Specialized Virtual OCD & Perinatal Therapy in Texas
Specialized OCD, ERP, and perinatal OCD therapy for clients throughout Texas through 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 specialized OCD and Exposure and Response Prevention (ERP) therapy to clients throughout Texas through virtual care. We also specialize in perinatal OCD and perinatal mental health, supporting people experiencing intrusive thoughts, compulsive behaviors, anxiety, and emotional overwhelm during fertility treatment, pregnancy, postpartum, and early parenthood.
We work with clients throughout Texas, including Austin, Westlake, Houston, Dallas-Fort Worth, San Antonio, and surrounding communities. Our doctoral-level psychologists provide specialized treatment for OCD presentations including scrupulosity, harm OCD, relationship OCD, existential OCD, contamination OCD, and distressing intrusive thoughts.
OCD & Perinatal Mental Health 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)
Perinatal OCD & Perinatal Mental Health
Pregnancy, postpartum, and the transition to parenthood can bring unexpected emotional challenges—especially for people who are already vulnerable to anxiety or OCD. Perinatal OCD can involve frightening intrusive thoughts, intense responsibility fears, repeated checking or reassurance seeking, and an overwhelming need to feel certain that you or your baby are safe.
We provide specialized treatment for:
Postpartum anxiety
Postpartum OCD
Postpartum depression
Adjustment to parenthood
Online OCD & Perinatal Therapy Throughout Texas
Red Elm Psychotherapy provides specialized OCD, ERP, and perinatal mental health therapy online to clients throughout Texas. If you live in Texas and are looking for a psychologist who specializes in OCD or perinatal OCD, virtual therapy allows you to work with our team from home—without having to find a local provider with the same combination of expertise.
Our psychologists are authorized to provide telehealth to clients in Texas through PSYPACT, allowing us to serve clients throughout the state.
We work with clients in Austin, Westlake, Houston, Dallas-Fort Worth, San Antonio, and communities throughout Texas, including:
Westlake
Austin
Lakeway
Bee Cave
Round Rock
Cedar Park
Houston
Dallas-Fort Worth
San Antonio
Other Texas communities
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 Texas Clients Choose Red Elm Psychotherapy
Finding specialized OCD treatment can be difficult, especially when you are looking for a psychologist who understands a particular presentation such as scrupulosity, intrusive thoughts, or perinatal OCD.
Specialized OCD care
Our psychologists specialize in OCD and use Exposure and Response Prevention (ERP) to treat a wide range of OCD presentations, including contamination, harm, scrupulosity, relationship OCD, existential OCD, and mental compulsions.
Perinatal OCD expertise
We provide specialized care for perinatal and postpartum OCD, including frightening intrusive thoughts, excessive responsibility, reassurance seeking, checking, and other compulsions that can arise or intensify during fertility treatment, pregnancy, and early parenthood.
Therapy that fits into real life
Because treatment is provided online, your psychologist can work with you in the places and situations where OCD actually shows up—whether that's at home, in your daily routines, or within your relationships.
Online therapy throughout Texas
You don't need to live near a specialty OCD clinic to receive specialized care. Red Elm psychologists can provide online therapy to clients located throughout Texas through PSYPACT, subject to applicable authorization requirements.
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 treat complex OCD 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 specialized OCD, Exposure and Response Prevention (ERP), and perinatal mental health therapy to clients throughout Texas through online therapy. We work with clients in Austin, Westlake, Houston, Dallas-Fort Worth, San Antonio, and communities throughout the state.
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Yes. We provide specialized OCD treatment and ERP through online therapy. Virtual treatment also allows exposure work to take place in the environments where OCD actually shows up, including your home, routines, relationships, and daily life.
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We treat a wide range of OCD presentations, including contamination OCD, harm OCD, scrupulosity or religious and moral OCD, relationship OCD, existential OCD, sexual orientation OCD, intrusive thoughts, perfectionism-related OCD, and mental compulsions.
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Yes. We specialize in perinatal and postpartum OCD, including intrusive thoughts, fears about harm coming to a baby, excessive responsibility, reassurance seeking, checking, and other compulsive behaviors that can occur during pregnancy or after having a baby. Treatment focuses on helping you respond differently to OCD without allowing it to dictate your decisions or daily life.
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No. Intrusive thoughts are unwanted thoughts, images, or urges that can feel deeply distressing. In OCD, people are often frightened by these thoughts precisely because they conflict with what matters to them. Treatment focuses on changing your relationship with intrusive thoughts rather than trying to eliminate every unwanted thought.
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Yes. Red Elm Psychotherapy provides specialized Exposure and Response Prevention (ERP) therapy online to clients throughout Texas, including Austin, Westlake, Houston, Dallas-Fort Worth, San Antonio, and surrounding communities.
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Red Elm Psychotherapy is an out-of-network practice. We provide superbills that you can submit to your insurance company to determine whether you have out-of-network benefits and may be eligible for reimbursement.
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The first step is scheduling a 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.