Tammy LaBrake, LCSW-R

---

Educational consultation regarding: 

• Exposure & Response Prevention 
• Acceptance & Commitment Therapy
• Inference-Based Therapy 
• Rumination-Focused CBT

Consultation is based on the above scientifically supported treatment principles. Beware: Not all providers who treat OCD use Exposure & Response Prevention and yet, extensive research has documented it to be most successful and likely to achieve best positive results.

I am tenacious and unshakable when it comes to finding ways to defy OCD. Click HERE to find out why I find this work to be so rewarding.

It's hard to concentrate and read when in the midst of an OCD storm. So I write brief and to the point books that give guidance with the person in mind who is having trouble focusing. Be sure to read all the reviews HERE. 

What follows will seem very firm. It's in your best interest that you receive the most straightforward information possible. Your time is deeply respected and your sense of urgency is understandable.

• Waiting List:  A waiting list is not maintained. Availability is very limited. (This is up-to-date information.) If you already have a therapist and feel like you're not progressing, ask your therapist if Tammy could join one of your sessions for consultation.
• Insurance: No insurance is accepted. All services are private pay only. A PayPal button is accessible below.
• Surprises: Exposure & Response Prevention is about facing fears because you WANT to, not because you're forced to. Your consent is important. White knuckling your way through ERP is not the answer. Exposure will surprise you, in that it is easier or harder than predicted. If you engage in exposures it should be no surprise when your anxiety increases and causes feelings of uncertainty. It is helpful to lean in with willingness. The whole point is to confront fear so that your brain learns you can do it!
• Telehealth Therapy: In rare circumstances home visits can be arranged. HIPAA compliant video-conferencing is currently the main source of contact. Field trips to hunt down triggers may be arranged. Video service is available if you are a current resident of NYS, not in crisis, not a danger to self or others, and not involved in any legal matters.
• Recording Sessions: Only if mutually agreed upon can a session be recorded. 
• Discharge Policy: Current clients are eligible for immediate discharge if: 

1) Three appointments are canceled in a short period of time; 

2) More than two appointments are no call/no show; 

3) Payment is not provided as discussed; 

4) Client chose to have no appointments for 90 days; 

5) Agreed upon assignments are rarely completed as agreed; 

6) ERP is not even an option due to complicating circumstances; 

7) Therapy sessions are often used for non-OCD issues; 

8) The true reason for seeking therapy is to receive repeated reassurance.

• Medications: Tammy does not prescribe medications. She is not a doctor, she is a social worker. There are several drug options but it can take many trials before the right drug and dosage is found. The best prescription (the holy grail) is called RESIST. Meaning resist compulsions. It's not a drug, it's a mindset.