New Smyrna Beach · South Daytona · Deland, FL
OCD Treatment in New Smyrna Beach, South Daytona & Deland, FL
If unwanted thoughts keep looping, or you feel driven to check, count, or repeat things a certain way just to feel okay, you may be dealing with obsessive-compulsive disorder (OCD). We provide compassionate, personalized OCD evaluation and treatment for children, teens, and adults across New Smyrna Beach, South Daytona, and DeLand, Florida.

OCD is More Than Being "Particular"
OCD isn't about liking things neat or having quirky habits. It involves genuinely distressing, intrusive thoughts (obsessions) paired with repetitive behaviors or mental rituals (compulsions) done to relieve the anxiety those thoughts cause. It can quietly take up hours of a person's day and make ordinary routines exhausting.
Signs and Symptoms of OCD
OCD can involve fears about contamination, harm, mistakes, relationships, morality, or unwanted thoughts — and compulsions can be physical behaviors or mental rituals. It doesn't always look like cleaning or checking.
Intrusive, hard-to-shake thoughts
Trouble concentrating or deciding
Checking, counting, or arranging rituals
Frequent reassurance-seeking
Rituals that eat up significant time
Excessive hand washing or cleaning
Thoughts of death or suicide are also a symptom of depression and should always be taken seriously. See crisis resources below.
Read more on our blog:
Who We Treat
We tailor the evaluation and treatment approach to the age and life stage of the person in front of us.
Including years of living with it quietly
Adults
Adolescents
School and social impact
Early signs, caregivers included
Children (age 8+)
We currently treat individuals age 8 and older, depending on clinical needs and appointment availability.
DCD vs. Anxiety: How can you tell? OCD involves specific obsessions paired with compulsions aimed at relieving them, while anxiety tends to involve more general, persistent worry. The two can also occur together. See Anxiety Treatment.
How OCD is Diagnosed
Evaluation starts with listening, not a checklist alone.
Full symptom history
How obsessions and compulsions show up across your life
Impact on daily functioning
How much time rituals take up, and what's already been tried
Evaluation for overlapping conditions
Considers anxiety or depression, which can resemble or accompany OCD
Clear treatment recommendation
Discussed and decided on together
Our Approach to OCD Care
Thorough evaluation
Supports an accurate diagnosis and considers overlapping conditions
Personalized medication
Follow-up visits while introduced or adjusted
Specialized therapy referrals
ERP or CBT, evidence-based approaches for OCD
Collaborative care
Informed and involved in every decision
OCD can occur alongside conditions such as anxiety, depression, or ADHD. We currently treat individuals age 8 and older — from children just starting to show signs of OCD to adults who've lived with it, often quietly, for years.
Tell us a bit about what you're experiencing
01
Inquire
In-person appointments available, along with virtual options. A $100 deposit is required to book a self-pay/out-of-network initial evaluation, applied toward your total appointment cost.
What to Expect
Intake paperwork
Including insurance info, ahead of your first visit
02
Initial evaluation
Comprehensive in-person psychiatric evaluation
03
Treatment plan
Personalized, with close early follow-up
04
Meet Your Provider

Sandra MacSweeney, MHA, FNP-C, PMHNP-C
Holds a Master's degree in Advanced Practice Nursing with a specialization in psychiatric mental health from Nova Southeastern University. Florida board-certified to treat patients across the lifespan, with a focus on evidence-based, whole-person care.
