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Qualified and Registered Psychotherapist
Online OCD and Anxiety Therapy UK-Wide
Confidential, non-judgemental, online therapy wherever you are in the UK
Evidence Based Inference-based Cognitive Behavioural Therapy for OCD
Whatever your OCD theme or themes are, they are all treated in the same way in therapy.
I-CBT focuses on the thinking process, not the content of your thoughts and doubts
Your are Not your thoughts
Break the OCD Cycle
(Online Confidential, Consultation. No pressure. No obligation)
How to break free from the OCD CYCLE
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You're not alone.
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We understand OCD.
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OCD plays tricks on us.
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We know OCD doubts and thoughts do not reflect your real authentic self no matter how much OCD tries to convince you otherwise. You are not your thoughts.
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You do not need a medical diagnosis to have therapy.
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It is possible to break free from OCD.
You probably know yourself OCD can show up in different ways. Some people experience several different types or themes, for example, Harm OCD and Responsibility OCD. You might experience one or more particularly sticky, fixed theme that may have been around for years, even decades. Many people with OCD do not reach out for support for many years, and research shows us this. We must bring OCD into the light, educate, show people that recovery is possible and provide effective therapy so people can break free from OCD and live a more fulfilling life.
Different types or themes of OCD - all treated in the same way in therapy
Harm OCD
Paedophilia OCD
Relationship OCD
Contamination OCD
Sexual Orientation OCD
Religious/Scrupulosity OCD
Responsibility OCD
Other obsessional themes
I-CBT offers another therapy option that does not involve exposure experiments and instead, focuses on resolving the faulty reasoning process which
leads to the obsessive doubts.
Is doubting affecting your life?
Do you find yourself going over and over possible scenarios, questioning your thoughts, values, motives, intent, doubting yourself and wondering,
'what if', and '
What if this means something?'.
Resolve the OCD Doubts
"I-CBT aims to bring resolution to obsessional doubts by teaching clients that obsessional doubts do not arise in the same way as normal doubts. Normal doubts come about for legitimate reasons, and are relevant to the here-and-now, whereas obsessional doubts never are" I-CBT Online
Do you get stuck trying to "figure it all out"?
You might doubt yourself, your memories, or your senses - getting caught in loops trying to find certainty and feel better.
But even when relief comes, it often doesn't last. The doubt returns.
OCD can be incredibly convincing!
It plays tricks on your mind - convincing you something is wrong, something needs resolving, or something bad will happen.
OCD pulls you into the 'OCD Bubble', away from your senses and into your imagination.
I-CBT for OCD
Inference-based cognitive
behavioural therapy
I-CBT (Inference based Cognitive Behavioural Therapy) is an evidence-based therapy specifically for people experiencing OCD. According to I-CBT, obsessional doubts arise from dysfunctional reasoning characterised by a tendency to distrust our senses and over-rely on our imagination.
Inference-Based Cognitive Behavioural Therapy (I-CBT) was developed in the 1990s by Canadian researchers Dr. Kieron O’Connor and Dr. Frederick Aardema. It was created as a structured therapy model based on their research into obsessional thinking and reasoning processes in OCD.
I-CBT offers another therapy option for OCD which focuses on the beginning of the doubt rather than focussing on the the behaviour in ERP. In I-CBT, we look at how the doubt is constructed and help you to resolve inferential confusion.
Today, I-CBT is used internationally and has gained growing interest among clinicians working with OCD. It is offered by NHS Scotland, but currently, not yet within NHS England/Wales. It is in its infancy here in England/Wales.
Currently, as of 2025, the recommended treatment in the NICE Guidance (National Institute for Health and Care Excellence) for OCD, followed by the NHS, is a combination of CBT and ERP (Exposure and Response Prevention). The Guidance was published in 2005.
I-CBT offers another therapy option that does not involve exposure experiments and instead, focuses on resolving the faulty reasoning process which leads to the obsessive doubts.
Transactional Analysis Psychotherapy and Mindfulness
Psychotherapy
As well as I-CBT, Step by Step Therapy supports clients experiencing a range of difficulties which predominantly include worry, overthinking, stress, fear, and relationship difficulties. Transactional Analysis Psychotherapy supported by Mindfulness supports clients to make positive changes to live a more fulfilling life in the here and now present moment.
Transactional Analysis Psychotherapy (TA) is a type of therapy that helps you understand the pattens in how you think, feel and relate to yourself, others and the world around you. It explores the ‘conversations’ you have both with yourself and in your relationships – looking at where those patterns come from, and how they might be shaped by past experiences.
TA can help you notice when you’re stuck in roles like always pleasing others, feeling like you’re not good enough, being overly critical of yourself. It gives you tools to change unhelpful patterns and relate to yourself and others in a more balanced way.
It is an active, practical approach that encourages self-awareness, choice and growth.
aboutus
Online Therapy using Zoom. Appointments available:
11am - 9pm, Monday - Thursday
**with some limited Friday morning appointments.
Step by Step Therapy brings personal lived experience of OCD as well as 18 years of professional experience in the mental health profession, including clinical mental health nursing experience in the NHS, four years of professional training in Psychotherapy
as well as training in I-CBT. Step by Step Therapy brings experience, knowledge, skills and a commitment
to working collaboratively with you on your goals.
Fees
20-30 minute Free (No Obligation)
Consultation
£55 per 1 hour therapy appointment.
Limited reduced-fee appointments
available - please contact to discuss.
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Step by Step Therapy