Welcome to Carolina Anxiety and OCD Wellness!

I'm Julia Markovich, LCSW, the founder and owner of Carolina Anxiety and OCD Wellness. I’m a licensed clinical social worker and OCD and anxiety therapist based in Wilmington, NC, providing telehealth therapy throughout North Carolina.

I specialize in helping teens and adults who are struggling with Obsessive-Compulsive Disorder (OCD), anxiety disorders, intrusive thoughts, phobias, panic, perfectionism, excessive worry, burnout, and anxiety-related avoidance.

If you’ve been searching for an OCD therapist in Wilmington, NC, an OCD therapist in NC, an ERP therapist in NC, an anxiety therapist in Wilmington, or an online anxiety therapist in NC, you’re in the right place.

My primary area of expertise is the treatment of OCD and anxiety disorders. I work with clients experiencing a wide range of OCD and anxiety presentations, including:

• Obsessive-Compulsive Disorder (OCD)
• Intrusive thoughts and unwanted thoughts
• Mental compulsions and rumination
• Pure-O OCD
• Relationship OCD (ROCD)
• Health OCD and health anxiety
• Harm OCD
• Contamination OCD
• Scrupulosity and moral OCD
• Sexual Orientation OCD (SO-OCD)
• Checking and reassurance seeking
• Generalized Anxiety Disorder (GAD)
• Social anxiety
• Panic attacks and panic disorder
• Specific phobias
• Fear of uncertainty
• Perfectionism
• Fear of failure and making mistakes
• Excessive worry and overthinking
• Avoidance and safety behaviors
• Anxiety-related burnout

I have advanced training in Exposure and Response Prevention (ERP), the gold-standard behavioral treatment for OCD. ERP therapy is designed to help clients gradually face fears and uncertainty while learning to respond differently to intrusive thoughts, anxiety, and uncomfortable feelings.

Rather than teaching you how to eliminate every uncomfortable thought or feeling, therapy focuses on helping you stop allowing OCD and anxiety to control your choices, relationships, and everyday life.

I also incorporate evidence-based approaches including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Inference-Based Cognitive Behavioral Therapy (I-CBT), Cognitive Processing Therapy (CPT), mindfulness-based interventions, and self-compassion practices when appropriate.

Not everyone who comes to therapy has a specific diagnosis. Some clients are high-functioning on the outside while privately experiencing chronic anxiety, perfectionism, overthinking, people-pleasing, fear of failure, excessive responsibility, burnout, or difficulty slowing down.

I work with adults who are tired of constantly feeling like they need to do more, think more, plan more, or get everything “right.”

Therapy can help you develop practical skills for managing anxiety while creating more flexibility, confidence, and space for the things that actually matter to you.

Therapy with me is compassionate, practical, structured, and collaborative. I believe effective therapy should feel human while also giving you concrete tools and strategies you can use outside of the therapy session.

My goal isn't simply to help you feel better for an hour each week. I want you to understand why OCD and anxiety work the way they do, learn how to respond differently, and develop skills that allow you to move toward the life you want—even when anxiety shows up.

I tailor treatment to each individual while maintaining a strong focus on evidence-based OCD and anxiety treatment.

I earned my Master of Social Work (MSW) from North Carolina State University (NCSU), where I received advanced clinical training in mental health assessment, diagnosis, and treatment.

My clinical education and experience have included evidence-based approaches to anxiety disorders, OCD, mood disorders, trauma-related symptoms, and other mental health concerns, with particular emphasis on Cognitive Behavioral Therapy (CBT), exposure-based treatment, and trauma-informed care.

Following graduate school, I completed extensive clinical training in outpatient mental health settings, working with adolescents and adults experiencing OCD, generalized anxiety, panic disorder, social anxiety, phobias, trauma-related symptoms, depression, and related concerns.

I continue to pursue specialized professional training in OCD treatment, ERP, anxiety disorders, and evidence-based psychotherapy so that the care I provide remains informed by current research and best practices.

Although I am based in Wilmington, NC, I provide telehealth therapy to clients throughout North Carolina.

Online therapy can make specialized OCD and anxiety treatment more accessible to people who may not have an OCD specialist nearby or who prefer receiving therapy from the comfort of their own home.

Whether you're looking for an OCD therapist in Wilmington, NC, an anxiety therapist in NC, an ERP therapist in NC, online OCD treatment, or telehealth anxiety therapy, Carolina Anxiety and OCD Wellness offers specialized care for clients throughout the state.

My goal is to help you reduce the grip of OCD and anxiety, build practical skills, tolerate uncertainty, reduce avoidance and compulsions, and reconnect with what matters most in your life.

If you're looking for an OCD therapist or anxiety therapist in NC, let's talk.

Start with a complimentary consultation so we can discuss what you're looking for, answer your questions, and determine whether my approach may be a good fit for you.

Click the button below to schedule your consultation.