OCD & ERP THERAPY IN LAFAYETTE, LOUISIANA
Evidence‑based help for obsessive‑compulsive disorder with the KDH Counseling team. In‑person in Lafayette and telehealth across Louisiana.
If you live with obsessive‑compulsive disorder (OCD), your brain won’t stop serving up “what if?” thoughts about harm, contamination, morality, health, or a million other themes. The anxiety can be crushing. Compulsions (checking, washing, repeating, seeking reassurance, mental reviewing) bring brief relief but lock you deeper into the cycle. You’re not broken, and you’re not alone. With the right treatment, OCD is treatable.
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WHY ERP WORKS
Exposure and Response Prevention (ERP)
is the gold‑standard psychotherapy for OCD. You gradually practice facing triggers (exposure) while not doing rituals (response prevention). This teaches your brain a new lesson: I can handle this without compulsions. Over time, anxiety drops, confidence rises, and life expands.At KDH Counseling, ERP is:
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Collaborative: We build your plan together and move at a doable pace.
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Measured: We set clear goals and track progress session by session.
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Skill‑based: We add tools from ACT/DBT for emotion regulation and values‑driven action.
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Trauma‑informed: We respect your history and nervous system while staying true to ERP.
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Coordinated: When helpful, we coordinate with our psychiatric medication provider and your primary care/psychiatrist.
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OUR PROCESS (WHAT TO EXPECT)
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Intake & Mapping (Week 1–2): We clarify your OCD patterns, avoidance, and compulsions; establish your goals.
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Personalized ERP Plan: You get a stepwise exposure plan tailored to your themes and life.
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Active ERP Sessions: In session and between sessions, you practice exposures with coaching and support.
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Family & Partner Involvement (as desired): Reduce accommodation and build supportive rhythms at home.
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Maintenance & Relapse Prevention: We consolidate gains and design an ongoing toolkit you can return to anytime.
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COMMON OCD THEMES WE TREAT
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Health anxiety & somatic preoccupation
- Pedophilia OCD
If your theme isn’t listed, we can still help. OCD is a shape‑shifter, what matters is the process, not the content.
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WHO WE HELP
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Adults seeking focused, effective treatment for OCD
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College students & working professionals balancing treatment with real life
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Clients who’ve tried therapy before and want a structured, evidence‑based approach
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Louisiana residents (telehealth available statewide)
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MEET OUR OCD TEAM
KD Holmes, MS, LPC leads OCD and ERP services at KDH Counseling in Lafayette, LA. Our collaborative team includes Isla Turner, MS, LPC BIPOC BTTI trained and Ashley Rush, MS, PLPC trained in ERP and related approaches. We also offer psychiatric medication management, and psychological evaluations via our in‑house testing service.
Psychological Evaluations: Led by Dr. Rick Perkins, PhD (in‑house psychologist) -brief and comprehensive evaluations for Adult ADHD and Adult Autism with written reports and clinical recommendations.
Ongoing Therapeutic Support: After evaluation, clients can continue with the KDH Counseling team for ERP, DBT/ACT‑informed skills, and medication management as needed.

KD HOLMES, MS, LPC
EMDR CERTIFIED, BTTI TRAINED
KD specializes in OCD, Trauma, Anxiety Disorders, Phobias, and Overachieving as they present in ADHD and Atypical Autism in Lafayette, La.

ISLA TURNER, MS, LPC
EMDR TRAINED, BTTI TRAINED
Isla specializes in OCD, Trauma, Anxiety Disorders, ADHD, and Adult Diagnosed Autism in Lafayette, La.

AHSLEY RUSH, MS, PLPC
Ashley specializes in OCD, BFRBs, Phobias, and Anxiety in Lafayette, La.
Fees, Insurance, & Scheduling
Isla is in‑network with BCBS, United Health Care, and UMR and we all offer private‑pay options. Our team can verify your benefits and provide a cost estimate before you begin. We also accept HSA/FSA.
FREQUENTLY ASKED QUESTIONS
ERP is a structured therapy that helps you face triggers without rituals so your brain learns new safety signals. Many clients notice change within 4–6 weeks; full courses often run 12–20+ sessions depending on severity.
Yes. Intrusive thoughts of any content respond to the same process. We treat the pattern (obsessions → anxiety → compulsions), not the content.
No. ERP is collaborative and paced. We start with doable steps and build confidence.
For some clients, yes. We can coordinate with your prescriber or our in‑house medical provider to discuss options.
Yes. We provide secure telehealth for Louisiana residents when clinically appropriate.
Yes. ERP is an active, skills‑based treatment specifically designed for OCD. Many clients who didn’t improve in supportive therapy make strong gains with ERP.
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Understanding Harm OCD and Finding Your Way Back to Yourself
Jun 5, 2025 by KD HOLMES, LPC, EMDR CERTIFIED, BTTI TRAINED
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When Clean Doesn’t Feel Clean: Changing Contamination OCD Through ERP
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When Certainty Becomes a Cage: Religious OCD (Scrupulosity) and ERP Treatment
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