FAQ's

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I specialize in evidence-based treatment for anxiety, OCD, and related concerns.

My approach blends:

• Exposure & Response Prevention (ERP) – the gold standard for OCD
   
• Acceptance & Commitment Therapy (ACT) – to help you build flexibility and self-compassion
   
• Cognitive Behavioral Therapy (CBT) – to address anxious thought patterns
   
• Attachment-informed and relational work – to deepen understanding and connection
   

Therapy here is practical, supportive, and collaborative. You’ll learn tools that actually fit your real life while feeling seen and understood along the way.

The first session is all about getting to know you. We’ll talk about what’s been feeling hard, what’s working, and what you hope to change.
You can expect a warm, curious, and judgment-free space where we’ll start identifying clear goals together.

All sessions are offered via secure telehealth for clients located anywhere in North Carolina.

You’ll meet with me through a HIPAA-compliant video platform (SimplePractice) from the comfort of your home or another private space.
Telehealth allows for flexibility and consistency—so therapy can move with you, even during busy seasons or transitions.

Carolina Anxiety & OCD Center is a private-pay practice.

This allows us to focus fully on your care—without limits, labels, or restrictions from insurance companies.

• Initial intake session: $195
   
• Ongoing sessions (50 minutes): $175

Being self-pay means you pay directly for sessions rather than going through insurance.

Here’s why:

• More privacy. Your records stay between us—insurance companies don’t have access to your information.
   
• More flexibility. We can focus on what’s truly helpful, not what’s covered.
   
• More choice. You can decide how often we meet and what we focus on.
   

To help make it easier:

• I’ll provide a superbill (a detailed receipt) you can submit for out-of-network reimbursement.
   
• I can walk you through what questions to ask your insurance company to check coverage.
   
• You can use HSA or FSA cards for payment.
   
• We can adjust session frequency or pacing to help therapy feel sustainable.
   

Private-pay care keeps your therapy confidential, flexible, and fully centered around your healing.

• Initial intake session: $195
   
• Ongoing sessions (50 minutes): $175
   

Payment is due at the time of service and can be made via credit card or HSA/FSA card through our secure client portal.

Everyone’s journey looks a little different. Some people prefer short-term, skills-based work (around 8–12 sessions), while others continue longer to explore deeper patterns and maintain progress - happy to help support what feels right for you.

I received my Master of Social Work (MSW) from NC State University and have extensive training in anxiety and OCD treatment, including:

• Behavior Therapy Training Institute (BTTI) certification through the International OCD Foundation
   
• Advanced coursework and consultation in ERP, ACT, and CBT
   
• Training through McLean Hospital’s OCD Institute
   
• Additional training in attachment-informed, trauma-informed approaches
  

You’ll find a balance of clinical expertise and authentic connection here.
I use proven methods like ERP and ACT, but therapy never feels robotic or scripted. Sessions are warm, conversational, and grounded in collaboration.

The practice reflects a coastal-calm philosophy—therapy that’s structured but never rigid, supportive but not surface-level. Healing happens best when you feel safe, seen, and genuinely cared for.

Life happens! To keep things fair and consistent:

• Please give at least 24 hours’ notice to cancel or reschedule an appointment.
   
• Late cancellations or no-shows are charged the full session fee, as that time is reserved for you.
   
• You’ll receive automated reminders before each appointment, but it’s your responsibility to manage your scheduled times.
   
• All sessions are held virtually using our secure video platform—please plan to join from a quiet, private space where you can focus.
   

These policies help ensure you have consistent access to care and that all clients can be seen in a timely way.

You can reach out to Julia at carolinaanxiety.com about next steps.