• OCD • ANXIETY • TICS • PTSD • SPECIALIZED VIRTUAL TREATMENT
REPLACE THE CONFINEMENTS OF CERTAINTY WITH THE FREEDOM OF UNCERTAINTY
OCD is in the name of this practice due to the epidemic of individuals with OCD struggling to find proper diagnosis and treatment; however, Dr. Curiel treats many other types of compulsive and anxiety conditions as well (see Conditions tab). Patients include pediatric and adult individuals whose primary complaint is frequent discomfort or anxiety manifesting as long-term, stable traits rather than fleeting, temporary states that arise on occasion. There are typically symptoms in the following categories that impact emotional, social, and occupational wellbeing:
Neurological - intrusive thoughts, images, urges
Physiological - sensations, markers of emotions
Cognitive - finding intrusions significant, misperceiving/overestimating threat, underestimating tolerance
Behavioral - feeling compelled by the intrusion to respond with particular mental or physical actions and/or avoidance
Individual Teletherapy (online video therapy)
Virtual therapy provides the greatest opportunity for patients to practice skills in real-life settings, while simultaneously being professionally guided in the implementation of skills and behavioral practice. Virtual therapy additionally omits the barriers of travel time and commute distance to and from exposure sites. Logistically, teletherapy has proven much easier to utilize visuals, collaborate on therapeutic exercises and worksheets, and including a family member in session (when appropriate). Patients also find convenience with integrating sessions into busy schedules, avoiding traffic, and obtaining or omitting childcare.
One-time Skills Consultation - Typically reserved for those in rural settings where access to care is limited and a home visit is beneficial (e.g. hoarding). This service is NOT psychotherapy.
Professional Presentations & Consultations - please inquire by emailing firstname.lastname@example.org
The therapy approaches utilized are supported by research as the gold-standards of care, most are Cognitive-Behavior Therapy approaches. Supplemental interventions and skills are also implemented from Dialectical Behavior Therapy and Acceptance and Commitment Therapy. Treatment is structured, thorough, tailored, educational, skills-based, and action-oriented. It is the goal to teach you to be your own "therapist" and feel equipped with how to manage anxiety going forward.
Please note these conditions require behavioral practice between sessions in order to reach healing potential. Processing only or tending to the condition solely in session is ineffective. This means taking an active role in your treatment on a daily basis, partly to implement skills in natural, real time functioning, and partly to pause the day and focus on practice in private. Patients will be monitoring use of skills and outcomes of practice so that they may be reviewed in the next session. Please carefully consider if treatment can be a priority so that resources may be maximized and you feel relief more quickly.
Has your consideration of treatment entailed an approach of approach and then avoid; repeat? It is understandable to feel hesitation, fear, and even to return to thinking, "I can manage this on my own." You might be right on managing on your own, but typically when potential patients inquire about services they have reached more than a mild acuity and feel miserable. The suffering seems intolerable and treatment can no longer wait. Once you inquire, you might find that an OCD specialist has a waitlist. To best understand why a specialist is worth the wait, please see the Treatments tab. This is why it is very important to inquire as soon as possible, before your symptoms worsen. You can save yourself some of the prolonged suffering.
Also, please be sure you are ready to commit to treatment before inquiring. This treatment is not one that you can discuss in sessions only and get better. Progress REQUIRES completing homework between sessions (about 5 days a week for planned homework, but skills are practiced daily). This means having discussions with your family about being able to dedicate time to your treatment real-life practice. Please take time to review the information on this website.
Give yourself the grace of time. The good news is that in many instances treatment is short-term, but you will still need to give yourself the time to learn about OCD, the factors that feed it, how to change your responses, and also strengthen your ability to face situations you have been avoiding. You have been through a lot. Please be kind to yourself.
After years of me completing steps to attain various state licenses to expand access to care for OCD, select states enacted legislation for approved psychologists to practice virtually across state lines. Please note: I am already licensed in MO, KS, & KY (and soon, reactivating CA).