Specialized Virtual OCD & Perinatal Therapy for Wisconsin Residents

Evidence-based OCD and ERP therapy, including specialized perinatal OCD care, delivered directly to your home through PSYPACT telehealth.

(Secure & confidential • We respond within 1 business day • No commitment required)

When anxiety, intrusive thoughts, or persistent doubt begin to interfere with your daily life, it can feel exhausting to constantly search for certainty. You may find yourself analyzing decisions repeatedly, seeking reassurance, avoiding situations that feel risky, or feeling trapped by thoughts that seem impossible to let go of.

Through secure telehealth, Red Elm Psychotherapy provides specialized OCD and Exposure and Response Prevention (ERP) therapy to clients throughout Wisconsin, including Wauwatosa, Milwaukee, Madison, and surrounding communities. We also specialize in perinatal OCD and perinatal mental health, supporting people experiencing intrusive thoughts, anxiety, and OCD during fertility treatment, pregnancy, postpartum, and early parenthood.

We frequently work with OCD themes that can feel especially distressing or difficult to discuss, including scrupulosity, intrusive thoughts, harm OCD, relationship OCD, existential OCD, and fears related to morality, responsibility, and doing the "right" thing.

OCD & Perinatal Mental Health Specialties in Wisconsin

Person taking notes during a therapy session with a therapist sitting across, hands clasped, in a cozy office with bookshelves in the background.

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:

OCD & Anxiety Treatment (ERP)

Mother holding a sleeping newborn, representing perinatal mental health, postpartum anxiety, and postpartum OCD support.

Perinatal OCD & Perinatal Mental Health

Pregnancy, fertility treatment, 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, or an overwhelming need to feel certain that you or your baby are safe.

Red Elm provides specialized treatment for perinatal OCD and perinatal mental health concerns through virtual therapy for Wisconsin residents. We work with people navigating fertility challenges, pregnancy, postpartum, and early parenthood, including those experiencing OCD symptoms for the first time as well as those whose OCD has shifted or intensified during the reproductive journey.

We provide evidence-based treatment for:

Online OCD & Perinatal Therapy Throughout Wisconsin

Through PSYPACT telehealth, Red Elm Psychotherapy provides specialized OCD, ERP, and perinatal mental health treatment to clients located throughout Wisconsin.

Virtual therapy allows Wisconsin residents to work with psychologists who specialize in OCD and perinatal mental health without needing to find a local provider with the same combination of expertise. This can be particularly helpful for people seeking specialized treatment for perinatal OCD, intrusive thoughts, scrupulosity, or other OCD presentations.

We work with clients throughout Wisconsin, including:

  • Wauwatosa

  • Milwaukee

  • Brookfield

  • Elm Grove

  • Mequon

  • Whitefish Bay

  • Madison

  • Other Wisconsin communities

Telehealth Therapy Through PSYPACT

Red Elm Psychotherapy provides secure telehealth therapy to clients located in Wisconsin 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 Wisconsin to access specialized OCD, ERP, and perinatal mental health care from the comfort of home.

Why Wisconsin Clients Choose Virtual OCD & Perinatal Therapy

Finding a psychologist with specialized training in OCD, Exposure and Response Prevention (ERP), or perinatal mental health can be challenging, particularly when you are looking for expertise in a specific presentation such as perinatal OCD or scrupulosity.

Specialized OCD treatment: Our psychologists use evidence-based approaches, including ERP, to treat OCD across a range of presentations.

Perinatal OCD expertise: We provide specialized care for intrusive thoughts, responsibility fears, reassurance seeking, and other OCD symptoms that can emerge or intensify during fertility treatment, pregnancy, postpartum, and early parenthood.

Real-world ERP: Telehealth allows exposure work to take place in the environments where OCD actually shows up—your home, routines, relationships, and daily life.

PSYPACT telehealth: Qualified Red Elm psychologists can provide therapy to clients located in participating PSYPACT states, including Wisconsin, subject to applicable authorization requirements.

Why Virtual ERP & Perinatal Care Works for Wisconsin

Finding a licensed psychologist with specialized training in Exposure and Response Prevention (ERP) or Perinatal Mental Health (PMH-C) in Wisconsin can be challenging, often involving long waitlists or long drives to Milwaukee or Madison.

  • Real-World 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

Dr. Niles Cook, psychologist and co-founder of Red Elm Psychotherapy in Vienna, Virginia, smiling in a professional portrait.

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 Wisconsin clients effectively manage complex presentations, including contamination fears, harm obsessions, and moral or religious scrupulosity.

Dr. Erin Cook, clinical psychologist and co-founder of Red Elm Psychotherapy in Vienna, Virginia, smiling in a professional portrait.

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

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.

Note: Telehealth services are for non-emergency mental health support. If you are in immediate danger, experiencing a medical or mental health emergency, or having thoughts of self-harm, please call or text 988 (the Suicide & Crisis Lifeline), call 911, or go to the nearest emergency room.