For adults

Therapy for adults with OCD and anxiety

OCD and anxiety respond to specific treatments: CBT, and for OCD exposure and response prevention (ERP), which NICE recommends.

Dr Daniel O'Rourke, clinical psychologist, smiling, in a navy top and dark gilet
  • HCPC-registered Clinical Psychologist
  • Chartered Psychologist (BPS)
  • Board certified in the United States (ABPP)
  • PhD, University of Washington
  • Recognised by BUPA, AXA Health, Aviva, Vitality & WPA

What this is

What I treat, and how

I treat OCD and anxiety in adults. The pages below describe the specific problems.

These problems are kept going by the things you do to feel safer, such as checking, avoiding, asking for reassurance or searching symptoms online, which bring relief at the time and keep the anxiety in place over months. In treatment you face what you have been avoiding and gradually drop those habits, starting with a manageable step agreed in advance. It is a stretch at first and becomes easier with practice.

How treatment works

Four stages, and no obligation at the first

  1. A free introductory call

    We talk for 20 minutes, and I tell you whether this is work I do and what it would involve.

  2. A first session

    We map the triggers, what you do to cope and what has been tried, and you leave with a plan.

  3. Active treatment

    Weekly or regular sessions of ERP or CBT, with agreed practice in between, which is where most of the change happens.

  4. Finishing treatment

    Sessions are spaced out as things improve, and we finish with a plan for setbacks.

Method and training

  • Practice between sessions. ERP relies on real practice tasks, agreed in advance, and on steadily cutting down the things you do to feel safer.
  • Training and certification. I trained at the University of Washington and a specialist anxiety and OCD centre in Seattle, and I am board certified in the United States (ABPP), which requires clinical work to be submitted and examined.
More about my background

Practical details

You do not need a GP referral. Sessions run weekdays, 9am to 5pm, by video anywhere in the UK or in person in Nottinghamshire, in your own home or at my office in Ravenshead. Every session is £120, and I am recognised by BUPA, AXA Health, Aviva, Vitality and WPA.

Fees & insurance

Free 20-minute call

Not sure whether this is the right fit?

Start with a free 20-minute call. We talk through what is going on, I answer any questions you have, and I tell you whether I think I can help. If I cannot, I will try to point you to someone who can. The call is free and there is no obligation to book.

Weekdays, 9am to 5pm. No GP referral needed.