New York
OCD Therapy

Struggling with intrusive thoughts that feel inescapable?

I specialize in Exposure and Response Prevention (ERP) and Inference-Based CBT (ICBT), two of the most effective approaches for OCD.

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  • Rituals

  • Sexual or Sexual Orientation

  • Health

  • Relationship Doubts

Do those intrusive thoughts hit out of nowhere, flooding your mind with anxiety, guilt or shame?

OCD can be intrusive, feel taboo or frightening.

OCD isn’t about the thoughts themselves. It’s about the cycle of doubt, fear, and the behaviors you feel you must do to feel safe, even when you know they don’t help for long.

Your brain is creative and trying to protect you, but it’s become stuck in a loop. 

The more you try to figure out or push away these thoughts, the stickier they become. And when talk therapy focuses on why you’re having the thought, it can actually feed the OCD cycle.

Clients come to me for multiple types of OCD:

  • Contamination

  • Harm

  • Reassurance 

  • “Just Right” or Symmetry

  • Contamination

  • Harm

  • Reassurance 

  • “Just Right” or Symmetry

  • Rituals

  • Sexual or Sexual Orientation

  • Health

  • Relationship Doubts

New York OCD Therapy

How OCD Therapy With Me Works

Short-Term Work, Long-Term Relief for OCD

OCD therapy doesn’t have to last forever to make a lasting impact. With evidence-based treatment like ERP and ICBT, most clients start to notice meaningful change in a matter of weeks to months.

  • We’ll identify the patterns that keep your thoughts stuck and how your brain is trying (unsuccessfully) to find certainty.

  • I specialize in Exposure and Response Prevention (ERP) and Inference-Based CBT (ICBT), two of the most effective approaches for OCD.

    Exposure + Response Prevention (ERP) helps you reduce compulsions and face fears gradually and safely- especially helpful for clients overwhelmed by rituals, rumination, or avoidance.

    Rumination-focused ERP teaches you how to stop engaging with the thought itself and shift your focus toward living.

    Interference-based Cognitive Behavioral Therapy (ICBT) is a non-exposure-based therapy that helps you “out-logic” your OCD by identifying the imagined stories behind the fear, reconnecting with facts, and relying on your senses

  • You’ll develop tools to:

    • Recognize OCD’s patterns and false logic

    • Use “reality sensing” to anchor in what’s actually true

    • Separate from your OCD story and reconnect with your values

    • Learn how to respond to distress without feeding the cycle

Let's Talk
OCD Therapy in New York

After working together clients often report:

  • Fewer Obsessive Thoughts
    Intrusive thoughts feel less sticky, intense, or consuming.

  • Less Reliance on Compulsions
     Rituals lose their grip as you build confidence in your ability to handle discomfort.

  • More Ease and Joy in Daily Life
    Relationships, hobbies, and everyday routines become lighter and more fulfilling.

Madison Liddle, LMHC New York Therapist

About Me: Madison Liddle, LMHC

New York Therapist

I specialize in treating OCD and cases with deep rumination patterns. 

My clients often come to me because they want expert care using specialized, evidence-based approaches like ERP and ICBT. My approach is collaborative, grounded, and always focused on what’s going to be most helpful for you, not just what’s traditional. You’re the expert in your experience. I bring the clinical expertise, and together we work toward lasting change.

    • EMDR Therapy

    • Therapy for OCD

    • ADHD in Adults

    • Trauma and Complex PTSD

    • LGBTQIA+ Mental Health

    • Master of Education (MEd) in Counseling Psychology - Columbia University

    • MA in Counseling Psychology - Columbia University

    • Advanced certificate in Women, Gender, and Sexuality - Columbia University

    • Bachelor of Arts in Motion Pictures and English Literature - the University of Miami

    • EMDRIA certified EMDR therapist + advanced EMDR training

    • Advanced training integrating EMDR and IFS (Internal Family Systems)

    • IFS Level 1 training

    • Inference Based CBT (ICBT) training and ongoing supervision for OCD and co-occurring disorders

    • Exposure and Response Prevention (ERP) training and ongoing supervision

    • Sex Therapy training from The Institute of Contemporary Psychotherapy (ICP) Sex Therapy Collaborative

    • Advanced eating disorder training from Erika Malm Collective

    • Ongoing eating disorder supervision from Dr.Judith Brisman

More About Madison

Ready to Begin OCD Therapy?

I offer a free consultation call to help us decide if working together is the right fit. We’ll talk through what’s been bringing you here, answer your questions and map out next steps. Reclaim your time, energy, and peace of mind from OCD. 

Schedule A Free Consult