Mary B. Bechtel, LICSW/LCSW

CBIT (Comprehensive Behavioral Intervention for Tics) since 2015. ERP and PE therapy (often in combination with EMDR and/or psychotherapy depending on client needs) for eight years, helping dozens of clients find relief from their symptoms. Generally about 15% of practice is OCD/Phobia-specific. Another 25-35% is presenting with OCD/Phobia concurrent with complex trauma (agoraphobia, emetophobia, Harm-related OCD, somatic, R-OCD plus BFRB’s are most common)

I provide evidence-based treatment for OCD, Anxiety, Depression, and Complex PTSD. Her approach integrates ERP, Prolonged Exposure, EMDR (EMDRIA Certified), and psychoanalytic work, ensuring a comprehensive roadmap for recovery. Whether navigating intrusive thoughts or deep-seated trauma, by blending clinical precision with deep empathy, my goal is to help clients move beyond symptom management toward lasting nervous system regulation.

CBIT, 2015; Mayo Clinic OCD Basics, 2021; CBI: Exposure and Response Prevention Therapy for OCD, 2023; EMDR Advanced Training & Distance Learning – Integration of Exposure Techniques within EMDR, 2025.

Clinical practice is informed by more than 25 years of immersion experience in diverse urban and rural settings across Michigan, Florida, Mexico and Vermont. Practiced as a racial minority in the greater-Detroit area. Integrates formal implicit bias training with an understanding of how ethnic and socioeconomic stressors impact the nervous system. Works to ensures a therapeutic space that prioritizes cultural humility and the intersection of identity and mental health.