top of page
IMG_0161.jpg

Assessment and 
Treatment

​​

​

At The OCD and Anxiety Center for Change, therapy begins with understanding you—not just symptoms or diagnoses. I offer compassionate, evidence-based care grounded in cognitive behavioral and mindfulness-informed approaches.

 

​

​

 
Assessment: Getting to Know You

 

Our work begins with a thoughtful, collaborative assessment process. This may include structured interviews, questionnaires, and clinical observation, and typically takes 1–2 sessions, depending on your needs and goals.

 

The purpose of assessment is not to label or pathologize, but to understand:

  • What matters most to you

  • How anxiety, OCD, or related challenges may be getting in the way

  • What patterns are showing up—and how they make sense

 

Together, we use this understanding to guide treatment in a way that feels intentional, respectful, and aligned with your values.

​​​​​​​​​

​

​

Treatment: How We Work Together

​

Treatment is individualized and collaborative. Rather than trying to eliminate anxiety or discomfort, our work focuses on changing your relationship with internal experiences so they have less control over your life.

​

I draw from several evidence-based approaches, integrating them thoughtfully based on your goals, preferences, and needs.

​​​​​​​

​

​

Core Approaches

​​

Acceptance and Commitment Therapy (ACT)

ACT supports psychological flexibility—learning how to make room for thoughts and feelings while choosing actions aligned with what matters most. Rather than getting caught in struggle or avoidance, ACT helps you move toward a meaningful life even when discomfort is present.

 

Exposure and Response Prevention (ERP)

ERP is a gold-standard treatment for OCD and anxiety-related conditions. Through gradual, supported exposure, ERP helps you face feared thoughts, sensations, or situations without relying on rituals or avoidance. Over time, this builds confidence, flexibility, and freedom.

 

Cognitive Behavioral Therapy (CBT)

CBT helps you understand the connections between thoughts, emotions, and behaviors. It’s a practical, collaborative approach that supports awareness of unhelpful patterns and the development of more effective, values-consistent responses.

​​​​​

​

​

Specialized Treatments

​

Supportive Parenting for Anxious Childhood Emotions (SPACE)

SPACE is a parent-based treatment for children and teens with anxiety or OCD. Rather than focusing on changing the child directly, SPACE supports parents in responding differently to anxiety—reducing accommodation while increasing calm, confident support.

 

Comprehensive Behavioral Therapy (ComB)

ComB is a flexible, individualized approach for body-focused repetitive behaviors such as hair pulling and skin picking. Treatment focuses on understanding the unique factors driving the behavior and building compassionate, personalized strategies for change.

 

Habit Reversal Training (HRT)

HRT helps individuals increase awareness of urges and habitual patterns and develop alternative, intentional responses. The focus is not perfection, but awareness, choice, and values-based action.

 

Comprehensive Behavioral Intervention for Tics (CBIT)

CBIT is an evidence-based treatment for tic disorders. It supports awareness, skill-building, and confidence without pressure to “get rid of” tics.

 

Mindfulness-Based Practices

Mindfulness supports present-moment awareness and nonjudgmental attention to internal experiences, helping you respond with greater clarity and flexibility.

 

Prolonged Exposure (PE)

PE is an evidence-based treatment for trauma and PTSD that supports gradual, supported engagement with avoided memories and situations so they no longer hold the same power over daily life.

​​​​​​

​

​

Consultation Services

​

Consultation services may include collaboration with schools or community providers, parent or staff education, and support around social-emotional and behavioral strategies for specific students or families.

​

​

THE OCD and ANXIETY

CENTER FOR CHANGE is a PLLC

​

Website: www.ocdchange.com

Email: jnogales@ocdchange.com

​

​

Pride Flag.png
bottom of page