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Whatiftherapy.com
  • Home
  • About the Practice
  • About ERP
  • Fees and Insurance
  • OCD Self-Screening Tool
  • Client Portal
Sacramento skyline representing telehealth ERP therapy for OCD and anxiety.

Effective ERP for Anxiety & OCD in Sacramento

ERP Therapy for OCD & Anxiety in Sacramento

For many adults in Sacramento, anxiety doesn’t show up as panic or crisis—it shows up as constant mental noise. Lingering doubt. Replaying decisions. Quiet avoidance. A sense of responsibility that never really turns off. Over time, intrusive thoughts or compulsive habits can begin to shape how you plan your day, interact with others, or decide what feels “safe enough” to do.


You might understand your anxiety logically—and still feel stuck managing it. The mental effort required to stay on top of worries, fears, or internal rules can be exhausting, especially when you’re balancing work, family, or caretaking roles.


At Whatif Therapy, I provide Exposure and Response Prevention (ERP) therapy for Obsessive Compulsive Disorder and anxiety disorders to adults throughout the Inland Empire, San Bernardino County and across California via secure telehealth. My work is focused on helping you step out of fear-based patterns and rebuild trust in your ability to handle uncertainty—so anxiety no longer sets the limits of your life.


Who I Work With in the Sacramento Area

I work with adults across Sacramento and surrounding communities who feel caught in cycles of anxiety or OCD that interfere with clarity, confidence, or follow-through. This often includes people experiencing:

  • Intrusive thoughts that feel disturbing, out of character, or hard to explain
  • OCD patterns such as checking, mental reviewing, reassurance-seeking, or avoidance
  • Anxiety that leads to over-planning, indecision, or difficulty trusting yourself
  • Health anxiety, relationship doubts, contamination concerns, or perfectionism
  • Stress tied to high-responsibility roles, public service, or long-term caregiving
     

Many clients appear composed and reliable on the outside—yet internally feel worn down by constant monitoring, second-guessing, or fear-based decision-making.


Therapy That Respects Responsibility and Pressure

People in the Sacramento region often seek ERP after realizing that insight alone hasn’t been enough. They’re not looking for endless processing—they want an approach that creates movement and reduces anxiety’s day-to-day impact.


This work is intentional, structured, and grounded in evidence. Therapy is designed to help you respond differently to uncertainty and discomfort—so anxiety no longer dictates your routines, choices, or sense of responsibility.


ERP adapts to the realities of demanding roles, long workdays, and the pressure of being the person others rely on.


What Changes With ERP Therapy

Rather than trying to get rid of anxious thoughts or feelings, ERP helps you practice engaging with them in new ways. Over time, clients often notice:

  • Less urgency behind intrusive thoughts
  • Reduced reliance on mental checking or reassurance
  • Increased confidence in decision-making
  • More flexibility when plans don’t go perfectly
  • A growing sense that anxiety no longer runs the show


Telehealth ERP Therapy for Sacramento

Telehealth allows therapy to fit into busy schedules without adding travel or logistical strain. Sessions take place where life actually happens—at home, between responsibilities, or during the workday when possible.


This format also supports working directly with anxiety as it shows up in daily routines, decision-making, and real-world stressors.


ERP Therapy in Sacramento — Moving Forward

If you’re seeking effective, evidence-based treatment for OCD, Health Anxiety, Generalized Anxiety Disorder, Panic Disorder, or related anxiety conditions in Sacramento, ERP therapy offers a clear and practical path forward.


You don’t have to keep managing fear in the background of your life.
ERP helps you reclaim mental space—and move forward with confidence.

Begin Your Healing Journey

Take the first step towards a happier and healthier life. Contact us today to schedule a free 15 minute consult.

Schedule a Free Consult

Your OCD & Anxiety Therapist in California

Licensed therapist Matthew Baker LCSW ERP Specialist smiling in a professional setting

Matthew Baker, LCSW (CA #121926)

I’m a California therapist who specializes exclusively in evidence-based treatment for OCD and anxiety disorders. I provide structured, hands-on therapy and work actively and collaboratively to help you reduce unhelpful responses, face uncertainty, and make meaningful, lasting progress.


Many of the people I work with experience thoughts or images that feel disturbing, confusing, or difficult to say out loud. I’ve worked across multiple treatment settings and approach this material with steadiness, professionalism, and care. Together, we’ll make sense of what’s happening and move forward with a clear plan and consistent guidance.


Credentials, Experience and Affiliations

M.S.W., California State University, Long Beach
Emphasis: Integrated Health

  • California Licensed Clinical Social Worker # 121926
  • NOCD Academy - Advanced Training in Exposure and Response Prevention
  • Professional and Listed Member, International OCD Foundation (IOCDF)
  • Professional member, Anxiety & Depression Association of America (ADAA)
  • Professional Member & Listed Clinician, Psychology Today
  • Fully Insured • HIPAA-Compliant Telehealth 

Meet Your Therapist

Sacramento & Nearby Areas

ERP therapy is intentionally structured and time-limited. Treatment is designed around momentum — doing enough, often enough, to interrupt fear-driven patterns rather than dragging therapy out indefinitely.

Depending on severity, goals, and availability, clients typically begin ERP at:

  • 2 sessions per week for higher-intensity OCD or when symptoms are significantly restricting daily life
  • 1 session per week for moderate presentations or once progress is underway
  • Step-down pacing over time as skills consolidate and independence increases
     

Early sessions focus on assessment, education, and building a clear roadmap. As treatment progresses, sessions become increasingly focused on targeted exposures, response prevention, and applying skills in real-world situations — not just talking about symptoms.

ERP is active by design. Between sessions, you practice what we plan together, allowing therapy to work where OCD actually shows up: your thoughts, routines, relationships, and daily decisions.


 I work with clients throughout Sacramento and nearby areas, including:

  • Sacramento
  • Midtown & Downtown
  • East Sacramento & Land Park
  • Elk Grove
  • Roseville & Rocklin
  • Folsom & El Dorado Hills
  • Citrus Heights
  • Davis
  • West Sacramento
     

All services are provided via secure telehealth, offering flexibility for work schedules, family responsibilities, and commuting demands.


Clients in the Sacramento seek ERP therapy for:

  • Contamination OCD
  • Harm OCD
  • Relationship OCD (ROCD)
  • Sexual Orientation / Identity OCD
  • Symmetry / “Just Right” OCD
  • Scrupulosity OCD
  • Intrusive thoughts
  • Post-partum OCD & Anxiety
  • Health / Illness Anxiety
  • Specific Phobias (driving, elevators, bridges, highways)
  • Social Anxiety
  • Panic Disorder
  • Generalized Anxiety Disorder (GAD
  • Agoraphobia
     

ERP is designed to reduce compulsive behaviors and avoidance while increasing psychological flexibility and resilience.


Clients in the region often value:

  • A clear plan and measurable progress
  • Therapy that moves beyond reassurance
  • An evidence-based approach to anxiety and OCD
  • Flexible telehealth access
  • A collaborative, straightforward treatment style
     

ERP therapy provides tools that work in daily life — not just during sessions.


Start ERP Treatment Today

If you’re ready to stop organizing your life around fear and start building confidence in uncertainty, I’d be glad to talk. You can schedule a free consultation to see whether Whatif Therapy is the right fit for OCD or anxiety treatment in Long Beach, surrounding areas and across California.

Take Back Control.

Learn how ERP can help
Schedule Your Free Consultation
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Whatif Therapy

based in Lakewood, CA

714-686-9447

Whatif Therapy | Matthew Baker, LCSW (CA #121926)
Evidence-based treatment for OCD, Anxiety, and PTSD  .

Serving clients across California via secure telehealth.

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