Specialized Care for Obsessive Compulsive Disorder & Complex Challenges
Expert therapy for those navigating intense OCD, severe Emetophobia, and the intersection of Trauma and Mood Disorders. You aren’t a "difficult" case—you just need a higher level of integrated care.
In-Person Sessions located in Skippack, PA
Virtual Sessions for Pennsylvania
When OCD is More Than 'Just' OCD
Is This the Right Fit?
If you are navigating complex OCD, severe Emetophobia, or the complex intersection of trauma and mood disorders, you know that standard talk therapy often isn’t enough. When your intrusive thoughts feel high-stakes and avoidance cycles feel unbreakable, you need a specialized clinical road map.
My practice provides targeted, evidence-based care for cases that require a higher level of expertise. Because our thoughts, feelings, and physical sensations are all connected, we work to change how you process the 'threat' so you can finally reclaim your life.
Complex OCD Treatment: Integrated ERP is the gold standard for high-acuity OCD and Emetophobia. We safely face your triggers until they lose their power over your daily life.
OCD + Specific Phobias: Specialized therapy for Emetophobia (fear of vomiting) and Agoraphobia, where the fear of the physical sensation or the environment creates a secondary layer of feeling isolated.
OCD + Mood Disorders: Expertly navigating the intersection of OCD with Bipolar Disorder and Major Depression, ensuring stabilization while we do the hard work of exposure.
OCD + Trauma (C-PTSD): Trauma-Informed Support (PE & CPT) - If past trauma is fueling your rituals today, we use proven methods to process those memories so the past no longer controls your present.
Hello, I’m Sandra Puckett, LPC, LBS. If you’ve found your way here, you are likely looking for more than just standard support. I specialize in high-acuity OCD, providing a higher level of clinical care for cases that require a nuanced, integrated approach.
My practice is dedicated to those navigating intense symptoms or the complex intersection of OCD with Emetophobia, trauma, and mood disorders. I invite you to explore my clinical approach and how we can tackle these challenges together. When you’re ready to move toward a more specialized path to recovery, I am here to lead the way."