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Welcome to The Scoggan Institute, a national leader in outpatient treatment for Obsessive Compulsive Disorder (OCD) and anxiety disorders. We understand the significant impact these conditions can have on your daily life, and we’re here to offer comprehensive, evidence-based treatment that empowers you to regain control.
At The Scoggan Institute, we believe in the power of personalized care. Our team of highly skilled and experienced anxiety disorder therapists utilizes gold-standard approaches like (CBT Cognitive Behavioral Therapy and OCD as well as Exposure and Response Prevention (ERP) to create individualized treatment plans that address your specific needs.
Customer Review 30,000
Welcome to The Scoggan Institute, a national leader in outpatient treatment for Obsessive Compulsive Disorder (OCD) and anxiety disorders. We understand the significant impact these conditions can have on your daily life, and we’re here to offer comprehensive, evidence-based treatment that empowers you to regain control.
At The Scoggan Institute, we believe in the power of personalized care. Our team of highly skilled and experienced anxiety disorder therapists utilizes gold-standard approaches like (CBT Cognitive Behavioral Therapy and OCD as well as Exposure and Response Prevention (ERP) to create individualized treatment plans that address your specific needs.
Our anxiety and OCD treatment programs are rooted in extensive research and have been proven effective in reducing anxiety and OCD symptoms.
Expert ERP Therapy for OCD. Our experienced therapists use Exposure and Response Prevention (ERP) to help you gradually confront triggers, resist compulsions, and reduce anxiety and fear associated with OCD.
We understand the challenges associated with anxiety and OCD, and our team provides a supportive and understanding environment for your journey.
Our therapists are highly qualified and specialize in the treatment of anxiety disorders and OCD. Many hold advanced degrees and stay up-to-date on the latest research and treatment techniques, including Cognitive Behavioral Therapy for OCD (CBT for OCD) and ERP for OCD.
Our team takes the time to understand your unique experiences and create a treatment plan that addresses your specific needs and goals.
Outpatient anxiety and OCD treatment allows you to receive therapy while maintaining your daily routines. Our outpatient OCD and anxiety treatment centers in Scottsdale, AZ and Salt Lake City, UT make treatment accessible for everyone.

Anxiety Disorders: Anxiety disorders are the most common mental health condition in the United States, affecting over 40 million adults each year. They manifest as a variety of symptoms, including:
If you’re struggling with symptoms of anxiety or OCD, you’re not alone. These conditions are highly treatable. There are many resources available to help you find an anxiety disorder therapist or OCD therapist near me. You can even search for terms like OCD IOP near me or OCD outpatient programs near me to find intensive outpatient programs or anxiety OCD centers in your area.
At The Scoggan Institute, we offer a range of evidence-based treatment options designed to help you manage your anxiety and OCD symptoms effectively. Here are some of the therapies we utilize
Cognitive Behavioral Therapy (CBT) is a highly effective approach for anxiety and OCD. It helps you identify and change negative thought patterns and behaviors that contribute to your symptoms.
Acceptance and Commitment Therapy (ACT) teaches you to accept difficult thoughts and feelings without getting caught up in them.
Mindfulness therapies help you become more aware of your thoughts and feelings without judgment, allowing you to respond more effectively to situations.
ERP therapy is specifically designed for OCD and involves gradually exposing yourself to situations that trigger your obsessions while resisting the urge to engage in compulsive behaviors. Over time, this reduces anxiety and fear associated with the obsessions.
This broadens the scope of treatment beyond just OCD to encompass other conditions characterized by repetitive behaviors and compulsions. Our compulsive disorder treatment therapists can tailor treatment plans to address specific compulsive disorders, such as trichotillomania (hair pulling) or skin picking.
The Scoggan Institute recognizes that body dysmorphia (BDD) can co-occur with anxiety and OCD. We have therapists experienced in treating BDD who can help you challenge negative beliefs about your appearance and develop a more positive body image.
“Thank you, Ricky, for helping our family stop organizing our lives around OCD and start building lives beyond it.”
Our family’s experience with OCD is LONG.
For the last 10 years we’ve experienced OCD in one way or another but for the last six years, we lived in what felt like a constant cycle of treatment. My son and daughter’s worlds had become consumed by OCD rituals covering almost every subtype imaginable… sexual OCD, contamination, existential fears, intrusive thoughts, rumination, counting, tapping, “just right,” perfectionism, harm OCD, scrupulosity… and the list goes on.
At this point, I’m pretty sure our family may have invented a few new OCDs nobody had heard of yet.
OCD didn’t just affect my kids. It slowly made our whole family’s world smaller.
Eventually, it felt like everyone in our house was stuck inside our home… and somehow even the house seemed to be shrinking around us. Our lives revolved around OCD, fear, rituals, avoidance and trying to get through the next crisis. We were constantly stressed, exhausted and afraid.
Life SUCKED for everyone.
We went to treatment center after treatment center. We learned terminology. We did therapy. We did exposures. We worked incredibly hard WITH NO LASTING CHANGE.
Then we found Ricky and The Scoggan Institute.
The difference between our previous treatment experiences and what we learned at The Scoggan Institute felt like night and day.
For the first time, we weren’t simply being told what exposures to do. We were being taught to truly understand OCD… how it works, how to identify it, speak to it, how it pulls you into compulsions and rumination, and most importantly, what to DO when it shows up.
That education changed everything for our family.
Ricky teaches you how to recognize OCD, respond to it differently and create your own exposures for whatever OCD decides to throw at you next.
Instead of needing someone else to tell you what exposure to do every time OCD finds a new theme, you learn how to recognize what it’s doing and build the exposure yourself. The goal is to develop the skills and confidence to continue doing the work outside of treatment.
And our entire family had to learn… including me as their mom.
For years, I thought helping meant answering the questions, calming the fear, solving the problem and reassuring my kids when they were struggling. I now understand how easily a loving parent can unknowingly become part of OCD’s ritual.
I had to learn when to support my children and when to step out of OCD’s way. Instead of trying to make their anxiety disappear, I’m learning to trust them to experience discomfort, uncertainty and fear… and discover for themselves that they can handle it.
My kids are learning the same thing.
When OCD shows up, the question isn’t automatically, “How do we make this feeling go away?”
They’re learning to recognize OCD, identify compulsions and rumination, create exposures, tolerate uncertainty and keep living their lives even when OCD is screaming at them.
And Ricky somehow manages to teach all of this while being one of the kindest, funniest, most down-to-earth people you will ever meet.
He makes you feel comfortable while still challenging you. He can laugh with you… and occasionally at you when you need it. He helped us stop treating OCD like this terrifying monster that everyone had to tiptoe around.
Sometimes you have to look directly at it, laugh and refuse to play its game.
Today, our house feels lighter.
We laugh more. We go out more. We enjoy being around other people again. There are good days, good conversations and even good dreams.
My kids are thinking about moving forward with their lives… school, relationships, jobs and their futures. Things that once felt too difficult to do, or honestly even too difficult to imagine, now feel possible.
And maybe that’s the biggest change of all.
We believe we can.
Recovery for our family doesn’t mean OCD magically disappeared or that nobody ever struggles anymore. It means we aren’t building our lives around OCD anymore. When it shows up, we understand what it is and have the tools to respond.
Our world is getting bigger again.
After watching OCD make it smaller for so many years, there really aren’t words to describe what that means to us.
That is what makes The Scoggan Institute different for our family. After YEARS of treatment and more treatment centers than I care to count, we finally received something we had been missing… the education and understanding that gave our family the ability to move forward.
Ricky has become much more than the person who taught our family about OCD. We love him dearly and consider him family.
We also see how passionate he is about educating other therapists and professionals so more people with OCD can receive help from people who truly understand it. After everything our family has been through, we know firsthand how desperately that education is needed.
We are incredibly grateful that our very long OCD journey eventually led us to Ricky and The Scoggan Institute.
We are also so thankful for Nira Tamayo, who worked with June and Sophia alongside Ricky during their treatment.
Thank you, Ricky, for helping our family stop organizing our lives around OCD and start building lives beyond it.
We love you, we believe in what you’re doing, and we will forever be your biggest supporters.
— Jennifer Qureshi
“OCD used to consume my time, my attention and my ability to imagine a normal future. Now I can actually live it.”
I began struggling with OCD when I was 10 years old. Almost overnight, I became obsessed with whether or not I was homosexual, what I now understand was Sexual Orientation OCD (HOCD).
It completely turned my life upside down.
I was raised in the Mormon church, and I was terrified about what these thoughts might mean for my life and whether people would still accept me if they were true. The problem was, I didn’t WANT to be having these thoughts, and they didn’t feel true to me. But no matter how hard I tried, I couldn’t make them stop.
That was the beginning of years of OCD.
Over time, OCD shifted from Sexual Orientation OCD to Harm OCD, paranoia and contamination. Before coming to The Scoggan Institute, I spent almost my entire day engaging in compulsions. Even though I thought my OCD had gotten better compared to how severe it had been in the past, Ricky quickly helped me see just how much of my life OCD was still controlling.
I honestly didn’t have much hope going into treatment that anything would really change.
But things changed quickly.
Ricky didn’t just teach me how to fight OCD. He taught me, step by step, how OCD works in the brain and why I was experiencing what I was experiencing.
For the first time, OCD actually made sense to me.
It stopped feeling like some weird glitch in the matrix that I had no control over. Once I understood what was happening and could see that there was a way forward, Ricky laid out a plan for me.
My job was to do the work.
And I did.
Three weeks later, I experienced what I would estimate as about a 95% reduction in my OCD symptoms.
But one of the most important things I gained wasn’t just symptom relief. Ricky taught me enough about OCD that I now feel capable of continuing the work myself. Even if OCD were to show up tomorrow with a completely new subtype, I feel like I understand how to recognize it, build exposures and fight back without allowing it to take over my life again.
Today, I feel like I have my life back.
I’m able to function without the debilitating anticipatory anxiety that used to follow me every day. I also have so much more time because I’m no longer spending most of my day trapped in compulsions.
OCD used to consume my time, my attention and my ability to imagine a normal future.
Now I can actually live it.
I would absolutely recommend The Scoggan Institute to anyone struggling with OCD who is ready to put in the work and face their OCD.
I also want to thank Nira Tamayo, who worked with me alongside Ricky during my treatment.
Thank you, Ricky!
— June Qureshi
“I went from believing there was no future for me to being able to imagine one again.”
My name is Sophia Qureshi. I’m 18 years old and from Washington State. I’ve struggled with OCD and depression since I was about 11 years old.
When I was 11, I experienced a sudden and overwhelming change in my mental health after being diagnosed with a mycoplasma infection. Before that, I had been a happy, typical kid. Then, seemingly overnight, I began experiencing an unbearable sense of anxiety that felt like it had taken over my entire body. That was the beginning of my experience with OCD.
My first compulsion was confessing every “sin” I believed I had ever committed to my mom. The next day, my family took me to a doctor, where I was diagnosed with OCD as well as a mycoplasma infection. From that point forward, I lived with constant fear. I struggled with counting, excessive explaining and confessing, intrusive thoughts, and compulsions that often felt impossible to control. Medication helped suppress my symptoms for several years, but eventually, my OCD became much more severe.
By eighth grade, I was struggling intensely with contamination OCD. My life became controlled by my fear of germs and contamination. I spent hours performing rituals, avoided touching things around me, isolated myself from my family, and became afraid to eat because I believed my food could be contaminated. My OCD became so severe that I was barely able to function in everyday life.
I lived that way for about a year without receiving the specialized treatment I needed. Eventually, the constant fear and isolation contributed to a deep depression. I reached a point where I could no longer see a way forward.
That was when I was admitted to Seattle Children’s Hospital for intensive care. Even there, my OCD continued to affect nearly every part of my life. After leaving the hospital, I went from treatment to treatment, desperately hoping that something would finally help. Each time, I became more discouraged when I didn’t experience the change I was searching for.
Then I found Ricky at The Scoggan Institute.
On my first day of the three-week program, I told Ricky, “This is my last try before I give up on life.” I was hesitant because I had already tried so many treatments and had been disappointed so many times. But Ricky looked at me with complete confidence and told me that he believed he could help me.
For the first time in a long time, I felt like someone truly believed there was a way forward for me.
That experience changed my life.
I still remember how hopeless I felt when I walked through the doors of The Scoggan Institute, and I will never forget how different my life felt afterward. Through my treatment with Ricky, I learned skills that helped me take my life back and make it my own. I began doing things I had once believed OCD would never allow me to do. I felt free in a way I hadn’t felt in years.
Ricky didn’t simply help me manage my OCD—he taught me how to stop letting it dictate my life. I learned that I could experience fear and uncertainty without allowing them to control my choices. For the first time in years, I felt like myself again.
I will always be grateful to Ricky for believing in me when I felt like I had nowhere else to turn.
If someone asked me today whether I would recommend Ricky’s work, my answer would be immediate. I would recommend his approach wholeheartedly. Finding a treatment that worked for me gave me the opportunity to reclaim parts of my life that I thought I had lost, and I will always be grateful for the role Ricky and The Scoggan Institute played in my recovery.
I went from believing there was no future for me to being able to imagine one again. That is something I will never take for granted.
Thank you, Ricky, for helping me find my way back to myself, and thank you, Nira, for working with me during my program. We love you, Ricky!
— Sophia Qureshi
Many people use the terms OCD and OCPD interchangeably, but these two conditions are fundamentally different in their nature, symptoms, and impact on a person’s life. While they may sound similar due to their shared acronym root, understanding the distinctions between Obsessive-Compulsive Disorder (OCD) and Obsessive-Compulsive Personality Disorder (OCPD) is crucial for proper diagnosis and treatment. This blog explores the key differences between these two conditions and why accurate differentiation matters.
The most fundamental difference between OCD and OCPD lies in how obsessions and compulsions function. In OCD, obsessions are intrusive, unwanted thoughts, images, or urges that cause significant distress and anxiety. A person with OCD recognizes that these thoughts are irrational and often feels frustrated or frightened by them. For example, someone with OCD might be plagued by unwanted thoughts about harming themselves or others, despite having no desire to do so. These obsessions feel foreign and unwelcome.
In contrast, OCPD is characterized by a persistent pattern of perfectionism, orderliness, and control that feels natural and intentional to the person experiencing it. Rather than being distressed by perfectionist thoughts, individuals with OCPD often feel that their way of thinking and behaving is correct and desirable. They genuinely believe their standards are justified and may see others as lazy or careless for not meeting the same rigorous expectations. This lack of distress about one’s own behavior is a critical distinction from OCD.
A key psychiatric concept that differentiates these conditions is whether symptoms are ego-syntonic or ego-dystonic. Ego-dystonic symptoms feel foreign to one’s sense of self and cause distress. Ego-syntonic symptoms feel consistent with one’s identity and values.
OCD symptoms are predominantly ego-dystonic. A person with OCD experiences their compulsions (like excessive hand washing, checking, or arranging) as burdensome and time-consuming. They perform these rituals not because they want to, but because the anxiety from their obsessions becomes intolerable without the compulsions. Most people with OCD would like nothing more than to be free from their obsessions and compulsions.
OCPD symptoms are ego-syntonic. A person with OCPD believes their perfectionism and need for control are positive traits that help them succeed. They may spend hours organizing their home or work environment, but they do so because they genuinely believe this is the right way to live. They take pride in their orderliness and see themselves as responsible and dependable. This fundamental difference means that people with OCPD rarely seek treatment specifically for these traits, whereas people with OCD actively want relief.
While both conditions can affect daily life, they do so in different ways. OCD typically causes significant distress and impairment that people recognize as problematic. If someone with OCD spends three hours performing checking rituals before leaving home, they are acutely aware that this is excessive and that it interferes with their life. They experience anxiety about having OCD and wish they could stop the compulsive behaviors.
OCPD may also impact daily functioning, but the person does not perceive this as a problem stemming from their condition. Someone with OCPD might spend the same three hours organizing their workspace to perfection, but they see this as an investment in quality and excellence, not as a symptom of a disorder. However, OCPD can still negatively affect relationships. Their rigid standards and difficulty delegating tasks can frustrate family members, partners, and colleagues. Their perfectionism can create conflict because they expect others to meet the same exacting standards they hold for themselves.
Additionally, OCPD can lead to workaholic tendencies and difficulty relaxing or enjoying leisure activities, but the person with OCPD attributes this to their work ethic rather than recognizing it as pathological. This lack of insight into the problematic nature of their behavior is why OCPD is sometimes harder to treat, as the motivation to change is often lower.
Research suggests different etiology and risk factors for these two conditions. OCD appears to involve specific neurobiological factors, including differences in brain circuitry, particularly in areas related to risk detection and decision making. Genetic factors play a role, as OCD tends to run in families. Environmental factors such as trauma or extreme stress can also trigger or exacerbate OCD.
OCPD, while also having some genetic predisposition, is more heavily influenced by personality development and learned behaviors. It is often linked to parenting styles that emphasized achievement, perfectionism, and conditional approval. People with OCPD may have grown up in environments where mistakes were not tolerated or where love and acceptance were tied to high achievement and flawless performance. While OCPD may have some biological underpinnings, environmental and developmental factors appear to play a more prominent role than in OCD.
The treatment approaches for OCD and OCPD differ significantly due to the ego-dystonic versus ego-syntonic nature of the symptoms. OCD responds well to specific evidence-based treatments, particularly Cognitive Behavioral Therapy (CBT) with a focus on Exposure and Response Prevention (ERP). This approach involves gradually exposing oneself to situations that trigger obsessions while refraining from performing compulsions. Selective serotonin reuptake inhibitors (SSRIs) are also commonly prescribed and often effective for OCD.
OCPD is more challenging to treat because individuals typically do not recognize their behaviors as problematic and may not be motivated to change. Traditional talk therapy and CBT may be less effective when the person does not believe change is necessary. However, OCPD treatment can be beneficial when it focuses on addressing the underlying insecurity or anxiety that drives the perfectionism and control-seeking behaviors. Treatment may also focus on improving relationships and helping the person understand how their rigid standards affect others.
The prognosis for OCD is generally optimistic with appropriate treatment; many people experience significant symptom reduction. OCPD tends to be a more stable personality pattern throughout life, though therapy can help reduce the problematic impacts of these traits on relationships and overall quality of life.
Distinguishing between OCD and OCPD is essential for several reasons. First, misdiagnosis leads to inappropriate treatment. Someone with OCPD does not need the same intervention as someone with OCD. Second, understanding the correct diagnosis helps set appropriate expectations. OCD is highly treatable with the right evidence-based approaches; OCPD requires a different therapeutic philosophy that may focus more on acceptance and relationship improvement. Third, proper diagnosis reduces stigma and helps individuals understand their condition in context. A person with OCD benefits from knowing that their symptoms are not character flaws but symptoms of a medical condition that responds to treatment. A person with OCPD benefits from understanding how their personality traits impact their life and relationships, which may motivate them to seek support.
Although OCD and OCPD share similar names and involve some overlapping themes of order and perfectionism, they are distinct conditions with different presentations, underlying causes, and treatment needs. OCD involves intrusive, unwanted thoughts and anxiety-driven compulsions that cause significant distress, while OCPD involves ego-syntonic personality traits centered on perfectionism and control. Understanding these differences is crucial for accurate diagnosis and effective treatment. If you suspect you or someone close to you may have either of these conditions, consulting with a qualified mental health professional is essential for proper assessment and care.
At The Scoggan Institute, we’re passionate about helping individuals reclaim their lives from the grip of OCD and anxiety. Using proven, evidence-based therapies like CBT and ERP, alongside integrative approaches such as ACT, DBT, and acoustic interventions, we tailor every treatment plan to the unique needs of each client. Whether you’re seeking individual sessions, a structured intensive program, or the support of group therapy, we’re here to guide you every step of the way. With services available nationwide for children, teens, and adults, we invite you to reach out today and take that first, empowering step toward lasting wellness.