Licensed to practice in 3 states and accepts 10 insurances. Specializes in Anxiety, Obsessive-Compulsive (OCD), Trauma and PTSD and 1 more.
Clients say this provider is
Hello, I'm Lilyvette Perez, a Licensed Mental Health Counselor and Licensed Professional Counselor with more than 20 years of behavioral health experience. I specialize in treating Obsessive-Compulsive Disorder (OCD), anxiety disorders, and Post-Traumatic Stress Disorder (PTSD) using evidence-based approaches, including Exposure and Response Prevention (ERP), Cognitive Behavioral Therapy (CBT), and Prolonged Exposure (PE). I understand how exhausting it can be to feel caught in cycles of intrusive thoughts, compulsions, anxiety, avoidance, or the effects of trauma. My approach is structured, collaborative, and compassionate, with treatment tailored to your symptoms, experiences, and goals. I provide telehealth therapy in English and Spanish for adults in Texas, Massachusetts, and Connecticut.
I specialize in the assessment and treatment of OCD, anxiety disorders, and PTSD. Our first sessions focus on developing a thorough understanding of what you're experiencing, how your symptoms are affecting your daily life, your treatment history, and what you hope to change. When appropriate, I may use evidence-based assessment measures to better understand your symptoms and establish a baseline that allows us to monitor progress over time. We'll also identify the patterns that may be maintaining your symptoms and discuss which treatment approach is most appropriate for you. By the end of the assessment process, my goal is for you to understand your treatment options, have clearly defined goals, and know what to expect as we move forward together.
I bring more than 20 years of behavioral health experience along with specialized training in evidence-based treatment for OCD, anxiety disorders, and PTSD. My approach is structured and collaborative, and I believe clients benefit from understanding not only what we're doing in therapy, but why we're doing it. My work goes beyond supportive talk therapy by incorporating evidence-based interventions that directly address the patterns maintaining anxiety, OCD, and trauma-related symptoms. I'll provide education, teach practical skills, and support you as you gradually approach difficult thoughts, feelings, situations, memories, or uncertainty. Treatment is individualized to your needs and goals, and we'll regularly evaluate your progress together and adjust our approach when needed.
If you're struggling with OCD, an anxiety disorder, or PTSD, you may feel caught in patterns that are difficult to change on your own. Intrusive thoughts, compulsions, excessive worry, panic, avoidance, or trauma-related symptoms may be interfering with your relationships, work, or ability to engage fully in daily life. You may be seeking therapy for the first time, or you may have tried therapy before but are looking for a more structured, evidence-based approach. I work with adults seeking to better understand what is maintaining their symptoms and learn new ways of responding to anxiety, uncertainty, intrusive thoughts, or traumatic experiences. Treatment is collaborative and individualized to your needs and goals. My goal is to help you develop skills and new patterns of responding so that OCD, anxiety, or trauma has less influence over your choices and the life you want to live.
Exposure and Response Prevention (ERP) is an evidence-based treatment for Obsessive-Compulsive Disorder (OCD). Many people understandably feel nervous when they first hear the word "exposure," so treatment begins with understanding your individual OCD cycle and preparing you for what the process will involve. Together, we'll identify the thoughts, situations, images, sensations, or uncertainty that trigger distress, as well as the behavioral and mental compulsions you use in response. These may include checking, reassurance seeking, avoidance, mental reviewing, repeating, or other attempts to reduce anxiety or obtain certainty. Exposure exercises are selected intentionally and approached collaboratively. You'll practice gradually facing triggers while reducing the compulsive responses that keep the OCD cycle going. The goal isn't to eliminate intrusive thoughts or make anxiety disappear. It's to help you develop a different response to thoughts, uncertainty, and discomfort so that OCD has less influence over how you live your life.
Prolonged Exposure (PE) is an evidence-based treatment specifically developed for Post-Traumatic Stress Disorder (PTSD). After trauma, avoiding memories, emotions, situations, people, or places associated with what happened can provide short-term relief, but over time avoidance can contribute to PTSD symptoms continuing. PE helps you gradually approach trauma-related memories and situations that are safe but have been avoided because of trauma-related fear or distress. Treatment is structured, collaborative, and planned carefully with your active participation. Throughout treatment, I'll help you understand the relationship between trauma, avoidance, and PTSD symptoms and support you as you practice approaching experiences that have become difficult to face. The goal isn't to erase what happened or forget the trauma. It's to help trauma-related memories and reminders have less control over your present life so you can reconnect with the people, activities, and experiences that matter to you.
I believe you should understand not only what we're doing in therapy, but why we're doing it. Psychoeducation is integrated throughout treatment so you can better understand your symptoms, the patterns that may be maintaining them, and the rationale behind the interventions we use. Depending on your needs, we may explore the OCD cycle, the relationship between anxiety and avoidance, the role of compulsions and reassurance seeking, or how trauma-related avoidance can maintain PTSD symptoms. I'll explain treatment concepts in clear, practical language and encourage questions throughout the process. My goal is for you to be an informed and active participant in treatment and to develop an understanding of your symptoms and treatment strategies that you can continue applying outside of therapy.
Making meaningful changes can be difficult, particularly when treatment involves approaching thoughts, situations, memories, emotions, or uncertainty that you have learned to avoid. I may incorporate Motivational Interviewing (MI) when you feel uncertain, stuck, or conflicted about change. MI is a collaborative approach that helps you explore your own reasons for change, identify barriers, clarify what matters to you, and strengthen your commitment to your goals. Rather than telling you what you should do, we'll explore what is important to you and how your current patterns may be helping or interfering with the life you want to live. When appropriate, I integrate these strategies with evidence-based treatments such as ERP and PE to support engagement in the treatment process.
Cognitive Behavioral Therapy (CBT) is an evidence-based approach that examines the relationship between thoughts, emotions, physical sensations, and behaviors. I incorporate CBT when treating anxiety disorders and use interventions based on your specific symptoms, patterns, and treatment goals. Together, we'll identify avoidance, responses to anxiety, or other behaviors that may provide short-term relief while maintaining anxiety over time. Treatment may include education, behavioral strategies, and exposure-based interventions that help you practice responding differently to anxiety and feared situations. My approach to CBT is active and collaborative. The goal is not simply to talk about anxiety, but to help you understand the patterns maintaining it and practice skills and behavioral changes that can be applied in your daily life.
1 rating with written reviews
August 17, 2026
Absolutely Amazing, I felt Safe in my Responses.The listening Skills where patient and intuitive in assessing Concerns and Needs.