Matt Gumb, LPC-MHSP (TN), LCMHC (NC)

Smoky Mountain OCD and Anxiety Counseling is a solo private-pay practice where most of my caseload is dedicated to OCD, including BFRBs such as skin picking and hair pulling, and anxiety disorders. I offer individual therapy using Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), Inference-Based CBT (I-CBT), and Habit Reversal Therapy/ComB for BFRBs, along with parent coaching for families of younger clients. With over ten years of clinical experience, I have worked with numerous individuals presenting with OCD and OC-related disorders across outpatient, crisis, and school-based settings before specializing full-time in this population.

In addition to OCD, I treat co-occurring ADHD, anxiety disorders, and autism spectrum disorder (ASD). Many clients present with overlapping symptoms, such as anxiety-driven avoidance alongside OCD, or executive functioning challenges related to ADHD that impact treatment pacing. My approach integrates Exposure and Response Prevention (ERP) and Acceptance and Commitment Therapy (ACT) as the foundation, while adapting session structure, pacing, and communication style to accommodate co-occurring presentations. For clients with ASD or ADHD, this often means more concrete language, additional processing time, and flexible pacing of exposures to ensure treatment remains accessible and effective.

I have ten years of clinical experience, with a specialized focus on OCD and OC-related disorders. My training includes ERP, ACT, I-CBT, and HRT/ComB. I have received clinical supervision in ERP and ACT-based treatment through Nashville OCD and Anxiety Treatment Center. I currently serve as Treasurer of OCD TN, a Tennessee affiliate of the International OCD Foundation, which keeps me actively engaged with the OCD clinical community. My clinical background also spans hospice and bereavement care, inpatient psychiatric care, crisis community mental health, and school-based counseling, providing a broad foundation before specializing in OCD treatment.

For the past 10 years, I have worked with a very diverse community and socioeconomic status population.