Adult therapy at Bridgewell Cognitive Health provides structured, evidence-based treatment for adults navigating anxiety disorders, OCD, ADHD, autism, emotional dysregulation, and neurodivergent-related challenges. Sessions emphasize practical strategies, skill-building, and diagnostic clarity while helping adults understand patterns that affect work, relationships, health, and daily functioning.

ERP, CBT, ACT, and DBT-informed approaches, ensuring that each treatment plan is structured, research-backed, and tailored to the individual’s unique needs, strengths, and lived experience.

Services are available in-person in Rockwall and via telehealth throughout Texas.

Adult Therapy

Adult Therapy for Anxiety, OCD, ADHD, Autism & Neurodivergence in Rockwall, Texas

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Specialties Treated in Individual Therapy

  • Anxiety therapy at Bridgewell Cognitive Health provides structured, evidence-based treatment for all major anxiety disorders, including:

    • Generalized Anxiety Disorder (GAD): chronic worry, overthinking, difficulty relaxing, “what if” spirals

    • Panic Disorder: panic attacks, physical anxiety symptoms, fear of future attacks or “losing control”

    • Agoraphobia: fear of leaving home, driving, crowds, or situations without an “escape” plan

    • Health Anxiety / Illness Anxiety: symptom checking, reassurance seeking, fear of serious medical issues

    • Social Anxiety: fear of judgment, embarrassment, or being “seen”; avoidance of social situations

    • Specific Phobias: fears related to flying, driving, needles, vomiting, animals, or medical procedures

    • Performance Anxiety: perfectionism, fear of failure, pressure to perform in school or at work

    • High-Functioning Anxiety: chronic tension, burnout, sleep difficulty, overachieving with hidden distress

    Therapy draws from CBT (Cognitive Behavioral Therapy) to change anxious thinking patterns, ACT (Acceptance & Commitment Therapy) to improve flexibility and reduce struggle with internal experiences, DBT-informed skills to strengthen emotional regulation and distress tolerance, and ERP (Exposure and Response Prevention) for fear-driven avoidance.

  • OCD treatment at Bridgewell Cognitive Health is grounded in Exposure and Response Prevention (ERP), the gold-standard evidence-based therapy for obsessions, compulsions, and intrusive thoughts. Treatment supports individuals experiencing:

    • Contamination fears and excessive cleaning or avoidance

    • Checking compulsions (locks, appliances, safety behaviors)

    • Intrusive harm or moral thoughts (fear of causing harm, moral scrupulosity)

    • Relationship OCD (ROCD) (doubt about partners, compulsive reassurance)

    • Sexual orientation or identity OCD

    • Health-related obsessions

    • Mental rituals (rumination, reassurance, internal neutralizing)

    • Perfectionism, symmetry, or “just right” compulsions

    Therapy integrates ERP, CBT, ACT, and DBT-informed skills to reduce compulsive behavior, interrupt fear-driven rituals, and help clients develop resilience and confidence in handling intrusive thoughts. Treatment is structured, compassionate, and tailored to each individual’s unique OCD presentation.

  • ADHD therapy focuses on executive functioning support, emotional regulation, and practical strategies to manage distractibility, procrastination, and overwhelm. Treatment supports adults experiencing:

    • Trouble focusing, task initiation, and time management

    • Chronic disorganization or unfinished tasks

    • Emotional reactivity or rejection sensitivity

    • Impulsivity or frustration tolerance challenges

    • Difficulty with routines, transitions, or planning

    • Masking, burnout, or feeling “behind” despite effort

    Therapy integrates CBT for ADHD, DBT-informed emotional regulation skills, ACT for values-based functioning, and practical executive functioning strategies. Sessions address both the neurobiological aspects of ADHD and its impact on work, relationships, self-esteem, and daily life.

    Partners or family members seeking guidance without entering individual therapy may benefit from neurodivergent consultation services.

  • Autism-affirming therapy supports adults experiencing sensory overwhelm, burnout, masking, rigidity, social exhaustion, or difficulty navigating expectations. Treatment centers on understanding strengths, reducing pressure to mask, and developing supportive routines and communication strategies.

    Therapy may address:

    • Autistic burnout and shutdowns

    • Sensory sensitivities or sensory-seeking patterns

    • Difficulty with transitions, unpredictability, or routine changes

    • Social exhaustion or miscommunication patterns

    • Executive functioning differences

    • Identity exploration and late-life understanding of Autism

    • Overlap with ADHD, anxiety, OCD, or trauma

    Approaches are grounded in neurodivergent-affirming CBT, ACT, DBT-informed emotional regulation, and collaborative problem-solving to reduce chronic stress and enhance quality of life.

    Consultation is also available for partners or parents seeking education, communication strategies, and support without requiring ongoing therapy for the neurodivergent individual

  • BFRB Treatment (Skin Picking, Hair Pulling, Nail Biting)

    Treatment for Body-Focused Repetitive Behaviors (BFRBs) supports individuals experiencing:

    • Trichotillomania (hair pulling)

    • Dermatillomania (skin picking)

    • Nail biting or cheek biting

    • Sensory-driven urges, tension reduction behaviors, or perfectionistic triggers

    Therapy includes Habit Reversal Training (HRT), Comprehensive Behavioral Treatment (ComB), stimulus control strategies, and DBT-informed coping skills for emotional and sensory triggers. Treatment focuses on increasing awareness of patterns, reducing shame, and helping clients build alternative responses that support long-term symptom reduction.

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What to Expect in Adult Therapy

Adult therapy is collaborative, structured, and focused on developing practical tools that support long-term change. Sessions help clients identify patterns, understand the function of symptoms, and practice skills between sessions. Therapy moves at a steady, personalized pace and includes education, skill-building, and guided exposure or behavioral work when appropriate. Clients leave sessions with clear direction, tools to practice, and confidence in their ability to navigate challenges.

Treatment integrates strategies that help adults:

  • Reduce overwhelm and anxiety

  • Manage intrusive thoughts or compulsions

  • Improve emotional regulation

  • Strengthen executive functioning

  • Set boundaries and communicate effectively

  • Break cycles of avoidance

  • Build flexibility and resilience

When appropriate, therapy may be complemented by consultation services for partners or family members to support progress outside of individual sessions.

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Who Adult Therapy is For

Adult therapy supports individuals experiencing:

  • Chronic worry, overthinking, and difficulty relaxing

  • Panic attacks or fear-driven avoidance

  • Intrusive thoughts or compulsive rituals

  • Perfectionism, burnout, or emotional exhaustion

  • Difficulty managing stress or transitions

  • ADHD-related overwhelm, disorganization, or distractibility

  • Sensory sensitivity or autistic burnout

  • Executive functioning challenges (planning, time management, motivation)

  • Problems with communication, boundaries, or self-advocacy

  • Difficulty balancing work, relationships, and daily expectations

Some individuals find that their challenges primarily affect relationships, parenting, or communication with partners. In these cases, Neurodivergent Consultation for parents and romantic partners may be a helpful alternative or complement to individual therapy.

Length & Frequency of Therapy

Weekly sessions are recommended at the beginning of treatment, as they help create continuity, reinforce skills, and support steady improvement. Once progress is established, many clients transition to biweekly or a maintenance schedule. Session frequency is always personalized and reviewed together. Length of treatment varies depending on goals, diagnosis, and the level of support needed.

Consistency early in treatment provides the strongest foundation for long-term improvement.

How Therapy Helps Adults

Adults who engage in evidence-based therapy often experience significant improvements, including:

  • Reduced anxiety, fear, and overthinking

  • Fewer compulsions and rituals

  • Better emotional regulation

  • Increased confidence in handling stress

  • Improved executive functioning

  • More balanced thinking and problem-solving

  • Stronger communication and boundary-setting

  • Greater self-awareness and self-trust

  • Reduced burnout and improved life satisfaction

Therapy helps individuals create meaningful, sustainable changes that support emotional and functional well-being.

Ready to begin therapy that is structured, effective, and tailored to your unique needs? Take the first step toward clarity, confidence, and meaningful change.

Schedule an Appointment