Field Notes

Honest writing about the things we do not talk about enough, from a therapist who would rather be direct than polished.

Is This OCD or Just Anxiety?

They feel similar. They even overlap. But the distinction changes everything about how treatment works, and getting it wrong can keep you stuck.

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What ERP Therapy Is Really Like

The internet will tell you ERP is about facing your fears. That is technically true and completely useless as a description. Here is what it actually looks like in practice.

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Reassurance Seeking: The OCD Compulsion You Did Not Know You Had

Your friend means well when they say "you are fine." Your partner means well when they check for you. But reassurance is the thing keeping the cycle alive.

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OCD in Men and Women: Symptoms, Biology, and Treatment

Obsessive-Compulsive Disorder (OCD) affects people of all genders, ages, and backgrounds. But despite how common OCD is, many people go years without...

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Why Anxiety Gets Worse for Bio Females During Their Cycle: A Deep Dive Into Hormones, Brain Wiring, and the Unfairness of It All

Anxiety is already a lot. But for many bio females, anxiety does not just exist. It surges, dips, spikes, crashes, and shapeshifts depending on where...

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The Many Forms of Anxiety and What to Do About It

Anxiety is one of the most common mental health challenges, but it doesn’t look the same for everyone. Some people experience racing thoughts before...

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5 Common (and Harmful!) Myths About Therapy

Therapy has become more widely accepted in recent years, but misconceptions still keep so many from seeking help. Myths about mental health treatment...

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What Is High-Functioning Anxiety? Signs, Symptoms, and How to Cope

High-functioning anxiety can be difficult to recognize, even for those living with it. On the outside, a person may appear driven, punctual,...

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Why I Only Treat OCD and Anxiety

People ask me this all the time. Why not expand? Why not take on more? Because specializing is not a limitation. It is the whole point.

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