Meet your therapist, Julia.

Welcome in!

I’m really glad you’re here.

Reaching out for support is a big deal, and it takes a lot of courage. If you’re reading this, something probably feels overwhelming, stuck, or just off—and you’re not sure what to do next. That’s where therapy can help.

I work with people who feel caught in their heads—overthinking, doubting themselves, or feeling like they’ve lost control of their thoughts or routines.

Please know, you don’t have to figure this all out alone.

My style as a therapist is real, down-to-earth, and full of compassion. I bring humor into the room (because sometimes, we need it), and I want you to feel like you can show up exactly as you are. Therapy with me is primarily about feeling safe, supported, and getting curious about what matters to you.

Whether you’re looking for structured ERP with clear goals and accountability, or something a bit more flexible and relational, we’ll figure out what works best for you. We can stay grounded in evidence-based tools while also making room for humor, creativity, and real connection.

We’ll move at your pace and build a strong relationship—one that helps you feel steady, seen, and more connected to yourself. Whether you're dealing with OCD, anxiety, perfectionism, or just feeling stuck, I’m here to help you figure out where you want to go—and how to get there.

This work can be hard. But it can also be meaningful, empowering, and even fun at times. I’d love to walk alongside you.

Sincerely,

Julia

effective treatment, catered to you.

Exposure Therapy

Mindfulness-Based Stress Reduction (MBSR)

ACT Therapy

Mindfulness-Based Stress Reduction (MBSR)

Inhibitory Learning-Based ERP

Somatic Experiencing / Sensorimotor

Inhibitory Learning-Based ERP

Somatic Experiencing / Sensorimotor

Habit Reversal Training (HRT)

Somatic Experiencing / Sensorimotor

DBT Skills

Cognitive Processing Therapy (CPT)

Julia's Professional Background.

Julia Markovch has received advanced training in evidence-based treatment for OCD and anxiety disorders, including specialized education in Exposure and Response Prevention (ERP) and Acceptance and Commitment Therapy (ACT).

She completed intensive coursework through the International OCD Foundation’s Behavior Therapy Training Institute (BTTI), a leading program for clinicians treating OCD.

Julia also trained at McLean Hospital, a Harvard Medical School affiliate recognized for its clinical and research excellence in anxiety and mood disorders. Her background reflects a strong commitment to both clinical rigor and compassionate, person-centered care, with additional ongoing learning in trauma-informed, holistic, and culturally affirming approaches to therapy.

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Frequently Asked Questions

Please reach us at julia@carolinaanxiety.com if you cannot find an answer to your question.

What do you specialize in?

I specialize in the treatment of anxiety disorders, obsessive-compulsive disorder (OCD), and specific phobias. I also help clients navigate perfectionism, burnout, and the emotional toll of high-achieving environments. My approach is warm, direct, and evidence-based—centered on helping you get unstuck and move toward what matters most to you.

Do you only treat OCD and anxiety?

Not at all. While those are my specialties, many of my clients also experience depression, trauma, infertility, low-self-esteem, bipolar disorder, self-harm, suicidal thoughts, ADHD, and relationship and/or career stress. Mental health concerns rarely show up alone, and I’m experienced in treating the overlap. We’ll take a whole-person approach that supports all parts of your experience. I am also happy to provide additional resources and/or referrals as needed.

What does therapy look like with you?

Sessions with me are active, collaborative, and real. I use evidence-based treatments like Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), and Cognitive Behavioral Therapy (CBT)—always personalized to your needs, your identity, and your goals.

I love weaving humor, sensory work, and genuine connection into our time together. Therapy can be challenging, but it can also feel grounding, meaningful, and sometimes even a little fun. I believe that a strong therapeutic relationship is the foundation for real growth, and I’m committed to building a space where you feel safe, supported, and truly seen.

At the end of the day, I want you to know that I’m on your side. I’m here to support you—whether that means helping you face a specific fear, break out of old patterns, or figure out what you really want for your life. We’ll work together to understand your values and see how I can assist you in moving toward the life you want to create.

Can you help if I’ve been in therapy before and didn’t feel it worked?

Yes. Many of my clients have tried therapy before—sometimes for years—without the clarity or progress they hoped for. If previous approaches felt too passive, unclear, or overly focused on talking without tools, we can do something different here. My work is structured, empowering, and focused on helping you make meaningful change.

Do you offer in-person or virtual sessions?

Both! I see clients in person in Raleigh, NC, and also offer virtual sessions for clients across North Carolina. Telehealth is a great option for flexibility and accessibility.

Do you accept insurance?

I'm currently in-network with Aetna.

If you're with another insurance provider, I can offer a superbill—a detailed receipt that you can submit to your insurance for possible out-of-network reimbursement. Many clients are able to receive a portion of their session costs back this way.

I know insurance can be confusing, and I'm happy to walk you through it. Whether it’s figuring out your benefits, understanding how to file claims, or deciding if a network exception might apply in your case, I’m here to help make the process easier.

If you’re not sure what your plan covers, just let me know—I can guide you through the right questions to ask your insurance company.

How do I get started?

The first step is booking a free 15-minute phone consultation. This gives us a chance to connect, talk about what you’re looking for, and decide if we’re a good fit. There’s no pressure and no prep needed—just bring yourself.

Welcome into Carolina Anxiety and OCD

Meet your therapist, Julia.

Welcome in!

specially Trained to treat disorders such as ..

OCD

Phobias

Phobias

Phobias

Phobias

Phobias

Anxiety

Phobias

Anxiety

Trauma

Phobias

Anxiety

“I am not afraid of storms, for I am learning how to sail my ship.” — Louisa May Alcott, author of Little Women

in our sessions you can expect to...

effective treatment, catered to you.

Exposure Therapy

Mindfulness-Based Stress Reduction (MBSR)

Mindfulness-Based Stress Reduction (MBSR)

Mindfulness-Based Stress Reduction (MBSR)

Mindfulness-Based Stress Reduction (MBSR)

Mindfulness-Based Stress Reduction (MBSR)

ACT Therapy

Mindfulness-Based Stress Reduction (MBSR)

Inhibitory Learning-Based ERP

Inhibitory Learning-Based ERP

Somatic Experiencing / Sensorimotor

Inhibitory Learning-Based ERP

Somatic Experiencing / Sensorimotor

Somatic Experiencing / Sensorimotor

Somatic Experiencing / Sensorimotor

Habit Reversal Training (HRT)

Somatic Experiencing / Sensorimotor

Somatic Experiencing / Sensorimotor

DBT Skills

Cognitive Processing Therapy (CPT)

Cognitive Processing Therapy (CPT)

Cognitive Processing Therapy (CPT)

Cognitive Processing Therapy (CPT)

Cognitive Processing Therapy (CPT)

Rooted in Respect. Committed to Affirmation. Guided by You.

testimonials from clinicians for carolina anxiety and ocd

Julia's Professional Background.

Frequently Asked Questions

Carolina Anxiety and OCD Wellness Center | Raleigh

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