

The Kentucky Derby at Churchill Downs - Louisville, KY
OCD & Anxiety Treatment Services in Louisville, Kentucky
Not All Therapy for OCD & Anxiety Is the Same
River City OCD Clinic provides specialized treatment for children, adolescents, and adults experiencing obsessive-compulsive disorder (OCD), anxiety, perfectionism, trauma-related concerns, body-focused repetitive behaviors (BFRBs), hoarding, and related difficulties.
Our services range from individual psychotherapy and group treatment to intensive outpatient care, psychological assessment, and professional consultation.
For OCD, our treatment is centered on Exposure and Response Prevention (ERP), a first-line psychological treatment for OCD, and enhanced by principles from Acceptance and Commitment Therapy (ACT).
Whether you're looking for weekly therapy, more concentrated treatment, additional support outside individual therapy, or simply help figuring out where to begin, our goal is to connect you with care that fits your needs.
Find the Support That Fits
There isn't one level of treatment that's right for everyone.
Some people benefit from weekly individual psychotherapy. Others need a more concentrated period of treatment. Some benefit from groups that provide additional opportunities to learn, practice, and maintain skills outside individual sessions.
Families may be looking for psychological assessment. Therapists may need consultation on a complicated OCD presentation. And sometimes people aren't sure what they need yet. That's okay...
You don't need to figure out the entire treatment plan before contacting us.
Explore our services below to learn more about the different ways River City OCD Clinic can help.

Therapy & Treatment Services
Exposure and Response Prevention (ERP) is a specialized form of therapy and a first-line psychological treatment for OCD.
ERP helps people approach situations, thoughts, sensations, and uncertainties that OCD has taught them to fear or avoid while practicing new ways of responding without relying on compulsions.
At River City OCD Clinic, we also integrate principles from ACT to help clients develop greater psychological flexibility and reconnect treatment with the life they want to be living.
We provide specialized individual therapy for children, adolescents, and adults experiencing OCD, anxiety, perfectionism, trauma-related concerns, BFRBs, hoarding, and related difficulties.
Treatment is individualized based on the person and the problem being treated rather than forcing every client through the same protocol.
Depending on the presenting concern, treatment may incorporate approaches such as ERP, ACT, and other evidence-based interventions.
Sometimes one therapy session per week isn't enough.
Our Intensive Outpatient Program (IOP) provides more concentrated treatment for individuals who need greater frequency, structure, and support than traditional weekly psychotherapy can provide.
IOP treatment can create additional opportunities to practice ERP, reduce compulsive responding and avoidance, and apply treatment skills to everyday situations over a more concentrated period of time.
Group Therapy & Workshops
A group offered monthly in two formats (in-person & online) designed to help individuals maintain progress in OCD and anxiety recovery through discussion, accountability, skill reinforcement, and continued ERP- and ACT-informed practice.
A supportive, action-oriented therapy group focused on building practical skills for managing OCD, anxiety, intrusive thoughts, and uncertainty using ERP and ACT.
A group focused on the unique challenges associated with hoarding disorder, an OCD-related disorder, with an emphasis on gradual change, values-based action, and practical support. Some groups may involve off-site sessions.
A therapy-informed book series focused on translating psychological concepts into meaningful real-life applications through guided discussion, reflection, and practical exercises.
Who We Help
People don't always arrive knowing exactly what diagnosis or treatment approach fits what they're experiencing. That's part of what assessment and treatment are for.
River City OCD Clinic works with children, adolescents, and adults experiencing concerns such as:
-
Obsessive-Compulsive Disorder (OCD) across a wide range of themes and presentations
-
Anxiety and chronic worry
-
Perfectionism and rigid or fear-driven standards
-
Panic and phobias
-
Body-Focused Repetitive Behaviors (BFRBs) such as hair pulling and skin picking
-
Hoarding-related difficulties
-
Trauma and trauma-related concerns
-
Experiential avoidance and patterns of trying to escape or control difficult internal experiences
-
Rumination, overanalysis, and difficulty disengaging from repetitive thinking
-
Difficulty tolerating uncertainty
-
Chronic self-criticism, guilt, or shame
OCD in particular can look very different from one person to another. The specific theme may involve contamination, harm, relationships, morality, religion, sexuality, memories, health, responsibility, bodily sensations, mistakes, or the feeling that something simply isn't “right.”
Different content doesn't necessarily mean a different disorder.
Recognizing the underlying pattern is one reason specialized assessment and treatment matter.
Psychological Assessment & Professional Consultation
Specialized mental health care isn't limited to psychotherapy.
River City OCD Clinic also provides psychological assessment and professional consultation services.
We provide comprehensive psychological assessment for ADHD and learning concerns for children, adolescents, and adults when appropriate.
Assessment can help clarify patterns of attention, executive functioning, learning, and related concerns and may provide useful recommendations for treatment, school, college, or other settings.
OCD can be complicated to recognize and treat. We provide professional consultation for therapists and other clinicians seeking support with OCD assessment, case conceptualization, ERP, ACT, mental compulsions, family accommodation, reassurance seeking, and complex presentations.
Improving access to effective OCD treatment means helping more clinicians become confident recognizing and treating it.
Looking for Information Before Treatment?
Maybe you're not ready to schedule anything...
Maybe you're trying to understand what's happening first.
That's fine too.
Our educational resources include information about OCD, anxiety, ERP, ACT, common OCD themes and subtypes, compulsions, reassurance seeking, rumination, experiential avoidance, perfectionism, and other topics that frequently come up in treatment.
You can explore those resources at your own pace.
Not Sure Where to Start?
You don't need to know exactly which service you need before reaching out.
If you're looking for OCD or anxiety treatment for yourself, your child, or a family member, our team can help determine which River City OCD Clinic services may be appropriate.
We provide specialized care in Louisville, Kentucky, along with eligible telehealth services when clinically appropriate and permitted by applicable licensure requirements.
Whether you're looking for individual psychotherapy, group support, intensive outpatient treatment, psychological assessment, or professional consultation, we'll get you pointed in the right direction.
You don't have to figure out the entire treatment plan before taking the first step.









