Stephanie Palmer, APCC | OCD Therapist

OCD Therapy in San Diego

Hi, I'm Stephanie!
Psychotherapist
Stephanie Palmer, APCC — Registered Associate Professional Clinical Counselor
APCC #17126 Supervised by Katherine Pica, LCSW — Licensed Clinical Social Worker #27275
Session Rate
$175 / session
Format
In-person & Telehealth
Location
San Diego, CA
Populations Served
Stephanie Palmer - Child & Teen Therapist, San Diego, CA
My Areas of Focus

A Bit More About Me

A little about how I work

Life can feel overwhelming when thoughts, emotions, or past experiences take over. If you or your child are struggling with intrusive thoughts, intense emotions, impulsive behaviors, or a loss of joy, you are not alone. Everyone deserves to feel seen, heard, and understood.

I work with children, teens, and adults facing anxiety, OCD, trauma, ADHD, and depression. Drawing on evidence-based approaches such as ERP, CBT, TF-CBT, Play Therapy, CPP, and mindfulness, I tailor therapy to meet your unique needs. I also work with autistic children and am trained in DIR-Floortime, alongside extensive additional training in working with young kids.

Together, we'll build practical tools and insights that support meaningful change, stronger relationships, and a life aligned with your values. I'd love the chance to be part of that process with you and your family.

Inside My OCD Therapy, Anxiety & ADHD Work in San Diego

✓Specialties & Areas of Support

Anxiety OCD Trauma ADHD Depression Autism Child Therapy Teen Therapy Parenting Support BFRBs

✦Therapeutic Approaches

Exposure and Response Prevention (ERP) Cognitive Behavioral Therapy (CBT) TF-CBT Play Therapy Child-Parent Psychotherapy (CPP) Mindfulness-Based Skills DIR-Floortime

Who I Work With

Children, Teens & Adults in San Diego

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I work with kids, teens, adults, and parents, and I genuinely enjoy the range. With adults, we go deep with structured, evidence-based work like ERP and CBT, the same approach you'd expect from any therapist focused on OCD and anxiety. With younger kids, that same clinical foundation gets translated through play, since that's how kids actually process what's going on for them. With teens, it's about earning real trust first so the work can land. Different ages, same level of care and expertise behind it.

Wherever you or your child are starting from, therapy should feel tailored to you, not like a one-size-fits-all program. That's how I approach every case.

Child, Teen & Adult OCD Therapy in San Diego

Intrusive thoughts, checking, and rituals can take over daily life, whether it’s a child who can’t get out the door for school or an adult whose thoughts have taken over their routines. I provide OCD therapy in San Diego for children, teens, and adults, and I bring parents into the process, because OCD rarely affects just one person in a family.

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 the approach I lean on most, alongside CBT. With younger kids, I translate that same clinical foundation through play, since that’s how children actually process what’s going on for them. You can read more in the IOCDF’s guide to OCD treatment.

How I Approach ERP for OCD Therapy in San Diego

What does ERP involve?

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ERP is a form of cognitive behavioral therapy. Step by step, you face the thoughts or situations that set off your OCD while practicing not doing the ritual. We break the cycle gradually, and you always know what’s coming next.

How many sessions does OCD treatment take?

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It varies from person to person. 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. We go at a speed that fits you and your family.

How does OCD treatment work with younger kids?

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With children, therapy is built around play and parents are part of the process. We make the work feel doable and age-appropriate, so a child can practice new responses to OCD without feeling overwhelmed.

Signs You or Your Child May Need OCD Therapy in San Diego

OCD involves obsessions, which are unwanted, intrusive thoughts, images, or urges that cause real distress, and compulsions, which are repeated behaviors or mental acts that try to ease it. Common themes include contamination, harm, perfectionism, religious or moral worries, and relationship doubts. Signs it may be time to talk to someone:

  • A child or teen gets stuck in checking, washing, or counting rituals, or needs constant reassurance.
  • Intrusive thoughts keep coming back, even when you know they don’t make sense.
  • Fear or doubt is leading you or your child to avoid places, people, or activities.
  • Rituals take up a lot of time or get in the way of school, work, or relationships.

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

OCD Therapy, Anxiety & ADHD Support in San Diego

Getting Unstuck From Rituals: OCD Support

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ERP is the approach I lean on most for OCD, whether that's a child stuck in a checking ritual before school or an adult whose intrusive thoughts have taken over daily routines. We break the cycle step by step, at a speed that actually fits your family.

Calming Big Worries: Anxiety Support

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Anxiety can look like a bunch of different things, depending on the age. For kids, it could be stomachaches before school or meltdowns over small changes. For teens, it can be worrying about a bunch of different things. We meet each client where anxiety is living for them and help them learn tools and skills that can last a lifetime.

Processing What Happened: Trauma Support

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Through TF-CBT, I help kids, teens, and adults work through hard experiences at their own pace. The hope is feeling less stuck, not continuing to relive those moments over and over again. There is hope with healing.

Building Systems That Actually Stick: ADHD Support

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Whether it's a kid who can't sit through class or an adult who's exhausted from feeling perpetually behind, ADHD support isn't about willpower. It's about finding structures and strategies that fit how your brain actually works, not fighting against it.

Following Their Lead: Autism & DIR-Floortime

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With autistic children, I use DIR-Floortime, which starts from a child's own interests and pace rather than a fixed curriculum. It's relationship-first work that respects where a child actually is, not where a milestone chart says they should be.

OCD Therapy in San Diego: Common Questions

What is ERP and how does it treat OCD?

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ERP, or exposure and response prevention, is a type of cognitive behavioral therapy and the approach I use most for OCD. Step by step, clients face the thoughts or situations that trigger their OCD while practicing not doing the ritual.

How many sessions does OCD treatment usually take?

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It varies from person to person. 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 provide OCD therapy for kids?

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Yes. I work with children, teens, and adults. With younger kids, therapy is built around play, and parents are part of the process.

Do you see clients in person?

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Yes, at Resilience Counseling in San Diego we see our clients in person. If you prefer, we could also see you via telehealth anywhere in California.

Is insurance accepted?

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We're a private pay practice and don't bill insurance directly. What we can do is provide a superbill after each session, which you can submit to your insurance company yourself for potential reimbursement.

My child is struggling. How do I know if this is the right fit?

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The best way is usually just to talk it through. Every child and every situation is different, so a quick consultation call lets us figure out together whether my approach makes sense for what your family is dealing with right now.

What should I expect during our first meeting?

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Our first meeting is really about getting to know you and hearing from you about what you're struggling with. From there, we'll decide together what we want to work on, and I'll make recommendations about the approach we should take. But really, our first session is about getting to know you.

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