OCD Therapy | Long Island & Virtual NYYou know the thoughts aren't logical. They just feel like a life-or-death emergency anyway.
OCD is far more than a need for order. It's a constant, suffocating loop of what-ifs that feels impossible to silence, and exhausting to negotiate with every single day. If your mind has become a place where you no longer have the final say, you're in the right place.
The what-ifs stop here.
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The what-ifs stop here. •
The three patterns we see most.
What We'll Work On TogetherThe Mental Hijack
You know the thoughts aren't logical but they feel like a life-or-death emergency anyway. Whether it's a fear about your health or an intrusive thought that feels too dark to share, we help you recognize that these thoughts are mental noise, not a reflection of your character. This is a space where you can finally be honest about the taboo stuff without judgment.
The Loop of Rumination
You spend hours playing out every worst-case scenario, convinced that thinking it through enough will keep something bad from happening. That mental checking has become a full-time job. We give you actual tools to stop negotiating with your intrusive thoughts and start trusting your own mind again.
Living by Your Fears
Your life is being defined by what you're afraid of rather than what you actually care about. You're making decisions based on how to keep the what-ifs quiet, and it's shrinking your world. We help you move toward a life defined by your values, not your loudest fears.
We give you actual tools to quiet the noise. Not just talk about it.
How We WorkInstead of just talking in circles about your worries, we use ERP and ACT to help you actually change how you handle the noise. ERP, Exposure and Response Prevention, is the gold standard treatment for OCD and it works by helping you sit with uncertainty without needing a ritual to fix it. ACT helps you stop the tug-of-war with your mind entirely. The goal isn't to force the thoughts away. It's to get you to a place where they're just background noise that doesn't stop you from living your life. Nothing you share here will shock us, and we promise this is the one hour a week you will actually look forward to.
Therapist with this speciality -
![A young woman with long brown hair and light skin sitting near a large window, smiling at the camera. She is wearing a navy blue dress with white scalloped trim and is sitting on a black chair. Behind her are green plants and a brick wall visible through the window.]()
Alicia Italiano, LCSW
E. Setauket | Virtual NY
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![A woman with wavy brown hair sitting on a black couch by a large window with white frames, smiling, wearing a white V-neck t-shirt and blue jeans, with a green leafy plant behind her, in a bright indoor space.]()
Jamie Edwards, LCSW-R
E. Setauket | Virtual NY
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![A woman with wavy brown hair wearing glasses, a green tank top, and denim jeans, smiling and sitting in front of a neutral background with a plant visible behind her.]()
Johanna Schwartz, LCSW
Brooklyn | Virtual NY
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![A smiling man with glasses, a beard, and short hair, standing indoors near a window with sunlight, wearing a black short-sleeved button-up shirt, a wristwatch, and a ring, with a leafy plant in the background.]()
Rob Edwards, LMSW
E. Setauket | Virtual NY
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![A woman with long dark hair holding a blue mug, sitting indoors near a potted plant, smiling at the camera.]()
Maria Montelione, LCSW, PMH-C
E. Setauket | Virtual NY
Imagine moving through the world without the loop running in the background.
The Work Pays OffBecause that version of you, the one who has the final say in their own mind, is still in there.
You experience genuine freedom.
Moving through the world without the constant fear of being morally flawed or making an unforgivable mistake. Acting spontaneously, guided by intention, not anxiety.
You connect authentically.
Dropping the secret mental burdens and showing up fully in your relationships without needing constant reassurance or confession. Actually present, actually there.
You trust yourself again.
Recognizing that anxiety is just a feeling, not a fact. Having the confidence to face uncertainty knowing you have the skills to tolerate it without a ritual to fix it.
However you show up, the work is the same.
IN-PERSON THERAPY
Hang at The Nest. Visit our East Setauket office, inside Revival Strength & Recovery Wellness Center or at our new Brooklyn office.
ONLINE THERAPY
The comfy pants option. Virtual sessions anywhere across New York State.
A few things people usually want to know.
frequently asked questions-
That makes complete sense and it's one of the most common things we hear. When OCD involves images or thoughts that feel dark or unlike you, the shame that comes with it is real. What we want you to know is that you are not your intrusive thoughts. A disturbing image or a violent thought popping into your head is a symptom of a misfiring alarm system in your brain. It is not a reflection of your character, your secret desires, or your future actions. Nothing you share here will ever shock us or change how we see you.
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Trying to fight OCD thoughts alone often only feeds the cycle. Because this struggle is so specialized, the most effective path forward uses specific, evidence-based tools like ERP designed to interrupt the loop rather than just trying harder to control your mind. We'll work together to take the power back from the what-ifs rather than handing it back to them every time they get loud.
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Yes. OCD is one of the most well-researched and treatable conditions in clinical psychology. ERP has decades of evidence behind it and is consistently shown to significantly reduce OCD symptoms. That doesn't mean it's easy, but it does mean there is a real, evidence-based path through this, and you don't have to find it alone.
Still have questions? We have answers.
Stop negotiating with your what-ifs.
Start taking back your life.
One free vibe check call is all it takes to see if The Nest is the right fit. No commitment, no pressure, just a real conversation.