OCD-Related Conditions

Not all obsessive-compulsive struggles look the same. Some conditions are closely related to OCD and involve similar patterns of intrusive thoughts, urges, and behaviors that feel hard to control. These include body dysmorphic disorder (BDD), body-focused repetitive behaviors (BFRBs) such as hair-pulling and skin-picking, emetophobia (fear of vomiting), and tic disorders.

These conditions can be exhausting and isolating, but they are also highly treatable. I use evidence-based approaches such as cognitive behavioral therapy (CBT), Exposure and response prevention (ERP), Habit Reversal Training (HRT), Cognitive Behavioral Intervention for Tics (CBIT), and elements of Acceptance and Commitment Therapy (ACT) to help reduce distress and build resilience.

Tics and Tourette Syndrome

Tics like shoulder shrugs, throat clearing, or head jerks can be confusing and frustrating. Trying to suppress them often increases tension and fatigue. Tics are not a sign of weak willpower and they are not your fault.

Comprehensive Behavioral Intervention for Tics (CBIT) is the leading non-medication treatment for tic disorders. It helps individuals recognize early signs of a tic, use strategies to interrupt it, and identify patterns that influence tic frequency and intensity. I provide CBIT for children, teens, and adults using a supportive, step-by-step approach that fits into real life.

Body Dysmorphic Disorder (BDD)

If you find yourself constantly focused on your appearance, fixating on a specific feature, avoiding mirrors, or comparing yourself to others, it may be more than insecurity. Body dysmorphic disorder can make it feel like how you look defines your worth, even when others do not see what you see.

BDD is treatable. I use cognitive behavioral therapy (CBT), exposure and response prevention (ERP), and acceptance-based strategies to reduce obsessive thinking, ease the urge to check or hide, and help you reconnect with what matters most.

You do not have to feel trapped in this cycle forever. With support and the right tools, it is possible to move through your day without the constant, painful sense of being “not enough.”

Body-Focused Repetitive Disorders (BFRBs)

Hair-pulling (trichotillomania) and skin-picking (excoriation disorder) and other body-focused repetitive disorders (BFRBs) can feel impossible to control, even when you want nothing more than to stop. You might pull or pick to ease tension, soothe discomfort, or because the urge feels overwhelming. Afterward, you may feel shame, frustration, or discouragement.

I use Habit Reversal Training (HRT), a proven treatment that builds awareness, develops alternative responses, and reduces the intensity of urges. With consistent support and practical strategies, change is possible. You can break the cycle and feel more comfortable in your skin.

Emetophobia (Fear of Vomiting)

Emetophobia can lead to intense fear and avoidance of food, restaurants, travel, or other situations that might increase the risk of vomiting. You might check expiration dates repeatedly, avoid social events, or feel constant dread about illness.

Although emetophobia is often hidden, it can significantly limit your daily life. I use exposure and response prevention (ERP), often combined with Acceptance and Commitment Therapy (ACT), to help clients gradually face their fears and reduce avoidance. With time, the brain learns that the feared situations are tolerable, helping you regain freedom and confidence.

Therapy for tics, body-focused repetitive disorders, body dysmorphia, and emetophobia is available in person in Arlington or via teletherapy to people in over 40 states through PSYPACT. If you live outside the DC area, contact me to find out if we can work together.

Reach out anytime to find out more or schedule a session. I’d love to help.