ARNICA SPECIALTIES

OCD

OCD involves unwanted thoughts, images, or urges that feel intrusive, along with behaviors or mental habits meant to reduce the anxiety they create. The relief is usually short-lived, which keeps the cycle going.

The OCD Experience: What Many People Notice

  • Thoughts that feel upsetting, repetitive, or hard to dismiss
  • Urges to check, reassure, avoid, or mentally review
  • Feeling stuck in loops of doubt or “what if” thinking
  • Knowing something doesn’t make sense, but still feeling pulled to do it

How Therapy Can Help With OCD

  • More space from intrusive thoughts
  • Less need to act on compulsions
  • Greater tolerance for uncertainty
  • Feeling more in control of your time and attention

At Arnica Mental Health, I am here to work with you in a way that respects your nervous system, your pace, and how your brain actually functions

How Arnica Mental Health works with OCD

We use Exposure and Response Prevention (ERP), which is the most effective treatment for OCD, in a way that is collaborative and paced. You won’t be pushed into anything before you’re ready. We build skills to handle the anxiety first, then take small, supported steps. We also make space for the emotional side of OCD, so it’s not just behavior change—it’s feeling safer in your own mind.

Portrait of Jen McNaughton, LCSW, owner and therapist at Arnica Mental Health in Boulder, Colorado

Hi, I’m Jen. I’m glad you’re here.

I am a therapist, a researcher-at-heart, and a neurodivergent human who understands the internal chaos.

As someone with lived experience of neurodivergence, I know how confusing it can feel when your mind or nervous system reacts faster than you can make sense of it. That lived experience helps me recognize the moments when someone is masking, feeling pressured, or trying to show up as the “easier version” of themselves.

Here, none of that is required.

Feel free to settle in however you need. Move, stim, pause, take a break. Your body and nervous system get to have a say.

Alongside that, I bring evidence-based modalities like IFS, EMDR, ERP, CBT/DBT, and somatic tools. I love research (I read the studies so you don’t have to), but what matters most is the relationship we build and the steadiness we create together.

What the Research Tell Us About Therapy For OCD

Exposure and Response Prevention (ERP) is a well-researched, evidence-based therapy and is considered a first-line treatment for OCD. It works by helping you gradually face the thoughts, sensations, or situations that trigger anxiety—while reducing the rituals (including mental rituals) used to get relief.

Over time, research shows that this process helps the brain learn it can tolerate uncertainty and discomfort without relying on compulsions, which weakens the OCD cycle.

ERP is especially effective for:

  • Intrusive thoughts and “what if” fears
  • Compulsive behaviors and mental rituals
  • Avoidance driven by anxiety or the need for certainty

Studies consistently find that ERP leads to meaningful reductions in OCD symptoms and improvements in daily functioning, especially when it’s delivered in a structured, collaborative way and practiced consistently over time.

What Octcomes People Often Notice Over Time

In research, progress is measured by reduced OCD severity and higher rates of improvement compared to other approaches. In real life, that often looks like:

  • Intrusive thoughts feeling less urgent or less “must-fix-now”
  • Compulsions taking less time or showing up less often
  • Faster recovery after triggers
  • Less avoidance and more ability to engage in daily life
  • More flexibility around uncertainty

Many people also notice deeper shifts that aren’t always captured in studies, like less fear around their thoughts, more confidence in handling discomfort, and less time organizing life around OCD rules.

Progress tends to be gradual. It’s less about eliminating thoughts entirely and more about changing your relationship to them—so they have less impact on your day-to-day life.

Other Evidence-Based Modalities I Use

IFS (Internal Family Systems)

Helps you understand the protective parts of yourself without fighting them.

EMDR

Supports healing from painful or overwhelming experiences by working with the brain’s natural processing systems.

ERP (Exposure & Response Prevention)

The gold-standard treatment for OCD and intrusive thoughts — structured, effective, and done with care.

CBT & DBT strategies

Offer practical skills for emotion regulation, thought patterns, and coping.

Somatic / nervous-system work

Helps you understand and shift body-based responses like freeze, shutdown, or hypervigilance

Ready to See If This Is a Good Fit?

A consultation call is free, low-pressure, and simply a chance to get a sense of what working together could feel like. You can schedule a consultation directly through my secure client portal by clicking below.