Caitlin Clem, LIMHP, LICSW

Currently, OCD and OC-related disorders make up roughly 70% of my caseload. I work with adolescents and adults through individual outpatient therapy, both in person in Omaha, Nebraska and via telehealth in Nebraska, Iowa, Colorado, Maine, and West Virginia. My general minimum age is 12, though younger children are considered on a case-by-case basis.

I regularly treat anxiety disorders, mood disorders, trauma and PTSD, ADHD, eating disorders, and substance use disorders alongside OCD. Rather than siloing these, I take an integrated approach — addressing co-occurring conditions as part of the same treatment rather than sequentially. ERP anchors OCD work, while CPT and Prolonged Exposure address trauma, DBT targets emotion dysregulation and mood, and Motivational Interviewing guides substance use treatment. ADHD is addressed through psychoeducation, skill-building, and discussion of how it interacts with OCD symptoms. Sessions are individual, outpatient, and typically ranging from 50 to 90 minutes depending on the modality being used.

My OCD-specific training includes pediatric OCD continuing education through Massachusetts General Hospital, attendance at three IOCDF annual conferences, and active pursuit of BTTI certification through IOCDF. ERP is my primary treatment modality for OCD and OC-related disorders, integrated with ACT, CBT, DBT, Prolonged Exposure, and CPT as clinically indicated. I hold licensure at the independent clinical level across five states and remain actively engaged in continuing education focused specifically on OCD spectrum treatment.

My practice is affirming and open to clients from all backgrounds. I have particular experience working with LGBTQIA+ individuals, veterans, people with disabilities, and those navigating addiction recovery. Before moving to Omaha I spent years in a rural Iowa clinic where most of my patients were low-income and Medicaid-insured — an experience that shaped how I think about access to care. My background as a Title I educator also gave me a grounded understanding of the systemic barriers that follow people into the therapy room.

Cultural competency isn’t a box to check — it’s woven into social work training and the NASW Code of Ethics from day one. Throughout my education and continuing education, cultural considerations have been a consistent thread, not a standalone topic. In practice, cultural factors are part of every assessment and treatment plan, shaping how I conceptualize each client’s presentation and individualize their care. This is especially relevant in OCD treatment, where themes, rituals, and avoidance are often deeply tied to a client’s cultural context and identity.