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Therapy That Actually Moves You Forward

If you have tried therapy before and felt like not much happened — sessions that circled the same topics without traction, a lot of nodding and "how does that make you feel?" — I work differently.

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I provide structured, evidence-based psychotherapy for adults in Austin, TX, and via telehealth across Texas and Florida. My approach is grounded in cognitive and behavioral science, guided by genuine compassion, and focused on one thing: helping you live a full life according to your values.

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That means we set clear goals together from the start, track our progress honestly, and adjust when needed. Sessions are direct and focused — no passive conversations that don't move treatment forward. I bring my full research and clinical expertise to every session, and I expect us both to do the work.

AREAS OF DEEP SPECIALIZATION

These are the conditions at the center of my clinical and research career. Each has a dedicated page with detailed information about what treatment looks like — and what you can realistically expect from it.

OCD

Obsessive Compulsive Disorder

OCD traps you in cycles of intrusive thoughts and compulsions — checking, reassurance-seeking, mental rituals — that provide short-term relief but keep the problem alive. Treatment with CBT and Exposure and Response Prevention (ERP) directly targets those cycles. The goal is not to feel less anxious in the moment, but to break the pattern for good.

Internationally recognized OCD expertise 

ADHD

Adult ADHD

ADHD is not a willpower problem — but it does require the right approach. If procrastination, disorganization, and difficulty following through are getting in the way of work, relationships, or daily life, CBT for ADHD builds practical, real-world skills that create lasting functional change — not just coping strategies.

Nearly two decades of clinical and research expertise in adult ADHD 

Misophonia

Misophonia

When specific sounds trigger rage, disgust, or panic, the instinct is to avoid — but avoidance makes misophonia worse over time. Therapy focuses on gradually increasing your flexibility and tolerance, reducing the emotional reactivity that keeps you captive, and helping you function in the real situations that matter most.

Puslished the first neuropsychological study of misophonia · Extensive clinical experience treating adults

Perfectionism

Clinical Perfectionism

Clinical perfectionism is not high standards — it is rigid, exhausting, all-or-nothing thinking that leads to avoidance, procrastination, and chronic dissatisfaction. CBT for perfectionism does not lower your standards. It frees you from the rules that are holding you back — so you can pursue your goals without burning out.

Published the first neuropsychological study, and the first app-based clinical trial on perfectionism

I also work with a broad range of other concerns

The above are my primary areas of specialization. I also work with adults and families presenting with a wide range of individual, relational, and parenting difficulties, including:

Generalized anxiety · Social anxiety · Panic disorder · Depression · Health anxiety · Stress & burnout · Parenting difficulties · Life transitions · Relationship difficulties · Procrastination · Low self-esteem · Emotional dysregulation · Work & academic performance

How therapy works

  1. We begin with a thorough intake session. It is also an opportunity for both of us to assess the fit. By the end, I share what I believe is driving your difficulties and lay out a clear, evidence-based treatment plan aimed at helping you reach your goals.
     

  2. Then, once we decide to start working together, we set clear, specific goals and agree on a treatment path — this is a collaborative process, you are an informed, active partner from day one.
     

  3. Sessions are focused — direct communication, no passive conversations, no long silences.
     

  4. We assess progress regularly and adjust course when needed — the goal is meaningful, lasting change, not just feeling better in the room.
     

  5. Standard sessions: 50 minutes. Intake sessions run longer.

Not sure if your concerns fit one of these areas? Many people I see arrive without a clear diagnosis — and that is completely normal. Accurate assessment is part of how I work. If you are unsure whether what you are experiencing fits any of these categories, reach out, and we can talk through what makes sense.

If you are ready to get started — or want to discuss whether this approach is the right fit — I welcome you to reach out directly.

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In-person in Austin, TX · Telehealth across Texas and Florida

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 Licensed Psychologist in Texas | Licensed to provide telehealth services to

patients located in Florida

© 2026 by Amitai Abramovitch 

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