Trauma and OCD Therapist in Washington
The overthinker’s therapist in Washington, helping you learn to quiet your mind.
Are you tired and wishing you could get your mind to stop overthinking and ruminating?
The constant thinking feels like it has a purpose sometimes but it also exhausts you. You just to enjoy time with your friends and family.
I specialize in overthinking therapy. I help you identify the root of the overthinking and use evidence based OCD and trauma therapy approaches to help you quiet your mind. As an anxiety, trauma, or OCD therapist in Washington, I get how debilitating overthinking feels.
Your OCD and Trauma therapist in Washington. I help you learn how to quiet your overthinking.
Is your mind stuck on repeat, replaying and re-replaying things that should be settled by now?
You are an intelligent person, sometimes it seems like your mind works differently than others. That might feel like a superpower at times. Other times you spend hours of circling the same thoughts, overthinking, convinced that if you just think it through one more time, you’ll finally land somewhere solid. You don’t.
I’m Stephanie Winfrey, a Licensed Clinical Social Worker specializing in rumination and overthinking. I’m a Trauma & OCD therapist in Washington, also specializing in ROCD, anxiety, and depression, providing virtual therapy to adults across Washington state, including Vancouver and the surrounding area.
Here is how I can help
Overthinking (also called worrying, overanalyzing) — getting stuck on a thought, situation, or hypothetical future, unable to look past the worst-case version of it. The spiral feels like it has its own momentum once it starts. Often connected to trauma or OCD.
Relationship doubt — a running undercurrent of questioning: your partner, the relationship, yourself in it — with no actual evidence anything is wrong. Usually shows up alongside overthinking, and can point to relationship OCD (ROCD) or trauma.
Rumination — getting pulled backward instead of forward: re-running conversations, second-guessing what you said or did, searching for the moment you went wrong. Can be tied to depression, trauma, or OCD.
Sifting the sands (also called mental checking) — mentally re-scanning your memory or past experien
"I have lived with OCD and know how lonely and isolating it feels." - Stephanie
For years, I practiced with only treating PTSD and Complex PTSD, trauma. 10+ years later, I still treat and love working with those recovering from trauma.
Along the way, I realized that OCD is often a missed or untreated diagnosis. This matters because OCD can perpetuate and worsen with traditional, therapeutic techniques.
Most of the people I work with don’t know they have OCD. They know they experience anxiety, shame, guilt, and doubt, but never thought of it as a part of the OCD loop.
The way we see OCD on TV isn’t how I see it in most of my patients lives. You may not know rumination is a part of OCD, too. Or that replaying conversations over and over, and playing out fake arguments in your mind can also be a part of OCD.
As a Trauma & OCD therapist in Washington also trained in trauma treatment, I will help you find the right treatment to improve your life.
You're in the right spot if...
- You analyze or try to solve your thoughts.
- You are an overachiever and you’re sick of your own shit.
- People pleasing is burning you out.
- You have googled “how to stop rumination”.
- You read Reddit and Google looking for ways to stop overthinking.
- You look fine to everyone around you but feel anxious and exhausted by constant thoughts.
- You obsess over your relationship(s), looking for proof things are ok or signs they are not ok.
Here's how this works:
1. Reach out
Click here to check availability to schedule a consultation.
2. We talk
Use the consultation to explore what working with me is like and evaluate if I am a good fit.
3. We start
Sessions built around your specific patterns, not a generic template.
1:1 Individual Therapy
45 – 55 minute sessions
In our sessions, I start by assessing what’s bringing you into therapy and help you identify your goals. Basically: what’s got you here, and what do you want to happen by being here? I use what you share to develop treatment goals that are tailored to you.
Then we move into the nitty gritty. This is where I draw on evidence-based treatments to help you calm racing thoughts, break out of overthinking, rumination, and other patterns that aren’t serving you.
Throughout treatment, I take an educational approach…because if you’re anything like me, you want to understand why it’s happening in the first place.
Let’s get nerdier for a bit and talk about modalities. I am trained in the gold standard for OCD treatment, ERP. And utilize Inference-based CBT (I-CBT) as needed. For trauma treatment, including complex trauma (C-PTSD) and PTSD, I draw from CBT based therapies such as DBT and CPT. When needed, I use EMDR. All treatment approaches are based on you.
That’s all it takes to start feeling like yourself again.
Trauma & OCD Therapist in Washington state — OCD & Trauma Therapy in Washington
FAQ's
Is replaying conversations a sign of OCD?
Yes, being stuck replaying a conversation or event over and over in your mind can be a symptom of OCD.
What is ROCD?
ROCD is relationship OCD that attaches to relationships in your life. This can be intimate, familial, working, or friendships. It can cause avoidance, assurance seeking, rumination, and replaying to name a few.
What is ERP therapy?
ERP therapy is Exposure and Response Prevention. According to the IOCDF, “a specialized form of Cognitive Behavioral Therapy (CBT) and the gold-standard psychological treatment for obsessive-compulsive disorder (OCD).”
How much is therapy?
$200 for a 45-55 minute session. I accept HSA, FSA, or credit cards.
I am not in-network with insurance. If you want to file out-of-network benefits with your insurance, I can provide a superbill to file after session.
Why do I always need reassurance from my partner?
Reassurance seeking can happen in any relationship, not just intimate partner.
It is an attempt to quiet the doubt in your mind about your relationship. Typically nothing precipitates the doubt. You could even have a great time together, then doubt hits.
Reassurance may quiet the mind momentarily, but over time you need more. If you are ready to learn how to quiet your mind without reassurance, schedule a free consultation.
Is relationship OCD (ROCD) real?
Yes, ROCD is real.
ROCD is relationship OCD that attaches to relationships in your life. This can be intimate, familial, working, or friendships. It is often rooted in a need for certainty without tolerance for doubt. It can cause avoidance, assurance seeking, rumination, and replaying to name a few.
Can I get OCD therapy via telehealth in Washington?
Yes, telehealth/virtual therapy is a very effective way of receiving treatment for OCD.
What is trauma therapy?
Trauma therapy is therapy that is based on your needs. It starts where you are ready and follows the treatment plan we put together.
I am trained in EMDR, DBT, CPT, and CBT for best treatment outcomes. Once we meet, you are educated about each modality and empowered to choose what you feel comfortable with starting.
Do you see patients in Washington?
Yes, I see patients located in the Seattle metro, Vancouver, and throughout the state of Washignton virtually.
Are you accepting patients in Washington?
Yes, I am accepting patients and I am licensed to see patients in both Oklahoma and Washington.
Do you take insurance?
I accept private pay or out of network benefits (OON), flexible spending accounts (FSA), and health savings accounts (HSA). Being out of network increases your privacy, confidentiality, and my flexibility.
Most insurance policies offer out of network benefits (OON). If you are curious if your insurance offers OON, contact your insurance for benefits available for OON treatment codes 90837 or 90834.
Not sure if this is right for you?
The best way to know is to schedule a free consultation. In that call, you can ask me questions to better understand my therapeutic process and explore what working together will look like.
Maybe you don’t have OCD or trauma, but you being here reading tells me something is striking a chord with you. Feel free to reach out!