Jaime Roche , LCSW

My practice specializes in the treatment of obsessive-compulsive disorder (OCD), emetophobia (fear of vomiting), and related anxiety disorders in children, adolescents, and adults. I provide individualized, evidence-based treatment using Exposure and Response Prevention (ERP), including rumination-focused ERP, to address intrusive thoughts, compulsions, avoidance, reassurance seeking, and safety behaviors. My clinical work focuses extensively on OCD and related conditions, including contamination fears, health anxiety, harm and responsibility obsessions, and phobic avoidance. Services are provided through telehealth, with an emphasis on reducing compulsive behaviors, increasing tolerance of uncertainty, and improving daily functioning.

I specialize in treating emetophobia (fear of vomiting), OCD, and co-occurring anxiety disorders, including generalized anxiety, social anxiety, panic disorder, health anxiety, and other specific phobias. My approach integrates Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), and acceptance-based strategies. Treatment focuses on identifying overlapping maintaining mechanisms, including avoidance, reassurance seeking, rumination, hypervigilance, and safety behaviors. I develop individualized exposure hierarchies targeting both primary and co-occurring symptoms while building tolerance for uncertainty and distress. Family involvement and coordination with other providers are incorporated when appropriate.

I am a Licensed Clinical Social Worker specializing in OCD, emetophobia (fear of vomiting), anxiety disorders, and related avoidance and compulsive behaviors. My clinical experience includes treating children, adolescents, and adults using Exposure and Response Prevention (ERP), cognitive behavioral therapy (CBT), and rumination-focused ERP. My work emphasizes identifying and reducing overt and covert compulsions, reassurance seeking, avoidance, and safety behaviors. I maintain ongoing professional development through specialized education, clinical training, and continuing education in OCD and evidence-based treatment approaches.

As a Licensed Clinical Social Worker, I have extensive experience working with children, adolescents, and adults from diverse cultural, socioeconomic, and family backgrounds. My clinical approach emphasizes cultural humility, individualized treatment, and sensitivity to how identity, family dynamics, and lived experiences influence mental health. I strive to provide an inclusive, affirming environment while adapting evidence-based interventions, including Cognitive Behavioral Therapy and Exposure and Response Prevention, to each client’s unique needs, values, and circumstances. I recognize the importance of ongoing learning and self-reflection in providing culturally responsive care.