Therapy for OCD

therapy for OCD in Bozeman

ERP and I-CBT for Adults, Postpartum Mothers, and Children

Intrusive thoughts. Reassurance-seeking. Mental rituals no one else sees. On the outside, you’re functioning. On the inside, it’s exhausting.

At Illuminate Counseling, we provide specialized OCD therapy in Bozeman using Exposure and Response Prevention (ERP) and Inference-Based CBT (I-CBT) — evidence-based treatments that help you interrupt the obsessive cycle instead of managing it forever.

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How We Work with OCD

  • Exposure and Response Prevention (ERP)

    Retrain the fear response

    • Gradually face feared triggers
    • Practice resisting compulsions
    • Build tolerance for uncertainty
    • Reduce anxiety through experience

  • Inference-Based Cognitive Behavioral Therapy (I-CBT)

    Strengthen reality-based thinking

    • Identify obsessional doubt
    • Notice when imagination overrides evidence
    • Rebuild trust in your senses
    • Stop compulsions before they escalate

  • Trauma-Informed OCD Treatment Approach

    Focus: Safety + Regulation + Change

    • Assess nervous system activation
    • Pace exposures thoughtfully
    • Address shame and self-criticism
    • Build safety alongside behavioral change

We assess your patterns and offer an approach that suits you.

How the therapy process works for OCD:

  • A black circle surrounded by gold rays radiating outward.

    OCD Loop

    Trigger → Doubt → Anxiety → Compulsion → Brief Relief

    Doubt feels real

    Anxiety feels intolerable

    Compulsions feel necessary

    Relief reinforces the cycle

  • Gold sunburst or radiating circle design with a black center.

    Interrupt + Rewire

    We identify the obsessional doubt

    We separate imagination from reality

    We reduce urgency

    We interrupt compulsions

  • Design of a black circle with golden radiating lines around it, resembling a sunburst or mandala pattern.

    More Space from Trigger → Response

    Increased tolerance for uncertainty

    Stronger trust in your senses

    Less reactivity to intrusive thoughts

    Reduced reliance on rituals

  • Gold sunburst design with radiating lines surrounding a black circle

    Freedom of Choice

    Intrusive thoughts still occur (because they do for everyone)

    But they carry less weight

    Doubt resolves more quickly

    Compulsions feel optional rather than mandatory

Our Bozeman OCD Therapists

  • Becky Johnston, LCSW

    I create a relaxed and casual space for adult women navigating anxiety, depression, OCD, burnout, or big life changes. If you're feeling stuck, I’m here to help you feel more like you and create the path to a future that looks inviting.

    LEARN MORE ABOUT ME

  • Ellie Jorgensen, LCPC

    I work with adults and children to navigate life’s twists and turns. I specialize in synergetic play therapy, CBT, and ERP, focusing on challenges like childhood behavioral concerns, attachment, postpartum depression, trauma, anxiety, and OCD.

    LEARN MORE ABOUT ME

Our therapists are “Neurodiverse Informed”, which is to say that we all have training and skills to work with a range of folks on the neurodiverse spectrum from ADD/ADHD, gifted, and high functioning autism. We fully celebrate the Neuro-Spicey and the Bright and Quirky!

“Positively impacted…”

“Illuminate Counseling has positively impacted my life in more ways than I can count.”

— ILLUMINATE CLIENT

Ready to take the next step?

Whether you’re seeking clarity, healing, or growth, our team is here to support you in finding what you need.

schedule a free consultation