Lindsey West, LCSW-C
Therapist | Adults & Couples
OCD & ERP • Anxiety & Self-Esteem • Relationships & Codependency • Boundaries & Identity
I work with adults and couples navigating anxiety, OCD, ADHD, relationship dynamics, boundaries, codependency, and self-esteem concerns. My approach is grounded, collaborative, and focused on creating a space where you can show up fully as yourself.
Together, we can better understand the patterns affecting how you feel, relate to others, and move through everyday life. I draw from evidence-based approaches while helping you build on your strengths, establish healthier boundaries, and create changes that feel meaningful and sustainable.
You Might Be a Good Fit If...
OCD, intrusive thoughts, or compulsions are taking up too much of your time and energy
Anxiety or overthinking is making it difficult to feel present
You’re struggling with confidence or how you see yourself
You find yourself people-pleasing, overextending, or having difficulty setting boundaries
Codependency or recurring relationship patterns are affecting your well-being
You and your partner want to improve communication or connection
ADHD is affecting routines, relationships, or emotional well-being
You want therapy that is collaborative, affirming, and practical
Specialties
My therapeutic approach may incorporate:
Exposure and Response Prevention (ERP)
Acceptance and Commitment Therapy (ACT)
Cognitive Behavioral Therapy (CBT)
Mindfulness-Based Approaches
Strengths-Based Therapy
Relationship & Couples Therapy
Kink-Affirming Care
The specific approach we use will depend on your individual needs, experiences, and goals.
You don’t need to come into therapy with everything figured out. My role is to create a grounded, collaborative space where we can understand what’s happening, identify the patterns that may be keeping you stuck, and develop practical ways to move forward.
I’m passionate about helping clients build on their strengths while developing healthier boundaries, stronger self-esteem, and more intentional relationships.
Depending on your needs, I may incorporate Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Exposure and Response Prevention (ERP), and mindfulness-based strategies. Our work is tailored to you rather than expecting you to fit into a single approach.
How I Can Help
Boundaries & Identity-Affirming Care
Therapy should be a place where you don’t have to hide important parts of yourself.
I provide a warm, nonjudgmental space to explore boundaries, identity, intimacy, relationship dynamics, and what it means to build a life that feels authentic to you. My work can also include kink-affirming conversations when those experiences are relevant to your goals.
Anxiety, Self-Esteem & ADHD
Anxiety, ADHD, and low self-esteem can affect confidence, decision-making, routines, relationships, and the way you talk to yourself.
Together, we can explore the patterns contributing to what you’re experiencing while developing practical strategies that support greater confidence, emotional awareness, and self-trust.
OCD & Exposure and Response Prevention
OCD can create cycles of intrusive thoughts, anxiety, reassurance-seeking, avoidance, and compulsive behaviors that can feel difficult to interrupt.
I use Exposure and Response Prevention (ERP) to help clients better understand these patterns and gradually change the way they respond to intrusive thoughts and uncertainty. The goal isn’t to eliminate every uncomfortable thought—it’s to help those thoughts have less power over the way you live.
Relationships, Couples & Codependency
Relationships can bring connection while also revealing patterns around communication, boundaries, trust, emotional needs, and codependency.
I work with individuals and couples to better understand these patterns, communicate more effectively, and create healthier ways of connecting without losing sight of your own needs and identity.