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Montenegro & Associates Behavioral HealthPsychiatry for Meaningful Lives

Specialized Psychiatric Care for OCD

Recognized accurately. Treated specifically.

OCD can be misunderstood as ordinary worry, perfectionism, or a preference for order. In reality, it often involves intrusive thoughts, urges, images, or doubts followed by compulsions, avoidance, reassurance seeking, or mental rituals intended to reduce distress.

Accurate Diagnosis Distinguishing OCD from what it is routinely mistaken for.
Medication Management Monitored carefully for response, side effects, and burden.
Alongside ERP With consent, we coordinate with the ERP therapist already doing the work.
Care at Every Age Children, adolescents, and adults.
Is an Evaluation Right for You?

Common reasons people seek help for OCD

An evaluation may help if you or your child are experiencing:

  • Intrusive thoughts that feel distressing or out of character
  • Repetitive behaviors or mental rituals that take up time
  • Reassurance-seeking, checking, or avoidance
  • Anxiety that has not responded to standard treatment
  • Questions about whether it is OCD, anxiety, or something else
  • A need for medication support alongside ERP therapy
Not sure if this fits?You don’t need to have a diagnosis to reach out. We can help you determine the best next step.
Talk With Our Team
Our Approach — 01

Getting the diagnosis right first

We assess the nature of obsessions and compulsions, severity, functional impact, family accommodation, and co-occurring conditions. Careful evaluation also helps distinguish OCD from generalized anxiety, autism-related routines, psychosis, and other conditions.

What the assessment covers
  • Nature of obsessions and compulsions
  • Severity
  • Functional impact
  • Family accommodation
  • Co-occurring conditions
Distinguished from
Generalized anxiety Autism-related routines Psychosis Other conditions
Our Approach — 02

Two halves of the same plan

Medication management

When medication is appropriate, treatment may involve evidence-based serotonergic medication strategies and, in selected cases, augmentation approaches. Dosing, response, side effects, and overall treatment burden are monitored carefully.

ERP and collaborative care

Exposure and Response Prevention (ERP) is a core evidence-based psychotherapy for OCD. Our psychiatric role is designed to complement—not replace—specialized psychotherapy. With consent, we collaborate with ERP therapists when doing so supports coordinated care.

Already working with a therapist on ERP? We collaborate with your therapist and focus on the medication side of the plan — complementing the work you are already doing.
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Designed to complement — not replace — specialized psychotherapy.

If you are an ERP therapist looking for a psychiatrist who will support that work rather than cut across it, that is the role we are built for.

Across the Lifespan

OCD at every age

OCD in Children & Adolescents

For younger patients, family involvement can be particularly important because reassurance and accommodation may unintentionally reinforce the OCD cycle.

Where a child is already working with an ERP therapist, coordination with the family's existing team is often part of the plan.

Child & Adolescent Psychiatry

OCD in Adults

Adults with OCD often arrive after years of managing symptoms privately, or after being told the difficulty is anxiety, perfectionism, or a personality trait. Obsessions and compulsions may be largely internal — mental reviewing, checking, or reassurance seeking that is invisible to others while consuming significant time and attention. Evaluation considers how long the pattern has been present, what has already been tried, and how it affects work, relationships, and daily functioning.

For adults already in ERP, our role is typically psychiatric assessment and medication management alongside that work.

Adult Psychiatry
Not sure whether it is OCD? OCD is often mistaken for generalized anxiety or perfectionism. A careful evaluation can clarify the diagnosis and the right treatment.
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Ready to Take the Next Step?

Get Care That Understands OCD

Psychiatric care for children, adolescents, and adults with OCD — alongside the therapy that treats it.

Request an Appointment