Conditions we treat
OCD treatment
Evaluation and medication management for OCD. Treatment starts with understanding what you're experiencing, how it's affecting daily life, and what else may be contributing before deciding what treatment makes sense. Care is coordinated with your ERP therapist when you have one.
First visit: 60 minutes, $400. Telehealth from anywhere in Oregon. No referral needed.
Book a first visitMeredith personally reviews every appointment request and confirms within one business day.
If this sounds familiar
Intrusive thoughts, rituals or compulsions, repeated checking, or the need for certainty may be affecting school, work, relationships, routines, or daily life. Maybe OCD has already been diagnosed, maybe it has only been suspected, or maybe treatment so far has left more questions than answers.
Meredith starts with a careful look at the symptoms, their history, and how they show up across daily life.
Common ways OCD shows up
A few of the patterns we see most, not a complete list and not a checklist you need to match.
Contamination and cleaning OCD
Intrusive thoughts about germs, disease, or contamination; compulsive washing, cleaning, avoiding. The most recognizable form of OCD, but only one of many presentations.
Harm OCD and intrusive thoughts
Unwanted, disturbing thoughts about harming yourself or someone else, thoughts that are deeply distressing precisely because they are not what you actually want. Often missed. Often carried in silence out of shame.
Relationship OCD, scrupulosity, and other themes
Obsessive doubt about your relationship, your faith, your identity, your decisions. The content varies, but the mechanism is the same: intrusive thoughts, compulsive checking or reassurance-seeking, never being able to rest in certainty.
Pure-O and mental compulsions
OCD that is primarily internal (mental reviewing, rumination, mental reassurance-seeking), with few or no visible behavioral compulsions. Often missed because it doesn't look like the stereotype.
OCD with co-occurring conditions
OCD commonly co-occurs with depression, generalized anxiety, panic disorder, and trauma history.
How we approach OCD treatment
Your first visit is 60 minutes. Meredith will ask about the obsessions and compulsions, what themes come up, how they've changed over time, what you've tried, and what's going on around the OCD. She'll also ask what you can't always share easily: the intrusive thoughts that carry shame. This is a place where you can say them out loud.
When medication is appropriate, Meredith explains why a particular medication is being recommended, what to expect, what to watch for, and how long a fair trial takes before judging the response. Adequate medication trials for OCD can take longer than people expect, and dosing is individualized; those specifics are part of the conversation from the start.
Many people with OCD work with an ERP (Exposure and Response Prevention) therapist alongside medication management. If you have an ERP therapist and would like them included, Meredith coordinates with them with your consent. If you don't, she can help you find one.
Pricing and logistics
First visit: 60 minutes, $400
Follow-up: 30 minutes, $250
Extended follow-up: 60 minutes, $375 (when you want more time)
Insurance: We are out-of-network with all insurance plans. Superbills are provided (upon request) for possible out-of-network reimbursement on commercial plans. We are not able to see Medicare or Medicaid (Oregon Health Plan, or OHP) members, and we screen for this at intake so eligibility is clear before care begins.
Format: Visits are by video, from anywhere in Oregon. In certain circumstances a face-to-face visit may be necessary.
No referral needed. Book directly.
Questions about OCD treatment
I've tried SSRIs and they didn't work. Are there other options?
Will you coordinate with my ERP therapist?
Can I do this without therapy?
I'm embarrassed about the thoughts I have. Do I have to share them?
How long before I'll know if medication is working?
Your provider
Meredith Galvin is a board-certified psychiatric nurse practitioner (PMHNP-BC). She came to prescribing after thirteen years in social work and ten years in psychiatric nursing, including work as a charge nurse, conducting emergency psychiatric assessments at Duke Regional Hospital, and providing home health care. That background is why she looks beyond the symptoms themselves and considers the stress, life circumstances, relationships, and other factors that may be contributing to OCD symptoms.
A prescriber who understands OCD.
If you've been looking for a prescriber who understands this condition and will coordinate with your therapist, we'd like to meet you.
Meredith personally reviews every appointment request and confirms within one business day.