OCD Therapy in Washington

Specialized Online OCD Treatment Throughout Washington

If you are struggling with intrusive thoughts, compulsive behaviors, overwhelming anxiety, or constant doubt, specialized treatment can help. At TrueNorth Anxiety & OCD Specialists, we provide online treatment for Obsessive-Compulsive Disorder (OCD), anxiety disorders, Body Dysmorphic Disorder (BDD), trauma-related concerns, and related conditions throughout Washington via secure telehealth.

Our Washington clinician, Kiki Tilton, LMFT, specializes in OCD and anxiety treatment and uses evidence-based approaches including Exposure and Response Prevention (ERP). ERP is a first-line psychological treatment for OCD.

We work with adults experiencing OCD and related conditions, helping clients reduce compulsions, avoidance, reassurance seeking, and other behaviors that keep the OCD cycle going.

What Does OCD Look Like?

OCD is much more than being organized, particular, or liking things a certain way. OCD can involve distressing intrusive thoughts, unwanted images or urges, persistent doubts, and compulsive behaviors or mental rituals.

Compulsions aren't always visible. They can include checking, reassurance seeking, reviewing memories, analyzing thoughts, researching, confessing, mentally neutralizing thoughts, or avoiding people, places, situations, and experiences that trigger uncertainty.

Common OCD presentations include:

• Relationship OCD (ROCD)

• Harm OCD

• Contamination OCD

• Health Anxiety and Health OCD

• Scrupulosity

• Existential OCD

• Real Event OCD

• Sexual Orientation OCD

• Sexual Intrusive Thoughts

• Perinatal and Postpartum OCD

• Sensorimotor OCD

• "Just Right" OCD

• Primarily Mental Compulsions ("Pure O")

Because OCD can take so many forms, many people struggle for years before recognizing that their symptoms are OCD or finding a therapist with specialized training in its treatment.

Conditions We Treat

TrueNorth clinicians provide evidence-based treatment for OCD and related concerns, including:

• Obsessive-Compulsive Disorder (OCD)

• Anxiety Disorders

• Panic Disorder

• Social Anxiety

• Body Dysmorphic Disorder (BDD)

• Phobias

• Perinatal and Postpartum OCD

• Illness Anxiety

• Hoarding Disorder

• Trichotillomania (Hair Pulling)

• Excoriation Disorder (Skin Picking)

• Trauma and PTSD

• PANS/PANDAS

Treatment availability for specific conditions may vary by clinician.

ERP Therapy for OCD

Exposure and Response Prevention (ERP) is a highly effective, evidence-based treatment for OCD.

ERP involves gradually approaching situations, thoughts, sensations, images, or experiences that trigger OCD while practicing a different response—reducing compulsions, rituals, avoidance, and reassurance seeking.

The goal isn't to prove that a feared outcome will never happen or to eliminate every intrusive thought. Instead, ERP helps clients change their relationship with uncertainty and learn that they don't have to perform compulsions to move forward.

Treatment is individualized. Your therapist works collaboratively with you to develop exposures that are appropriate for your symptoms, goals, and readiness.

Meet Our Washington OCD Specialist

Kiki Tilton, LMFT

Kiki Tilton is a Licensed Marriage and Family Therapist providing online OCD therapy to adults throughout Washington.

Kiki specializes in the treatment of OCD, anxiety, trauma, and related concerns. Her approach is warm, collaborative, and evidence-based, integrating Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), and Cognitive Behavioral Therapy (CBT).

Kiki understands that OCD often targets the things people care about most. Treatment focuses not only on reducing compulsive patterns, but also on helping clients tolerate uncertainty, reconnect with their values, and build lives that are less controlled by fear.

Licensed to provide telehealth in Washington.

Online OCD Therapy Throughout Washington

Because treatment is provided virtually, clients can access specialized OCD therapy from home throughout Washington.

We serve clients across the state, including:

• Seattle

• Spokane

• Tacoma

• Vancouver

• Bellevue

• Everett

• Kent

• Renton

• Federal Way

• Kirkland

• Redmond

• Bellingham

• Olympia

• Yakima

• Wenatchee

• Walla Walla

You do not need to live near a specialized OCD clinic to receive ERP. Telehealth allows adults throughout Washington to work with an OCD specialist while remaining in their own environment.

This can also provide opportunities to practice ERP in the places where OCD actually occurs—at home and in everyday life.

Why Choose TrueNorth Anxiety & OCD Specialists?

At TrueNorth, OCD treatment is a primary specialty rather than one service among dozens.

Our clinicians have specialized training in OCD and evidence-based treatment approaches such as ERP. We understand that OCD can look very different from person to person and that some presentations are easily misunderstood—even by mental health professionals.

We provide treatment for both commonly recognized symptoms and less visible presentations involving intrusive thoughts, mental rituals, reassurance seeking, rumination, avoidance, and chronic doubt.

Our goal is to provide compassionate, specialized care that helps clients spend less time responding to OCD and more time participating in the lives they want to live.

Frequently Asked Questions

Can I see an OCD therapist online if I live in Washington?

Yes. TrueNorth provides secure telehealth OCD treatment to clients located in Washington through clinicians who are licensed to practice in the state.

Does Kiki Tilton treat OCD in Washington?

Yes. Kiki Tilton, LMFT, provides specialized online OCD and anxiety treatment for adults located in Washington. Her treatment approaches include Exposure and Response Prevention (ERP), ACT, and CBT.

What is ERP therapy?

Exposure and Response Prevention (ERP) is an evidence-based treatment for OCD. ERP helps clients gradually approach OCD triggers while reducing the compulsions and avoidance behaviors that reinforce the OCD cycle.

Can ERP be done through telehealth?

Yes. ERP can be delivered through telehealth. Virtual treatment can also allow exposures to take place in the client's everyday environment, where many OCD triggers and compulsions naturally occur.

Do I need to live in Seattle or Spokane to receive treatment?

No. Because sessions are provided through telehealth, Kiki can work with eligible clients located throughout Washington, not only those living in major metropolitan areas.

How do I know if what I'm experiencing is OCD?

OCD can involve visible behaviors such as washing and checking, but it can also involve intrusive thoughts, mental reviewing, reassurance seeking, rumination, avoidance, confessing, and a persistent need for certainty. An initial consultation can help determine whether specialized OCD treatment may be appropriate.

Schedule a Free Consultation

If you are looking for an OCD therapist in Washington, an ERP therapist in Washington, or specialized help for intrusive thoughts and compulsions, we invite you to schedule a free consultation with TrueNorth Anxiety & OCD Specialists.

We'll learn more about what you're experiencing, answer questions about treatment, and help determine whether Kiki Tilton, LMFT may be a good fit for your needs.