP treatment, or a licensed OCD therapist near you, our practice offers focused, structured care designed for real-life change.