OCD & ERP Therapy
OCD doesn't attack at random. It attacks what matters most to you.
Specialized, evidence-based treatment for OCD, intrusive thoughts, and anxiety — in Wauwatosa and across Wisconsin.
If you have OCD, you already know this: the thoughts that torment you aren't random. They attach themselves to the things you care about most — your relationships, your safety, your faith, your identity as a parent or partner or person. That's not a coincidence. That's how OCD works.
It finds your values. And it weaponizes them.
The result is exhausting in a way that's almost impossible to explain to someone who hasn't lived it. You're not afraid of something arbitrary. You're afraid of becoming something you're not, or losing something you can't bear to lose. And the more you care, the louder OCD gets.
There is effective treatment for this. And Rebecca Lukomski has spent her career delivering it.
What Makes Rebecca Different
More than ERP — the values piece that changes everything
Exposure and Response Prevention is the gold-standard treatment for OCD, and Rebecca is extensively trained in it. But what separates her approach is what she adds: the meaning-making layer.
Using Acceptance and Commitment Therapy alongside ERP, 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.
When Life Changes and OCD Gets Louder
I am supposed to be excited, so why do I feel like this?
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 — a season of life filled with transitions that OCD loves to exploit.
Returning to school after summer break. Starting college. Moving out for the first time. Beginning a new relationship. Starting a career. Having a baby. Building a family. These are moments that should feel exciting — and for someone with OCD, they can feel terrifying.
If your OCD symptoms have spiked during a major life transition, you're not alone. And you're in exactly the right place.
Rebecca works with clients age 10 and older — because OCD shows up at every stage of life, and so does she.
What OCD Actually Looks Like
OCD doesn't always look the way people expect. It's not just checking locks or washing hands.
OCD can look like:
Intrusive thoughts about harming someone you love — that horrify you
Needing to confess or seek reassurance constantly
Replaying conversations to make sure you didn't say something wrong
Religious or moral obsessions that feel impossible to shake
Being terrified you don't love your partner enough
Hours lost to mental rituals no one can see
Skin picking, hair pulling, or other body-focused repetitive behaviors
If any of this sounds familiar — you're not a bad person. This is OCD. And it responds well to the right treatment.
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.
Meet Rebecca
OCD & Anxiety Specialist · ERP & ACT Trained · Ages 10 and older
Rebecca has spent her career helping people reclaim their lives from OCD and anxiety. Her approach combines the precision of ERP with the meaning-making depth of ACT — because getting better isn't just about managing symptoms. It's about building a life guided by what you actually value.
She is currently accepting new clients and available for a free 20-minute consultation.
Not Sure if It’s OCD or Anxiety?
Many people search for anxiety therapy when they are actually experiencing obsessive thoughts or compulsive behaviors. OCD involves a specific cycle of intrusive thoughts and rituals that requires specialized treatment. If intrusive thoughts or compulsions feel like part of your experience
→[Explore OCD treatment with Rebecca.]
If your main struggle is persistent worry, stress, overwhelm, or overthinking without compulsions, you may benefit from anxiety therapy.
In-Person,
Local Care
In-person and virtual ERP therapy, Wauwatosa / Milwaukee area
Private-pay therapy
May be eligible for out-of-network benefits, contact your insurance provider
Private, professional setting
Free consultation available
Lyra Employee Assistance Program (EAP) Provider
OCD is treatable.
Your life doesn’t have to stay this small.
Rebecca is currently accepting new clients for in-person sessions in Wauwatosa and telehealth across Wisconsin.