James Milliron

I am a licensed Clinical Psychologist with nearly three decades of experience helping people overcome obsessive-compulsive disorder (OCD) and related challenges. I have devoted my career to both clinical practice and teaching, serving as a university professor and director of a doctoral program that trains future therapists.

My practice focuses primarily on OCD, including scrupulosity (religious OCD), relationship OCD (ROCD), contamination fears and intrusive thoughts. I believe that therapy should be both compassionate and practical. My goal is not simply to help you feel better in the moment, but to help you develop lasting skills that allow you to live the life you want—even when anxiety or uncertainty is present. Whether you have struggled for years or are seeking help for the first time, I strive to provide a safe, respectful, and collaborative environment where meaningful change is possible.

My approach is collaborative, evidence-based, and tailored to each individual. Rather than offering quick reassurance or simple advice, I help clients understand the patterns that keep them stuck and teach practical skills for responding differently. For OCD and anxiety disorders, I primarily use Exposure and Response Prevention (ERP), the gold-standard treatment for OCD, together with Acceptance and Commitment Therapy (ACT). ACT helps people learn how to respond more flexibly to difficult thoughts and emotions while moving toward what matters most in their lives.

I view therapy as an active partnership. We work together to identify your goals, understand the processes maintaining your difficulties, and gradually build confidence through meaningful practice between sessions. My aim is to help you become less controlled by fear and more guided by your values.

The first session is an opportunity for us to get to know one another and begin building a plan for treatment. I’ll want to understand what brings you to therapy, how your symptoms are affecting your life, what you’ve already tried, and what you hope will be different.

Together, we’ll discuss your goals, answer any questions you have about the therapy process, and develop an initial roadmap for moving forward. If you’re seeking treatment for OCD or anxiety, I’ll also explain how evidence-based approaches such as ERP and ACT work so you’ll know what to expect.

Most clients leave the first session with a clearer understanding of their difficulties, a sense of hope that change is possible, and a practical plan for the next steps. My goal is to create an atmosphere where you feel heard, respected, and comfortable working together.