Jelena Maistrenko

I help children, teens, and adults manage anxiety using evidence-based approaches like CBT, ACT, and exposure-based work. Whether it's generalized worry, panic, social anxiety, phobias, or school-related anxiety, I focus on building real, lasting skills rather than temporary relief. Treatment is practical and collaborative, and I often incorporate real-world exposure and family support when helpful. My goal is to help you move through anxiety with confidence, not avoid it.

I specialize in treating OCD using ERP, the gold-standard, evidence-based approach. I treat all subtypes, including intrusive thoughts, contamination fears, harm OCD, and mental compulsions, many of which go unrecognized in general therapy. Treatment is collaborative and practical, helping clients build tolerance for uncertainty rather than relying on reassurance or avoidance. I also offer parent coaching to reduce family accommodation, with the goal of helping you feel less controlled by OCD.

I work with children as young as 4, specializing in anxiety, OCD, school refusal, selective mutism, and ARFID. I use developmentally appropriate, evidence-based approaches and involve parents closely in treatment through coaching and family support. My goal is to help children build genuine coping skills early, in a way that feels safe, engaging, and effective, while supporting the whole family through the process.

I use Cognitive Behavioral Therapy to help clients identify and shift unhelpful thought patterns that fuel anxiety and OCD. CBT provides practical, structured tools clients can apply in daily life, building lasting skills rather than temporary relief. I tailor CBT to each client's specific presentation, often integrating it alongside exposure-based work for a more comprehensive, individualized approach to treatment.

ACT helps clients build a healthier relationship with difficult thoughts and feelings, rather than fighting or avoiding them. I use ACT to help clients clarify their values and take meaningful action even alongside anxiety or intrusive thoughts. It pairs well with ERP, supporting long-term flexibility and resilience beyond symptom reduction alone.

ACT helps clients build a healthier relationship with difficult thoughts and feelings, rather than fighting or avoiding them. I use ACT to help clients clarify their values and take meaningful action even alongside anxiety or intrusive thoughts. It pairs well with ERP, supporting long-term flexibility and resilience beyond symptom reduction alone.

ERP is the gold-standard, evidence-based treatment for OCD. I guide clients through gradual, collaborative exposure to feared thoughts or situations while resisting compulsions, helping build genuine tolerance for uncertainty and discomfort. Treatment is paced individually and never forced. My goal is to help clients regain control from OCD, rather than avoiding or accommodating it, so they can live more freely.