MEGAN PIESMAN, PHD
Specialized treatment
for
OCD ~ ANXIETY ~ COUPLES
down-to-earth therapy for overthinkers, overachievers & couples
about MEGAN
I’m Megan, a NY & NJ Licensed Psychologist specializing in OCD, anxiety, perfectionism, and couples where OCD plays a role. I work with individuals who are thoughtful, capable, and often very hard on themselves — people who have tried to understand and manage their symptoms on their own, gathered a lot of information, and still feel stuck, overwhelmed, or unsure of what’s next.
My approach integrates ERP, ACT, I-CBT, and relational, attachment-focused work. Together, we focus on building psychological flexibility, increasing your capacity to tolerate uncertainty and discomfort, and developing a more compassionate and realistic relationship with your thoughts and emotions. The goal isn’t to eliminate anxiety or doubt altogether, but to learn how to navigate them without letting them dictate your decisions or your life.
Over time, clients often describe feeling more grounded, less reactive, and more connected to themselves and their relationships. The intensity of self-criticism softens. Daily life becomes more manageable. And things that once felt impossible or frightening start to feel reachable again.
If you’re looking for a space to understand your patterns with clarity and support — and to learn evidence-based tools that actually help — you’re in the right place. I’m here to work with you, at a pace that feels sustainable and respectful of your experience.
my APPROACH
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ERP is a top treatment for OCD and involves gradually confronting what scares you while resisting the urge to give in to compulsions. I know that might sound intense, but I’ll be with you and your partner through whatever you’re going through. We'll work together to craft exposures tailored to your specific triggers, helping you face them head-on. We will practice techniques designed to assist you in developing better relationships with your thoughts and emotions. ERP empowers you to take back control of your life and build confidence in managing anxiety and other OCD themes, no matter how they show up.
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ACT focuses on cultivating psychological flexibility through mindfulness, willingness, and acceptance. ACT teaches us to observe our internal experiences from a distance (example: imagine watching the movie of your life), accept their presences, and build the willingness to experience them without trying to eliminate them. Together, we'll practice allowing uncomfortable thoughts and emotions to come along for the ride while you pursue what truly matters to you—which can be especially empowering for couples, too. This increased tolerance reduces suffering and gradually diminishes the impact of anxiety and intrusive thoughts on daily life. The impact it can have on our relationships is profound.
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CBT is a well-researched, evidence-based therapy known for its efficacy in tackling all kinds of mental health concerns. I use it to give clients practical strategies they can start trying immediately. Through exploring the ever-complicated relationship between your thoughts, emotions, and actions, we’ll figure out how to work through unhelpful thinking patterns that keep you stuck. All the while, we’ll practice new behaviors that lead to feeling better in your own skin.
my PHILOSOPHY
Living with anxiety, OCD, or a self-critical voice can feel like being trapped in a scary and lonely maze. It’s awful.
The truth is, though, that you aren’t alone. These are treatable symptoms, especially for people who are motivated to change. With your courage and hard work combined with my training, compassion, and sense of humor (especially when you need it), we’ll find you a way out of the pain.
our GOALS
TOLERATE UNCERTAINTY
STOP OVERTHINKING
TRUST YOURSELF
ACCEPT YOUR EMOTIONS
feeling INSPIRED?
Reach out to me below to request an appointment or for more information.