Exposure Response Prevention (ERP) Therapists in Las Vegas, NV
Louise has extensive experience working with clients who experience depression, anxiety, bipolar disorders, chronic health issues, and trauma. She has also helped people who experienced physical and/or emotional abuse. Her counseling style is warm, welcoming, and authentic. Louise believes that the client is not the problem, the problem is the problem. We are so much more than our struggles. Her approach combines humanistic theory, Mind/body work, and Socratic reasoning to develop practical answers to her client’s issues. Louise will tailor her approach to help you meet your goals and conquer your unique issues.
Louise has extensive experience working with clients who experience depression, anxiety, bipolar disorders, chronic health issues, and trauma. She has also helped people who experienced physical and/or emotional abuse. Her counseling style is warm, welcoming, and authentic. Louise believes that the client is not the problem, the problem is the problem. We are so much more than our struggles. Her approach combines humanistic theory, Mind/body work, and Socratic reasoning to develop practical answers to her client’s issues. Louise will tailor her approach to help you meet your goals and conquer your unique issues.
FREE 15 minute phone consultation. If you're struggling with stressful relationships, a dysfunctional past, anxiety, sadness, impossible life circumstances, or unhealthy coping, I would be honored to work with you. Seeing a psychologist for help with your personal struggles is a courageous step, especially if you've never seen a therapist before. Therapy can be hard work. It can mean facing yourself and your emotions in a very real way, but it can also mean growing in ways you didn't think possible before. In my practice YOU are the focus, not your problem.
FREE 15 minute phone consultation. If you're struggling with stressful relationships, a dysfunctional past, anxiety, sadness, impossible life circumstances, or unhealthy coping, I would be honored to work with you. Seeing a psychologist for help with your personal struggles is a courageous step, especially if you've never seen a therapist before. Therapy can be hard work. It can mean facing yourself and your emotions in a very real way, but it can also mean growing in ways you didn't think possible before. In my practice YOU are the focus, not your problem.
My overall goal in therapy is to help individuals to feel empowered in their unique identities while they move toward a fulfilling life based on their personal values. Among my own top values are connection, flexibility, adventure, integrity, and openness. I believe these values are what initially drew me to this work and I endeavor to incorporate them into everything that I do. For this reason, I try to be fully myself in therapy and invite my clients to do the same as we collaborate in challenging their eating disorders and other mental health struggles.
My overall goal in therapy is to help individuals to feel empowered in their unique identities while they move toward a fulfilling life based on their personal values. Among my own top values are connection, flexibility, adventure, integrity, and openness. I believe these values are what initially drew me to this work and I endeavor to incorporate them into everything that I do. For this reason, I try to be fully myself in therapy and invite my clients to do the same as we collaborate in challenging their eating disorders and other mental health struggles.
We develop strategies that keep us safe, and sometimes we slip into patterns that no longer serve us. I specialize in treating anxiety, depression, trauma, and insomnia, and my strength is in creating a warm, non-judgmental space to safely explore your emotions, thoughts, and values in a fresh way. I will work with you to understand your experiences, develop new coping strategies, and help you move toward the life you want with greater confidence and clarity. I am bilingual in ASL and English and LGBTQIA+ affirming.
We develop strategies that keep us safe, and sometimes we slip into patterns that no longer serve us. I specialize in treating anxiety, depression, trauma, and insomnia, and my strength is in creating a warm, non-judgmental space to safely explore your emotions, thoughts, and values in a fresh way. I will work with you to understand your experiences, develop new coping strategies, and help you move toward the life you want with greater confidence and clarity. I am bilingual in ASL and English and LGBTQIA+ affirming.
Does your child's ADHD make school feel like a daily war, or their anxiety turn ordinary situations into something they can't get through? Is your teen shutting down, avoiding things, or showing signs of autism that haven't been named yet and you're not sure where to turn? Children carry more than most people recognize, and finding the right person to work with them matters. I work with kids ages 4 through 19 in Nevada — children who struggle to focus, regulate, or feel okay in their own skin. When they get the right support, the shift shows up in their grades, their friendships, and what happens at home.
Does your child's ADHD make school feel like a daily war, or their anxiety turn ordinary situations into something they can't get through? Is your teen shutting down, avoiding things, or showing signs of autism that haven't been named yet and you're not sure where to turn? Children carry more than most people recognize, and finding the right person to work with them matters. I work with kids ages 4 through 19 in Nevada — children who struggle to focus, regulate, or feel okay in their own skin. When they get the right support, the shift shows up in their grades, their friendships, and what happens at home.
I'm glad you are here. I know taking the first step can be scary. It takes a lot of courage to realize the tools you used to "survive" in your past are no longer helping you thrive in the present. Life is a series of transitions and challenges. We develop strategies in our early years as survival mechanisms, however those same practices whether formed in response to childhood trauma, family expectations or high pressured environments start to feel ineffective rather than productive. If you feel the way you have handled things in the past aren't working anymore, you are not failing, you are evolving. I am here, tell me your story.
I'm glad you are here. I know taking the first step can be scary. It takes a lot of courage to realize the tools you used to "survive" in your past are no longer helping you thrive in the present. Life is a series of transitions and challenges. We develop strategies in our early years as survival mechanisms, however those same practices whether formed in response to childhood trauma, family expectations or high pressured environments start to feel ineffective rather than productive. If you feel the way you have handled things in the past aren't working anymore, you are not failing, you are evolving. I am here, tell me your story.
We have received training in evidence-based treatments, including Exposure Response and Prevention ( ERP) therapy—the gold standard treatment for OCD.
When you start with NOCD, you'll work with me or be paired with a therapist in our network, based on your preferences. At NOCD, we’ll work together to understand your challenges and create a treatment plan to achieve your goals. NOCD offers support between sessions through direct messaging and access to peer communities, ensuring you never feel alone.
We have received training in evidence-based treatments, including Exposure Response and Prevention ( ERP) therapy—the gold standard treatment for OCD.
When you start with NOCD, you'll work with me or be paired with a therapist in our network, based on your preferences. At NOCD, we’ll work together to understand your challenges and create a treatment plan to achieve your goals. NOCD offers support between sessions through direct messaging and access to peer communities, ensuring you never feel alone.
I am a compassionate, dedicated clinical social work intern with a commitment to helping individuals navigate life's challenges and improve mental well-being. As a breast cancer survivor, I understand the emotional and psychological toll of chronic illness. My military background further shapes my approach, giving me insight into the challenges faced by veterans and those navigating trauma, transition, and stress. I aim to provide a compassionate, non-judgmental space for individuals to explore their thoughts, feelings, and fears, particularly those dealing with illness, trauma, or stress.
I am a compassionate, dedicated clinical social work intern with a commitment to helping individuals navigate life's challenges and improve mental well-being. As a breast cancer survivor, I understand the emotional and psychological toll of chronic illness. My military background further shapes my approach, giving me insight into the challenges faced by veterans and those navigating trauma, transition, and stress. I aim to provide a compassionate, non-judgmental space for individuals to explore their thoughts, feelings, and fears, particularly those dealing with illness, trauma, or stress.
Irma De Santiago
Marriage & Family Therapist, MS, LMFT, CCTP
9 Endorsed
Las Vegas, NV 89128
Waitlist for new clients
Do you struggle with anxiety, perfectionism, or guilt that seems to surface whenever you try to put yourself first? Many people learn early on to cope by striving, pleasing, or holding themselves to impossible standards. I help clients learn to tolerate anxiety without letting it run their lives, let go of perfectionism, and respond to guilt with compassion instead of self-criticism. Together, we work to heal inner childhood wounds, build a stronger sense of self-worth, and live a more grounded and authentic life.
Do you struggle with anxiety, perfectionism, or guilt that seems to surface whenever you try to put yourself first? Many people learn early on to cope by striving, pleasing, or holding themselves to impossible standards. I help clients learn to tolerate anxiety without letting it run their lives, let go of perfectionism, and respond to guilt with compassion instead of self-criticism. Together, we work to heal inner childhood wounds, build a stronger sense of self-worth, and live a more grounded and authentic life.
Using evidence-based approaches like ERP, CBT, and DBT, we’ll help you build resilience and effective coping strategies.
At our clinic, we offer comprehensive therapy and medication management to support your mental health journey. we specialize in guiding individuals through anxiety, depression, trauma, and relationship issues. We'll create a safe space for healing, build effective coping strategies, boost resilience, and empower you to reach your mental health goals.
Using evidence-based approaches like ERP, CBT, and DBT, we’ll help you build resilience and effective coping strategies.
At our clinic, we offer comprehensive therapy and medication management to support your mental health journey. we specialize in guiding individuals through anxiety, depression, trauma, and relationship issues. We'll create a safe space for healing, build effective coping strategies, boost resilience, and empower you to reach your mental health goals.
I work with individuals who feel stuck in cycles of anxiety, overthinking, or relationship patterns that leave them questioning themselves. Many are used to holding it all together and putting others first, but inside carry a quiet sense of not being good enough. This may have been shaped by past experiences that left them feeling unworthy, unseen, or disconnected from themselves.
My goal is to help you reconnect with yourself, rebuild a sense of worth from within, find and trust your voice, set boundaries without guilt, and make decisions that feel aligned with who you truly are—so your life and relationships feel more balanced.
I work with individuals who feel stuck in cycles of anxiety, overthinking, or relationship patterns that leave them questioning themselves. Many are used to holding it all together and putting others first, but inside carry a quiet sense of not being good enough. This may have been shaped by past experiences that left them feeling unworthy, unseen, or disconnected from themselves.
My goal is to help you reconnect with yourself, rebuild a sense of worth from within, find and trust your voice, set boundaries without guilt, and make decisions that feel aligned with who you truly are—so your life and relationships feel more balanced.
Does your child's ADHD make school feel like a daily war, or their anxiety turn ordinary situations into something they can't get through? Is your teen shutting down, avoiding things, or showing signs of autism that haven't been named yet and you're not sure where to turn? Children carry more than most people recognize, and finding the right person to work with them matters. I work with kids ages 4 through 19 in Nevada — children who struggle to focus, regulate, or feel okay in their own skin. When they get the right support, the shift shows up in their grades, their friendships, and what happens at home.
Does your child's ADHD make school feel like a daily war, or their anxiety turn ordinary situations into something they can't get through? Is your teen shutting down, avoiding things, or showing signs of autism that haven't been named yet and you're not sure where to turn? Children carry more than most people recognize, and finding the right person to work with them matters. I work with kids ages 4 through 19 in Nevada — children who struggle to focus, regulate, or feel okay in their own skin. When they get the right support, the shift shows up in their grades, their friendships, and what happens at home.
I am an OCD & anxiety specialist specializing in Exposure Response Prevention ( ERP,) the Gold standard to treat OCD.
When anxiety, OCD, trauma, or patterns around food and relationships start taking over, it can feel overwhelming, confusing, and exhausting—whether you’re a teen, an adult, or part of a family trying to navigate it all. You may find yourself stuck in intrusive thoughts, emotional highs and lows, relationship struggles, or behaviors that feel hard to control.
I’m a Licensed Marriage and Family Therapist with over 13 years of experience working with teens, adults, couples, and families. I help clients move from feeling stuck and reactive to feeling more grounded, confident, and in control of their lives.
I am an OCD & anxiety specialist specializing in Exposure Response Prevention ( ERP,) the Gold standard to treat OCD.
When anxiety, OCD, trauma, or patterns around food and relationships start taking over, it can feel overwhelming, confusing, and exhausting—whether you’re a teen, an adult, or part of a family trying to navigate it all. You may find yourself stuck in intrusive thoughts, emotional highs and lows, relationship struggles, or behaviors that feel hard to control.
I’m a Licensed Marriage and Family Therapist with over 13 years of experience working with teens, adults, couples, and families. I help clients move from feeling stuck and reactive to feeling more grounded, confident, and in control of their lives.
Hi, I'm Kayci! I'm currently welcoming new clients focused on self-growth and personal development. With 10+ years of experience, I've worked with a wide range of presentations including trauma, neurodivergence, anxiety, depression, and life transitions. I'm trained in EMDR and specialize in trauma-informed care. I believe therapy works best when clients bring openness and a solution-focused mindset to the process. My approach is collaborative—you're the expert on your own life, and I'm here to support you in moving toward greater confidence, clarity, and purpose.
Hi, I'm Kayci! I'm currently welcoming new clients focused on self-growth and personal development. With 10+ years of experience, I've worked with a wide range of presentations including trauma, neurodivergence, anxiety, depression, and life transitions. I'm trained in EMDR and specialize in trauma-informed care. I believe therapy works best when clients bring openness and a solution-focused mindset to the process. My approach is collaborative—you're the expert on your own life, and I'm here to support you in moving toward greater confidence, clarity, and purpose.
My approach to therapy is based on Acceptance & Commitment Therapy (ACT). A core idea in ACT is that trying too hard to get rid of or control our emotions tends to backfire. Instead of trying to get rid of unwanted thoughts and feelings (e.g., anxiety & depression), I will help you learn to react differently to them so that you can keep your focus on living a meaningful and fulfilling life based on what’s important to you. We will work together to set meaningful goals to address your concerns–whether they relate to life transitions, depression, anxiety, body image, grief/loss, job or academic stress, or gender & sexuality.
My approach to therapy is based on Acceptance & Commitment Therapy (ACT). A core idea in ACT is that trying too hard to get rid of or control our emotions tends to backfire. Instead of trying to get rid of unwanted thoughts and feelings (e.g., anxiety & depression), I will help you learn to react differently to them so that you can keep your focus on living a meaningful and fulfilling life based on what’s important to you. We will work together to set meaningful goals to address your concerns–whether they relate to life transitions, depression, anxiety, body image, grief/loss, job or academic stress, or gender & sexuality.
I am a specialist for those suffering with anxiety, trauma, and obsessive-compulsive related disorders. I do this through transformative processes that help people overcome their fear and avoidance.
I am a specialist for those suffering with anxiety, trauma, and obsessive-compulsive related disorders. I do this through transformative processes that help people overcome their fear and avoidance.
Lic: CA, OR, WA, NV, ID, KY, CO, MA. Do you often find yourself overwhelmed by the demands of a busy life? Maybe you feel like something is "off" that you cannot quite identify. You may feel disconnected and experience frequent low moods. You might be someone who has been diagnosed or self-identified as neurodivergent, or you may be raising a neurodivergent child and feeling lost in coping with your feelings about how to navigate that challenge. You might be stuck in (or exiting) a romantic relationship that does not serve you, but you're struggling to find your path forward. Whatever the source of your anxiety, I'm here to help!
Lic: CA, OR, WA, NV, ID, KY, CO, MA. Do you often find yourself overwhelmed by the demands of a busy life? Maybe you feel like something is "off" that you cannot quite identify. You may feel disconnected and experience frequent low moods. You might be someone who has been diagnosed or self-identified as neurodivergent, or you may be raising a neurodivergent child and feeling lost in coping with your feelings about how to navigate that challenge. You might be stuck in (or exiting) a romantic relationship that does not serve you, but you're struggling to find your path forward. Whatever the source of your anxiety, I'm here to help!
Using approaches like autism-affirming ERP and EMDR, I blend deep emotional work with practical tools so you can reduce overwhelm, build self-trust, and create a life that actually works for your brain.
I work best with neurodivergent women—especially those who identify as autistic, ADHD, or AuDHD—who feel overwhelmed, burned out, or like they’ve spent a lifetime pretending to be someone they are not. Many of my clients are also unpacking religious trauma and are ready to reconnect with their authentic selves. As an AuDHD, ex-Mormon woman myself, I help clients better understand the way their neurodivergent brain works, build sustainable coping strategies, and create lives that actually fit them—without shame, perfectionism, or people-pleasing running the show.
Using approaches like autism-affirming ERP and EMDR, I blend deep emotional work with practical tools so you can reduce overwhelm, build self-trust, and create a life that actually works for your brain.
I work best with neurodivergent women—especially those who identify as autistic, ADHD, or AuDHD—who feel overwhelmed, burned out, or like they’ve spent a lifetime pretending to be someone they are not. Many of my clients are also unpacking religious trauma and are ready to reconnect with their authentic selves. As an AuDHD, ex-Mormon woman myself, I help clients better understand the way their neurodivergent brain works, build sustainable coping strategies, and create lives that actually fit them—without shame, perfectionism, or people-pleasing running the show.
Ashley integrates Cognitive Behavioral Therapy (CBT), Psychodynamic, Eye Movement Desensitization and Reprocessing (EMDR), Attachment, and Exposure and Response Prevention ( ERP).
Beginning therapy is not always an easy option, but it's the first step to living a more authentic life. Maybe you struggle with anxiety about having certainty, troubling doubts, obsessional thoughts and compulsions. Maybe you have been through a loop of the same relationships and struggle to set boundaries with others. Maybe you have difficulty knowing what you feel or what you need. Therapy should be a first step to gaining the tools to handle stressors that occur in your life. For more information about how Ashley may be able to assist you visit her website: www.jadehaventherapy.com
Ashley integrates Cognitive Behavioral Therapy (CBT), Psychodynamic, Eye Movement Desensitization and Reprocessing (EMDR), Attachment, and Exposure and Response Prevention ( ERP).
Beginning therapy is not always an easy option, but it's the first step to living a more authentic life. Maybe you struggle with anxiety about having certainty, troubling doubts, obsessional thoughts and compulsions. Maybe you have been through a loop of the same relationships and struggle to set boundaries with others. Maybe you have difficulty knowing what you feel or what you need. Therapy should be a first step to gaining the tools to handle stressors that occur in your life. For more information about how Ashley may be able to assist you visit her website: www.jadehaventherapy.com
My ideal client is someone seeking clarity, confidence, and a deeper connection to themselves through therapy. They may feel disconnected, “stuck” in trauma, or unsure how to advocate for their needs. This client wants stability and to feel more confident in their sense of direction. They hope to build healthy relationships, gain tools to manage feelings of overwhelm, and break out of emotional ruts. Their goals include healing past wounds and gaining self-compassion so they can move through life with more confidence, ease, and purpose.
My ideal client is someone seeking clarity, confidence, and a deeper connection to themselves through therapy. They may feel disconnected, “stuck” in trauma, or unsure how to advocate for their needs. This client wants stability and to feel more confident in their sense of direction. They hope to build healthy relationships, gain tools to manage feelings of overwhelm, and break out of emotional ruts. Their goals include healing past wounds and gaining self-compassion so they can move through life with more confidence, ease, and purpose.
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Do I need exposure and response prevention therapy?
Many clients decide to seek help for obsessive thoughts and compulsive behaviors when these symptoms are distressing enough to disrupt everyday life. Any thoughts or behaviors that cause friction in close relationships are also worth addressing. In addition, the client’s symptoms don’t have to be severe for them to benefit from ERP therapy.
Is exposure and response prevention therapy part of cognitive behavioral therapy?
Exposure and response prevention is one specific type of CBT that focuses on behavioral change in response to triggering stimuli. It is related to exposure therapy but adds an additional component of preventing compulsive and harmful responses.
How long does exposure and response prevention therapy take?
While every patient is different, exposure and response prevention therapy typically lasts around 12 sessions, although some treatments can take longer. A therapist will determine if the treatment is complete based on how the client faces their fears, particularly the strongest ones. When a client feels less anxiety about stimuli that once evoked terror or distress, that is generally an indication that they are nearing the end of ERP therapy.
What are the limitations of exposure and response prevention therapy?
The most common pitfalls of exposure and response prevention therapy include not addressing a client’s core fears, allowing the client to avoid their most distressing stimuli, and using imaginary exposure when the client requires real-life exposure (and vice versa). ERP therapy is most effective when the client commits to the full course of treatment; if the client stops early or doesn’t practice what they have learned outside of therapy sessions, they are less likely to have successful outcomes.