You’re not overreacting—OCD is overwhelming.
If you’ve been living with intrusive thoughts or behaviors that don’t make sense but feel impossible to stop, you may feel exhausted, isolated, or even ashamed. Obsessive-Compulsive Disorder (OCD) is often misunderstood, and the toll it takes on your emotional and mental health can be significant.
Whether you’re silently battling distressing thoughts or spending hours managing rituals and routines, you deserve support from someone who understands how OCD works—and how to treat it.
At Evolution Wellness, we offer compassionate, evidence-based therapy for OCD in Wilmington, NC and across the state through telehealth. Our therapists are here to help you understand what’s happening in your brain, reduce the power OCD has over your daily life, and feel more grounded in yourself again.
We believe you are more than your thoughts. Healing starts with support.
What is Obsessive-Compulsive Disorder?
Obsessive-Compulsive Disorder (OCD) is a mental health condition that causes recurring, unwanted thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) that you feel driven to perform.
These thoughts and behaviors can take up a great deal of time, disrupt your routines, interfere with relationships, and cause significant anxiety or distress. Even when you know your thoughts are irrational, it can feel impossible to resist the urge to act on them.
OCD can show up in many different ways, including:
• Fear of contamination and excessive cleaning or handwashing
• Checking behaviors (like repeatedly checking locks, stoves, or emails)
• Needing things to be symmetrical or “just right”
• Disturbing intrusive thoughts, often about harm, sex, or religion
• Mental rituals, such as repeating phrases, counting, or praying to “neutralize” a thought
• Avoidance of people, places, or activities that trigger obsessive thoughts
It’s important to know: OCD is not a personality quirk or a desire for perfection. It’s a mental health condition that can be incredibly distressing—and also incredibly treatable.
How therapy can help with OCD
OCD creates a cycle: an intrusive thought sparks anxiety, and you perform a compulsion to try to relieve that anxiety. Over time, this cycle becomes harder to break and more disruptive to your life. But with the right support, it can be interrupted.
Our Approach
At Evolution Wellness, we use evidence-based approaches like Exposure and Response Prevention (ERP)—the gold-standard treatment for OCD—alongside Cognitive Behavioral Therapy (CBT) and other anxiety-focused strategies.
OCD therapy can help you:
• Understand the thought–anxiety–compulsion cycle
• Build new ways to tolerate uncertainty and discomfort
• Reduce compulsive behaviors in a manageable, supported way
• Reconnect with your values and goals outside of OCD
• Learn that your thoughts do not define you
Working with a therapist who understands OCD can make all the difference. We’ll meet you with empathy, patience, and expertise—supporting you at every step.
What to expect from therapy
OCD can be deeply personal, and many people feel nervous about sharing their thoughts out loud. That’s okay.
Our therapists are trained to hold space for all experiences—including those that feel scary, uncomfortable, or “weird.” Nothing you say will be judged or taken lightly. We believe in creating a warm, nonjudgmental environment where you can feel safe being honest and supported in your healing process.
Many of our clients also experience related challenges like panic attacks, chronic worry, or persistent stress. If this sounds familiar, you may also be interested in learning more about our anxiety therapy services.
Together, we’ll work at your pace to explore what you’re experiencing, reduce distress, and give you the tools to build a life that feels more free, connected, and authentic.
Your thoughts are not the enemy. They are signals asking to be understood—not feared.
Who we work with
We offer therapy for Obsessive-Compulsive Disorder to:
• Adults and young adults
• People who have been recently diagnosed or managing OCD for years
• Clients with co-occurring conditions like anxiety, depression, trauma, or ADHD
• Individuals navigating stress, life transitions, or identity-related concerns alongside OCD
We also welcome those who are unsure if what they’re experiencing is “really” OCD. If you feel overwhelmed by intrusive thoughts or compulsive behaviors, we’re here to help you figure out what’s going on and find a path forward.
We invite you to meet our team to learn more about our clinicians and find a therapist who feels like the right fit.
Begin OCD therapy in Wilmington, NC
If OCD is keeping you from fully participating in your life, we want you to know that healing is possible. You don’t have to keep managing this on your own.
Whether you’ve been silently struggling for a long time or are just beginning to name what you’re going through, therapy can offer you clarity, relief, and support. Our team at Evolution Wellness is ready to walk alongside you. Ready to take the first step?
