Carolina Anxiety and OCD Wellness exists to be a refuge for those living with OCD. We blend science-backed treatment with warmth, humor, and human connection—helping clients move through discomfort, not around it. Our goal is to meet every person with curiosity, clarity, and hope for the future.
Julia Markovich, LCSW, Owner
she/her/hers
Hi, 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 and/your family. 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
Professional Background.
Julia Markovich, MSW, LCSW, Owner
she/her/hers
- Licensed Clinical Social Worker specializing in OCD, anxiety, and phobias
- Provides therapy for clients ages 12 and up (teens and adults)
- Currently offering virtual therapy across North Carolina; plans to open an in-person office between Raleigh and Wilmington in 2026. As well as expanding (virtually) across the United States.
- Subspecialties include:
- Health anxiety / illness anxiety disorder
- Panic disorder and agoraphobia
- Perinatal anxiety and OCD
- Body-focused repetitive behaviors (e.g., trichotillomania, skin picking)
- Perfectionism, rigidity, and intolerance of uncertainty
- Moral and relationship OCD
- Intrusive thoughts and taboo themes (e.g., harm, sexual, religious obsessions)
- Co-occurring trauma, ADHD, and Autism Spectrum Disorder (ASD)
- Health anxiety / illness anxiety disorder
- Advanced training in a wide range of evidence-based modalities:
- Inhibitory Learning–Based Exposure & Response Prevention (ERP)
- Acceptance and Commitment Therapy (ACT)
- Cognitive Behavioral Therapy (CBT)
- Mindfulness-Based Stress Reduction (MBSR)
- Somatic Experiencing / Sensorimotor Therapy
- Habit Reversal Training (HRT)
- Dialectical Behavior Therapy (DBT) skills
- Cognitive Processing Therapy (CPT)
- Inhibitory Learning–Based Exposure & Response Prevention (ERP)
- Completed intensive coursework through the International OCD Foundation’s Behavior Therapy Training Institute (BTTI)
- Trained at McLean Hospital, a Harvard Medical School affiliate recognized for excellence in anxiety and mood disorder treatment
- Committed to trauma-informed, holistic, and culturally affirming care
- Completed specialized cultural competency training for the NASW Foundation focused on:
- Disability justice
- Queer and LGBTQIA+ communities
- Sexuality and gender identity
- Trauma-informed practice
- Disability justice
- Currently developing on-demand trainings for clinicians treating OCD and anxiety
- Authoring a clinical workbook for OCD treatment to support both clients and providers
- Continues to attend specialty trainings through the Cognitive Behavioral Institute (CBI) and IOCDF to stay current in best practices
- Earned MSW from North Carolina State University