Sandra Puckett, LPC, LBS

Specialized Care for Complex OCD and Complex Cases

If you are navigating complex OCD, severe Emetophobia, or the intersection of trauma and mood disorders, you know that standard talk therapy often isn’t enough. When your intrusive thoughts feel high-stakes and avoidance cycles feel unbreakable, you need a specialized clinical road map.

My practice provides targeted, evidence-based care for cases that require a higher level of expertise. Because our thoughts, feelings, and physical sensations are all connected, we work to change how you process the "threat" so you can finally reclaim your life.

How I Help: The Clinical Toolkit

A Specialized Way to Heal

As both a licensed counselor and a behavior specialist, I bridge the gap between behavioral science and deep clinical counseling. We don't just wait for the fear to fade; we use high-level tools to change your relationship with the distress itself.

  • Integrated ERP: This is the gold standard for high-acuity OCD and Emetophobia. We safely face your triggers until they lose their power over your daily life.

  • Trauma Support (PE & CPT): If past trauma is fueling your rituals today, we use proven methods to process those memories so the past no longer controls your present.

  • Complex Mood Support: I provide an integrated approach for those managing OCD alongside Bipolar Disorder or Depression, ensuring your treatment stays stable and safe.

What to Expect

Active Therapy, Real Connection Therapy here is about doing as much as talking. We will work as a specialized team to map out the patterns that keep you stuck. Together, we’ll build a sophisticated toolkit you can use to navigate life’s most intense challenges.

I believe real healing happens when you feel clinically safe and personally understood. My practice is built on a foundation of empathy and a strict no-judgment policy. While we do serious and transformative work, I also believe that joy, laughter, and authentic human connection are essential parts of the process.