Specialized Therapy for OCD & Intrusive Thoughts in Minnesota
Work with therapists who specialize in OCD, intrusive thoughts, rumination, compulsions, and reassurance seeking using evidence-based treatments including ERP and I-CBT.
In-person in Bloomington + online throughout Minnesota and South Dakota.
OCD doesn't always look the way people expect.
Maybe you already know you have OCD. Or maybe you aren't sure whether what you're experiencing even “counts.”
OCD can involve visible compulsions like washing, checking, repeating, or arranging. But it can also happen almost entirely inside your head.
You might replay conversations to figure out whether you said something wrong. Analyze what an intrusive thought says about you. Review a memory again and again. Google for answers. Ask someone you trust for reassurance. Check how you feel about your relationship. Avoid people, places, objects, or situations that trigger doubt.
And even when you get an answer that brings relief, another what if? eventually shows up.
If you've been trying harder and harder to reach certainty but keep ending up back in the same cycle, the problem may not be that you haven't found the right answer yet.
OCD treatment can help you change the cycle itself.
You may recognize yourself here.
People come to us with many different experiences of OCD. You might find yourself:
Getting intrusive thoughts, images, urges, or doubts that feel disturbing or completely out of character.
Replaying events or conversations in your mind to make sure you didn't do something wrong.
Checking your body, memory, emotions, relationships, belongings, appliances, or surroundings.
Asking other people—or Google—for reassurance that everything is okay.
Mentally reviewing, analyzing, praying, counting, neutralizing, or trying to “solve” a thought.
Avoiding situations that trigger uncertainty or uncomfortable thoughts.
Feeling like you need to know for sure before you can move on.
Spending so much time thinking about a question that you aren't sure anymore whether you're problem-solving or stuck in a loop.
OCD can attach itself to almost anything you care about, including relationships, health, contamination, morality, religion, identity, sexuality, harm, mistakes, responsibility, or whether you're making the “right” decision.
No matter what “theme” OCD latches onto, specialized treatment can help you change the cycle.
Why specialized OCD therapy?
Talking about obsessive thoughts isn't the same as treating the OCD.
Traditional therapy can be incredibly helpful for many concerns. But OCD often requires a more specialized approach.
When you're experiencing an intrusive thought, the natural instinct is to figure it out:
Why did I think that?
What if it means something?
How can I know for sure?
Unfortunately, repeatedly analyzing the content of an OCD fear or trying to reassure yourself that it isn't true can sometimes become part of the same cycle that's keeping you stuck.
That's why our approach is active, practical, and focused on the patterns maintaining the problem—not simply discussing the same fears week after week.
Complete our short inquiry form and we’ll follow up within 1-2 business days about next steps.
Evidence-based treatment for OCD
There isn't one identical treatment plan for every person with OCD.
Our therapists draw from several evidence-based approaches based on your symptoms, needs, and treatment goals.
Exposure and Response Prevention (ERP)
ERP helps you gradually practice facing triggers, thoughts, sensations, or uncertainty while reducing the compulsive responses you normally use to get relief or certainty.
You'll work collaboratively with your therapist to build skills and practice responding differently to OCD.
Inference-Based Cognitive Behavioral Therapy (I-CBT)
I-CBT approaches OCD from a different angle. Rather than starting with exposure, it focuses on how OCD pulls you away from information available in the present and into imagined possibilities and doubt.
You'll learn to recognize when this reasoning process is happening and strengthen your ability to trust reality-based information rather than continuing down OCD's hypothetical rabbit holes.
ACT and CBT
We may also incorporate principles from Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help you respond more flexibly to uncomfortable thoughts and feelings and move toward the things that matter to you—even when uncertainty is present.
OCD treatment at State of Mind Therapy
We don't treat OCD as an afterthought within a general therapy practice.
Anxiety disorders, OCD, panic, and phobias are core areas of our work.
Our approach is:
Specialized. Our clinicians have pursued additional training in evidence-based OCD treatment, including training through the International OCD Foundation.
Practical. Sessions aren't designed to be an hour of talking about what happened that week. We'll help you understand the patterns keeping OCD going and practice concrete ways of responding differently.
Collaborative. Treatment is something we do with you, not to you. We'll talk openly about the rationale behind what we're doing and tailor treatment to your particular OCD patterns.
Focused on real life. Ultimately, treatment isn't about getting good at therapy exercises. It's about spending less of your life organizing decisions around OCD.
Meet our OCD therapy team
Jenny helps adults struggling with anxiety, OCD, phobias, and fear of flying. Her warm, active approach helps clients face what scares them, build confidence in handling discomfort, and get back to living more fully.
Jenny Matthews, LMFT
Justin helps adults struggling with anxiety, OCD, panic, agoraphobia, and fear of flying. His practical, straightforward style is a great fit for people who want concrete tools and an active approach to getting unstuck.
Justin, Matthews, LICSW
Bryan helps adults with OCD, intrusive thoughts, and anxiety. His gentle approach blends evidence-based therapy with mindfulness and self-compassion to help clients change their relationship with difficult thoughts and feelings.
Bryan Piatt, MA
Sessions at State of Mind Therapy are $180–$200 per session, depending on the therapist.
We are a private-pay practice and do not bill insurance directly. However, if your insurance plan includes out-of-network mental health benefits, you may be eligible for partial reimbursement.
Check your out-of-network benefits
We partner with Mentaya so you can check your potential out-of-network benefits directly on our website. The benefits checker takes about a minute and can give you an estimate of what your plan may reimburse.
Mentaya can also submit out-of-network claims on your behalf for a fee equal to 5% of the session cost. If the claim is denied, Mentaya refunds that claim-submission fee.
Benefits and reimbursement vary by insurance plan and are not guaranteed.
What does OCD therapy cost?
Getting started is simple.
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Complete the
Inquiry Form
Tell us a little about what you’re looking for and how we can help.
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We’ll Be
in Touch
A member of our team will review your inquiry and contact you within 1-2 business days to discuss next steps.
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Schedule Your First Appointment
If we’re a good fit, we’ll help you schedule your first appointment and create a plan for moving forward.
Complete our short inquiry form and we’ll follow up within 1-2 business days about next steps.
Frequently Asked Questions About OCD Therapy
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No. Some clients come to us with an established OCD diagnosis, while others simply know they're stuck in patterns of intrusive thoughts, rumination, checking, reassurance seeking, or avoidance and wonder whether OCD could be involved.
Assessment is part of the treatment process. Our therapists are trained to assess and diagnose OCD.
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OCD frequently involves thoughts that feel upsetting, taboo, confusing, or inconsistent with how someone sees themselves.
Therapists who specialize in OCD are familiar with the wide range of themes intrusive thoughts can take. You don't need to make your experience sound more acceptable before talking with us.
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Yes. Exposure and Response Prevention (ERP) is one of the evidence-based approaches we use to treat OCD.
We also offer I-CBT and incorporate ACT and CBT when appropriate. Your therapist will help determine which strategies make the most sense based on your particular OCD patterns and treatment goals.
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OCD treatment is collaborative.
ERP can involve deliberately practicing situations that bring up discomfort or uncertainty, but treatment isn't about surprising you with exposures or forcing you to do something against your will. Your therapist will explain the rationale for treatment and work with you to develop an appropriate plan.
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It depends on the therapy you've received.
If previous treatment primarily involved talking through your fears, analyzing why you're having particular thoughts, or helping you feel reassured about them, specialized OCD treatment may feel quite different.
Our work focuses specifically on understanding and changing the processes that keep OCD going.
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State of Mind Therapy is a private-pay/out-of-network practice. Sessions range from $180–$200 depending on your therapist.
Some insurance plans reimburse members for a portion of out-of-network therapy costs. You can use our Mentaya benefits checker to get an estimate based on your specific plan before deciding whether to move forward.
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We offer in-person OCD therapy at our Bloomington, Minnesota location. Online OCD therapy is available for clients located in Minnesota and South Dakota, based on clinician licensure and availability.
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You don't have to.
On our inquiry form, you can tell us if you have a preference. If you don't, we'll use the information you provide about what you're looking for, your availability, and current clinician openings to help determine the best next step.
Ready to Spend Less Time Stuck in the OCD Cycle?
If intrusive thoughts, doubt, rumination, checking, reassurance seeking or other compulsions are taking up too much of your time and attention specialized OCD therapy can help you start responding differently.
Tell us a little about what you’re experiencing and what you’re looking for. We’ll follow-up within 1-2 business days to help you determine the next step.