Specialties
Caroline Roesel specializes in evidence-based therapy for anxiety disorders, phobias, obsessive-compulsive disorder (OCD), autism and neurodivergences, and tic disorders such as Tourette Syndrome and Chronic Tic Disorder.
Obsessive-Compulsive Disorder (OCD)
What It Is
Obsessive-Compulsive Disorder (OCD) involves recurring, intrusive thoughts, images, or urges that feel distressing or disruptive, along with strong urges to engage in behaviors or mental rituals to reduce anxiety. While these responses may bring temporary relief, they often reinforce the OCD cycle and can gradually narrow your life—impacting relationships, work, and overall well-being.
How Caroline Helps
Caroline supports individuals with OCD using Acceptance and Commitment Therapy (ACT) and Applied Behavior Analysis (ABA), two evidence-based approaches that help people respond differently to intrusive thoughts and urges. Rather than trying to get rid of thoughts or feelings, ACT focuses on building awareness, flexibility, and choice.
What to Expect
In our work together, we collaborate to clarify your values and identify meaningful goals, while practicing skills that allow you to notice OCD-related experiences without being driven by them. Therapy is active and individualized, with an emphasis on helping you build a life that feels fuller and more aligned with what matters to you—even when discomfort is present.
Anxiety Disorders & Specific Phobias
What It Is
Anxiety disorders, such as Generalized Anxiety Disorder (GAD), often show up as ongoing worry that is hard to see coming and feels difficult to control. It can be paired with physical symptoms such as tension, restlessness, or mental fatigue. Specific phobias involve intense fear related to particular situations, objects, or experiences, which can lead to avoidance and significant disruption in daily life. Although anxiety and fear are natural human experiences, they can become limiting when they begin to dictate choices and behavior.
How Caroline Helps
Caroline’s work with anxiety disorders and specific phobias integrates Acceptance and Commitment Therapy (ACT) with behavioral principles informed by Applied Behavior Analysis (ABA). Therapy is collaborative and goal-oriented, with a focus on helping clients build practical skills to engage with feared situations, increase tolerance for uncertainty, and reduce patterns of avoidance.
What to Expect
Together, we identify meaningful goals and take gradual, intentional steps toward them through regular sessions. The aim is not to eliminate anxiety, but to help you relate to it in a way that allows for greater flexibility, confidence, and engagement in the life you want to live.
Autism & Neurodivergences
What It Is
Autism is a neurodevelopmental difference that shapes how individuals experience the world, including communication, sensory processing, social interaction, and patterns of interest or routine. Some people seek therapy after receiving a formal diagnosis, while others come in because they suspect they may be autistic and want support making sense of their experiences. ADHD, which can accompany autism, is often experienced as varied energy levels, challenges focusing and completing tasks, and difficulty slowing down thoughts and reactions. For many adults, this exploration can bring both relief and uncertainty, especially if their needs have gone unrecognized for years.
How Caroline Helps
Caroline provides affirming, individualized support for individuals with autism, suspected autism, and co-occurring diagnoses such as ADHD or anxiety. Her approach is collaborative and respectful, grounded in Acceptance and Commitment Therapy (ACT) and behavioral principles informed by Applied Behavior Analysis (ABA).
What to Expect
Therapy focuses on increasing self-understanding, building skills that support daily functioning, and clarifying goals that align with your values—not on changing who you are. Sessions may include support with emotional regulation, sensory experiences, social or work-related challenges, and navigating expectations in a way that honors your strengths and needs. The goal is to help you move toward a life that feels sustainable, meaningful, and authentically yours.
Tic Disorders (Tourette Syndrome & Chronic Tic Disorder)
What It Is
Tic disorders, including Tourette Syndrome and Chronic Tic Disorder, involve involuntary movements and/or vocalizations that can fluctuate in frequency and intensity over time. Tics are often influenced by stress, excitement, fatigue, or strong emotions, and many individuals experience a buildup of uncomfortable sensations or urges before a tic occurs. While tics are not dangerous, they can be distressing, interfere with daily activities, and impact self-confidence or social comfort.
How Caroline Helps
Caroline supports individuals with tic disorders using Comprehensive Behavioral Intervention for Tics (CBIT), an evidence-based behavioral treatment specifically designed to reduce the physical urges and sensations that precede and cause tics. CBIT involves increasing awareness of tics and premonitory urges, learning alternative responses that are incompatible with the tic, and making practical adjustments to daily environments that support success.
What to Expect
Treatment is collaborative and tailored, with clear goals developed together and practiced through regular sessions. When helpful, CBIT is integrated with Acceptance and Commitment Therapy (ACT) strategies to support emotional flexibility, self-compassion, and values-based living. The focus is on reducing the impact of tics while helping you engage more fully in the activities and roles that matter to you.
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