On this page
The bigger picture
OCD isn't about being tidy
It's intrusive thoughts you can't switch off, and the rituals you feel forced to run to quiet them - checking, washing, counting, seeking reassurance. It's exhausting, it's private, and it's nothing like the pop-culture version.
Here, one doctor handles the diagnosis, the therapy, the medication, and TMS together. Nothing gets lost between providers, and nothing gets treated in isolation.
When it won't let go
More than one way forward
OCD responds to specific, proven treatments. A psychiatrist evaluates you first, then builds the right plan with you.
Therapy
Medication
TMS for OCD
FDA-approved and drug-free, for OCD that hasn't responded to therapy and medication. Includes a free 10-minute call first.

A real evaluation
A full hour with a psychiatrist and a proper history, not a rushed 15-minute med check.
A plan built for you
Therapy, medication, or TMS, matched to what you've already tried.
The same doctor, start to finish
No handoffs. The doctor who diagnoses you is the one who treats you, and adjusts as you go.
What it costs
Straight answers on price
On insurance, straight: we're not in-network yet (we're working on it), so care is self-pay for now. We'll always go over the cost with you before you book.
Is this the right fit?
Is this you?
- Have intrusive thoughts you can't shake
- Feel driven to check, wash, count, or repeat
- Have tried therapy or medication without enough relief
- Want your care led by a doctor, not passed around
- Need urgent or same-day crisis help (see below)
- Are looking for care for a child or teen, ask us about that directly
- Only need a one-off letter or evaluation for a third party
In crisis, or thinking about harming yourself? Please call or text 988 (the Suicide & Crisis Lifeline) any time, day or night, or go to your nearest emergency room. Appointments here aren't for emergencies.
Who treats you
Board-certified psychiatrists
One of them will evaluate you and oversee your course personally.
Keep reading
Where to go next
About Us
The two board-certified psychiatrists behind Confluence, and what physician-led care actually means.
Pricing Guide
Course prices, what's included, and where insurance stands.
How TMS works
The non-drug option - magnetic pulses, no medication, no downtime.









