OCD & Intrusive Thoughts

OCD & Intrusive Thoughts

An intrusive thought you cannot argue with, and a compulsion that settles it for a few minutes before it comes back. OCD responds well to the right treatment, and badly to the wrong one. I offer ERP-based OCD treatment, the gold-standard approach, for adults and adolescents in Hong Kong.

An intrusive thought you cannot argue with, and a compulsion that settles it for a few minutes before it comes back. OCD responds well to the right treatment, and badly to the wrong one. I offer ERP-based OCD treatment, the gold-standard approach, for adults and adolescents in Hong Kong.

An intrusive thought you cannot argue with, and a compulsion that settles it for a few minutes before it comes back. OCD responds well to the right treatment, and badly to the wrong one. I offer ERP-based OCD treatment, the gold-standard approach, for adults and adolescents in Hong Kong.

About the speciality

About the speciality

OCD works as a loop. A frightening thought demands a response, the response brings short relief, and the relief teaches the loop to repeat. The treatment with the strongest evidence is exposure and response prevention, and it needs to be done by someone who has trained in ExRP and uses it regularly. This matters, because ordinary talk therapy can make OCD worse by treating the thoughts as if they mean something. Done properly, it usually works in months rather than years. Read more about the current state of OCD research, or take the OCD screener to see if OCD might be affecting you.

OCD works as a loop. A frightening thought demands a response, the response brings short relief, and the relief teaches the loop to repeat. The treatment with the strongest evidence is exposure and response prevention, and it needs to be done by someone who has trained in ExRP and uses it regularly. This matters, because ordinary talk therapy can make OCD worse by treating the thoughts as if they mean something. Done properly, it usually works in months rather than years. Read more about the current state of OCD research, or take the OCD screener to see if OCD might be affecting you.

OCD works as a loop. A frightening thought demands a response, the response brings short relief, and the relief teaches the loop to repeat. The treatment with the strongest evidence is exposure and response prevention, and it needs to be done by someone who has trained in ExRP and uses it regularly. This matters, because ordinary talk therapy can make OCD worse by treating the thoughts as if they mean something. Done properly, it usually works in months rather than years. Read more about the current state of OCD research, or take the OCD screener to see if OCD might be affecting you.

FAQ about this service

FAQ about this service

General FAQs

ADHD

Anxiety

OCD

Screen Time

School Refusal

Defiant Behaviour, PDA, ODD

Parenting Support (SPACE Model)

Procrastination

Performance Psychology

Executive Coaching for Burnout

Substance Use

What's the parent's role for teens?

What is OCD treatment with Dr Rick Smith?

Will I always have OCD?

What are intrusive thoughts?

How is OCD treated?

How many sessions will it take?

What is OCD, really?

How long does ERP take overall?

General FAQs

ADHD

Anxiety

OCD

Screen Time

School Refusal

Defiant Behaviour, PDA, ODD

Parenting Support (SPACE Model)

Procrastination

Performance Psychology

Executive Coaching for Burnout

Substance Use

What's the parent's role for teens?

What is OCD treatment with Dr Rick Smith?

Will I always have OCD?

What are intrusive thoughts?

How is OCD treated?

How many sessions will it take?

What is OCD, really?

How long does ERP treatment for OCD take?

About the clinician

About the clinician

Dr Rick Smith, is a dual-doctorate clinical psychologist in Hong Kong specialising in ADHD, OCD, anxiety, executive functioning, and performance psychology. He works with adults and adolescents in his Central Hong Kong practice and online.

About me

Dr Rick Smith, is a dual-doctorate clinical psychologist in Hong Kong specialising in ADHD, OCD, anxiety, executive functioning, and performance psychology. He works with adults and adolescents in his Central Hong Kong practice and online.

About me

Dr Rick Smith, is a dual-doctorate clinical psychologist in Hong Kong specialising in ADHD, OCD, anxiety, executive functioning, and performance psychology. He works with adults and adolescents in his Central Hong Kong practice and online.

About me

Your first step

Begin with a private consultation.

Dr Rick Smith, PsyD, EdD Clinical Psychologist

10/F, Wisdom Centre, 35-37 Hollywood Road, Central, Hong Kong

Hello@Rick-Smith.com

Mon to Sat, 10am to 7pm

In-person and online sessions

All Content © 2026 | Dr Rick Smith Ltd., a boutique clinical psychology practice run by Dr Rick Smith, PsyD, EdD. Sessions in Central, Hong Kong and online.

Your first step

Begin with a private consult

Dr Rick Smith, PsyD, EdD Clinical Psychologist

10/F, Wisdom Centre, 35-37 Hollywood Road, Central, Hong Kong

Hello@Rick-Smith.com

Mon to Sat, 10am to 7pm

In-person and online sessions

All Content © 2026 | Dr Rick Smith Ltd., a boutique clinical psychology practice run by Dr Rick Smith, Sessions in Central, Hong Kong and online.

Your first step

Begin with a private consultation.

Dr Rick Smith, PsyD, EdD Clinical Psychologist

10/F, Wisdom Centre, 35-37 Hollywood Road, Central, Hong Kong

Hello@Rick-Smith.com

Mon to Sat, 10am to 7pm

In-person and online sessions

All Content © 2026 | Dr Rick Smith Ltd., a boutique clinical psychology practice run by Dr Rick Smith, PsyD, EdD. Sessions in Central, Hong Kong and online.