Otilia Perricelli, AMFT | OCD Therapist

OCD Therapy in San Diego

Hi, I'm Otilia!
Psychotherapist
Otilia Perricelli, AMFT — Registered Associate Marriage and Family Therapist
AMFT #159737 Supervised by Katherine Pica, LCSW — Licensed Clinical Social Worker #27275
Session Rate
$175 / session
Format
In-person & Telehealth
Location
San Diego, CA
Populations Served
Otilia Perricelli - OCD Therapist, San Diego, CA
My Areas of Focus
Autism Anxiety OCD

A Bit More About Me

A little about how I work

When worry takes over and emotions feel bigger than you can manage, it can be hard to know where to turn. Anxiety, intrusive thoughts, and intense emotions can make it difficult to feel calm or in control, but compassion and support are available.

My caseload includes kids as young as five all the way through adults, and the concerns that bring people in vary just as widely: anxiety, OCD, trauma, ADHD, grief, depression. ERP, CBT, TF-CBT, Play Therapy, and DIR-Floortime are the tools I pull from most, but which ones we actually use depends entirely on you, not a fixed formula.

Having sat in both chairs, the client's and the therapist's, I understand the courage it takes to seek help. I'm grateful you're here, and honored to walk alongside you on your path to healing.

A Look at My OCD Therapy, Anxiety & Grief Work in San Diego

✓Specialties & Areas of Support

Anxiety OCD Trauma ADHD Grief Depression Autism Child Therapy Teen Therapy

✦Therapeutic Approaches

Exposure and Response Prevention (ERP) Cognitive Behavioral Therapy (CBT) TF-CBT Play Therapy DIR-Floortime

Who I Work With

A Range of Ages, One Consistent Approach

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My practice spans a full range of ages, and that variety is genuinely one of my favorite parts of this work. A session with a child might involve toys and imagination. A session with a teenager might look more like a real, unguarded conversation once they trust I'm not going to judge them. A session with an adult often means digging into patterns that go back decades.

What stays constant is the care behind it. I've been on the other side of the therapy room myself, and that experience shapes how I show up for every client, regardless of age.

Neurodivergent-Affirming OCD Therapy in San Diego

OCD is my main focus, and I bring a neurodivergent-affirming approach to treating it, so you feel understood and not judged for how your mind works. I provide OCD treatment in San Diego for kids as young as five through adults, and I know how much courage it takes to reach out. I’ve sat in both chairs, the client’s and the therapist’s.

The International OCD Foundation (IOCDF) describes exposure and response prevention (ERP) as the most effective first-line therapy for OCD in adults, children, and adolescents, and it’s my go-to treatment. We tailor it to you, not a fixed formula. Learn more in the IOCDF’s guide to OCD treatment.

What OCD Therapy with ERP Looks Like in San Diego

What happens in ERP therapy?

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ERP is a form of cognitive behavioral therapy. Together we build a plan to gradually face the thoughts, situations, or triggers that set off your OCD while practicing not responding with a compulsion. Each step is planned with you in advance.

Is ERP going to feel overwhelming?

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ERP isn’t always comfortable, but it never has to feel like being thrown into the deep end. I walk clients through it step by step, so you know what to expect and can build confidence as we go.

How long does OCD treatment take?

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There isn’t one timeline. At Resilience Counseling, many clients begin to see improvement after about 12 to 20 sessions of ERP, though it varies widely from person to person.

When to Seek OCD Therapy in San Diego: Common Signs

OCD involves obsessions, which are unwanted, intrusive thoughts, images, or urges that cause intense distress, and compulsions, which are repeated behaviors or mental acts that try to relieve it. Common themes include contamination, harm, perfectionism, religious or moral worries, and relationship doubts. It may be worth reaching out if:

  • Thoughts you don’t want keep returning, even when you know they don’t make sense.
  • You feel driven to repeat rituals, check, or seek reassurance to feel okay.
  • Avoiding certain situations is making your world smaller.
  • OCD is taking up a lot of time or getting in the way of daily life.

You don’t need a diagnosis to ask for support, and OCD is treatable. Book a free 15-minute call to talk through what you’re experiencing.

OCD Therapy & Other Areas I Focus On in San Diego

OCD & Intrusive Thoughts

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ERP is my go-to for OCD. It's not always comfortable work, but it's the treatment with the strongest track record, and I walk clients through it in a way that never feels like I'm throwing them into the deep end unprepared.

When Worry Feels Too Big to Manage

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Anxiety and intense emotions can make it hard to feel calm or in control, whatever your age. I help clients build a real understanding of what's driving it, plus practical ways to bring their nervous system back down when it spikes.

Trauma Recovery

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TF-CBT gives us a structured way to process painful experiences without a client having to relive them in full detail every session. The work moves at whatever pace feels safe, never faster than that.

ADHD

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ADHD support isn't about trying harder. It's about understanding how your brain actually operates and building routines and strategies around that reality instead of against it, for kids and adults alike.

Grief & Loss

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Grief doesn't move in a straight line, and there's no schedule it's supposed to follow. I hold space for whatever that process looks like for you, without rushing you toward "moving on" before you're ready.

OCD Therapy in San Diego: Questions Before You Start

What does ERP therapy involve?

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ERP, or exposure and response prevention, is a type of cognitive behavioral therapy and my go-to treatment for OCD. We gradually face the triggers that set off OCD while practicing not doing the compulsion, at a pace that feels safe.

How long until I see progress with OCD treatment?

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It varies widely. At Resilience Counseling, many clients begin to see improvement after about 12 to 20 sessions of ERP, though it can take more or less time depending on the person.

Do you treat OCD in teens and adults as well as kids?

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Yes. My caseload includes kids as young as five all the way through adults.

Can we meet in person?

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Absolutely, in our San Diego office at Resilience Counseling. Telehealth is also an option if that fits your life better, available anywhere in California.

Does insurance cover sessions?

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We don't bill insurance directly, since we're a private pay practice. A superbill is provided after sessions so you can pursue reimbursement through your own insurance provider if that's an option for you.

I'm nervous about starting therapy. Is that normal?

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Completely. I've sat in the client's chair myself, so I understand exactly how much courage it takes just to reach out. That nervousness doesn't need to go away before you start. We can work through it together from session one.

What actually happens in the first appointment?

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We talk. I want to understand what's brought you here and what your life has looked like leading up to this point. There's no script to follow. By the end, we'll have a sense of where to start together.

It can be difficult to reach out for help, and it's important that you feel comfortable. We offer a free 15 minute consultation to answer any questions you may have.

Request an Appointment

Fill out the form below and we'll follow up to find a time that works for you.

Visit Us in San Diego, CA

12396 World Trade Dr Suite 117
San Diego, CA 92128
(858) 768-8737