May 20, 2025
Specialized OCD therapy | Exposure and Response Prevention (ERP), medication & evidence-based care
We all have our unique habits, or experience obsessive thoughts from time to time.
Obsessive-Compulsive Disorder (OCD) is a mental health condition that is characterized by a cycle of obsessions and/or compulsions. The obsessions and/or compulsions of people with OCD consume a significant portion of their day. These thoughts/behaviors will often cause psychological distress and disrupt one’s ability to function in daily life. OCD often begins anywhere from childhood to early adulthood.
An obsession is an intrusive thought or image that is highly distressing. A compulsion is usually a repetitive behavior which can reduce the psychological distress of an obsession. For example, for individuals who have concerns (obsessions) about contamination, repetitive cleaning behaviors can reduce their anxiety.
Many of us may have thoughts and behaviors like these from time to time, but for someone with OCD, these obsessions and compulsions take over their life. These intrusive thoughts become obsessions, and, to deal with them, people resort to compulsions, which are behaviors that are comforting and reduce anxiety. For example, someone who has an obsession over exactness may have their lives revolve around specific orders. Opening a door may require a particular hand sequence: right hand, left hand, and right hand again. Having any bad thoughts may be accompanied by a specific number of “knocks on wood”, which also has to be precise each time. If any of these mental rituals are done incorrectly, a person with OCD may truly believe something terrible may happen, and may repeat these rituals over and over again until they are done correctly. These behaviors are habit-forming, leading to a vicious cycle of obsessions and compulsions. As a result, untreated OCD can severely impact relationships, work, and school.
While OCD is treatable, there are consequences for living with untreated OCD. Possible long-term consequences of untreated OCD include the following:
There are many reasons to believe that the causes of OCD are biological. Research has shown that in the brains of people with OCD, there is greater activity and interconnectivity in areas of the brain responsible for habit formation and processing emotions, in particular, fear.
Genetics have a strong influence on whether you have OCD or not. If someone in your family, such as a parent or a sibling, has OCD, then you are more likely to develop OCD as well. The rate of OCD between family members is much higher than the rates of OCD among the general population.
Additionally, stressful environmental factors have been shown to play a role in developing OCD. For example, childhood trauma, specifically abuse and disruption of the family, are linked to OCD.
If you have OCD, treatment will empower you to take control over your own OCD and live your life to its potential.
Exposure and Response Prevention (ERP) is a type of Cognitive Behavioral Therapy (CBT), which is a common type of talk therapy for treating a range of mental health disorders. ERP will likely be one of the first options used to treat your OCD. You will explore your thought patterns, including the images or situations that trigger these thoughts, and your habits or rituals that result. You will work towards creating strategies to manage your obsessions and prevent compulsive behavior. By staying in a fearful situation without anything terrible happening, you will learn that your fearful thoughts are just thoughts rather than reality. Over time, your brain will be trained to see your past obsessions as non-threats. Then, you are less likely to carry out compulsions, because you do not need them as a safety blanket.
For OCD, medication can be used to effectively help treat symptoms, and it can be combined with Exposure and Response Prevention (ERP) therapy. Selective Serotonin Reuptake Inhibitors (SSRIs), a type of antidepressant, is the most common choice for an OCD medication.
The success rate using ERP is greater than 60%, with long term treatment success. Using medication alone has approximately 40% to 60% effectiveness. Using both in combination can be a highly effective treatment strategy for some people with severe OCD.
Integrative Psych is an NYC-based private practice specializing in the treatment of OCD and related conditions. Many of our clients are based in Brooklyn, Queens, New Jersey, Manhattan (Chelsea, Village, Lower East Side, Upper East Side, Upper West Side, Tribeca, SoHo), Connecticut, and Westchester, but our OCD therapists are licensed to treat anyone in the state of New York.
Integrative Psych takes a compassionate, comprehensive, and holistic approach to OCD diagnosis and treatment. We will carefully explore your present life and early life, evaluating all factors that could be contributing to your OCD.
When making recommendations, treatment may involve tailored medication and likely include a blend of therapy including Exposure and Response Prevention (ERP), depending on what works best for you.
Decisions about what treatment or treatments to pursue are made as a team, between you and your OCD therapist. Once you have begun care with us, we will see you regularly to monitor your progress and make any adjustments necessary to ensure that you benefit fully from your treatment at Integrative Psych.
Obtain OCD therapy in NYC today, if you are ready to:
If you’re seeking treatment and interested in working with one of our OCD therapists, book an appointment here.
At Integrative Psych, we are your premier destination for integrative and evidence-based therapy in New York City. Our team of experienced and compassionate therapists specializes in a wide range of mental health services, tailored to meet your unique needs. Whether you are seeking assistance with psychodynamic therapy nyc, bipolar disorder nyc, high-functioning anxiety nyc, complex PTSD nyc, or any other mental health concerns, we are here to support you on your healing journey.
We offer specialized therapies such as light therapy nyc, anger management therapy nyc and OCD therapy in NYC. Our dedicated therapists work collaboratively with you to tailor treatment plans that suit your specific needs and goals. Additionally, we have ADHD doctors who provide comprehensive assessments and evidence-based interventions for individuals with ADHD, helping them manage their symptoms and improve their daily functioning.
Seeking OCD therapy in NYC offers individuals practical tools to manage their symptoms effectively, regain control over their lives, and develop healthier coping strategies, all under the guidance of experienced professionals.
“This is a great practice. I suffer from OCD and have been seeing Dr Ryan Sultan for a year now. He has helped me overcome my biggest challenges and live a life that I didn't even know I could.”
We're now accepting new patients
