What Carolina Anxiety & OCD Can Offer for Your Wellness
phone consultation (15 minutes)
What to expect during a 15-minute phone consultation:
- A brief introduction and chance to connect
- A short conversation about what’s bringing you to therapy right now
- An opportunity to share what you’re hoping to get support with
- A brief overview of my therapeutic approach and how I typically work with clients
- Time for you to ask questions about the therapy process, scheduling, or fees
- A chance for both of us to see if working together feels like a good fit
- If it feels right, we can discuss next steps for scheduling an initial session
The consultation is simply a low-pressure opportunity to connect and gather information before deciding whether to move forward with therapy.
initial intake assessement (60 minutes)
What to expect during an initial virtual intake session:
- A more in-depth conversation about what’s bringing you to therapy
- Time to explore your current concerns, symptoms, and goals for treatment
- Discussion of relevant background, such as personal history, relationships, and past therapy experiences
- An opportunity to talk about patterns or challenges that may be contributing to how you’re feeling
- A brief overview of treatment approaches that may be helpful for your situation
- Space for you to ask questions and share anything you feel is important
- Collaborative discussion of next steps and a potential plan for moving forward
The intake session is designed to build understanding, establish goals, and begin creating a supportive path forward together.
Individual Sessions (45-55 minutes)
Individual Virtual Sessions for Anxiety Support (weekly or biweekly)
- A supportive space to discuss current stressors, anxiety symptoms, or difficult life experiences
- General support and guidance for navigating anxiety in daily life
- Use of Exposure and Response Prevention (ERP) when appropriate to gradually face fears and reduce compulsive behaviors
- Learning practical coping skills for managing anxiety, intrusive thoughts, and stress
- Identifying patterns that may be maintaining anxiety and developing strategies to respond differently
- Crisis support and stabilization when anxiety becomes overwhelming
- Ongoing check-ins to monitor progress and adjust treatment as needed
- Collaborative work toward building confidence, flexibility, and long-term coping tools
Sessions are tailored to your needs and may include skill-building, structured exposures, and supportive conversation depending on your goals.
Treatment Planning
What to expect during treatment planning:
(discussed initially and throughout individual sessions)
- A collaborative discussion about the goals you’d like to work toward in therapy
- Identification of specific challenges or symptoms you want to address
- Development of clear, realistic treatment goals that feel meaningful to you
- An overview of therapeutic approaches and strategies that may be used
- Discussion of the pace and focus of sessions moving forward
- Opportunity to ask questions and provide input about what feels most helpful for you
- Creation of a flexible plan that can evolve as your needs and progress change
Treatment planning helps create a shared roadmap for therapy, ensuring that our work together stays focused on what matters most to you. This can be adjusted as needed!
OCd, anxiety, or stress Assessment
Assessment for Anxiety, OCD, and Stress
(discussed initially and throughout individual sessions)
- Use of brief, evidence-based questionnaires to better understand your symptoms and how they are impacting daily life
- Screening tools that help identify patterns related to anxiety, obsessive thoughts, compulsive behaviors, or stress
- Administration of the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) when OCD symptoms may be present to evaluate the severity of obsessions and compulsions
- Review of assessment results together to better understand your experiences and clarify treatment needs
- Use of these measures to help guide treatment planning and track progress over time
- Assessments are brief and meant to support—not replace—our conversations in therapy
These tools help ensure that treatment is personalized, evidence-based, and responsive to your needs as therapy progresses.
Out of network Insurance support
Maximizing Insurance Support for OCD Treatment
(discussed initially and throughout individual sessions)
- OCD-focused therapy is often limited, so it may not always be listed as in-network coverage
- With proper documentation and advocacy, many clients can receive in-network reimbursement from their insurance company
- I can help provide the necessary paperwork and guidance to support your claim
- We can discuss strategies and paperwork during sessions to make the insurance process easier
- Goal: to help you access specialized OCD care without undue financial stress
Even if coverage seems limited, the right documentation and approach can increase the likelihood of insurance support for OCD treatment.
Medication collaboration
Medication Collaboration
(discussed initially and throughout individual sessions)
- Work together with your prescriber to ensure therapy and medication support your goals
- Provide guidance and support if you have questions or concerns about starting, adjusting, or stopping medication
- Help process any fears or anxieties you may have about taking medication
- Coordinate with your prescriber (with your permission) to communicate progress, challenges, or questions from therapy
- Aim to create a safe, informed, and collaborative approach to medication as part of your overall treatment plan
The goal is to make medication decisions feel less overwhelming and more integrated with your therapy work.
Once you start feeling better...
Maintenance, Booster, and Termination Session Support
- Maintenance sessions to check in periodically and reinforce skills learned in therapy
- Booster sessions to address new challenges or refresh coping strategies as needed
- Support during termination to review progress, consolidate tools, and plan for continued success after therapy
- Provide guidance for handling setbacks or triggers after active treatment
- Collaborative approach to ensure you feel confident and supported as therapy concludes
These sessions help sustain progress, prevent relapse, and make the transition out of therapy smooth and empowering.
Please feel free to reach out with any questions!
Meet your new therapist!
Julia Markovich, MSW, LCSW, Founder/Director
(she/her/hers)
Julia Markovich is a Licensed Clinical Social Worker who specializes in working with adults and college students struggling with anxiety, ocd, and stress-related concerns through her virtual therapy practice throughout North Carolina.
She holds a Master of Social Work from North Carolina State University and brings both clinical expertise and genuine care to her work with clients.
Julia primarily uses Exposure and Response Prevention (ERP), the gold-standard, evidence-based treatment for OCD and anxiety-related disorders. In therapy, she works collaboratively with clients to gently and intentionally face feared thoughts, sensations, or situations while reducing compulsive or avoidant behaviors.
Sessions are structured but flexible, and always tailored to YOU—with a focus on helping clients experience real, meaningful change.
Her approach is holistic and integrative, recognizing that anxiety doesn’t exist in isolation.
She thoughtfully selects interventions that support resilience, flexibility, and long-term growth—not just symptom relief.
Julia has advanced training in ERP, Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), somatic and mindfulness-based practices, trauma-informed care, attachment-based work, and motivational interviewing.
Above all, Julia wants you to have a warm, affirming, and nonjudgmental space where you feel understood and supported. She welcomes LGBTQ+ clients and is
passionate about helping people build practical skills, insight, and confidence so they can live fuller, more engaged lives.
If you’re interested in working with Julia, you’re welcome to reach out directly at:
julia@carolinaanxiety.com