Home / Las Colinas, TX / Specialized OCD Treatment
Las Colinas is the corporate-relocation capital of North Texas. Fortune 500 headquarters, regional offices for ExxonMobil, McKesson, Kimberly-Clark, Vizient, Pioneer Natural Resources, Caterpillar Financial, and dozens of others cluster within a few miles of our clinic. Many residents are corporate transferees building a life here for the first time, often while continuing to manage international family and professional ties. Our clinic was built around that reality—open Monday through Friday from 6:00 AM to 9:00 PM and Saturday from 7:00 AM to 7:00 PM, with same-week appointments so OCD treatment fits around business travel, time-zone-spanning calls, and the demands of corporate life.
Our location at 1507 LBJ Freeway, Suite 750 technically sits just over the line in Farmers Branch (75234), but it serves the Las Colinas/Irving corridor and is immediately accessible from I-635 (LBJ Freeway), the President George Bush Turnpike, and SH-114. Patients coming from Las Colinas, Irving, Coppell, Carrollton, Addison, Grapevine, Euless, and the surrounding Mid-Cities can typically reach us in 15 to 20 minutes—and DFW Airport is less than 15 minutes away for patients flying in for care.
OCD is a neurobiological disorder that affects people everywhere, but the way it expresses itself is shaped by environment. In a corporate hub like Las Colinas, we see certain patterns more often than we do elsewhere, and naming them helps people recognize what’s happening:
Work-focused perfectionism and checking. Many of our Las Colinas patients describe compulsive rechecking of emails before they go out, reviewing reports or spreadsheets dozens of times for errors that aren’t there, or rereading sent messages for hours to look for tone problems. This isn’t conscientiousness; it’s a clinical pattern that responds to ERP.
Scrupulosity around professional ethics. For patients in finance, compliance, healthcare, legal, or engineering roles, OCD can latch onto ethical concerns—did I disclose that correctly, did I document it properly, what if I unintentionally violated a policy. The compulsive review can consume hours and rarely produces the reassurance OCD demands.
Intrusive thoughts about job loss or visa status. Corporate transferees and H-1B workers often experience intrusive thoughts about being terminated, failing a performance review, or losing immigration status. These are common in this community, and the underlying OCD pattern responds to treatment even when some of the practical concerns are real.
Travel-related contamination concerns. Living and working next to DFW Airport, many of our patients fly weekly. For patients with contamination-focused OCD, airports, hotel rooms, rental cars, and shared business spaces become a constant low-grade trigger. We build ERP plans that work alongside, not around, travel schedules.
Family-focused intrusive thoughts. Professionals splitting attention between demanding careers and family life sometimes experience intrusive thoughts about harm coming to their children or about failing as a parent. These are deeply distressing, very common, and very responsive to treatment.
None of these patterns mean something is wrong with you or with corporate life in Las Colinas. They mean OCD takes the shape of whatever a person cares most about. ERP works on all of these subtypes.
Las Colinas is a community where colleagues often share insurance networks, clinics, and even calendars. Concerns about confidentiality are legitimate and common, and we take them seriously. Mental health treatment records are protected by HIPAA, and your employer cannot access them without your written authorization. We work to make care as discreet as possible: extended hours that don’t require explaining absences to your team, appointment times that fit before-work or after-work routines, and clear conversations about what is and isn’t shared with anyone.
For corporate transferees and international professionals, we also recognize that continuity of care matters. We can coordinate with prior providers, support documentation needs that sometimes arise with relocation, and approach cultural and language differences with respect rather than assumption.
OCD affects individuals across all ages, and our treatment approaches are designed to address the specific challenges faced by both adults and teens. Recognizing that OCD symptoms can vary widely, our clinicians work closely with each person to develop strategies that fit their lifestyle and developmental stage. For teens across Irving ISD, Coppell ISD, Carrollton-Farmers Branch ISD, and surrounding districts—and for college students at UT Dallas, UNT Dallas, UTA, and SMU—treatment often includes family involvement and coordination with school counselors. Adults may focus on managing OCD alongside demanding professional roles, frequent travel, or the adjustments that come with corporate relocation.
Our trauma-informed approach means we recognize that many people with OCD have experienced events that shape how they respond to anxiety, uncertainty, and distress. We take care to build safety and trust from the first session, move at a pace that respects your nervous system, and clearly explain every step of treatment so nothing feels coercive or surprising. ERP, in particular, is delivered collaboratively—you are always in control of what exposures you take on and when.
In-person appointments in Las Colinas provide a valuable opportunity for direct interaction with experienced clinicians who specialize in OCD. Whether you are commuting from Irving, Coppell, Carrollton, Addison, Grapevine, or elsewhere across the Mid-Cities, these sessions allow for thorough assessments, personalized therapy, and real-time adjustments to treatment strategies. Being physically present in a therapeutic setting can enhance the connection between patient and provider, fostering trust and open communication.
During in-person visits, clinicians can observe subtle behaviors and emotional responses that might be missed in virtual settings. This hands-on approach is especially beneficial for ERP therapy, where guidance and encouragement during exposure exercises can make a significant difference. Additionally, in-person care facilitates immediate support during challenging moments, helping patients build confidence and coping skills more effectively.
OCD is a complex mental health condition characterized by persistent, unwanted thoughts and repetitive behaviors. Understanding the nature of OCD is essential for effective treatment and compassionate support. It is important to recognize that OCD is not a reflection of personal weakness or character flaws but a neurobiological disorder that affects brain function and behavior.
Education about OCD helps reduce stigma and empowers individuals and their loved ones to approach the condition with empathy and patience. By learning about the specific symptoms and how they manifest, people can better identify when to seek professional help and what to expect from treatment.
Obsessions are intrusive, distressing thoughts, images, or urges that repeatedly enter the mind. These thoughts are often unwanted and cause significant anxiety or discomfort. Common obsessions include fears of contamination, worries about harm coming to oneself or others, or intrusive doubts about safety and morality.
Compulsions are repetitive behaviors or mental acts performed in response to obsessions, aimed at reducing anxiety or preventing feared outcomes. These actions can include excessive hand washing, checking locks or appliances, counting, or repeating phrases silently. While compulsions may provide temporary relief, they often reinforce the cycle of OCD and increase distress over time.
OCD presents in various forms, and recognizing common subtypes can help tailor treatment approaches. Some individuals experience contamination fears leading to cleaning compulsions, while others may have symmetry obsessions that drive ordering and arranging behaviors. Harm-related obsessions might result in checking rituals, and taboo thoughts can cause mental compulsions such as praying or repeating words silently.
Understanding these subtypes allows our clinicians in Las Colinas, TX to develop targeted interventions that address the specific patterns of OCD symptoms. This nuanced approach improves treatment outcomes by focusing on the most distressing and impairing aspects of the disorder for each person.
Living in North Texas creates conditions that can interact with OCD symptoms in ways patients in other regions don’t experience. We’ve noticed several patterns worth naming, because patients are often relieved to learn they aren’t imagining the connection:
Spring severe weather and harm/checking OCD. March through June brings tornadoes, hail, and severe storms that hit the DFW Metroplex hard. For patients with harm-related obsessions, watch boxes and warnings drive sharp spikes in checking behavior—weather apps, family member locations, safe rooms, shelter plans. We work with patients each spring to build coping strategies before the season starts.
Winter storms and “what if the power goes out” obsessions. Since the February 2021 winter storm and grid failure, many North Texas patients with harm-OCD now experience symptom flares during winter weather forecasts that would have been unremarkable before. Checking heaters, pipes, water supplies, and elderly relatives can become compulsive in ways that didn’t exist before Uri.
Summer heat and contamination concerns. North Texas summers are long and hot, which can intensify contamination-focused OCD around sweating, public spaces, and surface cleanliness—especially for patients who travel frequently and pass through airports, hotels, and rental cars regularly.
Our clinic in Las Colinas offers a comprehensive range of treatments designed to address OCD from multiple angles. We combine evidence-based psychotherapy, medication management, and advanced neuromodulation to provide holistic care. Our goal is to reduce symptoms, improve functioning, and enhance quality of life through approaches tailored to each individual.
We understand that OCD treatment is not one-size-fits-all. Some patients respond well to medication, others benefit most from therapy, and many find the greatest relief through a combination of both. Our experienced team works closely with patients to identify the most effective treatment plan and adjust it as needed over time.
Exposure and Response Prevention (ERP) is the gold-standard psychotherapy for OCD and the most evidence-based treatment available. ERP works by gradually exposing you to the thoughts, situations, or images that trigger your obsessions—while supporting you in resisting the compulsive behaviors you would normally use to reduce the anxiety. Over time, your brain learns that the feared outcome doesn’t occur and that anxiety naturally decreases on its own, which weakens the OCD cycle at its source.
One of the advantages of doing ERP locally is that exposures can be built around real places you actually encounter. Depending on the subtype, that might mean graduated contamination exposures at Toyota Music Factory, the Music Factory restaurants, or the Mandalay Canals area, harm-related driving exposures on I-635, the President George Bush Turnpike, or SH-114, social exposures at busy restaurants around Las Colinas Urban Center or Williams Square, or travel-anxiety exposures at DFW Airport itself for patients whose OCD centers on flying or business travel. For work-focused OCD, exposures often involve sending emails without re-reading them, leaving small typos in low-stakes documents, or closing a project without a final compulsive check. For students at UT Dallas, UTA, or SMU, exposures often involve campus libraries, exam settings, and graded assignments. The goal is for OCD to lose its grip on the places and routines you actually live in, not just on a sterile clinic room.
ERP is delivered by trained specialists who understand that exposure work can feel intimidating at first. We collaborate with you to build a personalized hierarchy, starting with manageable challenges and progressing at a pace that respects your readiness. For teens, we often coach parents on how to respond to OCD symptoms at home so that family accommodation doesn’t unintentionally reinforce the disorder. Most patients begin to notice meaningful improvement within 12 to 20 sessions, though treatment length varies based on symptom severity and subtype.
Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed medications for OCD and have been shown to reduce symptoms by altering brain chemistry related to mood and anxiety regulation. Clomipramine, a tricyclic antidepressant, is another effective option that has been used for decades to treat OCD. Both types of medication can help decrease the intensity of obsessions and compulsions, making therapy more manageable.
Our medication management services in Las Colinas are led by our psychiatric nurse practitioners Andrea Montes, PMHNP, and Najah Syed, PMHNP, who oversee careful monitoring of dosage, side effects, and overall effectiveness. We prioritize patient safety and work collaboratively to find the right medication regimen. Regular follow-ups ensure that adjustments can be made promptly to optimize treatment outcomes. (For more detail on what to expect from medication, including when it helps most and how we monitor side effects, see the Medication for OCD section below.)
Transcranial magnetic stimulation (TMS) is a non-invasive, FDA-approved treatment for OCD that uses magnetic fields to stimulate specific areas of the brain involved in obsessive-compulsive symptoms. TMS is particularly beneficial for individuals who have not responded adequately to medication or therapy alone.
In Las Colinas, we offer TMS as part of our comprehensive OCD treatment options. Easily accessible from I-635, the President George Bush Turnpike, or SH-114, and just minutes from DFW Airport, the procedure is typically well-tolerated, with minimal side effects, and can lead to significant symptom reduction. TMS sessions are conducted in a comfortable clinical setting, and treatment plans are customized based on individual needs and response patterns.
Our Las Colinas clinic is led by two psychiatric nurse practitioners with training in mood, anxiety, and obsessive-compulsive disorders:
Andrea Montes, PMHNP — Psychiatric Nurse Practitioner. View profile.
Najah Syed, PMHNP — Psychiatric Nurse Practitioner. View profile.
Our Las Colinas team takes a patient-first approach grounded in evidence-based practice: treatment plans built around your specific OCD subtype, transparent conversations about what each option can and can’t do, and measurable progress tracked over time. With same-week appointments, extended hours, and a location that fits the realities of corporate North Dallas life, we’re committed to delivering specialty OCD care that’s both rigorous and genuinely accessible.
Starting OCD treatment can feel daunting, but your first visit in Las Colinas is designed to be welcoming, thorough, and informative. We take the time to understand your unique experience with OCD, your goals, and any concerns you may have. Most first appointments run 60 to 90 minutes—long enough to actually hear your story, not just check boxes. This initial step lays the foundation for a collaborative and effective treatment journey.
Our clinicians approach the evaluation with empathy and clinical expertise, ensuring that you feel heard and supported. We recognize that each person’s story is different, and we tailor our assessment to capture the full picture of your symptoms and their impact on your life.
The comprehensive evaluation includes a detailed clinical interview, standardized assessments, and, when appropriate, input from family members or other healthcare providers. This process helps identify the severity of OCD symptoms, co-occurring conditions, and any factors that may influence treatment planning.
We also explore your history with OCD, previous treatments, and your current coping strategies. This information guides us in developing a personalized approach that addresses your specific challenges and strengths.
Following the evaluation, we collaborate with you to create a personalized treatment plan that aligns with your needs and preferences. This plan outlines the recommended therapies, medication options, and any additional supports that may be beneficial. Setting clear, achievable goals is a key part of this process, helping you track progress and stay motivated.
We encourage open communication and ongoing feedback to ensure that your treatment remains responsive to your evolving needs. Our team is committed to partnering with you to foster hope, resilience, and meaningful change.
Medication can be a valuable component of OCD treatment, but it is important to understand when it is most helpful and how to manage it safely. In Las Colinas, we provide expert guidance on the use of medications to complement therapeutic interventions and support symptom relief.
We emphasize a balanced approach that considers the benefits and limitations of medication, empowering you to make informed decisions about your care. Our goal is to optimize treatment effectiveness while minimizing potential risks.
Medication can significantly reduce OCD symptoms for many individuals, especially when combined with ERP therapy. SSRIs and clomipramine often help decrease the intensity of obsessions and compulsions, making it easier to engage in behavioral treatments. However, medication is not a cure and may not fully eliminate symptoms for everyone.
Some people may experience limited benefit or intolerable side effects, prompting consideration of alternative or adjunctive treatments such as TMS or intensified therapy. Our clinicians work closely with patients to evaluate medication effectiveness and make adjustments as needed, ensuring that treatment remains responsive and supportive.
All medications carry the potential for side effects, and our providers prioritize safety through careful monitoring and patient education. Common side effects of SSRIs may include nausea, headache, or changes in sleep patterns, while clomipramine can sometimes cause dry mouth or dizziness. Most side effects are manageable and often diminish over time.
Regular follow-up appointments allow clinicians to assess how you are tolerating medication and to make dosage adjustments or switch medications if necessary. Providers also screen for any interactions with other medications or health conditions to ensure safe use. This vigilant approach helps maintain your safety and comfort throughout treatment.
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