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Find clarity, confidence, and relief from anxious & intrusive thoughts

OCD Therapy in Fort Lauderdale, FL

Specialized OCD treatment using Exposure and Response Prevention (ERP)

OCD can make you feel trapped in cycles of intrusive thoughts, anxiety, doubt, checking, reassurance seeking, avoidance, and compulsive behaviors. Even when you recognize that your fears may not make sense, OCD can make it feel impossible to stop analyzing, checking, or trying to get certainty.

At Still Minds Psychology, we specialize in OCD treatment using Exposure and Response Prevention (ERP), an evidence-based form of cognitive behavioral therapy specifically designed to treat OCD. We work with adults and adolescents experiencing a wide range of OCD presentations, including intrusive thoughts, mental compulsions, Pure O, relationship OCD, harm OCD, contamination OCD, health OCD, sexual OCD, and other forms of OCD.

Our Fort Lauderdale office serves clients throughout South Florida, and telehealth is available to eligible clients in Florida and other states where we are licensed (TX, ID, VT, SC)

When OCD is running the show, it can feel like your mind won’t let you rest. You may be feeling overwhelmed by distressing thoughts, feeling as though the urges are too loud to ignore, or bracing for the next wave of discomfort. You brain is stuck in a loop of asking what ifs. If that sounds familiar, you’re not broken, and you’re not alone.

OCD is common, treatable, and responsive to the right support. Therapy can help you understand what’s happening in your mind and body, reduce the intensity of OCD spirals, and build steady confidence in your ability to manage, without needing everything to feel certain first. OCD can be debilitating and leave you feeling trapped by your thoughts. But you don’t have to face it alone. Meghan Cromie is a licensed therapist highly trained in evidenced based ERP therapy for OCD, and one of the top OCD expert in South Florida. Together we can learn to skills to stop obsessing, and to help you finally break free of OCD.

OCD Therapy
Meghan Cromie is one of the leading ocd and erp Specialists,in South Florida

Why Work With an OCD Specialist?

Meghan Cromie, Licensed Therapist

While many other clinics may claim to “treat” OCD, few have devoted themselves to the consistent training and research needed to fully help those with OCD recover. I primarily specializes in OCD, meaning I am consistently practicing ERP, brainstorming exposures, working with each OCD theme and subtype, and keeping up to date with the research.

Meghan did her BA with honors in Psychology and New College of Florida in Sarasota, and went on to pursue her MA in Marriage and Family Therapy at UCF. Meghan pursued mentorship under PhD level clinicians who specialize in OCD treatment and went on to complete intensive training through NOCD in ERP. Meghan continues to constantly build her OCD expertise though ongoing education and is a part of several local OCD specialist consultation groups. Meghan is a member of the OCD Central and South Florida Chapter of IOCDF as well as staying involved in the International OCD Foundation at large. Meghan also operates a public tik tok page dedicated to furthering understand and education on OCD nationwide.

This expertise is what sets my practice apart, I don’t just treat OCD, I specialize in it. From Pure-O to POCD and more, I’ve worked with it. Choosing Still Minds Psychology means working with providers who have extensive training and experience with OCD. In-person OCD therapy at our Fort Lauderdale office and online OCD treatment for clients located in states where our clinicians are licensed. Serving Fort Lauderdale, Oakland Park, Pompano Beach, Davie, Plantation, Coral Springs, Boca Raton, Weston, Sunrise, Tamarac, Margate, Deerfield Beach, Hollywood, and surrounding South Florida communities.

What is OCD?

Obsessive-Compulsive Disorder is a mental health condition driven by two connected components: obsessions, unwanted, intrusive thoughts, images, or urges that cause significant distress, and compulsions, the behaviors or mental acts performed to reduce that distress, seek certainty, or "undo" the thought. Compulsions can be visible, like handwashing or checking, or entirely internal, like mental reviewing, silent reassurance-seeking, or repeating a phrase in your head. Relief from a compulsion is almost always temporary, which is exactly how OCD keeps the cycle going: the compulsion works just well enough, just long enough, to teach the brain to keep reaching for it.

OCD is frequently misunderstood as being primarily about cleanliness or organization, and while contamination OCD is one common presentation, OCD can center on nearly any theme, harm, relationships, sexuality, religion, identity, morality, or simply an unbearable need for certainty about something that can't actually be made certain. What unites every form of OCD isn't the content of the thought; it's the cycle of obsession and compulsion underneath it.

What are obsessions?

Obsessions are unwanted, intrusive thoughts, images, urges, sensations, or doubts that repeatedly enter your mind and cause distress. They often focus on something that feels especially important, threatening, or inconsistent with your values.

OCD obsessions can take many forms. Someone might worry that they could accidentally hurt someone, question whether they truly love their partner, fear becoming contaminated, worry about making a mistake, experience disturbing sexual or religious thoughts, become preoccupied with bodily sensations, or repeatedly question whether they are making the "right" decision.

Importantly, having an intrusive thought does not mean you want it, believe it, or will act on it. Many people with OCD become distressed precisely because the thought feels so inconsistent with who they are or what matters to them.

What are compulsions?

Compulsions are behaviors or mental acts that you feel driven to perform in response to an obsession, intrusive thought, or feeling of uncertainty. The goal of a compulsion is often to prevent something bad from happening, reduce anxiety, or achieve a feeling of certainty or "just rightness."

Some compulsions are easy to recognize, such as:

  • Checking locks, appliances, or messages repeatedly

  • Washing or cleaning excessively

  • Repeating actions until they feel right

  • Asking others for reassurance

  • Avoiding people, places, or situations that trigger OCD

However, many compulsions happen entirely in your mind. These can include mentally reviewing memories, analyzing your feelings, comparing possibilities, trying to prove that a thought isn't true, mentally repeating phrases, replacing an unwanted thought with a "good" thought, or repeatedly asking yourself questions in an attempt to reach certainty.

These are sometimes called mental compulsions or covert compulsions.

The OCD cycle

OCD often operates as a cycle:

Intrusive thought, image, urge, sensation, or doubt → anxiety or uncertainty → compulsion or avoidance → temporary relief → more OCD

A compulsion may provide relief in the moment, but that relief teaches the brain that the thought or uncertainty was something that needed to be resolved. Over time, this can make the obsessions feel more urgent and the compulsions more difficult to resist.

This is why trying to get complete certainty about an OCD fear can actually keep the OCD cycle going.

OCD isn't always about visible rituals

One of the biggest misconceptions about OCD is that it always involves obvious behaviors like excessive cleaning or checking. OCD can also involve intrusive thoughts, mental compulsions, reassurance seeking, avoidance, rumination, and attempts to control or eliminate unwanted thoughts.

Some people with OCD may even appear to have no compulsions at all. This is sometimes referred to as "Pure O" or primarily obsessional OCD, although the term can be misleading because people with this presentation often have less visible mental compulsions or avoidance.

OCD can also take many different forms, including contamination OCD, harm OCD, relationship OCD (ROCD), health OCD, sexual OCD, religious or scrupulosity OCD, existential OCD, perfectionism-related OCD, sensorimotor OCD, and other forms of intrusive-thought OCD.

The specific content of an obsession is less important than the cycle of obsession, uncertainty, and compulsive responding that maintains it.

How is OCD treated?

OCD is highly treatable. Exposure and Response Prevention (ERP) is a specialized form of cognitive behavioral therapy and is considered a first-line psychological treatment for OCD.

Rather than trying to eliminate intrusive thoughts or prove that your fears are impossible, ERP helps you gradually approach uncertainty and feared experiences while learning to respond without compulsions, reassurance, avoidance, or other behaviors that keep the OCD cycle going.

At Still Minds Psychology, we specialize in OCD therapy using ERP, with treatment tailored to the specific symptoms, compulsions, and goals of each client.

If you think you may have OCD, you don't need to be certain about your diagnosis before reaching out. An OCD specialist can help you understand what you're experiencing and determine whether specialized OCD treatment is appropriate.

OCD Symptoms & Presentations We Treat

OCD doesn't always look like repetitive handwashing or checking. Obsessions and compulsions can take many forms, and some compulsions are almost entirely mental.

  • Contamination OCD-A fear of germs or dirt, leading to excessive washing, cleaning, or avoiding certain objects or places.

  • Checking OCD-Constantly checking locks, stoves, or light switches, driven by fear that something bad will happen if they are not checked repeatedly.

  • Harm OCD-Disturbing, unwanted thoughts or urges, such as fears of harming others, harm coming to animals, images of acting violently, thoughts of harming yourself.

  • Relationship OCD (ROCD)- Fear about our relationship such as the belief our partner is not right for use that cause immense anxiety and often result in repetitive reassurance seeking, rumination, and avoidance.

  • Health OCD- a fear of having or developing serious health issues. This often shows up a frequent body checking, medical avoidance or excessively going to the doctor, researching, and reassurance seeking

  • Sexual OCD- obsessions are about sexual questions or images. These often taboo and ego dystonic thoughts center sexual images, Incestuous thoughts, bestiality thoughts, and more. This can lead to extreme compulsive avoidance, rumination, and testing your sexuality. Other related obsessions include questioning your sexual orientation or gender identity

  • Religious or scrupulosity OCD- intrusive thoughts and compulsive behaviors related to religious or moral issues, Compulsive behaviors aimed at preventing sin or ensuring moral purity, such as excessive praying or confessing , checking and rechecking actions for mistakes 

  • Moral OCD- concerns about making moral “mistakes” that might make them a terrible person. This often leads to rumination

  • Perfectionism-related OCD- feeling that every process and space needs to be perfected is a common form of OCD. Compulsions are often physical involving trying to make spaces perfect & organized, but mentally there can be compulsive strategizing trying to maximize for efficiency

  • Pedophilia-themed OCD (POCD)-repeated fearful thoughts that we may be or become attracted to children often resulting in avoiding content relating to children, checking arousal, seeking reassurance from others, even avoiding some common parenting tasks such as bath time and diaper changes. This can often effect parents and those who work with children.

  • Sensorimotor OCD- a form of OCD where the obsession is around sensations in the body. Oftentimes things like touch, breathing, blinking ect. not feeling “right”, and feeling a need to take control of automatic bodily functions

  • Existential OCD- a preoccupation with existential questions like “what happens after we die”, “how can I be sure of my reality” which frequently leads to compulsive rumination and researching

  • Pure O / primarily obsessional OCD- You may notice you’re stuck in cycles of rumination, trying to mentally distract away from intrusive thoughts. While the types of thoughts can vary you will likely be struggling with many “what ifs”

  • Intrusive thoughts

  • Mental compulsions

  • Reassurance seeking

Exposure and Response Prevention (ERP) for OCD

Exposure and Response Prevention (ERP) is a specialized form of cognitive behavioral therapy and one of the most effective evidence-based treatments for OCD. ERP helps you gradually face situations, thoughts, sensations, or uncertainties that trigger OCD while learning to resist compulsions and other behaviors that keep the OCD cycle going.

Rather than trying to eliminate intrusive thoughts or achieve complete certainty, ERP teaches you that you can experience uncertainty and discomfort without responding to OCD. Over time, this can reduce the power OCD has over your choices and daily life.

ERP can be used to treat many forms of OCD, including intrusive thoughts, Pure O, relationship OCD, harm OCD, contamination OCD, health OCD, sexual OCD, religious or scrupulosity OCD, sensorimotor OCD, and other OCD presentations.

At Still Minds Psychology, ERP is individualized to your specific OCD symptoms, compulsions, and goals. Treatment may involve in-session exposures as well as practicing response prevention between sessions.

What Does OCD Therapy Look Like?

  • Step 1: We assess your symptoms and make a personalized trreatment plan

  • Step 2: We will go over psychoeducation on OCD so you can understand how the cycle works

  • Step 3: We create an exposure hierarchy at your pace

  • Step 4: symptom reduction. by practicing exposures you'll notice ocd is starting to get easier

If you've searched for "OCD therapist near me" or "why can't I stop these thoughts," you already know that OCD is nothing like the neat, tidy stereotype it's often reduced to. OCD can take almost any form, and much of it happens entirely inside the mind, invisible to everyone around you, which is often exactly what makes it so exhausting to carry.

At Still Minds Psychology, we specialize in treating all forms and subtypes of OCD using Exposure and Response Prevention (ERP), the gold-standard, first-line treatment, along with Inference-Based CBT (I-CBT) and Acceptance and Commitment Therapy (ACT) for clients who need a more layered approach.

Contamination OCD

Contamination OCD involves intense fear of germs, illness, or contamination, along with compulsions like excessive handwashing, showering, cleaning, or avoiding objects, places, or people perceived as "dirty." This can extend beyond physical germs to fears of chemical contamination or even a more abstract sense of contamination tied to certain people or situations. Left untreated, contamination fears often expand, what starts as avoiding one specific trigger can gradually grow to affect many areas of daily life.

Harm OCD

Harm OCD involves intrusive, unwanted thoughts about causing harm to oneself or others, thoughts that are deeply distressing precisely because they conflict so strongly with a person's actual values and character. Compulsions often include avoiding sharp objects, mentally reviewing past actions for reassurance that no harm occurred, or avoiding being alone with certain people. Having a violent or harmful intrusive thought is not the same as wanting to act on it, and Harm OCD is one of the most misunderstood subtypes precisely because the content of the thoughts can feel so alarming to talk about.

Pure Obsessional OCD ("Pure O")

Pure O, or primarily obsessional OCD, involves intrusive thoughts and doubts with compulsions that happen almost entirely internally, mental reviewing, silent reassurance-seeking, or analyzing whether a thought "means something" about who you are. Because there's often no visible ritual, Pure O can go unrecognized for years, sometimes mistaken for generalized anxiety or simply an unusually anxious mind, when in fact it's OCD operating through internal rather than external compulsions.

Checking and Symmetry/Ordering OCD

Checking OCD involves repeated checking behaviors, locks, appliances, whether a text message was sent correctly, driven by doubt and a need for certainty that something bad hasn't happened or won't happen. Symmetry and ordering OCD involves distress when things aren't arranged "just right," along with compulsions to arrange, count, or repeat actions until a sense of rightness is reached. Both subtypes tend to expand over time, as checking or reordering only ever provides temporary relief before the doubt returns.

Relationship OCD (ROCD)

Relationship OCD involves persistent, consuming doubt about a relationship or partner, is this the right person, do I really love them, what if I'm settling, that goes far beyond normal relationship uncertainty. This often includes constant mental comparison, reassurance-seeking from a partner or others, and compulsive analysis of feelings that never actually resolves the doubt, since the doubt was never really about the relationship's actual quality to begin with.

Sexual Orientation OCD (SO-OCD) and Sexual Intrusive Thoughts

Sexual Orientation OCD involves intrusive doubts about one's sexual orientation, often accompanied by intense anxiety and compulsive mental checking of one's reactions or feelings for "proof." Sexual intrusive thoughts more broadly, unwanted, distressing thoughts of a sexual nature involving inappropriate or unwanted content, are a common OCD theme and do not reflect a person's actual desires, intentions, or character. These themes carry significant shame for many clients, which often delays treatment far longer than other OCD subtypes.

Religious and Moral Scrupulosity

Scrupulosity involves obsessive concern with religious or moral correctness, intrusive fears of having sinned, blasphemed, or acted immorally, and compulsions like excessive praying, confessing, or seeking reassurance from religious authorities or texts. Scrupulosity can be especially distressing because it often intertwines deeply held values with the OCD cycle, making it hard to separate genuine spiritual or moral reflection from compulsive, anxiety-driven rumination.

Postpartum OCD

Postpartum OCD involves intrusive, distressing thoughts, often about accidentally or intentionally harming a newborn, that emerge during pregnancy or after childbirth, along with compulsions like avoiding being alone with the baby, excessive checking, or seeking constant reassurance. These thoughts are a well-documented symptom of postpartum OCD, not a sign of danger to the baby or a reflection of parenting ability, though the shame surrounding them often keeps new parents from seeking help.

How OCD Is Treated at Still Minds Psychology

Treatment begins with an accurate understanding of your specific OCD themes and how your compulsions show up, since traditional talk therapy that involves repeatedly discussing or analyzing intrusive thoughts can inadvertently reinforce OCD rather than treat it. ERP remains the gold-standard, first-line treatment, gradually and collaboratively helping you face feared thoughts and situations while resisting the compulsions that keep the cycle going. For clients with primarily internal or reasoning-driven OCD, particularly Pure O, ROCD, or SO-OCD, we often incorporate I-CBT, which targets the reasoning process that generates the obsession in the first place. ACT is frequently woven throughout treatment as well, building tolerance for the uncertainty and discomfort that come with resisting compulsions.

Frequently Asked Questions About OCD

What is the difference between having intrusive thoughts and having OCD?

Nearly everyone experiences intrusive, unwanted thoughts occasionally. OCD develops when these thoughts trigger significant distress and are followed by compulsions, behaviors or mental acts performed to reduce that distress or seek certainty, that begin to take up significant time or interfere with daily life.

Does OCD always involve visible rituals like handwashing?

No. While contamination and checking OCD often involve visible compulsions, many forms of OCD, including Pure O, ROCD, and SO-OCD, involve compulsions that happen almost entirely internally, mental reviewing, silent reassurance-seeking, or analysis, making them just as real but much harder to recognize from the outside.

Will talking about my intrusive thoughts in therapy make them worse?

Generic talk therapy that encourages repeatedly discussing, analyzing, or seeking reassurance about intrusive thoughts can actually reinforce OCD. Specialized, evidence-based OCD treatment like ERP works differently, helping you change your relationship to the thoughts rather than analyzing their content, which is a key reason working with an OCD specialist matters.

Does having violent or sexual intrusive thoughts mean something is wrong with me?

No. Intrusive thoughts involving violence, sexuality, or other taboo content are a well-documented symptom of OCD and do not reflect a person's actual desires, intentions, or character. These thoughts are distressing precisely because they conflict so strongly with what the person actually values.

What is the most effective treatment for OCD?

Exposure and Response Prevention (ERP) is considered the gold-standard, first-line treatment for OCD, with strong research support showing 60 to 80 percent of clients who complete ERP experience significant symptom reduction. Inference-Based CBT and ACT are also effective, particularly when integrated alongside ERP. As OCD specialist, at Still Minds Psychology your therapist is extensively trained in multiple OCD therapy styles and is able to seamlessly integrate them to help you achieve the best possible outcome.

Can OCD be treated without medication?

Yes. ERP has strong evidence as an effective standalone treatment for OCD. Some clients benefit from combining ERP with medication, particularly SSRIs, but many experience substantial improvement through therapy alone.

Start OCD Treatment in Florida, Texas, Vermont, South Carolina, or Idaho

Still Minds Psychology offers specialized, evidence-based OCD treatment in person in Fort Lauderdale, FL, and via telehealth throughout Florida, Texas, Vermont, South Carolina, and Idaho. Whatever theme your OCD has taken, effective, specialized treatment can help you get your life back.

Frequently Asked Questions About OCD Therapy

At Still Minds Psychology, we specialize in helping people break free from OCD. If you feel stuck in cycles of worry, mental checking, avoidance, or compulsive behaviors, therapy here is focused, practical, and collaborative. It’s normal to have questions or feel nervous about starting therapy for OCD. I’m happy to answer your questions and empower you in making the choice to get the specialized help you deserve.

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Couples therapy for OCD | Family therapy for OCD

Meghan offers couples & family therapy to help you better connect & fight OCD together. I want to work with your whole support network to make recovery possible.

OCD Therapy in Fort Lauderdale & South Florida

Fort Lauderdale, FL Office

Still Minds Psychology: Anxiety & OCD Therapy


2901 W Cypress Creek Rd Suite 114, Fort Lauderdale, FL 33309

Online OCD Therapy in Florida

Can't make it to our Fort Lauderdale office? Still Minds Psychology also provides online OCD therapy to eligible clients located in Florida and other states where our clinicians are licensed.

Telehealth can make specialized OCD treatment more accessible for people who don't live near a clinician who specializes in ERP.

Learn More About Online OCD Therapy

Pricing & Insurance

Rates

a 55 minute session for individuals is $175 USD

a 55 minute session for family/couples therapy is $210 USD

I do not currently offer sliding scale pricing

Insurance

I am not in network with any insurers. Some insurers fully or partially reimburse for out-of-network mental health services and may reimburse a portion of your session fee after you submit a receipt called a superbill (which we’ll provide ). Many people get 50-75% of session cost reimbursed