The Belle of Louisville on the Ohio River - Louisville, KY
Individual OCD Therapy in Louisville & Online
OCD has a way of pulling you into a constant loop of “what if?” and “just to be sure.” Individual therapy at River City OCD Clinic in Louisville helps you step out of that loop using Exposure and Response Prevention (ERP) enhanced by Acceptance and Commitment Therapy (ACT), so you can spend less time chasing certainty and more time living.
We also provide individual psychotherapy for anxiety, perfectionism, body-focused repetitive behaviors, and other concerns, with treatment tailored to your needs.
What Does Therapy for OCD & Anxiety Look Like?
You’ll work one-on-one with a clinician to understand what’s keeping you stuck and identify what you want to move toward. Together, you’ll develop a treatment plan that connects practical skills with the parts of life that matter to you.
For OCD, Exposure and Response Prevention (ERP) helps you practice approaching feared situations, thoughts, sensations, and uncertainty while reducing compulsions, including mental rituals and reassurance seeking. Acceptance and Commitment Therapy (ACT) supports this work by helping you make room for difficult internal experiences and choose actions guided by your values.
Other concerns call for different approaches. For body-focused repetitive behaviors, such as hair pulling and skin picking, treatment may include Mansueto's Comprehensive Behavioral Treatment and Habit Reversal Training (HRT) alongside ACT. Your clinician will explain the approach recommended for your particular concerns.
Sessions involve more than talking about what happened during the week. You’ll practice new responses together and find manageable ways to apply them between appointments. The goal is greater flexibility: being able to do what matters even when difficult thoughts, feelings, or urges show up.
Concerns We Help With
Our clinicians work with a range of concerns, including:
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Social anxiety
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Unhelpful perfectionism
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Phobias
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Hoarding disorder
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Tic disorders
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Problematic anger
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Obsessive-compulsive personality disorder (OCPD)
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Supporting a loved one with OCD
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Trauma-related distress
OCD doesn’t look the same for everyone. It can attach itself to different fears, themes, and life experiences, with compulsions that are visible, mental, or a combination of both.
Treatment addresses the pattern keeping you stuck, rather than trying to settle every question OCD raises.
See Our Approach in Action
Dr. Street Russell on OCD and the Art of Not Fixing
In this Great Day Live interview, Dr. Street Russell discusses the experience of OCD and how treatment helps people respond differently to intrusive thoughts and feelings without making every uncomfortable experience a problem that needs fixing.
Start Individual Therapy in Louisville or Through Telehealth
Our focus is straightforward: helping you get unstuck and reconnect with what matters most to you. You don’t need to have every symptom figured out before contacting us.
We offer in-person individual therapy in Louisville and telehealth in Kentucky and Indiana where the treating clinician is authorized to practice. Dr. Street Russell and Dr. Brenna Epifano also provides telehealth through PSYPACT in participating states. Availability depends on the clinician and the state where you are physically located during appointments.
Contact us to discuss your concerns, ask about availability, and explore which clinician may be a good fit.
