Specialized OCD & Perinatal Therapy in Virginia
Evidence-based care for intrusive thoughts, anxiety, and obsessive-compulsive disorder—with dedicated support during pregnancy and postpartum.
We work with high-functioning adults and parents navigating intrusive thoughts, anxiety, and overwhelming internal pressure—often while continuing to perform at a high level externally.
Typically responds within 24 hours.
You may be here because:
You’re exhausted from managing intrusive or unwanted thoughts
Reassurance helps briefly—but the anxiety always returns
Pregnancy or postpartum has brought emotions you weren’t prepared for
You hold it together professionally, but feel overwhelmed privately
You want therapy that is structured, direct, and actually effective
We are Niles Cook, PsyD and Erin Cook, PsyD — licensed psychologists specializing in OCD, anxiety, and perinatal mental health.
As a clinician partnership, we combine structured, evidence-based treatment with thoughtful, relational care.
Our work is grounded in research — and guided by real human connection.
Services We Offer
We provide specialized treatment for obsessive-compulsive disorder (OCD), including contamination fears, harm obsessions, scrupulosity, relationship OCD, and intrusive thoughts.
Our work is grounded in Exposure and Response Prevention (ERP), the gold-standard treatment for OCD, delivered in a collaborative and structured way.
We specialize in the treatment of anxiety, depression, and intrusive thoughts during pregnancy and postpartum — including perinatal OCD, birth trauma, and the psychological impact of high-risk pregnancies.
Our approach is direct, structured, and grounded in research, helping you move from fear and overwhelm toward steadiness and clarity.
Discreet, structured therapy for high-achieving adults navigating perfectionism, high-functioning anxiety, burnout, and leadership pressure.
You don’t have to wait for a crisis to seek meaningful support.
We also provide specialized care for high-risk pregnancy and perinatal OCD.
Ready to Get Started
Taking the first step can feel difficult—but it doesn’t have to be complicated.
Most clients begin with a brief consultation to talk through what’s going on and see if this feels like the right fit.
Typically responds within 24 hours.
About Us
We are licensed psychologists providing specialized, evidence-based therapy to adults and teens across Virginia. With doctoral-level training and advanced clinical experience, we offer thoughtful, strategic care tailored to each client.
Our practice focuses on OCD and anxiety disorders (including Exposure and Response Prevention), perinatal and postpartum mental health, and therapy for high-achieving adults navigating stress, perfectionism, and life transitions.
We believe therapy should be active, collaborative, and grounded in research — while also being warm, respectful, and deeply human. Our training in assessment and case conceptualization allows us to understand not just symptoms, but the patterns underneath them, so treatment is targeted and effective.
We provide private-pay telehealth therapy throughout Virginia for clients seeking focused, high-quality psychological care.
