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OCD Therapy (ERP) · Seattle · Statewide WA Telehealth

OCD care built around ERP, not open-ended talk therapy.

Same-week appointment availability. Most major insurance plans accepted. In person at three Seattle-area offices or by secure video anywhere in Washington.

Same-week first appointments Most major insurance plans accepted ERP-trained, not talk-therapy-only
An adult in profile with eyes closed, face tilted up in soft rain against blurred green foliage, calm and settled
In short

OCD therapy at Counseling Services for Wellbeing centers on ERP, exposure and response prevention, the approach research treats as the gold standard for obsessive-compulsive disorder. We work with intrusive thoughts, rituals and the subtypes that rarely fit a textbook, and we match you with an ERP-trained clinician. We accept most major insurance plans, book same-week appointments and meet at our Green Lake, Burien and Smokey Point offices or by secure video statewide.

Does this sound familiar?

You already know the thought is not true. That is not the part that stops.

A thought lands that you would never act on and would never want, and instead of passing through it sticks. So you check. You wash. You reread the message. You run the mental review one more time to be sure. The relief lasts a few minutes, and then the doubt is back and the loop starts over.

Maybe it is contamination, or a fear of harming someone, or the question of whether you really love your partner, or a thought that feels wrong in a moral or religious way, or the need for something to be just right before you can move on. You have probably been told to just stop thinking about it, or someone has reassured you, and for a moment that helped and then it did not. Plain talk therapy can even make it worse, because asking for reassurance becomes one more compulsion.

OCD is not a willpower problem and it is not solved by trying harder to be sure. The work is learning to let the thought be there without doing the ritual, and that is exactly what ERP is built to do.

What we offer

OCD therapy for adults whose obsessions and compulsions run the day.

Contamination and washing

Hours lost to washing, cleaning or avoiding what feels contaminated. Hands raw, routines that keep growing.

Harm and intrusive thoughts

Violent or unwanted thoughts you would never act on, followed by checking and reassurance to prove you are safe.

Relationship OCD

Endless doubt about whether you love your partner enough or chose right. Comparing, testing feelings, seeking proof.

Scrupulosity and moral OCD

Fear of being a bad person, sinning or breaking a rule. Confessing, praying to be sure, mentally reviewing for hours.

Just-right and symmetry

Redoing things until they feel right. Counting, evening things out, repeating until the wrongness eases.

Pure-O and mental compulsions

No outward ritual, but constant mental reviewing, neutralizing and figuring it out. The compulsion is in your head.

First-time-therapy adults are welcome. You do not need to have it figured out or be sure it is OCD before you reach out.

Our approach

How OCD therapy works here.

We lead with ERP and shape it to your specific obsessions and compulsions, so you build real tolerance for the thoughts instead of chasing certainty you can never quite reach.

1

Reach out

A short form or a call. We hear what is going on, which obsessions you get and which compulsions follow, and what you have already tried. No long assessment battery to clear before we talk.

2

Map the loop together

We pair you with an ERP-trained clinician and map your triggers, your obsessions and the rituals that follow, including the mental ones. From there you build an exposure plan, paced to start where you can.

3

Practice and build tolerance

You face triggers on purpose and ride out the discomfort without doing the ritual, in session and then on your own. Same therapist each time, in person at one of three Seattle-area offices or by secure video anywhere in Washington.

The method

Why ERP, not open-ended talk.

ERP, exposure and response prevention, is what the American Psychological Association describes as the most effective approach for obsessive-compulsive disorder. It works by helping you face the trigger and resist the compulsion, so the loop loses its grip over time. Cognitive behavioral therapy sits underneath it, and we draw on it for the thinking patterns that keep OCD going.

ERP for the core of OCD. CBT for the beliefs that fuel it. Inference-based work for the doubt itself. Trauma-informed care with EMDR when there is trauma underneath. We shape the approach to your subtype, whether it is contamination, harm, relationship OCD or a theme that does not fit a textbook.

ERP
exposure and response prevention as the core approach
CBT
for the beliefs that keep OCD going
AAMFT
approved clinical supervision

How we compare

Counseling Services for Wellbeing vs. typical Seattle OCD options.

Generalist Seattle therapists Online therapy platforms Counseling Services for Wellbeing
First appointment
Often waitlisted for OCD
Usually within days
Same-week, matched to you
ERP-trained for OCD
Often talk therapy, not ERP
Rarely ERP-specialized
ERP-trained clinicians
Speed and after-hours flexibility
Limited evening slots
Evening and weekend video
Not the widest after-hours menu
In-person and video options
In person, one location
Video only
Three offices plus video
Works across OCD subtypes
May miss Pure-O and mental rituals
Scripted, one-size content
Contamination, harm, ROCD, Pure-O
Insurance accepted
OCD specialists often cash-pay
Limited plans accepted
Kaiser, Premera, Regence, Aetna, UnitedHealthcare, Cigna
  • First appointment

    • Generalist Seattle therapistsOften waitlisted for OCD
    • Online therapy platformsUsually within days
    • Counseling Services for WellbeingSame-week, matched to you
  • ERP-trained for OCD

    • Generalist Seattle therapistsOften talk therapy, not ERP
    • Online therapy platformsRarely ERP-specialized
    • Counseling Services for WellbeingERP-trained clinicians
  • Speed and after-hours flexibility

    • Generalist Seattle therapistsLimited evening slots
    • Online therapy platformsEvening and weekend video
    • Counseling Services for WellbeingNot the widest after-hours menu
  • In-person and video options

    • Generalist Seattle therapistsIn person, one location
    • Online therapy platformsVideo only
    • Counseling Services for WellbeingThree offices plus video
  • Works across OCD subtypes

    • Generalist Seattle therapistsMay miss Pure-O and mental rituals
    • Online therapy platformsScripted, one-size content
    • Counseling Services for WellbeingContamination, harm, ROCD, Pure-O
  • Insurance accepted

    • Generalist Seattle therapistsOCD specialists often cash-pay
    • Online therapy platformsLimited plans accepted
    • Counseling Services for WellbeingKaiser, Premera, Regence, Aetna, UnitedHealthcare, Cigna

We are not the fastest after-hours option and we are not the cheapest in the city. We are the practice that treats OCD with ERP, takes your insurance, gets you in quickly and matches you with a clinician trained for the way your OCD actually shows up.

Insurance & coverage

Most major insurance plans accepted

Kaiser Permanente Premera Blue Cross Regence Blue Cross Blue Shield Aetna Cigna UnitedHealthcare Optum Humana Wellpoint Carelon LifeWise First Choice Health Network Coastal Administrative Services Medicare Tricare Triwest

We confirm coverage before your first session, so getting specialized OCD care does not have to wait until you can afford cash-pay rates.

The team

Meet some of our OCD-focused clinicians.

A smaller, vetted bench for OCD specifically. We match you with a clinician trained in ERP for the way your OCD actually shows up.

Angie Blattenbauer, LMHC

Angie Blattenbauer

LMHC
ERPCBTOCDEMDRTrauma-informed
Read bio Book with Angie

Monica Sanders, MA, LMHC, NCC

Monica Sanders

MA, LMHC, NCC
ERP-informed CBTOCDAnxietyAdultsTelehealth
Read bio Book with Monica

+ Meet the full team

Therapists and psychiatric providers across all three offices and by secure video.

Meet the team

There is a deeper team behind these clinicians. Tell us how OCD shows up for you and we will match you with the right therapist.

Where to meet

Three offices or secure video anywhere in Washington.

ERP translates well to video, and exposures that happen at home often fit better there, so you can do this work in the place where OCD actually shows up.

Green Lake, Seattle

North Seattle, Wallingford, Ravenna, Roosevelt

View office →

Burien

White Center, SeaTac, Normandy Park, South King

View office →

Smokey Point, Arlington

Arlington, Marysville, north Snohomish

View office →

Secure video, statewide

Anywhere in Washington. Same therapist either way.

Online therapy in WA →
Frequently asked questions

What adults ask before starting OCD therapy.

Do you take my insurance for OCD therapy?

We accept Kaiser, Premera, Regence, Aetna, UnitedHealthcare and Cigna. Coverage can work differently by plan, so we will confirm exactly what your plan covers before your first session. You will not be left guessing about cost, which matters when so many OCD specialists are cash-pay only.

Do you do ERP for OCD?

Yes. ERP, exposure and response prevention, is the core of how we treat OCD, because it is the approach research treats as the gold standard. We have clinicians trained in ERP rather than general talk therapists who occasionally see OCD, and we draw on CBT for the beliefs that keep the loop going.

Is ordinary talk therapy enough for OCD?

For OCD specifically, open-ended talk therapy and reassurance often make things worse, because reassurance can become another compulsion. ERP is structured differently. It is designed to help you face the trigger and ride out the discomfort without doing the ritual, so the obsession gradually loses its grip.

What kinds of OCD do you work with?

Contamination, harm, relationship OCD, scrupulosity and just-right or symmetry themes, along with Pure-O and mental compulsions where the rituals happen entirely in your head. ERP adapts to the theme, so the subtype does not have to fit a textbook for us to work with it.

How soon can I be seen for OCD?

First appointments are available the same week, not weeks out. Much of the Seattle OCD market is small, waitlisted or cash-pay only, so you do not have to sit with the loop while you wait for an opening. Reach out and we will find the first opening that fits.

Do you offer OCD therapy online or only in person?

Both. You can meet in person at our Green Lake, Burien or Smokey Point offices, or by secure video anywhere in Washington with online therapy. The same therapist either way. ERP translates well to video, and home-based exposures often fit better there.

What happens in the first appointment?

The first session is about understanding how OCD shows up for you, which obsessions you get and which compulsions follow, and building a plan together. We do not throw you into the hardest exposure on day one. The work is paced so you can actually do it, with the same therapist each session.

Take the next step

You do not have to keep doing the ritual one more time just to feel okay for a minute.

OCD therapy can give you room to let a thought be there without acting on it, and you can start this week. Counseling Services for Wellbeing leads with ERP, accepts most major insurance plans, books first appointments the same week, and matches you with a clinician trained for your OCD, in person at our Green Lake, Burien and Smokey Point offices or by secure video across Washington.