OCD Treatment in Lakewood, CO When your brain keeps sounding the alarm.

You can learn to turn the volume down.

McCullough Family Therapy provides OCD treatment in Lakewood, Colorado, using Exposure and Response Prevention, the most well-researched approach for OCD available. We help teens and adults understand what's driving the cycle and build real tools for breaking it.

Evidence-Based ERP
Teens & Adults
In-Person & Telehealth
Free 20-Min Consult
Understanding OCD as a cycle, McCullough Family Therapy, Lakewood, CO
Understanding OCD

OCD Is a Cycle, Not a Personality Trait

OCD is a mental health condition built around a cycle: an intrusive, unwanted thought creates intense distress, and a compulsion follows in an attempt to relieve it. The relief is temporary. The cycle comes back, usually more forcefully.

The thoughts in OCD feel alarming precisely because they're out of character. People with OCD are often deeply conscientious. Their minds have learned to flag things as dangerous when they aren't. The content can vary widely: contamination, harm, doubt, symmetry, or intrusive thoughts that feel sharply at odds with who you are.

The cycle is what makes it OCD

Obsession triggers distress. Compulsion provides temporary relief. The cycle repeats, often growing stronger over time.

Intrusive thoughts aren't a reflection of who you are

They feel alarming because they're so out of character. That gap between the thought and your values is actually a sign of OCD, not a character flaw.

OCD responds well to the right treatment

Exposure and Response Prevention has strong research support. People who stay with it see real, lasting change.

"The compulsion isn't the problem. It's the attempted solution. That's exactly where ERP starts."

How We Treat OCD

The ERP Approach

Exposure and Response Prevention (ERP) is the gold-standard treatment for OCD, backed by decades of research. The goal isn't to stop intrusive thoughts from appearing. It's to change your relationship to them so the compulsion loses its urgency.

Over time, your brain learns that you can tolerate the discomfort without performing the compulsion. The cycle weakens. The thoughts lose their grip. That's what recovery looks like.

What changes with ERP:

The Cycle

Obsessions stop automatically triggering compulsions when you practice responding differently.

Distress Tolerance

You build real confidence in your ability to sit with uncertainty without acting on it.

Daily Function

Time consumed by rituals shrinks. You get more of your day back.

Self-Understanding

You learn to recognize the OCD voice for what it is, not as truth.

ERP therapy session at McCullough Family Therapy, Lakewood, CO
What Treatment Looks Like

Four Stages of ERP

ERP is structured and collaborative. Here's what the process typically looks like from start to finish.

1

Assessment & Education

We map your specific OCD cycle: what triggers the obsessions, what compulsions follow, and how much it's affecting your daily life. You learn the reasoning behind ERP so the work makes sense from the start.

2

Building Your Hierarchy

Together, we create a structured list of triggers ordered from least to most distressing. You're in control of the pace. We don't move faster than you're ready for.

3

Practicing Exposures

We work through the hierarchy in session, facing triggers while resisting the compulsive response. Your therapist guides you through the discomfort and helps you build real confidence in your ability to tolerate it.

4

Life Outside the Cycle

As compulsions lose their hold, space opens up. We work on generalizing what you've learned so OCD stops running your daily schedule.

How OCD Shows Up

OCD Looks Different for Everyone

OCD is often misunderstood because it doesn't always look like what people expect. These are some of the most common ways it presents, and each one responds well to ERP.

Fear of germs, illness, or being contaminated by people, objects, or places. Compulsions often include excessive washing, cleaning, or avoidance of anything perceived as a risk. The compulsive behaviors can expand over time to cover more and more of daily life.
Intrusive thoughts about accidentally or intentionally harming yourself or someone you love. These thoughts are unwanted and ego-dystonic, meaning they conflict sharply with who you actually are. They're not desires. They're OCD, and they respond well to ERP.
Persistent doubt that you've done something wrong, forgotten something important, or failed to prevent harm. Compulsions often include checking, confessing, or seeking reassurance repeatedly, none of which fully resolves the doubt for long.
Unwanted mental images or thoughts about violence, sexuality, religion, or other distressing content. The thoughts are alarming precisely because they feel so out of character. ERP works by changing your relationship to these thoughts rather than trying to suppress them.
A need for things to feel arranged, ordered, or "just right" before distress can ease. This can look like arranging, counting, or repeating actions until the feeling resolves. It's driven by internal sensation rather than external logic.
Persistent doubt about relationships: romantic, family, or friendships. Compulsions often include reassurance-seeking, mental reviewing, or comparing feelings to an imagined standard. The doubt rarely resolves, even with repeated reassurance.
OCD treatment for teens and adults at McCullough Family Therapy, Lakewood, CO
Understanding the Differences

OCD Is Not General Anxiety. It Is Not PTSD.

These conditions can look similar and can overlap, but they're distinct, and the treatment approaches are different. Getting an accurate picture at the start matters.

OCD vs. General Anxiety

OCD vs. PTSD

General Anxiety

Worry tracks real-world concerns: work, health, relationships. Content shifts with life circumstances. Treatment focuses on tolerating uncertainty and reducing avoidance.

OCD

Obsessions are intrusive and feel out of character. A compulsion follows every obsession. That ritual is what maintains the cycle. ERP targets the compulsion, not the thought content.

PTSD

Intrusive thoughts are tied to a traumatic event that actually happened. Re-experiencing and avoidance are the nervous system's response to a real past threat.

OCD

Intrusive thoughts aren't memories. They're about things that haven't happened and that the person doesn't want to happen. The distress is about what might be possible, not what already occurred.

What helps

CBT, ACT, mindfulness targeting real-world avoidance.

What helps

ERP, targeting the obsession-compulsion cycle directly.

What helps

EMDR, CBT, structured trauma processing tied to specific past events.

What helps

ERP, reducing the compulsive response rather than processing a past event.

Many people experience more than one of these conditions. Accurate assessment at the start of treatment helps us build a plan that targets the right things.

McCullough Family Therapy

Therapists Offering OCD Treatment

Our OCD treatment team uses evidence-based ERP to help teens and adults understand the cycle and build real tools for managing it. As our practice grows, we continue adding clinicians with specialized OCD training.

Camryn O'Neill, Associate Marriage and Family Therapist, McCullough Family Therapy, Lakewood, CO

Camryn O'Neill

Associate Marriage and Family Therapist · MA, MFTC

Camryn works with teens and adults experiencing OCD and anxiety, utilizing Exposure and Response Prevention (ERP) to help clients spend less time consumed by worry and build a life guided by values rather than fear.

OCD Anxiety ERP

Our full team includes additional licensed therapists.

Meet Our Team
Serving Lakewood and Beyond

OCD Treatment in Lakewood
and Throughout Colorado

We offer in-person OCD treatment at our Lakewood office and secure telehealth sessions for clients throughout Colorado.

In-Person Sessions

3900 S Wadsworth Blvd, Suite 435
Lakewood, CO 80235

Serving Lakewood, Littleton, and the greater Denver metro area.

Schedule a free consult

Telehealth

Secure online sessions available to clients throughout Colorado.

ERP is effective in a telehealth format, and many clients find it helpful to practice exposures in their own environment.

Get started online

Getting Started

We offer a free initial consultation so you can connect with a therapist before committing to the process.

Insurance: We are an out-of-network provider. We have partnered with Mentaya to help you submit out-of-network claims for reimbursement. Some of our clinicians do accept Medicaid, though they do not always have openings. Medicaid is not accepted for court-ordered services.

Learn more about our rates.

Questions? Call 303-551-9214.

Athena McCullough, Owner and Clinical Director, McCullough Family Therapy, Lakewood, CO
Athena McCullough Owner · Clinical Director · MA, LPC, LMFT
Our Promise to You

Why Work With McCullough Family Therapy?

This is your space to be you. When you feel safe, supported, and heard, you're going to feel comfortable doing the hard work that OCD treatment asks of you. Connection with your therapist leads to the kind of openness that makes ERP actually work.

We believe in lasting change. OCD doesn't disappear overnight, but the cycle does weaken. You don't have to keep managing it alone.

Collaborative

Our clinicians work together, combining unique insights and expertise to make sure you receive the best possible care.

Safe

Wherever you are on your journey, you can feel confident you're in a safe, judgment-free space built for healing and growth.

Experienced

Our clinicians tailor their approach to you, using the modalities that best fit your needs, goals, and personality.

Frequently Asked Questions

Questions About OCD Treatment

Still have questions?

Contact Us

OCD (Obsessive-Compulsive Disorder) is a mental health condition built around a cycle: an intrusive, unwanted thought creates intense distress, and a compulsion follows in an attempt to relieve it. The relief is temporary. The cycle comes back, usually more forcefully.

OCD is not about being a neat freak or having high standards. It's a diagnosable condition that responds well to the right treatment.

Anxiety and OCD can look similar, but they're distinct conditions that respond to different treatments. General anxiety involves worry about real-world concerns: work, health, relationships. OCD involves intrusive thoughts that feel out of character, followed by compulsions designed to neutralize them.

The compulsion is the key distinction. If you're doing something repeatedly to make a thought go away, that pattern points more toward OCD than general anxiety.

PTSD involves intrusive thoughts tied to a traumatic event that actually happened. OCD intrusive thoughts aren't memories. They're often about things that haven't happened and that the person doesn't want to happen. The distress is about what might be possible, not what already occurred.

The treatments are different, too: PTSD responds to approaches like EMDR and CBT, while OCD responds to Exposure and Response Prevention.

Exposure and Response Prevention (ERP) is the gold-standard, evidence-based treatment for OCD. It works by gradually exposing you to the thoughts or situations that trigger your obsessions, while supporting you in resisting the compulsive response.

Over time, this reduces the anxiety those triggers cause and breaks the cycle. ERP is done at a pace that works for you. The goal is to change your relationship to intrusive thoughts so the compulsion loses its urgency.

It depends on the severity of symptoms, how many OCD themes are present, and how consistently you're able to practice between sessions. Many people see meaningful improvement within 12 to 20 sessions.

Your therapist will set realistic goals with you and check in regularly as you make progress.

Yes. We offer secure telehealth sessions for OCD treatment to clients throughout Colorado. ERP is effective online, and many clients find it useful to practice exposures in their own environment.

The first step is a free 20-minute consultation. It's a low-pressure conversation to learn about what you're dealing with, answer your questions, and figure out whether we're the right fit.

You can schedule online or call us at 303-551-9214.

Still have questions?

Contact Us
McCullough Family Therapy, OCD treatment practice in Lakewood, CO
Therapy in Colorado

McCullough Family Therapy

McCullough Family Therapy is a group therapy practice offering OCD treatment, couples counseling, family therapy, and individual therapy for anxiety, trauma, and life transitions. Our licensed therapists work with clients in person in Lakewood, Colorado, and virtually throughout the state.

We offer in-person sessions at our Lakewood office and secure telehealth throughout Colorado. Free initial consultations are available. We are an out-of-network provider and have partnered with Mentaya to support out-of-network insurance reimbursement.

3900 S Wadsworth Blvd, Suite 435, Lakewood, CO 80235
303-551-9214  |  connect@mcculloughfamilytherapy.com

McCullough Family Therapy does not provide crisis services. If you or someone you care for is experiencing a mental health emergency, please call or text 988 (Suicide and Crisis Lifeline), call 911, or go to your nearest emergency room. You may also contact the Crisis Text Line by texting HOME to 741741.