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

Treatment for OCD & Anxiety in Orange County

ERP Therapy for OCD & Anxiety in OC

Anxiety doesn’t always show up as panic or obvious fear. For many people in Orange County, it looks like constant mental checking, relentless “what if” scenarios, replaying conversations, avoiding situations that feel uncertain, or seeking reassurance that never quite sticks. Over time, these patterns can quietly shrink your life—even when everything appears fine on the surface.


At Whatif Therapy, I specialize in Exposure and Response Prevention (ERP) for adults, children and teenagers with OCD and anxiety-related disorders, including social anxiety, illness anxiety, panic disorder, and generalized anxiety. I work with clients throughout Orange County and across California via secure telehealth, helping them loosen anxiety’s grip and reconnect with the parts of life they care about most.


Who ERP Therapy Is For

I work with individuals in Orange County who experience:

  • Intrusive or unwanted thoughts that feel alarming, confusing, or shame-inducing
  • OCD patterns such as mental rituals, checking, reassurance-seeking, or rumination
  • Health anxiety, contamination fears, relationship-focused OCD, or perfectionism
  • Panic symptoms, chronic worry, or avoidance that interferes with daily functioning
     

Many clients are high-achieving and capable in their careers, relationships, or academics—but feel internally drained by doubt, hypervigilance, or mental noise. Struggling with anxiety doesn’t mean you’re weak or broken; it means your fear system has learned patterns that no longer serve you.


A Different Experience Than Traditional Talk Therapy

People often reach out after realizing that insight alone hasn’t created lasting change. At Whatif Therapy, ERP work is:

  • Structured and intentional without feeling robotic or overwhelming
  • Active and skills-based, not just reflective conversation
  • Focused on changing patterns that maintain anxiety, not analyzing them endlessly
  • Grounded in real-world application between sessions
     

You don’t need to sanitize your thoughts or worry about saying the “wrong” thing. My background includes working with severe and complex anxiety and OCD presentations, so therapy is a space where nothing needs to be hidden.


How ERP Helps Reduce Anxiety Long-Term

Exposure and Response Prevention is the gold-standard treatment for OCD and many anxiety disorders. Instead of trying to control or eliminate anxiety, ERP helps you change how you respond to it—so fear no longer dictates your choices, behaviors, or sense of self.

Sessions are collaborative, practical, and goal-driven. Over time, clients build confidence rooted in experience rather than reassurance, creating meaningful freedom instead of short-term relief.

Whether you’re navigating a demanding job, academic pressure, healthcare work, family responsibilities, or a daily commute across Orange County, ERP is tailored to your environment and real-life challenges—not a one-size-fits-all protocol.

Begin Your Journey

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

Get Started

Your OCD & Anxiety Therapist in Orange County

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 
  • California Licensed Clinical Social Worker #121926
  • Advanced Training in Exposure and Response Prevention- NOCD Academy 
  • Professional 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

OC & Nearby Areas Info

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.


We support clients across South, Central, and North Orange County, including:

  • Irvine
  • Newport Beach & Newport Coast
  • Costa Mesa
  • Huntington Beach
  • Laguna Beach & Laguna Niguel
  • Mission Viejo
  • Anaheim & Anaheim Hills
  • Orange & Tustin
  • Garden Grove & Westminster
  • Fountain Valley
  • Fullerton & Brea


Clients in Orange County seek ERP for conditions including:

  • Contamination OCD
  • Harm OCD
  • Relationship OCD
  • Sexual Orientation / Identity OCD
  • Symmetry / “Just Right” OCD
  • Intrusive thoughts
  • Post-partum OCD & Anxiety
  • Health / Illness Anxiety
  • Phobias of driving, heights, elevators, bridges
  • Social anxiety and performance fears
  • Panic Disorder
  • Generalized Anxiety Disorder (GAD)
  • Agoraphobia


Orange County is a large, high-demand region shaped by professional pressure, long commutes, academic competitiveness, and family responsibilities spread across many cities. For many residents, OCD and anxiety are intensified by expectations to perform, keep up, and stay in control. ERP therapy offers:

  • Clear, targeted strategies that address OCD at its core
  • Practical tools to reduce intrusive thoughts without relying on rituals or avoidance
  • Long-term symptom improvement supported by decades of research
  • Flexible telehealth sessions that fit demanding and unpredictable schedules
     

Whether you’re working in healthcare or tech, commuting along the 405 or 5, balancing school demands, or managing family life across Orange County, ERP provides structure and direction. Many Orange County clients choose telehealth ERP because it removes common barriers to care — no extended drives, no parking stress, and no need to rearrange an entire day for therapy.


Telehealth also allows exposures to happen where OCD actually shows up: at home, in daily routines, at work, or in real-world environments throughout Orange County — making treatment more relevant, effective, and sustainable over time.


Overcome Anxiety & OCD

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 you for OCD or anxiety treatment in Orange County, surrounding areas and across California.

Specialized care available via telehealth.

Serving adults, teens and children in across California
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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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