Julia Markovich, LCSW
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Julia Markovich, LCSW
Home
Anxiety and OCD
  • OCD
  • Phobias
Credentials
Anxiety and OCD Resources
Investment
More
  • Home
  • Anxiety and OCD
    • OCD
    • Phobias
  • Credentials
  • Anxiety and OCD Resources
  • Investment
  • Home
  • Anxiety and OCD
    • OCD
    • Phobias
  • Credentials
  • Anxiety and OCD Resources
  • Investment

Obsessive Compulsive Disorder Therapy | Raleigh, NC

Obsessive Compulsive Disorder Treatment | Carolina Anxiety and OCD | Julia Markovich, LCSW

About OCD 


Obsessive-Compulsive Disorder (OCD) is a mental health condition characterized by intrusive, unwanted thoughts (obsessions) and repetitive behaviors or mental actions (compulsions) performed in an attempt to relieve the anxiety those thoughts create.

Many people associate OCD with handwashing or being overly organized, but it’s actually a complex condition that can take many different forms. It often varies from person to person, both in content and severity.


The good news is that OCD is treatable, and support is available.


Common Subtypes of OCD


Here are some of the most frequently seen presentations of OCD:


Contamination OCD

Involves fears related to germs, illness, or environmental toxins. Individuals may engage in frequent handwashing, cleaning, or avoid certain places or people to feel safe.


Checking OCD

Compulsions around repeatedly checking things like locks, appliances, or doors to prevent perceived harm or ensure safety.


Harm OCD

Intrusive fears about unintentionally harming oneself or others. These thoughts are distressing and often accompanied by intense guilt or avoidance.


“Just Right” OCD

A strong need for things to feel balanced, symmetrical, or “just right.” This can lead to repeating actions or arranging objects until they meet a specific internal standard.


Moral or Religious OCD (Scrupulosity)

Obsessions focused on moral correctness or religious adherence. Common compulsions include excessive praying, confessing, or reassurance seeking.

 

Relationship OCD (ROCD)

Persistent doubts about one’s romantic relationship or feelings toward a partner, often resulting in constant questioning or reassurance seeking.


Sexual Orientation OCD (SO-OCD)


Involves unwanted, intrusive doubts or fears about one's sexual orientation, even when it conflicts with the individual’s identity or values.

Pure Obsessional OCD (“Pure O”)

Characterized by distressing thoughts without visible compulsions. Mental rituals such as thought reviewing, silent praying, or mental counting are common.


Hyperawareness OCD (Sensorimotor OCD)

Heightened focus on automatic bodily sensations such as breathing, blinking, or swallowing. This awareness can become a source of anxiety and distraction.


Perinatal/Postpartum OCD

Obsessive fears related to harm coming to one’s baby. These thoughts are unwanted and can be deeply distressing, though they are a recognized and treatable form of OCD.


Treatment That Works

OCD can be overwhelming and isolating, but there is hope. I use evidence-based treatments including Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT) skills to help clients confront OCD in a structured, supportive way.

Whether you're experiencing one subtype or a combination, or you're still trying to make sense of what you're going through, therapy can help you gain clarity, build resilience, and reclaim your life from OCD.

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Carolina Anxiety and OCD | Julia Markovich, LCSW

150 Wind Chime Court, Raleigh, NC, USA

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