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Assessment and 
Treatment

At the OCD and Anxiety Center for Change, we provide compassionate, evidence-based care grounded in Cognitive Behavioral Therapies and related approaches. We begin by getting to know you through a thoughtful and collaborative assessment process, which may include structured interviews, observations, and questionnaires. This helps us understand what matters most to you and how anxiety or OCD may be getting in the way. The assessment typically takes 1–2 sessions, depending on your unique needs and goals. To support meaningful and lasting change, I use a range of evidence-based approaches, such as: â€‹

Acceptance and Commitment Therapy (ACT)

ACT helps individuals build a more flexible relationship with their thoughts and feelings, rather than getting stuck in struggle or avoidance. Instead of focusing on eliminating difficult emotions, ACT supports you in making space for them while taking meaningful steps toward the life you want to live. It’s about turning toward what matters—even in the presence of discomfort—and building a life guided by your values.Visit ACBS HERE to learn more.

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Exposure and Response Prevention (ERP)

ERP has been labeled the gold-standard treatment for Obsessive-Compulsive Disorder (OCD) and other anxiety-related conditions. ERP helps you gradually face the thoughts, situations, or feelings you fear—without relying on rituals or avoidance to feel better. With support, you learn that anxiety can rise and fall without needing to control it, and that you can choose actions that align with your values rather than fear. Over time, this builds confidence, flexibility, and freedom from the patterns that keep you stuck. Click HERE to learn more about ERP for OCD.

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Cognitive Behavioral Therapy (CBT)

CBT is a well-researched, practical approach that helps people understand how their thoughts, feelings, and behaviors are connected. CBT supports you in identifying unhelpful patterns and learning new ways to respond—so you can break cycles that keep you stuck and move toward the life you want. It’s an active, collaborative process that focuses on building skills to handle challenges more effectively and with greater self-awareness.. Click HERE to read an article to learn more.

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Comprehensive Behavioral Therapy (ComB)

The ComB model is a flexible, evidence-based approach designed to help individuals with body-focused repetitive behaviors, such as hair pulling (trichotillomania) and skin picking (excoriation). ComB helps you identify the unique factors that drive your behavior—like sensory urges, emotional triggers, or routines—and tailors strategies to target those patterns with compassion and care. Rather than relying on willpower alone, ComB focuses on increasing awareness and building personalized tools to support change in a way that aligns with your life and values.

Read more HERE from the IOCDF or HERE from the TLC Foundation for Body-Focused Repetitive Behaviors.

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Comprehensive Behavioral Intervention (CBIT)

CBIT is an evidence-based treatment for individuals with tic disorders. It combines awareness training, habit reversal strategies, and tools to manage situations that make tics more likely. CBIT helps you notice early signs of a tic and respond in ways that reduce its impact—without judgment or pressure to “get rid of” it. The focus is on building skills that support greater choice, confidence, and well-being.To learn more about tic disorders click HERE.

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Habit Reversal Training (HRT)

HRT is a behavioral approach used to treat body-focused repetitive behaviors (like hair pulling or skin picking), tics, and other habitual patterns. HRT teaches you to become more aware of urges or triggers and to use alternative, more purposeful responses. The goal isn’t perfection—it’s about building awareness, interrupting automatic cycles, and moving toward more intentional, values-based actions.

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Mindfulness Training

Mindfulness helps you develop the ability to be more present with your thoughts, feelings, and sensations—without judgment or the need to change them. Through simple, accessible practices, mindfulness builds awareness and steadiness in the face of discomfort, so you can respond to life with greater clarity and flexibility. Rather than getting caught up in the past or future, mindfulness supports living more fully in the moment and making choices that reflect what truly matters to you.

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​Prolonged Exposure (PE)

PE is a highly effective treatment for post-traumatic stress disorder (PTSD) and trauma-related difficulties. PE helps you gradually approach memories, situations, and feelings that have felt overwhelming or unsafe—at a pace that feels manageable and respectful of your experience. Instead of avoiding what’s painful, PE supports you in facing it with courage and care, so that the trauma no longer holds the same power over your daily life. Through this process, many people find healing, clarity, and a renewed sense of connection to themselves and others. â€‹

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Supportive Parenting for Anxious Childhood Emotions (SPACE)

SPACE is an evidence-based parent program designed to help children and teens with anxiety and OCD. Instead of focusing on changing your child’s behavior directly, SPACE empowers you as a parent to make supportive changes in how you respond to your child’s anxiety. By reducing unhelpful accommodations and increasing calm, confident support, parents can create an environment that helps their child build resilience, confidence, and independence—without pressure or punishment. Click HERE to learn more.

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Consultation Services​

Therapists can provide school or community resources, including behavioral health resources to a student, parents/guardians, family, or to school staff. Therapists can provide engagement strategies, support, and education to parents/guardians or school staff regarding effective social/emotional interventions and strategies for a specific student.

THE OCD and ANXIETY

CENTER FOR CHANGE is a PLLC

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Website: www.ocdchange.com

Email: jnogales@ocdchange.com

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