Licensed ProvidersTelepsychiatry Available Serving Texas, Kansas & Minnesota

Pleasant Place Psychiatry

Conditions We Treat

Medication Management & Psychiatric Care for OCD (Obsessive-Compulsive Disorder)

Expert OCD-specialized psychiatric care for adults living with intrusive thoughts and compulsive rituals.

We focus on OCD-specific medication management, coordinated with Exposure and Response Prevention (ERP) therapy, from a team that understands intrusive thoughts are not a reflection of who you are.

Therapeutic setting for OCD treatment and specialized medication management
Telehealth Available
Across TX, KS & MN
Three-step treatment pathway for OCD and intrusive thought management

Your Path Forward

3 Steps to Begin OCD Care

1

Understand

We assess the specific shape of your OCD: the intrusive thoughts, mental compulsions, and rituals. We evaluate how they impact your life and screen for co-occurring conditions.

2

Plan

We build an individualized treatment plan featuring OCD-appropriate dosing, psychoeducation about the OCD cycle, and care coordination

3

Adjust

We monitor your real-life response with patience, adjusting through careful medication titration or discussing evidence-based augmentation.

Ready to get hours of your day back from OCD? Our providers are here to guide you through every step, from assessment to ongoing support.

Book an Appointment

Why Choose Us for OCD Treatment

OCD-Specialized Care for You

OCD-Specific Medication Expertise

We understand OCD-specific dosing, the need for longer adequate trials, and when to augment, because most "failed" trials are simply under-dosed or cut short.

Specialized in OCD pharmacotherapy

Care Coordination with ERP Therapists

We coordinate directly with your therapist so medication settles your nervous system enough to make exposures possible.

Exposure and Response Prevention coordination

Judgment-Free Care for Intrusive Thoughts

Intrusive thoughts about harm, contamination, or morality are common clinical symptoms, not character flaws. We discuss them calmly and clinically, ensuring a shame-free environment.

Shame-free, de-stigmatized

Flexible Access to Care

Attend telehealth sessions virtually from anywhere in Texas, Kansas, or Minnesota, or choose in-person visits when preferred.

Telehealth across 3 states

Our Evidence-Based Approach to Treating OCD

How We Treat OCD

Collaborative Medication Management

We conduct a comprehensive evaluation and map your obsessions, compulsions, and the time and distress they cause.

We focus on selective serotonin reuptake inhibitors (SSRIs), which are FDA-approved for OCD

We do not rely on benzodiazepines, as they do not treat OCD and can interfere with ERP.

OCD-specialized medication management coordinated with ERP therapy

Care Coordination with ERP Therapists

We actively coordinate with your OCD-trained therapist to keep your pharmacological and psychological care perfectly aligned.

Psychoeducation & Insight

We explain why the brain generates "false alarms" and why resisting rituals strengthens the loop. We also clarify the DSM-5 insight specifier: you no longer have to recognize your fears as irrational for the OCD diagnosis to be valid.

Stress, Sleep & Routine Support

We provide practical guidance on sleep hygiene, predictable routines, and grounding tools to support your nervous system and make ERP work more manageable.

Recognizing the Signs of OCD

OCD should not be confused with just "liking things tidy". It is a cycle of intrusive thoughts and rituals that consumes more than an hour a day or causes significant distress and interference.

Obsessive Symptoms (Intrusive Thoughts)

  • Contamination obsessions

    Fear of germs, illness, or spreading contamination.

  • Harm obsessions

    Fear of causing harm, despite having no desire to do so.

  • Symmetry obsessions

    Intense discomfort when things feel unbalanced or incomplete.

Compulsive Symptoms (Rituals)

  • Checking

    Re-checking locks, appliances, or work to neutralize doubt.

  • Washing and cleaning

    Excessive hand-washing or cleaning to neutralize contamination fears.

  • Ordering and symmetrical arranging

    Rearranging items until they feel "just right."

  • Repeating, counting, or mental rituals

    Silently repeating numbers, phrases, or "undoing" bad thoughts with good ones

Cognitive & Emotional Patterns

  • Pathological doubt

    Recurring "what if" spirals that reassurance cannot settle.

  • Shame and secrecy

    Hiding rituals and thoughts from loved ones for years.

  • Avoidance and reassurance-seeking

    Avoiding triggers or repeatedly asking others for reassurance.

Understanding the Spectrum

Understanding the Spectrum: Worry vs. OCD vs. Related Disorders

Everyone has odd or scary thoughts sometimes. What makes OCD different is the loop: the thought sticks, causes distress, and the ritual or avoidance follows to temporarily relieve it, which feeds the cycle.

Everyday Worry

Passing "what if" thoughts that come, go, and are easily ignored. Normal and self-resolving.

Obsessive-Compulsive Disorder

Intrusive thoughts that stick, cause distress, and trigger rituals/avoidance to neutralize them.

Related Disorders

Includes body dysmorphic disorder, hoarding, hair-pulling (trichotillomania), and skin-picking (excoriation).

Tic-Related OCD

OCD with a personal or family history of tics may respond differently to treatment (often requiring specific augmentation) and is carefully evaluated.

Our Commitment To Your OCD Recovery

Treatment Goals We Work Toward Together

Reduced frequency and intensity of intrusive thoughts and urges.

Fewer rituals and less avoidance, returning hours to your day.

A medication plan dosed and trialed properly for OCD, not borrowed from depression protocols.

Freedom from shame about the content of your own mind.

Person reclaiming their day from OCD compulsions and intrusive thoughts

Find Care Near You

Local Psychiatric OCD Care Across Our Core Regions

Our board-certified providers offer specialized OCD medication management across Texas, Kansas, and Minnesota.

Select your state to view local clinic availability, telehealth regulations, and regional insurance networks.

Our Clinical Director

Who's Guiding Your Mental Health Journey

Dr. Ediomi Oduwole, DNP, PMHNP-BC, PMH-C, Clinical DirectorBoard-Certified Psychiatric Mental Health Nurse Practitioner
DNP, PMHNP-BC, PMH-C Clinical Director
Women's Mental Healthcare Expert Accessible & Collaborative Care

Dr. Ediomi Oduwole is a board-certified Psychiatric Mental Health Nurse Practitioner and Perinatal Mental Health Certified clinician.

As Clinical Director of Pleasant Place Psychiatry, she provides thoughtful, evidence-based psychiatric care for adults experiencing anxiety, depression, ADHD, and women's mental health concerns, including challenges during pregnancy and the postpartum period.

She takes time to listen, considers the whole person rather than symptoms alone, and ensures patients understand their diagnosis and treatment options.

Care may include psychiatric evaluation, medication management, psychoeducation, and practical lifestyle support tailored to each patient's needs and goals.

Board-Certified Psychiatric Mental Health Nurse Practitioner
Specialized Expertise in anxiety, depression, ADHD, OCD & PTSD

Questions

Frequently Asked Questions

Worrying is about realistic, future concerns and tends to shift topic. OCD involves intrusive thoughts that stick and cause distress, followed by rituals, mental compulsions, or avoidance to neutralize them, typically consuming more than an hour a day or causing significant impairment. In DSM-5, OCD has its own diagnostic category, separate from anxiety, and you don't have to believe your fears are irrational for the diagnosis to apply.
No. Intrusive thoughts in OCD (including harming, sexual, or religious thoughts) are ego-dystonic: they are the opposite of what you want and are distressing precisely because they repulse you. Having these thoughts does not make it more likely you will act on them, and being honest about them with a provider is a critical, safe step. They are a signal that the OCD loop needs treatment, not a reflection of your character.
OCD responds to serotonin reuptake inhibitors at doses often two to three times higher than those used for depression or anxiety, and adequate trials require 8-12 weeks, including several weeks at a therapeutic dose. Many people are told their medication 'didn't work' because the dose was too low or the trial was cut short. We review the adequacy of past trials and titrate properly under medical monitoring.
Yes, ideally, and they work best together. Exposure and Response Prevention (ERP) is the gold-standard psychotherapy for OCD, and medication can lower your anxiety enough to make the exposure work possible. We focus on medication management and coordinate directly with your ERP or CBT therapist, and we will support you in connecting with one if you haven't started yet.
Treatment-resistant OCD is well-studied, and there are evidence-based next steps. After confirming an inadequate trial wasn't the culprit (low dose or short duration), options include switching to a different SSRI, moving to clomipramine, or adding an evidence-based augmenting medication, all under careful monitoring. We will work through these systematically and collaboratively, alongside ERP.
Yes. Telehealth is recognized as an effective way to deliver psychiatric care, and OCD medication management with structured follow-up is well-suited to it, especially because checking in from home can feel safer and less shame-provoking for people with OCD. We use a secure, HIPAA-compliant platform in TX, KS, and MN.

Ready to Take the First Step?

OCD is highly treatable with proper dosing, patient trials, and ERP working alongside medication, the loop can quiet, and your time can return to you.