Jacob Hoyt, LCSW

50% of my caseload has a diagnosis of OCD, with the other half seeking supports for attachment wounds and trauma, depression, and life transitions. For patients struggling with OCD, I practice I-CBT instead of ERP. While the majority of research points to ERP as the first line of treatment, I conceptualize OCD through an I-CBT lens, and find it more aligned with the way I see treatment and recovery. Despite it being less studied, I have found it very effective in improving the quality of life in many, with many patients seeing significant measurable reductions in time taken by OCD/day.

I often draw from multiple therapeutic modalities simultaneously, as I believe that there are strengths that can be taken from multiple approaches. This allows me to effectively target areas of growth from multiple angles, all which are well researched and evidence-based. As OCD is often co-occurring, there are areas I pull from to supplement I-CBT, such as reality acceptance skills, emotion regulation skills, mindfulness, and self-compassion work. Additionally, I treat depression, regardless if it is a result of OCD, or a result of something else altogether.

I have trained through the OCD Training School, including their I-CBT Basic Training and 2026 Learning Summit. Additionally, I have read both Resolving OCD volumes, and The Doubt Illusion by Dr. Frederick Aardema, the co-creator of I-CBT. Additional training opportunities have come from the 31st Annual OCD Conference, and direct consultation with faculty at the University of North Carolina at Chapel Hill. My experience has led me to train my organization on different ways OCD can show up, as well as developing agency-wide group therapy curriculum to support adolescents with OCD and co-occuring depression/anxiety, without providing or enabling compulsions.

I specialize in working with racial/ethnic minorities, and LGBTQ+ individuals. Many of my patients are second-generation immigrants, usually from Asian or Hispanic descent.

Before becoming a therapist, I worked primarily with Hispanic/Latine mixed-status families. Additionally, my full-time role and graduate internship position(ed) me with working primarily with LGBTQ+ adolescents, with most identifying as Transgender. I have also worked with military youth who experienced the deployment and reintegration of active service members.