OCD Evaluations

Obsessive-Compulsive Experiences

Some brains get sticky.
Some brains get loud.
Some brains get very, very good at noticing uncertainty, responsibility, and “what ifs” and then refuse to let go.

An obsessive compulsive disorder evaluation helps us understand whether intrusive thoughts, urges, mental rituals, or “not just right” sensations are taking up more space and energy than you want them to.

This is not about judging your thoughts or deciding whether fears are logical (OCD does not run on logic). Instead, we look at how your brain processes uncertainty, threat, meaning, and control, and how that impacts your daily life.

Our Neuroaffirming Approach to OCD Assessments

For some, the diagnostic process is about more than just answers—it's about being truly seen and heard. Sharing your story can be a deeply healing experience, especially if you've been through non-affirming assessments in the past. Should you discover you're OCD, we'll explore next steps, resources, and strategies to help you embrace this new chapter with confidence and self-understanding.

  • This assessment helps clarify:

    • What is OCD

    • What is neurodivergence

    • What is ‘you’

    • Where support, not suppression, can help

    If your brain feels bossy, sticky, or endlessly demanding reassurance, and you are tired of negotiating with it, this assessment can offer clarity, relief, and a way forward that respects who you are.

    • OCD-only assessment typically includes 2 to 3 sessions

    • OCD add-on typically includes 1 to 2 additional sessions added onto the evaluation you choose

    • Each session is usually about 2 hours long

    • Sessions are paced with attention to cognitive load, sensory needs, and burnout rather than endurance.

    Assessment options and formats:

    • Completed as a stand-alone OCD evaluation

    • Added on to another evaluation such as autism, ADHD, or a broader diagnostic assessment

  • We use collaborative, neurodivergent-affirming interviews alongside validated tools to understand how OCD shows up in your specific brain.

    • In-depth clinical interview

    • OCD-focused interviews and measures include the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) for all participants. Additional measures are used as clinically indicated and may include:

      • DIAMOND semi structured interview OCD section

      • Inferential Confusion Questionnaire

      • Reassurance Seeking Questionnaire

      • Significance of Thought Scale

    • Additional OCD measures may be used depending on what is endorsed, including tools that explore:

      • Specific obsessional themes and compulsions

      • Relationship focused OCD

      • Partner related OCD

      • Not just right and sensory driven experiences

      • Measures may include DOCS SF, PROCSI, ROCI, and NJRE QR

    • Screeners for common co-occurring experiences, including:

      • Anxiety

      • ADHD

      • Autism

      • Trauma patterns

      • Sensory sensitivities

    • There is intentional space for:

      • Talking about intrusive thoughts without moral judgment

      • Naming mental compulsions, rumination, reassurance seeking, and
        internal checking

      • Exploring overlap with perfectionism, masking, justice sensitivity, PDA, and sensory processing

      • Sharing thoughts you usually keep to yourself because they sound weird, scary, or “what if this means something about me?” (it does not).

  • A written report that includes:

    • Relevant background and developmental context

    • Clear interpretation of results without pathologizing language

    • Practical, affirming recommendations and resources

    • A feedback session to review results together, answer lingering questions and discuss next steps that actually fit your brain and your life

Start Your Evaluation
Ready to move forward? Click the button below to complete the evaluation screening form (~15 mins), learn about the process, and get started today.


(You’ll still have the option to ask questions or book a consult if needed.)

Let's Do This!

Talk It Through First
Not sure yet? Click the button below and fill out the “contact us” form at the bottom of the page to book a free 15 minute consultation to ask questions, and make sure this is the right fit.

Schedule a Free Consultation