Julia Markovich, LCSW
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Julia Markovich, LCSW
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Looking for more info? You're in the right place!

Hi there, welcome in (:


I offer evidence-based therapy for adults experiencing anxiety, OCD, and stress-related concerns. My work is informed by research, while staying practical, supportive, and grounded in real life.


At CAO, therapy is individualized. Some come in wanting tools and clarity around specific challenges, while others are looking for a steady space to better understand patterns and build resilience over time. We’ll shape the work together based on what feels most helpful to you.


The focus is on YOU!


CAO is designed to feel steady and approachable. Sessions are structured, but flexible, and always collaborative. I believe therapy works best when you feel comfortable, understood, and respected, and that belief guides my work here.


Getting started...


There’s no single “right” timeline for therapy. Some clients prefer short-term, skills-focused work (often 8–12 sessions), while others choose to continue longer to explore patterns or maintain progress.


I typically suggest starting with weekly sessions for the first few weeks, then checking in together about what feels right moving forward. From there, we may shift to bi-weekly sessions or continue weekly, depending on your needs and goals (:


The first session


The first session is focused on getting to know you. We’ll talk about what’s been difficult, what’s been helping (even a little), and what you’d like to work toward.

You can expect a warm, straightforward, and judgment-free space. A formal diagnosis can be provided during this session if it’s useful for your care.



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

Sessions are held through a HIPAA-compliant platform (SimplePractice), so you can meet from home or another private, comfortable space. Telehealth allows for flexibility and consistency, even during busy or changing seasons of life.


Background & Training


  • Master of Social Work (MSW), North Carolina State University
     
  • Behavior Therapy Training Institute (BTTI), International OCD Foundation
     
  • Advanced training in ERP, ACT, DBT, CBT, and person-centered care
     
  • Training through McLean Hospital’s OCD Institute (Harvard Medical School)
     
  • Attachment-informed and trauma-informed training
     
  • Current student, Stanford Psychiatry: Yoga X Program
     


Exposure & Response Prevention (ERP)
ERP is a well-supported treatment for OCD and anxiety. We work gradually and at a manageable pace to change patterns that keep anxiety stuck.

Acceptance & Commitment Therapy (ACT)
ACT focuses on building flexibility and a healthier relationship with thoughts and emotions.

Dialectical Behavior Therapy (DBT)
DBT skills can be helpful for emotion regulation, distress tolerance, and navigating intense feelings in everyday life. These tools are often woven in alongside other approaches when they’re a good fit.

Attachment-Informed & Relational Work
When helpful, we may look at relationship patterns, boundaries, and self-trust to support connection and confidence.

Person-Centered Care
You’re not just a set of symptoms. Therapy at CAO considers the bigger picture of your life and offers tools that are realistic and usable.


Cost.

CAO is a self-pay practice, which allows for more flexibility and individualized care. You’re welcome to reach out with questions or for more information about rates.

Learn More

Carolina Anxiety and OCD Wellness

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