You’re Not Broken.
You’re stuck in cycles that can be changed with the right approach.
Tonya Swartzendruber, LMHC (New York) LPC (New Jersey)
As an OCD specialist with over 15 years of experience, Tonya helps you move beyond long-held cycles that limit your freedom and make daily life feel overwhelming. She understands how isolating and exhausting these struggles can become and how transformative it is to get support from someone who gets it.
At Hudson Valley Mental Health, therapy is grounded in gold-standard approaches for OCD and anxiety, tailored to your unique experience, and designed to create real, sustainable progress over time.
Gold-Standard Therapy for OCD, Anxiety and Related Issues
Therapy with Tonya is structured, focused, and designed to help you move forward.
You’ll start with a clear plan, grounded in targeted, research-backed treatment for OCD and anxiety, and tailored to your specific patterns, goals, and capacity.
You’ll learn how to interrupt the mental and behavioral patterns that keep you stuck in your head, and build skills that actually change how you feel, think, and respond.
Sessions are active, collaborative, and always centered around helping you feel more capable, steady, and present in your life.
Tonya works with adults, preteens and teens in Nyack, the Hudson Valley, New York City, and New Jersey, offering both virtual and in-person therapy for OCD and anxiety.
Offering in person sessions at a welcoming space
Why Clients Trust Tonya and Hudson Valley Mental Health
You don’t need someone to nod along for an hour while you explain what you’ve already figured out. You need a specialist who understands what it takes to interrupt and rebuild deeply engrained thought and behavior patterns. Most importantly, you need someone who knows how to guide that process with warmth, compassion and genuine care.
Tonya brings focused experience treating OCD and anxiety. She’s trained in the most effective methods for breaking long-held, highly disruptive cycles in a way that’s structured, collaborative, and aligned with your goals and values. Clients trust this work because it’s active, respectful, and built to create change in real life.
Therapy That Works
Obsessive Compulsive Disorder (OCD)
Support is grounded in the most effective modern practices. You’ll learn to interrupt rituals, reduce mental reviewing, and rebuild trust in your thoughts and actions so OCD isn’t dictating how you move through your day.
Anxiety and Related Issues
This work helps you stop living in hypervigilance, AKA “survival mode". You’ll build the capacity to tolerate discomfort, loosen the grip of perfectionism, and learn how to feel safe and still at your core, no matter what is going on in your life.
Body Focused Repetitive Behaviors (BFRPs)
For those navigating hair pulling, skin picking, or other repetitive behaviors, this approach offers structured support that reduces the urge and reconnects you with your body — without shame or judgment.