Online OCD Therapy in Oregon
Specialized ERP therapy for adults navigating intrusive thoughts, persistent doubt, and the exhausting need for certainty.
Do you feel like you’re wearing a mask that says everything is okay even when it’s not? Maybe you feel like you’re drowning and everyone around you doesn’t seem to notice.
Obsessive-compulsive disorder doesn't always look like repeated handwashing or checking locks. Sometimes, the most exhausting rituals happen entirely in your mind.
At Ascent Therapy Co., we provide specialized online OCD therapy for adults throughout Oregon using Exposure and Response Prevention (ERP), an evidence-based treatment designed to help you change your relationship with uncertainty and reclaim time and energy from OCD.
OCD often attaches itself to the things you value most.
You might find yourself:
Replaying conversations to determine whether you said something wrong.
Questioning your feelings toward someone you love.
Experiencing disturbing thoughts that feel completely inconsistent with your values.
Researching, analyzing, or seeking reassurance until you feel temporarily relieved.
Feeling responsible for preventing every possible mistake or negative outcome.
Struggling to move forward without feeling completely certain.
The way OCD shows up varies, but the cycle often follows a familiar pattern: an intrusive thought creates distress, a compulsion provides temporary relief, and the uncertainty eventually returns.
When Your Mind Won't Let Something Go
ERP Therapy: Learning to Respond Differently
Exposure and Response Prevention (ERP) helps you practice facing uncertainty and discomfort without relying on the compulsions that keep OCD going.
Treatment is collaborative and individualized. Rather than forcing yourself into overwhelming situations, you'll gradually develop the ability to recognize OCD patterns, resist rituals, and make choices guided by your values instead of fear.
The goal isn't to eliminate every unwanted thought. It's to build greater freedom in how you respond to them.
OCD Concerns We Work With
We support adults experiencing:
Relationship OCD and persistent doubts about relationships.
Harm OCD and distressing unwanted thoughts.
Primarily obsessional OCD, sometimes called Pure O.
Mental reviewing, rumination, and reassurance seeking.
Perfectionism, excessive responsibility, and fear of mistakes.
OCD symptoms occurring alongside trauma-related concerns.
Contamination OCD and fears of contracting illnesses or harm.
There are many different ways OCD shows up, the pattern remains the same. Even if OCD shows up in a different way from the listed examples, symptoms can be treated with exposure therapy with the assistance of a trained therapist.
Online OCD Therapy Throughout Oregon
We provide secure, virtual therapy to adults physically located in Oregon at the time of their appointments, including those in Portland, Lake Oswego, West Linn, Beaverton, Bethany, Bend, Dunthorpe, and surrounding communities.
Online sessions allow you to receive specialized OCD treatment without commuting or limiting your search to therapists in your immediate area.
About Your Therapist
Melanie Crofts, LCSW, is the founder of Ascent Therapy Co. and a licensed clinical social worker serving adults in Oregon and Utah.
Her approach combines warmth, curiosity, and structure with evidence-based treatment. She specializes in OCD, trauma, and the ways these experiences can overlap.
Ascent Therapy Co. is a private-pay practice.
Initial intake: $150
Standard 50-minute session: $140
HSA/FSA payments accepted when supported by your plan
Superbills available for possible out-of-network reimbursement
Fees and Getting Started
Frequently Asked Questions
-
Yes. ERP can be provided through telehealth, with treatment adapted to your symptoms, environment, and individual needs.
-
Mental rituals such as reviewing, analyzing, counting, or seeking internal reassurance can be addressed through ERP.
-
No. We can discuss your concerns during a consultation and determine whether further assessment or treatment would be appropriate.
-
Yes. We can assess how OCD and trauma-related symptoms interact and develop a treatment plan that addresses both while using appropriate evidence-based methods.
Begin Moving Toward Greater Freedom
You don't have to keep organizing your life around intrusive thoughts or the need for certainty.
If you're looking for online OCD therapy in Oregon, we invite you to reach out for a consultation to explore whether working together would be a good fit.
