OCD Therapy — Online Therapy in Colorado

Support for Intrusive Thoughts, Compulsions, and Anxiety 

You’re in the right place if intrusive thoughts, compulsions, checking, or mental review loops are taking up energy, time, or emotional space. You want to respond differently to your thoughts without shame or fear.

Obsessive-Compulsive Disorder (OCD) can feel relentless. You may experience intrusive thoughts, images, or worries that don’t feel rational — yet still feel urgent and distressing. To relieve the anxiety, you may find yourself repeating behaviors, checking, mentally reviewing, seeking reassurance, or avoiding situations altogether.

Even when you know the thoughts don’t make sense, they can still feel incredibly real — and exhausting.

If this sounds familiar, you’re not alone — and OCD is treatable.

I’m David Rothman, LPC, and I provide online OCD therapy for adults throughout Colorado. I work with people experiencing intrusive thoughts, compulsions, rumination, and anxiety who want steady, compassionate support in understanding and responding differently to OCD patterns.

What OCD Can Feel Like

OCD usually involves two parts:

  • Obsessions — intrusive, repetitive thoughts, images, urges, doubts, or fears

  • Compulsions — mental or physical actions meant to reduce anxiety or feel “certain” again

You might notice:

  • intrusive or disturbing thoughts you don’t want to have

  • repetitive checking, counting, or reviewing

  • fear of harming someone, making a mistake, or being “at fault”

  • washing or cleaning rituals

  • mentally replaying conversations or events for reassurance

  • needing things to feel “just right”

  • seeking constant reassurance from others

  • avoiding certain places, people, or topics

OCD often comes with shame, secrecy, or self-criticism — but none of this means something is “wrong with you.” It means your brain is trying to protect you from uncertainty in a way that has become painful and consuming.

How OCD Therapy Can Help

Therapy with me is steady, collaborative, and non-judgmental. We take the time to understand how OCD shows up in your life — then work carefully toward loosening its grip.

Together, we’ll work to:

  • understand the cycle of obsessions and compulsions

  • reduce shame and fear around intrusive thoughts

  • respond differently to uncertainty

  • build skills to tolerate anxiety safely

  • untangle OCD from identity, values, and relationships

  • regain a sense of calm, agency, and self-trust

The goal isn’t to control every thought — it’s to change your relationship with them so they have less power.

My Approach to OCD Therapy

My work is attachment-based, emotionally focused, trauma-informed, and psychodynamic. I also integrate approaches that help people safely face anxiety while learning new ways of responding.

This means we look at:

  • the OCD cycle

  • the emotions underneath the fear

  • nervous-system responses

  • perfectionism, shame, or self-criticism

  • relational and attachment dynamics

  • past experiences that shaped how you cope

We move at a steady, manageable pace — you’re never pushed beyond what feels tolerable.

Types of OCD I Commonly Work With

I support adults experiencing:

  • intrusive harm-related thoughts

  • contamination fears and washing rituals

  • checking, counting, or ordering compulsions

  • relationship OCD (doubt/uncertainty about relationships)

  • religious or moral scrupulosity

  • health-related anxiety

  • obsessive rumination

You don’t need to hide your thoughts here. They can be talked about — safely, respectfully, and without judgment.

A Compassionate Note About Safety

If you are experiencing thoughts of self-harm or suicide, please reach out for immediate help by calling 911 or the Suicide & Crisis Lifeline at 988. You deserve care and support right now.

Online OCD Therapy in Colorado

OCD can take up a lot of mental and emotional energy — but you don’t have to manage it on your own. I offer online OCD therapy for adults across Colorado, providing a confidential, supportive space to work through intrusive thoughts and compulsions with steadiness and care.

If you’re looking for online OCD therapy in Colorado, I’m here to help.

Schedule an Appointment or Contact Me when you’re ready to take the next step.