Anxiety & OCD

Therapy in Seattle, WA and PSYPACT States

What is anxiety?

Anxiety is one of the most common mental health challenges people face, and a common reason for seeking therapy services. Anxiety can look different for everyone and involve many different types of symptoms. Evidence-based treatments include cognitive behavior therapy (CBT), including exposure-based therapies and third-wave approaches that integrate mindfulness, acceptance, and skills training work, as well as medication management.

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What is obsessive compulsive disorder?

At least 1-5% of adults experience obsessive-compulsive disorder (OCD) across their lifespan. OCD was initially classified as an anxiety disorder. While OCD often presents with anxiety and can co-occur with anxiety disorders, it also has unique features and treatment recommendations. Frontline treatments include Exposure & Response Prevention (ERP), medication management (SSRIs), and combined approaches (ERP+SSRIs).

Intrusive thoughts and compulsions in OCD often latch on to what we care most about. Symptoms can vary widely between clients and can shift over time. A few common themes include:

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What does therapy look like?

Intake Assessment

We start with an intake session. I’ll ask about your goals, concerns, and background, and we will decide whether to work together.

Treatment Planning

After the intake, we usually continue with assessment for a few sessions and work together to map out a plan for treatment.

Ready to get started? Request a free 15-minute consultation call.

Active Therapy

Once we’re clear on the plan, we’ll get to work. While interventions differ for each client, therapy is rooted in the clients goals.

Maintenance & Ending

We will continue to assess whether it’s time to change, reduce, or end our work together as assess progress towards your goals.

  • "Samantha is one of my most trusted colleagues, and I would send my loved ones to her in a heartbeat if I could. She is a true expert in evidence-based therapies and brings warmth and compassion to her work."

    Dr. Jessica Coleman - Reproductive Psychologist

  • "Dr. Hellberg is one of the most compassionate and skilled therapists I know! Beyond her exceptional training in perinatal mental health and trauma recovery, she stands out in her ability to simultaneously accept Clients as they are and empower change."

    —Dr. Natalia Garcia, Licensed Clinical Psychologist

  • "Samantha is an exceptionally skilled DBT and DBT PE therapist who blends science and compassion to tailor these treatments to each client's unique needs. She excels at developing strong relationships with her clients, and providing the support needed to empower them to do the hard things that are needed to reach their goals."

    - Dr. Melanie Harned, PhD, ABPP

    Developer of the DBT PE Protocol for PTSD and the DBT Adherence Checklist (DBT AC-I)

  • "I have worked closely with Dr. Hellberg and have seen her skill firsthand. She is incredibly warm but also highly effective working with emotional distress, trauma recovery, and reproductive mental health. I would send my family and friends to her!"

    -Dr. Liz Bird, Licensed Clinical Psychologist

  • "Dr. Hellberg is a remarkable therapist! She's the kind of psychologist to whom I would send my mom or sister. Through her DBT coaching, I've seen how she helps people sail out of their emotional storms. A rare blend of skill and compassion."

    Dr. Cory Cascalheira - Licensed Clinical Psychologist