Obsessive-Compulsive Disorder (OCD) can be understood as a reflection of deep emotional disconnection or internal conflict, often rooted in early relational experiences where your emotional needs were not fully attuned to or validated. The intrusive obsessions and compulsions are attempts to manage unresolved anxiety and vulnerability—driven by a deep need for emotional security and a fear of losing control. Drawing on Stolorow’s perspective, these compulsive behaviors can be seen as defenses against feelings of emotional fragmentation or self-doubt. True healing begins when you develop greater self-cohesion and cultivate empathic understanding of the emotions that underlie the disorder. In therapy, I provide a compassionate space to explore and integrate these emotional experiences, helping you build a stronger sense of connection and emotional grounding. This process can reduce the need for compulsive rituals and support a more balanced, cohesive sense of self.

From a self-psychological perspective, treating OCD involves creating an empathic, validating therapeutic relationship that helps repair early experiences of emotional misattunement contributing to a fragmented sense of self. The compulsions and obsessions are understood as defensive responses to deep feelings of vulnerability, shame, or self-doubt. Therapy focuses on helping the individual safely explore and integrate these painful emotions, fostering greater self-cohesion and emotional resilience. Through this process, the person develops a stronger, more stable sense of self, reducing the need for compulsive behaviors as a way to manage emotional distress.tasks. Reach out today for help.