James Wightman, MClinPsych (Distinction), BPsych (First Class Honours)

MindSure Psychology is a private practice offering individual therapy for adults, in person in Gosford and Hornsby (NSW, Australia) and by telehealth across Australia. Around 30% of my practice is OCD treatment, across all themes. Treatment is CBT built around exposure and response prevention (ERP), with cognitive strategies where useful. We map obsessions, compulsions, reassurance seeking and avoidance, then plan exposures collaboratively, with structured practice between sessions. Where partners or family are drawn into reassurance or checking, I help them step back. Daytime and evening appointments. Australian Medicare rebates apply with a GP Mental Health Treatment Plan.

I treat OCD alongside anxiety disorders (generalised, social, panic, health anxiety, phobias), depression, adult ADHD and autism. After assessment we build a shared formulation and agree what to target first. ERP remains central for OCD, combined with CBT, behavioural activation or ACT for the co-occurring condition. With ADHD, I add executive functioning strategies (routines, time blocks, if/then plans) so exposure practice between sessions is realistic. With autistic clients, therapy is neuroaffirming and adapted to communication, sensory and pacing needs, and I distinguish compulsions from autistic repetitive behaviours. I coordinate with GPs and psychiatrists where helpful.

Registered psychologist and Clinical Psychology Registrar. My Master of Clinical Psychology (Distinction, Griffith University) included workshops on treating OCD in adults and, separately, in children and adolescents, taught by Griffith OCD researchers including the Director of the Griffith Centre for Mental Health. I receive ongoing supervision from a Griffith University senior lecturer who publishes on OCD and ERP, part of it focused on adult OCD. I am enrolled in the four-day Intensive Workshop in ERP for OCD (November 2026), run by the University of Pennsylvania centre where Edna Foa developed the treatment protocol. IOCDF Professional Member.

As a former volunteer LEAP UP mentor (Macquarie University), I completed formal mentor training and a Working with Refugees workshop, then mentored high school students from refugee backgrounds in Western Sydney. I volunteered for two years as a Lifeline telephone crisis supporter, and during clinical training facilitated hospital group therapy that included veterans and emergency services personnel. My practice is LGBTQIA+ affirming. I provide neuroaffirming therapy for autistic adults and adults with ADHD, adapting communication, pacing and sensory demands to each person, and I support participants in Australia’s National Disability Insurance Scheme (NDIS; plan-managed or self-managed).