Anxiety and OCD have been making your world smaller. It doesn't have to stay that way.

Specialized Treatment for Anxiety, OCD & Panic Disorder

Online therapy for adults in Georgia, Florida, and Delaware.

Meet Theresa Schaffer, LCSW

Anxiety & OCD Treatment Specialist

You’ve probably been calling yourself a worrier for so long that it started to feel like just who you are.

 

On paper, your life looks fine, and that’s part of what makes this so hard to explain. You go to work, you show up, you keep things running. But by the end of an ordinary day you’re exhausted in a way that has nothing to do with what actually happened, because you’ve been running an internal negotiation nobody else can see.

Maybe you’ve called yourself a worrier for so long it started to feel like a personality trait. Maybe you’ve googled the same symptom for the fourth time this week, or asked your partner “are you sure?” until you were both worn out, or taken the long way to avoid the highway and told yourself it was about traffic. You’ve tried the breathing, the journaling, and the meditation apps, and when none of it stuck, you started to wonder if the problem was you.

It isn’t. Those tools are built for relaxation, and anxiety and OCD aren’t a relaxation problem. The more you try to control, argue with, or muscle through anxiety, the more exhausted you become. What actually helps is changing your relationship with the thoughts that scare you, and that’s the work I do.

You’ve probably been reading about this for months. If you’re past wanting someone to explain anxiety to you and ready for someone who knows how to treat it, you’re in the right place.

You're In The Right Place If...

You’re right for my practice if your world has been getting a little smaller at the edges, not dramatically, but enough that you notice. You took the long way last week to avoid the highway.

You said no to something you actually wanted because the uncertainty felt like too much.

You’re still showing up, still keeping things running, but it’s costing you in a way nobody around you can see, and most days nobody does.

You’ve probably been reading about OCD or anxiety long enough that you suspected what was wrong before you ever looked for a therapist, and you found the IOCDF website before you started making calls because you weren’t interested in a generalist.

Somewhere in the back of your mind, you’ve been carrying the fear:

“What if I show someone exactly what my brain does and they look at me differently?”

That thought makes sense. It’s also the thing that’s been keeping you stuck.

I work exclusively with adults. I specialize because it makes me better at this specific work. The clients who come here aren’t looking for someone to listen. They’re looking for someone who already knows what they’re about to say.

How I Can Help

How I Can Help — OCD

What makes OCD debilitating isn’t the content of the obsessions, it’s the relationship you’ve developed with them, and the rituals you’ve been performing to get relief. Using ERP and ICBT, we work on changing what you do with the thoughts, not on making them stop.

How I Can Help — Panic Disorder

Panic attacks are terrifying, and the anticipatory anxiety that builds around them is often worse than the attacks themselves. Treatment targets both: the physical fear cycle and the avoidance that’s been quietly shrinking your world.

How I Can Help — Health Anxiety

Reassurance doesn’t work, and at some point, you know that. We work on breaking the checking and reassurance-seeking cycle so you can stop outsourcing certainty to Google.

How I Can Help — Social Anxiety

Fear of judgment and embarrassment is one thing. The ways you’ve been quietly reorganizing your life around it is another. Treatment addresses both.

What It's Like to Work With Me

How treatment works

I’ve been a licensed clinical social worker since 2001, and for the past five years my practice has focused entirely on OCD, panic disorder, and anxiety disorders, including health anxiety, social anxiety, phobias, and generalized anxiety. I completed the International OCD Foundation’s Behavior Therapy Training Institute (BTTI), its flagship training in ERP, and I’m also trained in inference-based CBT. Treatment follows a clear plan:

  1. Assessment. In our first session we figure out exactly what you’re dealing with. Many of my clients have been told for years it’s “just stress” or generalized anxiety when OCD is the more accurate picture, and getting that right changes everything that follows.
  2. Mapping what anxiety has taken. We make a specific list of what you avoid, what you check, and what you’ve stopped doing, ranked from hardest to easiest.
  3. Exposure and I-CBT practice. We work through that list, in session and between sessions, using ERP, I-CBT, or both, depending on how your obsessions form.
  4. Building independence. The goal is for you to handle the next doubt or the next panic attack without me. Treatment is designed to end.

What it’s actually like

I’ll ask a lot of specific questions, and I’ll probably name what’s going on before you’ve finished explaining it. I’ll ask you to do things that feel uncomfortable, and I’ll be right there while you do them. If I see you accommodating the anxiety, I’ll say so, kindly and directly, because tiptoeing around OCD only teaches it that it’s in charge.

Whatever your brain has been throwing at you, I’ve heard it before. You can tell me the actual content of the thoughts, the ones you’ve never said out loud, and I won’t look at you differently. And yes, we laugh in session. Facing your fears is serious work, but it doesn’t have to be grim.

Already tried ERP? Here's another option.

 Maybe you’ve already done exposure work. You did the exposures, you sat with the anxiety, and the doubt still came back sounding just as convincing as before. Or maybe you’ve read about ERP and can’t picture how anyone would build an exposure for what you’re afraid of, because your fear isn’t about germs or locked doors, it’s about who you are.

 

That doesn’t mean you did treatment wrong. Sometimes the problem starts earlier, in how the doubt gets built in the first place. Inference-based CBT (I-CBT) works on that part. It helps you see how OCD constructs a doubt that feels completely real, and how to step out of that reasoning before the anxiety even starts. Very few therapists are trained in it. I use it regularly, on its own or alongside ERP.

Who this is for, and who it isn't

My clients have usually tried something else first: a generalist who treated anxiety broadly, years of insight without change, or a therapist who was kind but didn’t know what to do with OCD. They come to me because they’re done managing this and ready to treat it. That takes something from you. Exposure work and I-CBT are active, they include practice between sessions, and some weeks will be hard.

 

If you’re looking for a therapist who will go at your pace indefinitely and never challenge you, I’m probably not the right fit, and I’d rather tell you that now. If you’re ready to stop letting anxiety decide what you do, let’s face your fears, together.

"My Anxiety Never Shuts Off"

"My Anxiety Never Shuts Off"

Persistent worry can affect sleep, work, relationships, and everyday decisions.
Learn More About Anxiety Therapy

"I Keep Having Panic Attacks"

"I Keep Having Panic Attacks"

Learn why panic feels so overwhelming, and why it doesn't have to control your life.
How To Stop Panic Attacks

"I Can't Stop Intrusive Thoughts"

"I Can't Stop Intrusive Thoughts"

Intrusive thoughts and compulsive behaviors can become exhausting, but effective treatment is available.
Learn More About OCD Therapy

"I Avoid Places or Situations Because of Anxiety"

"I Avoid Places or Situations Because of Anxiety"

Avoidance may bring temporary relief while making anxiety stronger over time.
Learn More About Exposure Therapy

Fees and Insurance

Sessions are $185 for 50 minutes. The first session is a longer assessment and is $245.

I’m currently in-network with Aetna, Anthem Blue Cross Blue Shield, and UnitedHealthcare. If you have one of those plans, you can use it with me, and I’ll bill your insurance directly. For any other plan, I provide a superbill after every session so you can submit for out-of-network reimbursement.

 

Why some people choose to pay directly

To bill insurance, I have to send a diagnosis to your insurance company, and they can review your treatment and decide how much of it they’ll cover. When you pay directly, nothing is sent to your insurer, and how often we meet and how long you stay in treatment is decided by you and me.

Where this work gets you

The thoughts don’t disappear. What changes is your relationship with them. You get in the car and go, without running through everything that could happen first. You make decisions fast enough that you don’t miss the moment, even if they aren’t perfect. You feel the urge to check or ask “are you sure?” and you don’t act on it, which used to feel impossible.

 

Most of all, you’re actually there. With your kids, your partner, your friends, and your own life, instead of half of you running contingency plans somewhere else. It’s common not to realize how much you’ve been missing until you stop missing it. You’ll still have hard days, but they’ll be days, not your whole life.

 

Anxiety and OCD have made your world smaller. This is how it gets bigger again.

FAQs

Yes. I currently participate with select insurance plans and also offer private-pay therapy. Insurance participation may vary, so please contact me to confirm whether I am currently in-network with your specific plan.

For clients using private pay, I can also provide a superbill when appropriate for possible out-of-network reimbursement. Coverage and reimbursement vary by plan, so I recommend checking directly with your insurance provider regarding your benefits.

Yes. I provide secure, HIPAA-compliant virtual therapy for adults using a confidential online platform.

Online therapy allows you to receive specialized care from the comfort and privacy of your own home without the need to travel. Many clients find virtual sessions to be just as effective as in-person therapy while offering greater convenience and flexibility.

I specialize in working with adults experiencing anxiety disorders (health anxiety and social anxiety), panic attacks, and obsessive-compulsive disorder (OCD). 

Rather than serving as a general mental health practice, my focus is on helping clients better understand how anxiety works and using evidence-based treatment approaches, including Exposure and Response Prevention (ERP), to reduce anxiety’s impact on daily life.

Getting started is simple.

Click the Schedule a Consultation button anywhere on the website to request your first appointment. During our initial consultation, we’ll discuss what you’ve been experiencing, answer any questions you may have, and determine whether we’re a good fit to work together.

If you have questions before scheduling, you’re always welcome to contact me through the website.

Exposure and Response Prevention (ERP) is an evidence-based treatment commonly used for obsessive-compulsive disorder (OCD) and many anxiety disorders.

ERP helps you gradually face situations, thoughts, or sensations that trigger anxiety while learning new ways to respond without relying on avoidance, compulsions, or reassurance. Over time, your brain begins to recognize that anxiety naturally decreases, helping reduce fear and build confidence.

You can learn more by visiting my Exposure and Response Prevention (ERP) Therapy page.

I currently provide online therapy for clients in Georgia, Florida, and Delaware. 

Private pay can offer greater flexibility in how therapy is structured and may be a good option for clients who want specialized care that isn’t available through their insurance network. It can also provide more privacy and fewer insurance-related requirements around treatment.

I’m happy to discuss payment options during your consultation so you can determine what makes the most sense for you.

If you’re looking for specialized treatment for anxiety, OCD, panic attacks, health anxiety, or intrusive thoughts, there’s a good chance we may be a good fit. During your initial consultation, we’ll discuss your concerns, answer your questions, and determine whether my approach aligns with your goals. If I believe another provider would better meet your needs, I’ll let you know.

If Your Brain Won't Stop, Start Here.

You’ve probably spent a lot of time trying to think your way out of this.

Googling at midnight.

Asking people around you for reassurance.

Running the thought through your head one more time to make sure.

It’s exhausting, and it’s not working, not because you’re doing it wrong, but because anxiety and OCD get stronger, the harder you fight them.

This free guide explains what’s actually happening and what it takes to change it.

 

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A Message From Theresa