Treatment Methods

Treatment and counseling are available via in person, videoconferencing, and over the phone. Family members are always welcome to participate in session, per client’s consent, at no additional cost. We believe that the more support the client has, the better the treatment outcome.

We are experienced in utilizing the following evidence-based treatment interventions:

Cognitive Behavioral Therapy (CBT)

CBT is used to treat a variety of disorders including OCD, OCD related disorders, anxiety, and depression. Because our thoughts and feelings cannot be controlled it is important for treatment to focus on behavior modification. As behaviors become more adaptive and consistent with one’s goals and values, their thoughts and feelings begin to change accordingly (i.e. rational thought and less anxiety or fear). Cognitive restructuring is another component of CBT. This approach is used to adjust maladaptive thoughts that only reinforce the disorder. One way to modify thought over time is to identify evidence that may support or refute a maladaptive thought. The ability to recognize when thoughts may not be supported by realistic evidence can help one not allow their thoughts to dictate their behaviors. For example, if one has a fear of dogs, they may think that all dogs are dangerous or bad (cognitions), feel anxiety or fear when near a dog (affect), and ultimately avoid all dogs (behavior). CBT therapy would have one gradually experience situations or objects related to dogs and overtime, thoughts might begin to change to the extent that one might not think all dogs are dangerous, and ultimately reducing anxiety.

Exposure and Response Prevention (ERP)

ERP is a type of CBT that focuses on behavior modification. ERP is an empirically supported therapeutic approach in the treatment of OCD, related disorders, and anxiety disorders. Clients begin by completing a thorough hierarchy, a tool which a client uses to rate their level of perceived anxiety for various situations/objects/images/thoughts related to their fear. Each behavior to purposely engage in the triggering situation, object, image, or thought rated in a hierarchy is called an exposure. ERP involves gradual exposures while refraining from performing compulsions. The more a client confronts their triggers, the sooner they habituate to it, meaning an elimination of anxiety and compulsive urges.

For more information, you can visit the IOCDF website at:

Habit Reversal Training (HRT)

HRT is used to treat Tourettes, Tic Disorder, Trichotillomania and Excoriation. The first step of HRT is awareness training followed by client’s using a competing response (a behavior that is appropriate and adaptive) to replace the target behavior until the urge to complete the target behavior subsides.

Behavior Activation

Depression is commonly treated with behavior activation, a behavior approach that allows clients to re-engage in their lives and relationships. Clients complete a hierarchy of reinforcing behaviors that are rated based on difficulty. As the client reengages in behaviors that were previously enjoyed, depressive symptoms subside. Clients are instructed to complete the reinforcing behaviors regardless of motivation at the time.

Assertiveness Training

A common symptom associated with OCD and anxiety disorders is a client’s tendency to be passive and unable to make decisions. With pervasive passivity comes lack of confidence and reduced self-esteem. The first step of assertiveness training is learning to distinguish between passive, assertive, and aggressive behaviors. This is followed by the client examining how they have responded to a specific conflict and then determining how they could have behaved more assertively. As assertive behaviors are actively practiced, clients eventually behave more confidently within personal and professional relationships.

Career Counseling

Many of Natalie’s clients have been out of work due to their symptom severity or have discovered that they would like a job or career change. Natalie has years of experience helping clients create/edit resumes, enhance interviewing skills, and creating a job search strategy.

We provide counseling for other types of struggles. If you wish to process another type of life stressor and simply want a safe environment to receive such counseling, we are here for you.


“Natalie was a Godsend for both myself and my family.  She quickly addressed the beast head-on by outlining a tailored treatment program and equipping me with the tools to fight back.”

“Natalie guided me through ERP therapy and helped me gain the confidence to eventually do exposures that I would have never been able to do on my own. Natalie gave me a safe place to talk about my obsessions. She offered empathy and kindness while also being firm and saying things that I really needed to hear.”

“I went to several therapists before but their treatments were not the right fit for me.  I found Natalie and my life changed.”

“Through my sessions with Natalie I learned a healthier outlook on life and effective ways to cope with my anxiety. Natalie is an extremely talented professional who displays clinical acumen, compassion, and empathy.”

“I drive about 100 miles one way for treatment sessions with Natalie. It is worth the drive.”

“I am very satisfied with Natalie’s approach, knowledge, and commitment to my success.  I recommend Anxiety & OCD Treatment of Tampa Bay for anyone in need of effective mental health treatment.”

“Natalie held me accountable for my progress while reminding me to care for myself as we worked through my fears and emotions. I have been in some sort of therapy most of my life but working with Natalie was different. Natalie instilled confidence in me when I had none.”

“Before my OCD treatment my thoughts were all consuming. Every moment of every day was filled with thoughts of fear and ‘what if’s’.  I’d love to say, I’ve been cured, but again, there is no cure, but there’s Natalie Noel!”

“Any time I describe Natalie, it is as the woman who saved my marriage, my job…my life. She will always have a special place in my family’s life.”

“Natalie is fantastic at what she does and I would highly recommend her to anyone who needs help.”

“For anyone suffering from OCD and reading this, I would like to say: Don’t hesitate, don’t procrastinate, and don’t let your obsessions control your life for another day. Exposure Response Prevention Treatment produces real results and in my experience, swift results. And without a doubt, Natalie is one of the best providers you can seek assistance from!”

“Choosing to undergo treatment with Natalie Noel was one of the best decisions I have ever made, forever changing my life’s course. Wherever you are at this moment, reading this testimonial, know this – OCD is conquerable, no matter how insurmountable it may seem at this given moment. You can beat this. You are not alone.”

“To say that Natalie changed my life and rescued me from an incredibly painful existence would be an understatement!”