Anxiety, Social Anxiety, & OCD

Anxiety can show up in many forms: chronic worry, fears of social judgment, repetitive, distressing thoughts and compulsions.

Whatever shape anxiety takes, therapy can help you regain clarity and control, guiding you back toward the things that give your life meaning.


 

Generalized Anxiety Disorder

Generalized Anxiety Disorder is common—affecting about 3% of adults in the U.S. each year—and involves persistent worry, restlessness, tension, and a tendency to feel overwhelmed or on edge. These worries may be related to performance at work, the well-being of loved ones, or everyday decisions, and often feel difficult to control. In therapy, we identify the patterns that fuel worry and avoidance, and we work together to develop more flexible, empowering responses. I use Cognitive Behavioral Therapy (CBT), mindfulness-based practices, and self-compassion approaches to help you build awareness of your thought patterns and strengthen your ability to respond with calm, clarity, and confidence.

Social Anxiety Disorder

Social anxiety involves a fear of being judged, criticized, or rejected in social or performance situations. This can make it feel difficult to speak up in meetings, go to social events, or even interact with people in day-to-day life. It can often lead to avoidance, isolation, and a painful internal cycle of self-doubt. I use exposure-based techniques, cognitive restructuring, and acceptance practices to help you confront fears in manageable steps while learning to relate to yourself with kindness rather than self-criticism. We’ll tailor our approach to your specific experiences and goals, and build confidence together—starting small, and working toward the areas of life you want to re-engage in.

Obsessive-Compulsive Disorder

OCD is characterized by intrusive thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) that are aimed at reducing anxiety or preventing a feared outcome. These cycles can be incredibly distressing, and while compulsions may offer short-term relief, they tend to reinforce the anxiety long-term. I treat OCD using Exposure and Response Prevention (ERP), which is the most evidence-based, effective approach. ERP involves gradually and intentionally facing anxiety-triggering thoughts or situations while resisting the urge to engage in compulsions. This helps your brain learn that distress can pass without rituals—and that feared outcomes are often far less likely than they seem.

In addition to ERP, I integrate Acceptance and Commitment Therapy (ACT) to help clients build psychological flexibility. ACT teaches you how to observe intrusive thoughts without getting pulled into them, anchor yourself in the present moment, and take action that aligns with your values rather than with fear. Together, these approaches reduce symptoms and build a life that feels more open, purposeful, and under your control.

 
Not every thought deserves your attention or your trust. Therapy can help you examine the ones that hold you back and choose responses that move you toward what matters.
— Colleen Fields, Ph.D.

Ready to take the next step? Let’s talk about how I can support you through this chapter.