Complex OCD Therapy for Adults with ADHD, Autism, and Trauma
Hi there, I’m Cali Keating LCSW-S and I’m an exposure therapist seeing clients in Florida and Texas. I work with complex cases of OCD that need more attention than traditional ERP.
I want to handle my OCD, but I fear my other diagnoses will make exposure therapy impossible.
When multiple conditions interact, treatment may require a more individualized approach that accounts for executive functioning, trauma responses, sensory needs, burnout, and disability-related accommodations.
Maybe you want to return to work, attend school, leave the house more comfortably, make decisions without hours of rumination, or simply have more energy for the things you enjoy. We can treat your OCD while being aware of your other diagnoses.
I can also help with executive functioning coaching and tools, autistic burnout and overwhelm coping skills, and PTSD or C-PTSD trauma exposures.
Stop talking about the same problems every week.
We'll identify specific patterns, develop experiments, and work on applying what you learn to everyday situations.
Practical tools like disengaging from OCD, centering your values to boost motivation, and allowing emotions in your body can make all the difference.
How are you going to make exposure therapy work for me?
I have extensive experience in helping you discern what boundaries are valid for your nervous system…
…and what rigidity comes from OCD.
The goal isn't to eliminate structure. Exposure to change and uncertainty helps you have a healthy, flexible relationship with structure.
Rumination focused exposures, inference based cognitive behavioral therapy, and learning how to “feel your feelings” all combine to make ERP suit your needs.
Can you help me become more autonomous and flexible in a way that’s safe for me?
Exposure therapy helps clients grow their comfort zone and capacity. We make positive goals based on your values, to help you have more zest and joy in your life. Your safety behaviors may give you a set of rules, shoulds, and I can’ts. Let’s work together to break some rules and find out just how capable you are. That might mean practicing an imperfect decision, resisting reassurance seeking, changing a routine, approaching a feared activity, or experimenting with doing something differently. When you take on new challenges, you get a chance to build confidence in yourself. Maybe you can handle more than you think!