Virtual Anxiety & OCD Therapy | Exposure and Response Prevention (ERP) Treatment
If anxiety, OCD, or intrusive thoughts are interfering with your daily life, Madina provides evidence-based therapy to help you regain control and confidence. Using approaches like Exposure and Response Prevention (ERP), the gold-standard treatment for OCD and anxiety disorders, clients learn practical strategies to face fears, reduce avoidance, and improve overall well-being. She also offers support for hair pulling and skin picking through Habit Reversal Training (HRT).
What I Help Clients With:
I work with individuals struggling with a range of anxiety- and behavior - related concerns, including:
Obsessive-Compulsive Disorder (OCD) – intrusive thoughts, compulsions, and rituals
Illness Anxiety Disorder (Health Anxiety) – excessive worry about health and physical sensations
Panic Disorder – unexpected panic attacks, fear of future attacks, and avoidance
Agoraphobia – fear of leaving home or safe spaces
Rumination – repetitive negative thinking and worry
Specific phobias & situational fears – including fear of flying, vomiting (emetophobia), crowds, or other anxiety-triggering situations
Intrusive thoughts and compulsive behaviors – including checking, counting, or reassurance-seeking
Avoidance patterns – behaviors that maintain anxiety or prevent facing fears
Hair pulling (Trichotillomania) and skin picking (Excoriation Disorder) – treated with Habit Reversal Training (HRT)
Exposure and Response Prevention (ERP)
Maybe you’ve been exploring the “why” behind your fears for years, but real change happens when you face fears head on - in real time, during the session. That’s exactly what Madina helps you do.
ERP works because we focus on showing you, physically, that you can do the things you’ve been avoiding, procrastinating, or feared you couldn’t handle. The part of the brain where anxieties, phobias, and panic live doesn’t understand language, which is why simply talking about your fears often doesn’t lead to real progress. In fact it can keep you stuck.
As a non-traditional therapist, Madina won’t let you just talk through your anxiety. Instead, she guides you through the actions that stopped you, helping you build confidence, reduce fear, and get back to living your life.
Habit Reversal Training (HRT) for Hair Pulling and Skin Picking
Habit Reversal Training (HRT) helps you take control of hair pulling (trichotillomania) and skin picking (excoriation disorder) by practicing new, healthier behaviors in real time.
Habit Reversal Training (HRT) is the #1 research-backed therapy for hair pulling (trichotillomania) and skin picking (excoriation disorder) and helps you take control by practicing new, healthier behaviors in real time.
This isn’t about trying harder to stop — Madina knows you’ve likely already tried incredibly hard. For these disorders, change happens when you have a licensed therapist guiding you through, versus talking about the why behind the behavior. Madina guides you through hands-on exercises to interrupt urges and replace them with alternative actions, so you can reduce these behaviors and regain control over your daily life. This active, skill-based approach ensures you practice change in session and leave with tools you can immediately use.
My Approach to Therapy:
I provide evidence-based, individualized therapy tailored to your needs. Sessions are collaborative and skills-focused, so you leave with practical tools you can use immediately.
Here’s what that looks like:
Exposure and Response Prevention (ERP) for anxiety & OCD
Gradually face feared situations, intrusive thoughts, and avoidance behaviors in a supportive, step-by-step way to regain confidence and control.Habit Reversal Training (HRT) for compulsive behaviors
Practice interrupting urges and replacing them with healthier actions for hair pulling (trichotillomania) or skin picking (excoriation disorder), directly in session.Cognitive Behavioral Therapy (CBT)
Identify unhelpful thinking patterns and replace them with adaptive thoughts and behaviors, giving you tools to manage anxiety and stress outside of sessions.Wise Mind & Self-Compassion
Self-denigration often keeps people stuck. Learn to access your Wise Mind and practice self-compassion, so you can take action in a kind, non-judgmental way and make real change.
What to Expect in Sessions:
When you start therapy, sessions are hands-on, structured, and tailored to your needs. You won’t just talk about your anxiety or compulsions, you’ll practice new skills in real time with guidance and support.
During your sessions, you can expect:
Personalized assessment – identify triggers, patterns, and goals.
Action-focused exercises – ERP for anxiety or OCD, and HRT for hair pulling or skin picking.
Step-by-step guidance – Madina will support you through challenging situations, helping you face fears safely.
Practical tools for outside of session – skills and strategies you can use immediately in your daily life.
A compassionate, non-judgmental approach – this isn’t about trying harder; it’s about practicing differently and learning to take action with self-compassion.
ERP has been found to help 70–90% of people with anxiety disorders see lasting improvement — and the most amazing part?
They don’t just feel better for a moment; they see lasting results. On average, I personally see a 35% reduction in symptoms within the first three weeks of sessions.
The reason ERP is so effective for anxiety is because the place in the brain where fear lives doesnt understand language. That is why you cannot talk yourself out of your fears. In exposure therapy with me I will be there right alongside you as we face your fears, head on, real time.
Why ERP?
One of the first words I hear from new clients is
“I can’t.”
“I can’t stop thinking.”
“I can’t do that.”
My job is to show you that you can.
YOU get to pick your decisions. Fear and anxiety don’t get to be in charge. Yes, it’s hard, but therapy is about learning that just because your anxiety says don’t, doesn’t mean you have to listen.