Specialized Virtual OCD & Perinatal Therapy in Texas
Serving clients in Austin, Westlake, and communities statewide through secure PSYPACT telehealth.
✓ Doctoral-level specialists in ERP & Perinatal OCD
✓ Available anywhere in Texas—no long drives or traffic
✓ Fast response—request a call and we’ll reach out within 1 business day
Secure & confidential • We respond within 1 business day • Out-of-network provider
When you are dealing with constant doubt, looping intrusive thoughts, or anxiety that feels impossible to turn off, it can feel like your world has narrowed. Everyday decisions become exhausting, and attempts to find certainty or relief may only provide temporary comfort.
At Red Elm Psychotherapy, we provide evidence-based therapy for OCD, anxiety, and perinatal mental health concerns. Whether you are struggling with intrusive thoughts, compulsive behaviors, overwhelming worry, or anxiety during pregnancy or postpartum, our goal is to help you build lasting change—not just temporary relief.
We frequently work with individuals and families in Westlake, Austin, and surrounding communities who are seeking specialized care from doctoral-level psychologists with advanced training in OCD and perinatal mental health.
How to Get Started
Submit Your Request: Fill out our brief, secure form in under 2 minutes.
Prompt Connection: Our team will reach out typically within 1 business day to coordinate your call.
15-Minute Phone Call: We’ll connect by phone to hear what you're experiencing, answer your questions about ERP or perinatal care, and ensure we're the right clinical fit for your goals.
Our Specialties in Texas
We specialize in treating obsessive-compulsive disorder (OCD) using Exposure and Response Prevention (ERP), the gold-standard treatment for OCD. Rather than simply helping you cope with anxiety, ERP helps you change your relationship with uncertainty so anxiety loses its grip over time.
We work with individuals experiencing:
Contamination OCD
Harm OCD
Sexual orientation OCD (SO-OCD)
Existential OCD
Distressing intrusive thoughts that feel frightening, real, or out of character
Anxiety disorders and perfectionism
OCD & Anxiety Treatment (ERP)
Red Elm Psychotherapy also offers select virtual psychological evaluation services, including ADHD and executive functioning evaluations. These services are available separately from our specialty therapy practice.
Perinatal & Postpartum Mental Health
Pregnancy, postpartum, and the transition to parenthood can bring unexpected emotional challenges. Whether you're struggling with anxiety during pregnancy, intrusive thoughts after your baby is born, or adjusting after a difficult birth experience, you don't have to navigate it alone.
We provide evidence-based treatment for:
Postpartum anxiety
Postpartum OCD
Postpartum depression
Adjustment to parenthood
Serving Westlake, Austin & Communities Throughout Texas
Many Texans travel significant distances to access specialized mental health care. Through secure telehealth, Red Elm Psychotherapy makes it possible to receive expert OCD and perinatal mental health treatment without needing to find a local specialist.
We work with clients throughout Texas, including:
Westlake
Austin
Lakeway
Bee Cave
Round Rock
Cedar Park
Houston
Dallas-Fort Worth
San Antonio
Other communities throughout the state
Whether you are a busy professional, a parent navigating pregnancy or postpartum, or someone who has struggled with OCD for years, specialized care is available wherever you are in Texas.
Telehealth Therapy Through PSYPACT
Red Elm Psychotherapy provides secure telehealth therapy to clients located in Texas through PSYPACT authorization.
Because psychologists are regulated based on where a client is physically located during a session, PSYPACT allows qualified psychologists to provide telehealth services across participating states. This makes it possible for clients throughout Texas to access specialized OCD, ERP, and perinatal mental health care from the comfort of home.
Why Choose Red Elm Psychotherapy?
Finding specialized OCD or perinatal mental health care can be challenging. Many individuals spend years searching for a therapist who truly understands their experience.
At Red Elm Psychotherapy, our practice is intentionally focused on evidence-based specialty care.
Our doctoral-level psychologists specialize in:
Exposure and Response Prevention (ERP) for OCD
Perinatal and postpartum mental health
Anxiety disorders
Psychological assessment
We provide thoughtful, individualized treatment designed to help you understand what is happening, learn effective tools, and move toward the life you want.
Why Virtual ERP & Perinatal Care Works for Texas
Finding a licensed psychologist with specialized training in Exposure and Response Prevention (ERP) or Perinatal Mental Health (PMH-C) in Texas often means long waitlists or fighting hours of traffic.
In-Home Exposures: Research shows virtual ERP is just as effective as in-office therapy—with the added benefit of doing exposure work directly in your home, where your actual daily triggers, routines, and distress occur.
Zero Commute: Access specialized care without taking hours out of your day or arranging childcare.
PSYPACT Authorized: Licensed to provide seamless, legally compliant telehealth across state lines.
Our Team
OCD & Anxiety Specialist
Dr. Niles Cook is a licensed psychologist, OCD specialist, and the co-founder of Red Elm Psychotherapy. Prior to transitioning to full-time practice, he served as a university professor and the Director of Training at a premier specialty anxiety clinic, where he trained and supervised other doctoral-level clinicians in evidence-based modalities. Dr. Cook brings a highly structured, active, and collaborative approach to therapy, focusing on interrupting the cycles that keep people feeling trapped in their thoughts. He specializes in utilizing Exposure and Response Prevention (ERP)—the gold standard for OCD—to help Texas clients effectively manage complex presentations, including contamination fears, harm obsessions, and moral or religious scrupulosity.
Perinatal Mental Health & Perinatal OCD Specialist
Dr. Erin Cook is a licensed psychologist, co-founder of Red Elm Psychotherapy, and a Certified Perinatal Mental Health Professional (PMH-C) through Postpartum Support International. She specializes in supporting high-functioning adults navigating the complex emotional terrain of the reproductive journey—including fertility challenges, pregnancy, postpartum, and early parenthood. Dr. Cook blends advanced diagnostic precision with a warm, deeply relational approach. She has specialized expertise in using Exposure and Response Prevention (ERP) to treat perinatal and postpartum OCD, helping new and expecting parents safely navigate alarming intrusive thoughts, safety fears, and hyper-responsibility without allowing OCD to dictate their parenting.
Frequently Asked Questions
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Yes. Red Elm Psychotherapy provides secure telehealth therapy throughout Texas through PSYPACT authorization. You can meet with us virtually from your home, office, or another private location within the state.
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Yes. Research supports ERP delivered through telehealth, and many clients find virtual treatment convenient and effective. We provide structured ERP treatment for OCD and related anxiety concerns throughout Texas.
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No. Intrusive thoughts are unwanted thoughts, images, or urges that are often deeply distressing. In OCD and postpartum OCD, people are typically upset precisely because these thoughts feel inconsistent with their values.
Treatment focuses on reducing the fear and meaning attached to intrusive thoughts rather than trying to eliminate every unwanted thought.
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Yes. We specialize in treating perinatal and postpartum OCD, including intrusive thoughts that many new parents experience but often feel afraid to talk about.
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We are an out-of-network practice, which allows us to provide highly specialized, individualized care without insurance company restrictions on session length or treatment duration.
How out-of-network reimbursement works:
We provide you with an itemized receipt (a superbill) after each session.
You submit the superbill to your insurance provider.
Many insurance plans with out-of-network benefits reimburse 50%–80% of the cost after your deductible is met.
Tip: You can call the member services number on the back of your insurance card to ask about your "out-of-network behavioral health benefits.
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The first step is scheduling a complimentary consultation. We'll learn more about your concerns, answer your questions, and help determine whether Red Elm Psychotherapy is the right fit for your needs.
Ready to Take the Next Step?
You don't have to keep navigating OCD, intrusive thoughts, anxiety, or the challenges of pregnancy and postpartum on your own. Whether you're looking for specialized ERP therapy, support during the perinatal period, or psychological testing, we're here to help.
At Red Elm Psychotherapy, we believe effective treatment starts with finding the right clinical fit. That's why we offer a complimentary consultation to learn more about your concerns, answer your questions, and help you determine whether our practice is the right place for you.
Schedule your complimentary consultation today and take the first step toward lasting change.
Emergency Notice: Telehealth services are not suitable for active psychiatric emergencies. If you or someone you know is in immediate crisis, please call 988, call 911, or go to the nearest emergency room. Clients must be physically located within a licensed PSYPACT state at the time of each telehealth session.