Rebecca Lukomski, LPC
Licensed Professional Counselor · OCD & Anxiety Specialist · ERP & ACT Trained
OCD can make you feel like your own mind has turned against you. The thoughts that arrive uninvited. The rituals that take up hours you don't have. The exhaustion of fighting something invisible that no one around you seems to understand.
Rebecca has spent her career helping people get their lives back from OCD and anxiety. Not by eliminating the thoughts — but by changing your relationship to them, so they no longer run the show.
She has helped hundreds of individuals — from age 10 through adulthood — build real mastery over their symptoms using Exposure and Response Prevention, the gold-standard treatment for OCD. Her approach is warm, direct, and deeply evidence-based.
Treatment Approach
What Makes Rebecca Different
Rebecca's work is structured, transparent, and collaborative. Sessions are active and goal-oriented — ERP is not passive talk therapy, and Rebecca doesn't pretend otherwise. She explains the why behind every strategy, moves at a pace that respects your readiness, and stays focused on measurable progress.
What separates her approach is the meaning-making layer she brings alongside ERP. Using Acceptance and Commitment Therapy, Rebecca helps clients understand not just how to face their fears — but why OCD is so loud in the first place. Because when you understand that OCD attacks your values, everything shifts. The goal stops being "eliminate the anxiety" and becomes something far more powerful: put your values back in the driver's seat.
Anxiety has been running your life. Rebecca's work is about changing who's driving.
Evidence-Based Treatments
Rebecca’s approach integrates several gold-standard treatment models:
Exposure and Response Prevention (ERP): The gold-standard treatment for OCD. Rebecca guides clients through facing feared situations gradually, without performing compulsions — so the anxiety loses its grip over time.
Acceptance and Commitment Therapy (ACT):The values layer. ACT helps clients stop letting anxiety dictate their decisions, and start letting what they care about most guide their lives instead.
Cognitive Behavioral Therapy (CBT): Identifies and reframes the thought patterns and behaviors that keep anxiety locked in place.
Dialectical Behavior Therapy (DBT) Skills: Practical tools for emotional regulation, distress tolerance, and staying grounded when things feel overwhelming.
When Life
Changes and
OCD Gets Louder
Rebecca has a particular passion for working with people whose lives are in motion — starting something new, leaving something behind, or building something they've never built before. These are the moments OCD loves most. And the moments where the right treatment changes everything.
These transitions carry enormous possibility — and for someone with OCD, they can also carry enormous weight. Rebecca offers a space where that weight can be named, understood, and worked through — so the next chapter can actually begin.
Rebecca works with clients age 10 and older — because OCD shows up at every stage of life, and so does she.
What Success Looks Like
Most people come to Rebecca when OCD or anxiety has gotten bad enough to affect the things that matter most — work, school, relationships, daily functioning. Life has gotten smaller. Important things are slipping.
Success isn't the permanent absence of intrusive thoughts. It's getting your life back. Going back to school. Returning to work. Being present in your relationships again. Watching OCD take up significantly less of your time, your energy, and your day.
Those are the moments Rebecca lives for — the ones where something clicks, and a client realizes they are bigger than their OCD.
Areas of specialization
Rebecca works with individuals age 10 and older, in person in Wauwatosa and via telehealth across Wisconsin.
Obsessions &
Compulsions
Intrusive thoughts • Compulsive or ritualistic behaviors • Excessive doubt • Checking behaviors • Reassurance seeking • Repetitive behaviors • Contamination fears • Symmetry and ordering compulsions • Harm OCD • Pure O • Scrupulosity • Relationship OCD • Hoarding • Health obsessions • Magical thinking • Mental compulsions • Just-right phenomenon • Emotional contamination • False memory OCD • Existential OCD
Social anxiety • Health anxiety • Generalized anxiety • Phobias • Panic disorder • Perfectionism • Depression • Major depressive disorder • Depressed mood • Adjustment disorders • Persistent depressive disorder (dysthymia) • Seasonal affective disorder • Anhedonia • Low motivation • Anticipatory anxiety • Separation anxiety • Agoraphobia • Situational anxiety
Anxiety & Depression
Body-focused Repetitive Behaviors
Tics (verbal & motor) • Nail biting • Skin picking • Hair pulling • Cheek biting • Lip biting • Knuckle cracking • Nose picking • Bruxism (teeth grinding) • Eyelash pulling • Eyebrow pulling • Scab picking
Couples therapy
Rebecca is now accepting a limited number of couples. Her couples work draws on her deep understanding of how anxiety and OCD affect relationships — the reassurance-seeking, the avoidance, the ways one partner's struggle quietly shapes both people's lives.
Her approach is informed by Gottman Method principles, alongside her clinical background in anxiety and OCD. If you're in a relationship where anxiety or OCD is part of the picture — or where communication, conflict, and connection feel stuck — reach out to learn more.
OCD is treatable.
You don't have to keep living like this.
Rebecca is currently accepting new clients for in-person sessions in Wauwatosa and telehealth across Wisconsin.