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Birch Grove Mental Health

OCD Treatment
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Exploring OCD Treatment Options?

Many individuals benefit from setting clear treatment goals, understanding potential side effects, and regularly reviewing their care plans.

Supportive strategies can help clarify what’s working and where adjustments may be helpful.

Obsessive Compulsive Disorder

Impacts & Treatment

OCD

OCD is a mental health condition involving recurring, unwanted thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) that individuals feel driven to perform. These patterns often cause distress and interfere with daily life.

In the U.S., an estimated 1.2% of adults experience OCD each year, and lifetime prevalence is approximately 2.3%.

Obsessions
Obsessions are persistent thoughts, images, or urges that feel intrusive and difficult to control. Common themes include:

  • Fear of contamination or germs
  • Excessive doubt or need for reassurance (e.g., checking locks or appliances)
  • Intense need for symmetry or order
  • Moral or perfectionistic concerns

Compulsions
Compulsions are repetitive actions or mental rituals performed to reduce anxiety or prevent perceived harm. These may include:

  • Excessive handwashing, checking, or counting
  • Arranging items in a specific way
  • Silently repeating words or phrases
  • Avoiding situations that might trigger obsessive thoughts

These symptoms can vary in intensity and may affect relationships, work, and overall well-being.
Supportive care options are available to help individuals manage symptoms and improve quality of life.

Making it through the day...

For many individuals, OCD can shape the rhythm of daily life in profound ways. From morning routines to bedtime rituals, symptoms may vary in intensity but often impact focus, energy, and emotional well-being.

Morning Routines
Some people begin their day with rituals that help reduce anxiety, such as repeated checking or handwashing. These behaviors may offer temporary relief but can also interfere with getting ready for work or school.

Work and School
Intrusive thoughts and compulsive behaviors can make it difficult to concentrate, complete tasks, or engage socially. Individuals may feel compelled to double-check work or worry about making mistakes, which can affect productivity and confidence.

Everyday Activities
Even simple tasks like shopping or driving may feel overwhelming. Fears of contamination or causing harm can lead to avoidance or excessive checking, sometimes disrupting routines or limiting independence.

End of Day
Evening hours may bring continued challenges. Obsessive thoughts can interrupt meals, relaxation, or family time. Bedtime routines might involve repeated checks such as ensuring appliances are off or doors are locked before feeling safe enough to sleep.

OCD expresses itself differently for everyone, and the time spent managing symptoms can vary widely. Supportive care can help individuals build strategies to navigate daily life with greater clarity and calm.

Impacts to relationships

OCD and Its Impact on Relationships

OCD tend to influence more than just the individual, it often affects the emotional dynamics of families, partnerships, and caregiving relationships. Loved ones may feel confused or overwhelmed by compulsive behaviors, especially when they don’t fully understand what’s driving them.

In some cases, obsessive thoughts may center around relationships themselves (a pattern sometimes referred to as Relationship OCD). This can lead to persistent doubts or emotional strain, making communication more difficult.

Education and open dialogue are key. When everyone involved has a clearer understanding of OCD, it becomes easier to foster empathy, reduce tension, and build stronger connections.

Treatment

Supportive Approaches for Managing OCD

Many individuals find that a combination of therapy and psychiatric support can be helpful in navigating the challenges of OCD. Care plans are often tailored to meet each person’s unique needs and symptom patterns.

Therapy Options
Evidence-based therapies are central to OCD care

  • Cognitive Behavioral Therapy (CBT) – widely used to help individuals understand and reframe obsessive thought patterns.
  • Exposure and Response Prevention (ERP) – a specialized CBT technique, supports gradual desensitization to feared situations while reducing compulsive responses.
  • Acceptance and Commitment Therapy (ACT) – encourages individuals to accept distressing thoughts and take actions aligned with personal values, often complementing CBT strategies.

Medication Support

Certain psychiatric medications may help regulate mood and reduce symptom intensity.

  • SSRIs (Selective Serotonin Reuptake Inhibitors) are commonly used in OCD care.
  • Alternatives may be considered when SSRIs are not effective.
  • Medication plans are highly individualized and typically monitored closely by licensed providers.

In many cases, combining therapy with medication support can address both cognitive and neurochemical aspects of OCD, offering a more comprehensive path toward emotional balance and improved daily functioning.

Reclaim your life

Reclaiming Balance and Well-Being

With thoughtful, evidence-based care, many individuals living with OCD report meaningful improvements in their quality of life. Supportive approaches can help reduce distress and foster greater emotional resilience.

Potential benefits may include:

  • Fewer and less intense obsessive thoughts and compulsive behaviors
  • Improved ability to manage daily routines and responsibilities
  • Enhanced emotional well-being and reduced anxiety
  • Stronger relationships and more fulfilling social interactions
  • Greater confidence and independence in navigating symptoms

Every journey is unique. Holistic care tailored to individual needs can offer a path toward living with more clarity, purpose, and peace.

OCD Treatment at Birch Grove Mental Health

Creative Approaches to Rediscovering What Feels Most Authentic
Every day, we witness individuals finding clarity, confidence, and emotional strength through thoughtful care.

If you’re exploring new ways to move forward, we’re here to help.
Let’s begin.

Many living with OCD find renewed clarity, confidence, and connection to what feels most authentic

Birch Grove Mental Health

other conditions we diagnose & treat

Anxiety – Persistent, overwhelming worry

  • Excessive worry or fear​
  • Restlessness or feeling on edge, difficulty relaxing​
  • Fatigue or feeling easily tired despite adequate sleep​
  • Difficulty concentrating or remaining focused

more…
Anxiety – Birch Grove Mental Health

Bipolar Disorder – Mood swings, irritable, impulsive

  • Manic episodes of high energy, grandiosity, risky behaviors
  • Hypomanic episodes of less severe mania & elevated activity
  • Depressive episodes characterized by sadness & apathy
  • Mixed episodes include both mania and depression

ADHD – Inattention, hyperactivity, impulsivity

  • Difficulty staying focused or on-tasks
  • Hyperactivity includes constant movement, fidgeting
  • Impulsively or hastily acting without thinking
  • Difficulty with detail resulting in careless mistakes

Blog post…
Recognizing Adult ADHD
more…
ADHD Testing & Treatment

Depression - Sad, fatigued, unmotivated

  • Persistently low or depressed mood
  • Loss of interest or pleasure in activities once enjoyed
  • Significant changes in appetite or weight
  • Sleep disturbances such as too much or too little sleep

more…
Depression – Birch Grove Mental Health

Trauma – Nightmares, hypervigilance, flashbacks

  • Intrusive, distressing flashbacks of the traumatic event
  • Avoid people & situations that remind you of the trauma
  • Persistent negative emotions, feeling detached from others​
  • Easily startled, feeling on edge, or difficulty sleeping

Thought Disorders – Disorganized, paranoid, delusional

  • Disorganized thinking, incoherent speech.
  • Loose associations by jumping between unrelated topics.
  • Tangentiality through inclusion of irrelevant information.
  • Incoherence (word salad), illogical word combinations

Panic Disorder – Intense, sudden fear

  • Panic attacks episodes of intense fear & discomfort
  • Symptoms include palpitations, sweating, trembling
  • Fear of future attacks creates worry of more attacks
  • Avoids places where previous attacks occurred

The stuff of life

  • Stress Management
  • Life Transitions
  • Relationship issues

What patients say about us…

My teen son has started seeing Sunami for several months. It’s been great to see and hear his trust in her grow. We are building a toolset that my son can practice and use. It takes a village; happy and relieved to have found Sunami for my son’s mental health journey.

Highly recommend! Virtual appointments are very easy and scheduling is always flexible. Highly knowledgeable and trustworthy. Medication refills are sent in timely.

This practice has been so helpful for my whole family.  They have been so flexible with appointments and are always responsive.  Our NP is very knowledgable and caring.  Highly recommend!

Meet The Team

We are a team of psychiatric nurse practitioners united by a shared passion for making a difference in the lives of those facing mental health challenges.

Sunami Gurung

Sunami Gurung

MA, NH, RI, VT

Psychiatric Nurse Practitioner

Natasa Ristivojevic

Natasa Ristivojevic

MA, NH

Psychiatric Nurse Practitioner

James Quackenbush

James Quackenbush

MA, NH

Psychiatric Nurse Practitioner

Juliana S Pires

Juliana S Pires

MA, NH, RI, VT

Psychiatric Nurse Practitioner

Erin Savage

Erin Savage

MA, NH

Psychiatric Nurse Practitioner

Insurance, Costs, Payments

Massachusetts

Aetna

Blue Cross Blue Shield

Cigna

Harvard Pilgrim

Mass General Brigham Health

Tricare

Tufts

UHC – Optum

New Hampshire

Blue Cross Blue Shield

Carelon Behavioral Health

Cigna

Harvard Pilgrim

Tricare

Tufts

UHC – optum

Rhode Island

Aetna

Blue Cross Blue Shield

Cigna

UHC – Optum

Vermont

Blue Cross Blue Shield

Cigna

UHC – Optum

Costs
15 min Consultation – Free
Evaluation $300
Follow-up $180

Payment Options
Zelle / Venmo
Major Credit Cards

With the right support, OCD can become one part of your experience, not the whole story.

Why Birch Grove Mental Health?

Our team of Psychiatric Nurse Practitioners are passionate about supporting individuals affected by mental illness

Through effective and practical treatment, we see victories every day

In Person Sessions

MA & NH

You-Centered

Prioritizing your Care, Progress, and Wellbeing

Your Goals

Personalized Treatment Plans

Telehealth

Flex to your schedule and life

Your Voice Matters

Collaborative Decision Making

You Have a Life

Flexible hours and ways to connect

FAQs

Benefits of Online Psychiatric Treatment?

  • Easy scheduling: Book appointments at your convenience without the need to commute.
  • Support when you need it: Access professional care from the comfort of your home.
  • Privacy and flexibility: Maintain confidentiality while receiving care tailored to your schedule.

How long does the appointment last?

  • Initial appointments are typically 60 minutes
  • Subsequent appointments are 30 minutes or more – durations vary based on need

How will I know where to start my online session?

Once we confirm your appointment date & time, the link to your session room will be forwarded via email.

What types of therapy do you offer?

We provide individual therapy for children, teens, adults, and older adults. Our approaches include Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and Solution-Focused Brief Therapy (SFBT).

Where do you offer services?

We provide services in:

In-person & telehealth

  • Massachusetts
  • New Hampshire

Telehealth only

  • Rhode Island
  • Utah
  • Maine
  • Ohio
  • Vermont
  • New York
  • Colorado
  • Connecticut

What concerns can Birch Grove Mental Health support?

Our licensed psychiatric nurse practitioners offer care for a broad spectrum of mental health challenges, including:

  • Anxiety
  • Depression
  • Bipolar disorder
  • ADHD (Attention Deficit Hyperactivity Disorder)
  • Stress-related concerns
  • Behavioral and mood-related issues
  • Cognitive and thinking disorders
  • Support with psychiatric medications
  • Emotional factors related to weight and wellness

What are your hours of operation?

Telehealth and in-person appointments hours are  
Mon-Fri, 6:30am – 6:30pm

What is the cancellation policy?

You can reschedule or cancel your appointment with at least 24 hours’ notice to avoid cancellation fees.

What should I expect from the scheduling process?

Our scheduling process involves a few simple steps:

  • Contact us via the Get Started button
  • Complete intake forms via our secure patient portal.
  • Add payment information: To confirm your appointment, you will need to add your payment information to the portal. This information is securely stored and only accessible to you via your personal login and password.
  • Submit insurance information: If applicable, we will need to verify your insurance information to ensure that we can process your payment and accept your coverage.
  • Choose your provider and appointment time: Once your forms and payment are completed, you can select your preferred provider, date, and time for the appointment.
  • Appointment confirmation: After all forms are filled out and payment is processed, we will confirm your appointment.

Are your providers licensed to prescribe medications?

Yes, all of our providers are fully licensed and able to prescribe both controlled and non-controlled medications as part of a comprehensive treatment plan.

How can a parent or guardian schedule an appointment for a minor?

Parents or guardians can schedule appointments for their children by contacting us through the Get Started link at the top of the page. Parental consent will be required before the first session.

OCD Support
discover what’s possible

Birch Grove Mental Health