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with Perceptions Counselling

OCD Therapy in Vancouver

OCD is a cornerstone of our practice.

Are fears holding you back from what matters most to you?
Do you feel stuck in a loop you cannot get out of?
Has OCD made your world smaller?

Clients lose time checking, washing, counting, ruminating, over-thinking, or seeking reassurance. Some experience intrusive thoughts that are scary and feel so real and imminent and are unable to turn them off.

Our OCD therapists are trained in ERP, the gold-standard treatment for OCD. 

A part of you may know that the thought is irrational, but it still feels incredibly urgent. 

  • Intrusive thoughts
  • Constant checking
  • Obsession and compulsion loops
  • Mental rituals
  • Reassurance seeking
  • Intense anxiety symptoms 
  • Avoiding triggers
  • Lost time
  • Shrinking world

Clients come to us for help with:

Many clients come to us with a formal OCD diagnosis. A majority come with a hunch that what they are experiencing might be OCD.

Clients come to us stuck in OCD loops

  • Repeating
  • Neutralizing 
  • Perfectionist behaviours 
  • And more

  • Washing
  • Checking
  • Ruminating
  • Reassurance Seeking 
  • Counting
  • Arranging

Therapy helps reduce compulsions, such as:

  • Aggression
  • Relationship 
  • Morality 
  • And more

  • Harm
  • Contamination
  • Sexual 
  • Religious 
  • Health
  • Symmetry

Our OCD therapy helps with many themes, including: 

Through therapy, the goal is to learn that you can tolerate uncertainty and tolerate distress. You also learn that the core fear is not coming true. 

OCD therapy with us is structured, clear, and active. 

We begin with a thorough assessment to ensure ERP is the right course of treatment for you or blend of therapiest for OCD. Next, we identify your obsessions, compulsions, and the core fear fuelling the anxiety. 

From there, we build an exposure hierarchy. This becomes our road map, starting with what feels least scary and gradually moving towards the scariest fears to tackle. We do exposures together in the session first, then you will practice them on your own in between weekly sessions. Exposures may involve real-life situations or imagined scenarios.

You learn that anxiety and distress rises and has a peak but does come down without doing the compulsions. You learn that feared outcomes are not prevented by compulsions... they are just not happening.

How our OCD therapy works

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Sessions are usually 50 minutes. Sometimes, 75 or 100-minute exposure sessions may be helpful.

Cognitive Therapy helps you examine and reframe the distorted beliefs that give OCD its power, like overestimating danger or feeling responsible for harm. This helps reduce the meaning you attach to intrusive thoughts so they feel less threatening and urgent.

Cognitive Therapy

ACT helps you practice acceptance and defusion, which means noticing thoughts without treating them as commands. This helps you reconnect with your values instead of obeying the OCD voice.

Acceptance and Commitment Therapy (ACT)

CBT helps you notice the thoughts, beliefs, and behaviors that keep OCD loops going. This can reduce self-blame and help you respond with more clarity.

Cognitive Behavioral Therapy (CBT)

ERP helps you face feared thoughts, images, or situations without doing the ritual. Over time, this helps reduce compulsions and avoidance. 

Exposure and Response Prevention (ERP)

Our approach may include:

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The OCD voice may still show up, but it does not have to be the voice in charge.

  • Time back
  • Reduced compulsions
  • Reduced anxiety 
  • Increased confidence
  • Social ease
  • Less mental noise
  • More connection
  • Living more in line with their values 

After therapy, clients report:

Treatment for OCD is not focused on making the thoughts go away. It is about learning that thoughts can be present without them running your life, having meaning, and being intrusive in nature. 

Results from our OCD therapy

We will begin with a thorough assessment, understand your OCD patterns, and start building your treatment road map.

First Session

Connect with a therapist and ensure it is the right fit.

Brief Consultation

Fill out the contact form, and we will match you with the right therapist.

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Getting started in 3 steps

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Ready to stop losing time to OCD?