- You replay conversations wondering if you said something wrong.
- You over-explain because you need people to understand what you really meant.
- You feel guilty about thoughts you didn't choose to have.
- You might confess things you don't actually need to confess or need reassurance that you're not a bad person, didn't hurt someone, or haven't done something wrong.
Maybe your OCD attaches itself to your relationship. You question how you feel, whether you love your partner enough, whether you're compatible, or whether your doubts mean something is wrong.
You keep thinking that if you analyze it one more time, you'll finally feel certain. But the relief never seems to last.
OCD Therapy in
Denver, Colorado
When OCD Shows Up in Your Relationships
- Question, “Do I actually love them enough?”
- Are they the one?” or “What if I'm settling?”
- Constantly check your feelings or attraction to see whether you feel the way you think you're supposed to.
- Compare your partner or relationship to other people and wonder whether someone else would be a better fit.
- Analyze texts, affection, sex, disagreements, or time apart looking for evidence that something is wrong.
- Ask your partner, friends, or even Google for reassurance about whether your relationship is right.
Maybe you:
Here Are Some Reasons You Could Benefit From OCD Therapy
- Replay conversations wondering if you said something wrong, offended someone, or came across differently than you intended.
- Overexplain, confess, or overshare because keeping something to yourself makes you feel guilty or dishonest.
- Have intrusive thoughts and immediately wonder, “Why did I think that? What does that say about me?”
- Google, research, check, or ask for reassurance until you finally feel better—only to start questioning it again later.
- Get stuck trying to determine whether you're a good person, made the right decision, or can be 100% certain about something.
We can talk about the intrusive thought you're embarrassed to admit you had. The conversation you've replayed twenty times. The thing you feel like you have to confess.
The fear that someone misunderstood you. Or the relationship question you can't stop trying to answer.
I'm not here to tell you to just stop overthinking. We'll work on recognizing what keeps pulling you back into the same cycle and helping you respond differently when your brain demands another answer.
Our work is about helping you trust yourself, tolerate uncertainty, and spend less time inside your head so you can be more present in your relationships and your life.
My Approach to OCD Therapy
We can talk about the intrusive thought you're embarrassed to admit you had. The conversation you've replayed twenty times. The thing you feel like you have to confess. The fear that someone misunderstood you. Or the relationship question you can't stop trying to answer.
I'm not here to tell you to just stop overthinking. We'll work on recognizing what keeps pulling you back into the same cycle and helping you respond differently when your brain demands another answer.
Our work is about helping you trust yourself, tolerate uncertainty, and spend less time inside your head so you can be more present in your relationships and your life.
My Approach to OCD Therapy
What The first few Sessions Look like
In our first session, we'll meet together and talk about what brings you to couples therapy, what feels difficult right now, and what you both hope will change
Before we jump into changing anything, I want to get to know you.
That means building trust, creating a space where you don't feel judged, and helping you feel comfortable enough to be honest about what's really going on.
I know therapy can feel vulnerable, so I don't expect you to tell me everything on day one.
We'll move at a pace that feels safe.
We'll explore things like:
- your relationships
- your family
- your childhood
- your emotional experiences
- the ways you've learned to cope
- what your nervous system has experienced
- what has shaped who you are today
As I get to know you, I'll start noticing patterns.
I'll often share observations like,
- "I'm wondering if these two experiences might be connected."or "This actually makes a lot of sense given what you've been through."
- This is where I bring in psychoeducation, attachment theory, EMDR, IFS, neuroscience, and relational research.
- Not to overwhelm you with information… But to help you understand yourself, gain self-awareness with more compassion for yourself and your relationships.
Instead we can slow things down and ask:
- What am I feeling?
- What am I needing?
- Where did I learn this?
- Is this response still serving me today?
Together we'll begin experimenting with new ways of:
- communicating
- setting boundaries
- regulating emotions
- asking for needs
- responding during conflict
- relating to yourself
- relating to the people you love
"I wholeheartedly recommend Rachel Sailer for couples, families, or individuals seeking therapy. She brings a rare combination of clinical skill, warmth, and authenticity to her practice. Her ability to create a safe, nonjudgmental space allows clients to explore difficult emotions while feeling genuinely supported and understood. You are in excellent hands with Rachel."
With Love From: Chloé
"HER ABILITY TO CREATE A SAFE, NONJUDGMENTAL SPACE ALLOWS CLIENTS TO EXPLORE DIFFICULT EMOTIONS WHILE FEELING GENUINELY SUPPORTED AND UNDERSTOOD."
"Rachel brings authenticity, dedication, and a genuine desire to help her clients into her clinical work. Her attachment and systemic-based approach helps clients heal and grow in a safe and well-informed space." -
With Love From: Sophie
"HER ATTACHMENT AND SYSTEMIC-BASED APPROACH HELPS CLIENTS HEAL AND GROW IN A SAFE AND WELL-INFORMED SPACE."
"Rachel is among the most dedicated and passionate clinicians I've had the pleasure of working with. She is constantly adding new knowledge and skills to her attachment-based approach, making her an adept therapist for couples, parents, and individuals."
With Love From: Jeremy
"SHE IS CONSTANTLY ADDING NEW KNOWLEDGE AND SKILLS TO HER ATTACHMENT-BASED APPROACH, MAKING HER AN ADEPT THERAPIST FOR COUPLES, PARENTS, AND INDIVIDUALS."
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Frequently Asked Questions
ABout OCD Therapy
How do I know if I have OCD or anxiety?
OCD and anxiety can look similar, but there are some differences. Anxiety may involve ongoing worry about real-life situations, while OCD often includes intrusive thoughts, doubts, or fears that feel hard to let go of, along with compulsions like checking, reassurance seeking, Googling, confessing, avoiding, or mentally reviewing things over and over.
You don’t have to figure out which one you’re experiencing on your own. In our sessions, we can explore your thoughts, patterns, and behaviors together and better understand what’s keeping you stuck.
What types of OCD do you work with?
I specialize in relationship OCD (ROCD), generalized OCD, and perfectionism OCD, including intrusive thoughts, reassurance seeking, checking, overthinking, and feeling stuck in cycles of doubt and uncertainty.
OCD can show up in many different ways, and I’m also open to exploring other types of OCD with you. We can talk about what you’re experiencing and whether I’m the right fit for the support you’re looking for.
We can set up a free 20 minute consultation to see if we could be a good fit.
Do you use ERP for OCD?
Yes, I’m open to incorporating techniques from Exposure and Response Prevention (ERP) when they’re appropriate for you. I don’t believe therapy has to look the same for everyone, so I also pull from other approaches including somatic work, IFS, attachment-based therapy, psychoeducation, EMDR when appropriate and more.
Together, we’ll look at what keeps your OCD cycle going and find an approach that fits you, your goals, and what you’re experiencing.
Do you offer in-person and virtual OCD therapy?
Yes! I offer both in-person and virtual couples therapy to give you options for what works best with your schedules.
I offer in-person sessions on Tuesdays and Thursdays and virtual sessions on Mondays and Wednesdays 10:00 AM–6:00 PM
We can talk during your free consultation about which option works best for both of you.
What are your fees, and do you accept insurance?
I am a private-pay practice and do not accept insurance.
(50 minutes Session: $160
(90 minutes) Session $240
If you have out-of-network benefits, I'm happy to provide a monthly superbill that you can submit to your insurance company for possible reimbursement. I also offer a free 15-minute consultation so we can discuss your goals, answer your questions, and see if we're a good fit before scheduling your first session.
Dating & Relationship Therapy for Young Adults
Trauma & EMDR Therapy
OCD Therapy
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Couples Therapy
PREMARITAL COUNSELING
Therapy for Avoidant (Avoidant Attachment)
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If you're exhausted from replaying conversations, analyzing your thoughts, questioning your relationship, confessing, Googling, or searching for reassurance, therapy can help.
You don't have to have the perfect words for what's happening. You can start with: “I can't stop thinking about this, and I want help.” That's enough of a place to begin.