Currently accepting new clients in MA, CT & TX
Specialized Therapy for OCD, Anxiety Disorders & PTSD
When intrusive thoughts, anxiety, compulsions, avoidance, or the effects of traumatic events begin interfering with your life, specialized treatment can help. I will take time to understand what you are experiencing, and together we will develop a treatment plan based on your needs and goals.
Treatment includes Exposure and Response Prevention (ERP) for OCD, evidence-based cognitive-behavioral and exposure-based approaches for anxiety disorders, and Prolonged Exposure (PE) for PTSD.
20 years of behavioral health experience · English & Spanish · Telehealth for adults in MA, CT & TX
Free · 10 minutes · No obligation · English or Spanish
Lilyvette Perez, LMHC, LPC, NCC, BC-TMH
Licensed in Massachusetts, Connecticut, and Texas. You will work directly with me throughout your care.
Find the Support That Fits Your Needs
You do not need to know your diagnosis before reaching out. Assessment is part of our work together.
OCD & Intrusive Thoughts
Unwanted thoughts, persistent doubt, checking, reassurance seeking, avoidance, or mental rituals can begin taking up more time and energy than you would like.
In therapy, we will work to understand your individual OCD cycle and help you develop new ways of responding to intrusive thoughts, uncertainty, and urges to engage in compulsions.
Anxiety Disorders
Persistent worry, panic, fear of physical sensations, social anxiety, or avoidance can gradually interfere with everyday life.
As we work together, we will look at what is maintaining anxiety and develop more flexible ways of responding to fear and uncertainty.
PTSD & Traumatic Events
Following traumatic events, unwanted memories, heightened anxiety, avoidance, changes in mood, or feeling constantly alert can continue to affect daily life.
Our work can help you gradually reconnect with situations, activities, and areas of life that have become difficult.
How I work
I Start by Understanding You
The first two therapy sessions are dedicated to assessment. Before we begin exposure-based work, I take time to understand your symptoms, experiences, previous treatment, daily functioning, and what you would like to change.
From there, we develop your treatment plan together.
- 1Assess
- 2Understand the pattern
- 3Develop the plan together
- 4Begin treatment
- 5Review progress
For OCD, we identify your triggers, obsessions and intrusive thoughts, behavioral and mental compulsions, avoidance, reassurance seeking, and feared outcomes before collaboratively developing your exposure hierarchy.
Feared outcomes are what you worry could happen if you do not complete a compulsion or respond to the fear.
Exposure exercises are developed collaboratively and introduced intentionally based on your symptoms, treatment goals, and clinical needs. We will discuss what we are working on, why it may be helpful, and how it connects to your goals.
What I treat
OCD & Intrusive Thoughts
OCD can take many forms. Our work focuses on understanding your individual pattern of intrusive thoughts, obsessions, compulsions, avoidance, and reassurance seeking rather than simply focusing on the theme of a thought.
Anxiety disorders
Helping You Respond Differently to Anxiety
Anxiety is a normal human experience. Therapy may be helpful when worry, fear, physical sensations, or avoidance begin interfering with the way you want to live.
I begin by understanding how anxiety is affecting your life. Together, we identify patterns that may be maintaining anxiety and develop a plan for our work based on your needs and goals.
How treatment works
Three Evidence-Based Approaches
Exposure and Response Prevention (ERP)
ERP is an evidence-based treatment for OCD. Our work begins with assessment rather than immediately asking you to complete exposures.
Together, we identify your triggers, obsessions, compulsions, avoidance, reassurance seeking, and feared outcomes. We then collaboratively develop an individualized exposure hierarchy before beginning exposure exercises.
The goal is not to eliminate every intrusive thought or uncomfortable feeling. During sessions we work toward reducing compulsive responding and avoidance, and toward greater flexibility in how you respond, so that OCD has less influence over your choices and daily life.
Cognitive Behavioral & Exposure-Based Treatment
Our work is individualized and may include cognitive-behavioral strategies, psychoeducation, behavioral practice, and exposure to feared situations or physical sensations.
When exposure is appropriate, we develop exercises collaboratively and introduce them intentionally based on your symptoms, goals, and clinical needs.
The goal is not to eliminate anxiety. It is to help you respond differently so anxiety has less influence over how you live.
Prolonged Exposure (PE)
Prolonged Exposure is an evidence-based treatment developed specifically for PTSD.
Traumatic events can understandably lead people to avoid memories, emotions, situations, or reminders associated with what happened. Although avoidance may provide temporary relief, over time it can interfere with relationships, activities, and other important areas of life.
I begin with assessment, education about PTSD, and an understanding of how traumatic events are affecting your life. Together, we develop treatment goals and determine how to approach PE in a structured and collaborative way.
The goal is not to erase what happened or force you to forget it. Treatment is designed to help traumatic memories and reminders become less disruptive so you can reconnect with your life in meaningful ways.
Working together
What You Can Expect From Me
Clarity
I will explain what we are working on, why we are doing it, and how it connects to your goals.
Collaboration
Goals and decisions about our work are developed together.
Evidence-Based Care
Our work is guided by approaches appropriate to your symptoms and clinical needs.
Honesty
If I believe another provider or type of treatment would better meet your needs, I will be transparent about that.
Progress With Purpose
We will periodically review how our work is going and make adjustments when needed.
Treatment With a Clear Direction
Therapy should have a purpose. Together, we will establish goals and periodically review your symptoms and progress.
This helps us understand what is improving, where you may be getting stuck, and whether treatment needs to be adjusted.
- Clear goals
- Evidence-based treatment
- Ongoing progress review
About
Evidence-Based Care, Grounded in Collaboration
I bring 20 years of behavioral health experience to my work, including focused experience providing evidence-based treatment for OCD, anxiety disorders, and PTSD.
My approach is structured and evidence-based while also warm, individualized, and collaborative. I want you to understand what we are working on, why we are doing it, and how it connects to your goals.
You will work directly with me throughout your care—from assessment and treatment planning through active treatment and progress review.
Finding the right treatment matters. If my services do not appear to be the best fit for your needs, I will be transparent about that and, when possible, help you identify an appropriate next step.
Services are available in English and Spanish.
Licensure & credentials
My licenses and credentials may be independently verified through the appropriate licensing and credentialing organizations.
- MassachusettsLMHC #7005
Verify with the MA licensing board → - ConnecticutLPC #5924
Verify with CT eLicense → - TexasLPC-S #90269
Verify with Texas BHEC → - National Certified CounselorNCC #1180016
Verify with NBCC → - Board Certified in TeleMental HealthBC-TMH
Verify with CCE →
Services & fees
Understanding the Cost of Care
I believe you should have clear information about fees before beginning treatment.
| Service | Length | Fee |
|---|---|---|
| Consultation Call | 10 minutes | Free |
| Initial Intake Session | 53–60 minutes | $250 |
| Individual Therapy Session | 53–60 minutes | $210 |
A Good Faith Estimate is provided to self-pay clients as required by the No Surprises Act.
If cost is a concern, please feel comfortable bringing it up during your consultation. Questions about fees, insurance, and anticipated costs are a normal part of determining whether treatment is a good fit.
Insurance
Insurance
I currently accept:
- Aetna
- Anthem Blue Cross and Blue Shield
- Ascension (SmartHealth)
- Carelon Behavioral Health
- Cigna / Evernorth
- Point32Health
- Oscar Health
- Oxford
- UnitedHealthcare
Coverage and out-of-pocket costs vary by plan. I can help verify your benefits before treatment begins so you have a clearer understanding of your coverage.
Insurance participation and benefits vary by state, plan, and individual policy. Verification of benefits is not a guarantee of coverage or payment.
FAQ
Frequently Asked Questions
Do I need a diagnosis before contacting you?
No. Many people reach out because they suspect they may have OCD, an anxiety disorder, or PTSD but are not certain. Assessment is part of the treatment process.
When do exposures begin?
The first two sessions focus on assessment. For OCD, we then identify your OCD cycle and collaboratively develop your exposure hierarchy before beginning exposures.
Will exposure exercises be collaborative?
Yes. ERP is a collaborative treatment. We will discuss the purpose of exposure exercises, how they relate to your treatment goals, and what you are learning through the process. Exposures are individualized based on your symptoms, goals, and clinical needs.
What if previous therapy has not helped?
Previous treatment provides useful information. During assessment, we will discuss what you have tried, what was or was not helpful, and whether a different or more specialized approach may better fit your needs.
Do you accept insurance?
Yes. Accepted plans are listed above. Coverage varies by plan, and benefits can be reviewed before treatment begins.
How does telehealth work?
Sessions are provided through secure video. Telehealth can also allow us to work with situations in your everyday environment when clinically appropriate.
Do you provide therapy in Spanish?
Yes. Assessment, treatment, clinical materials, and communication are available in English and Spanish.
How much does therapy cost?
The 10-minute consultation is free. The initial intake session is $250, and ongoing 53–60 minute individual therapy sessions are $210. Insurance coverage varies by plan.
How long does treatment take?
Treatment length varies according to your symptoms, goals, frequency of sessions, and response to treatment. We will monitor your progress together and discuss recommendations as treatment progresses.
Who can you work with?
I provide telehealth therapy to adults who are physically located in Massachusetts, Connecticut, or Texas at the time of the session, consistent with licensing requirements.
Wondering Whether We May Be a Good Fit?
A free 10-minute consultation gives you an opportunity to briefly share what you are looking for, ask questions, and learn more about how I work.
Together, we can determine whether moving forward with an assessment makes sense for you.
10 minutes · Free · No obligation · English or Spanish
You’ll speak directly with me. I personally respond to messages within one business day.
Contact
Send Me a Message
You are welcome to reach out before scheduling.
For your privacy, please keep your initial message brief and avoid including detailed clinical or sensitive information. A sentence or two about what brings you to treatment is enough. We can discuss your concerns more fully during the consultation and assessment process.
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I personally respond within one business day, in English or Spanish.
- Emaillilyvetteperez@lperezcounseling.com
- Phone(774) 231-8056
- SchedulingSecure consultation scheduling