Areas of Treatment

Dr. Selles works with youth, young adults, and families of young children who are struggling with unhelpful thoughts, feelings, sensations, or behaviors.

Dr. Selles has the most expertise with difficulties related to:

Anxiety (e.g., fears around health, safety, situations, or experiences)
Avoidance (e.g., staying away or running from situations, objects, people, thoughts, or feelings)
Body-focused behaviors (e.g., tics [uncontrolled movements/noises], skin picking, hair pulling)
Compulsions (e.g., needing to wash, order, check, repeat, or rigidly complete activities)
Obsessions (e.g., experiencing unwanted and uncomfortable thoughts, urges, or images)
Not-Right Sensations (e.g., feeling incomplete, uneven, contaminated, or imperfect)
Worry (e.g., thinking a lot about things; feeling unsure, doubtful, or stressed)

Diagnostically, this includes obsessive-compulsive disorder (OCD), generalized anxiety disorder (GAD), social anxiety, selective mutism, specific phobias, panic disorder, hoarding disorder, tic disorders & Tourette's Syndrome, trichotillomania, and excoriation disorder.

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Where needed, Dr. Selles provides support to caregivers (e.g., parents, partners) around:

Communication (e.g., discussing feelings and behaviors, setting expectations)
Impacts (e.g., on work, relationships, home life, and emotional well-being)
Involvement (e.g., getting drawn in to resolving or managing the problem)
Reactions (e.g., worry, frustration, guilt, criticism)
Relationships (e.g., improving dynamics, building trust)
Structures (e.g., rules, reinforcement, consistency)

Dr. Selles can also help address difficulties relating to*:

Big Emotions (e.g., anger, distress, often losing control, trying to control others)
Low Mood (e.g., feeling down, inactive, negative, insecure)
Attention (e.g., trouble listening, disorganization, procrastination)

*If these are the primary areas of concern, you may be better served by other treatment providers

Dr. Selles is not well suited for helping with:

Extreme reactivity, dangerous behaviors, manipulation and persistent lying, intellectual disorders, excessive rigidity, eating disorders, severe depression, active suicidality and self-harm, complex family problems, complex trauma, substance problems, mania, or psychosis.