Claire Sanguedolce, LCSW

Approximately 57% of my current caseload (20 of 35 clients) consists of individuals with OCD or a related anxiety disorder. I have maintained this ratio consistently over the past four years, reflecting a sustained clinical focus on OCD and related conditions. My treatment approach integrates evidence-based, mindfulness-based, and values-driven modalities, including ERP, TFACT, MI, ACT, and Behavioral Activation, tailored to each client’s presentation. This consistent focus has allowed me to develop significant clinical depth and specialized experience in effectively supporting individuals navigating OCD and related anxiety disorders.

I provide evidence-based, mindfulness-based, and values-driven treatment across several areas. For anxiety disorders, I use Trauma-Focused ACT (TFACT) and Exposure and Response Prevention (ERP); for mood disorders, Motivational Interviewing (MI), Behavioral Activation, and Acceptance and Commitment Therapy (ACT); for substance use disorders, Solution-Focused Therapy (SFT), MI, and ACT; and for PTSD, TFACT, Cognitive Processing Therapy (CPT), and ERP. My approach blends cognitive-behavioral and acceptance-based strategies, helping clients build present-moment awareness and psychological flexibility while moving toward what matters most to them, rather than simply reducing symptoms.

I have specialized in treating OCD and related anxiety disorders for the past four years within my clinical practice. My training includes targeted continuing education in ERP fundamentals, functional assessment for OCD and anxiety, childhood OCD, OCD taboo themes, and inhibitory learning theory applications in exposure work. I completed 21 hours of advanced ACT- and ERP-focused clinical consultation with specialists in anxiety and OCD treatment, alongside 16 hours of specialized Trauma-Focused ACT training. This combination of coursework, specialized CE training, and expert consultation has built strong clinical competency in ERP-based OCD treatment.

My practice is LGBTQ+-affirming and welcomes clients across the spectrum of gender identity and sexual orientation. I’ve completed specialized training in affirming care for transgender clients navigating eating disorders, as well as autistic-affirming care to support neurodivergent clients. I approach each client’s cultural, racial, and gender identity as integral to case conceptualization and treatment planning, rather than as an addendum to standard care. My goal is to create a therapeutic space where clients of diverse backgrounds and identities feel safe, seen, and understood in the context of their OCD and anxiety treatment.

My graduate coursework in social work included training on social justice and ethics, providing foundational grounding in equity-focused practice. I’ve completed continuing education on the cultural implications of working with immigrant and first-generation American clients, and culturally responsive care for Black professionals navigating institutional mental health spaces. I also completed training in anti-racist, anti-oppressive, trauma-informed practice elements for children and families. This coursework and training reflect an ongoing commitment to culturally responsive, equity-informed clinical practice with diverse client populations.

Coming Fall 2026: I am currently developing a 6-week virtual psychotherapy group for adults in North Carolina who struggle with OCD, anxiety, perfectionism, or chronic overthinking. Tentatively titled Morning Anxiety Reset, the group will meet Tuesday mornings from 6:00–7:00 AM ET and integrate evidence-based Acceptance and Commitment Therapy (ACT), Exposure and Response Prevention (ERP), and mindfulness practices. The goal is to help participants build psychological flexibility, reduce avoidance, and start their day with greater intention and resilience. If you’re interested in joining a future cohort, please reach out to be notified when enrollment opens.