Sierra Claeson, MA, LMFT

Hi, I’m Sierra Claeson (she/her), a Licensed Marriage and Family Therapist (LMFT) and a BBHT Board-Approved Supervisor for LPC/LPCC licensure. I specialize in helping individuals ages 13-99+ manage anxiety, OCD, and related disorders.

I understand that OCD isn’t just about behaviors—it’s an ongoing battle with intrusive thoughts, doubt, and anxiety that can leave you feeling stuck and overwhelmed. You’re not alone in this! I am here to provide a safe, non-judgmental space where we can navigate these challenges together. Using evidence-based therapies like Inference-Based Cognitive Behavioral Therapy (ICBT) and Exposure and Response Prevention (ERP), we’ll develop strategies tailored to your unique journey.

Whether it’s your first time in therapy or you’ve been here before, I’m a firm believer that healing happens through connection and understanding. We’ll team up to uncover hope, build resilience, and find the peace of mind you deserve!

Outside of the office, you’ll find me baking with sourdough, loving on my family, and dominating on the pickleball court!

I look forward to walking this path with you!

Check out my guest appearance on the Take What Serves. Leave the Rest. podcast, where I share my expertise as an OCD therapist, offering effective approaches, valuable insights, and support for those navigating OCD!

My Credentials

  • Licensed Marriage and Family Therapist, Minnesota (#4117)

  • Licensed Marriage and Family Therapist, Wisconsin (#2218-124)

  • Registered Telehealth Provider, Florida (# TPMF1354)

  • Master of Arts in Marriage and Family Therapy, Saint Mary’s University of Minnesota 

  • Bachelor of Science in Community Psychology, Saint Cloud State University

  • BBHT Board Approved Supervisor (LPC, LPCC)

Specialties

OCD can manifest in many ways. It is commonly grouped into subtypes based on the nature of the obsessions and compulsions! Here's a simplified overview of some common OCD subtypes:

    • Obsessions: Fear of germs, dirt, or contamination.

    • Compulsions: Excessive cleaning or handwashing.

    • Obsessions: Fear of causing harm or making a mistake. Fear of harming oneself or others.

    • Compulsions: Repeatedly checking locks, appliances, or safety-related items. Avoidance of sharp objects, seeking reassurance, or mental rituals.

    • Obsessions: Need for things to be symmetrical, orderly, or "just right."

    • Compulsions: Arranging, ordering, or aligning objects; mental rituals like counting.

    • Obsessions: Fear of harming the baby, contamination, fear of making a mistake, moral obsessions.

    • Compulsions: checking, cleaning, seeking reassurance, avoidance, mental rituals.

    • Obsessions: Fears or doubts about one’s sexual orientation

    • Compulsions: Checking, reassurance seeking, mental reviewing, avoidance, and excessive comparisons

    • Obsessions: Doubts about romantic relationships, such as whether one truly loves their partner or if the partner is the "right" one.

    • Compulsions: Repeatedly seeking reassurance, comparing the relationship to others, or analyzing feelings and interactions.

    • Obsessions: Preoccupation with bodily sensations or functions.

    • Compulsions: Monitoring bodily sensations or seeking medical reassurance.

    • Obsessions: Intrusive thoughts about existential or philosophical questions (e.g., the meaning of life).

    • Compulsions: Rumination, seeking reassurance, or avoidance.

    • Obsessions: Fears related to religious, moral, or ethical issues

    • Compulsions: Excessive praying, confession seeking, mental reviewing, avoidance of certain actions, reassurance seeking, and purity rituals

    • Obsessions: Fears related to unwanted sexual thoughts or images

    • Compulsions: Mental reassurance, avoidance, checking behaviors, excessive researching, ritualizations, and neutralizations

  • Pure O OCD is a subtype of obsessive-compulsive disorder characterized by intrusive, unwanted thoughts (obsessions) without visible compulsive behaviors. Individuals may struggle with anxiety over these thoughts, often involving fears related to harm, morality, or taboo subjects. To cope, they might engage in mental rituals or avoidance, making it difficult to manage their distress.

In addition to OCD, here is a list of other anxiety-related conditions I treat:

  • Health anxiety, also known as illness anxiety disorder, is a condition where a person constantly worries about having a serious illness despite having little or no physical symptoms. This intense anxiety often leads to excessive health-related behaviors like frequent doctor visits or checking for symptoms, or it can cause the person to avoid medical care altogether due to fear of discovering an illness.

  • Perfectionism is a personality trait characterized by a relentless pursuit of flawlessness and high standards. People with perfectionism often set unrealistically high expectations for themselves and others, leading to chronic dissatisfaction and stress. While it can drive achievement, perfectionism can also result in procrastination, burnout, and a fear of failure.

  • ARFID is an eating disorder where individuals avoid certain foods or restrict their intake, leading to nutritional deficiencies, significant weight loss, or a reliance on supplements. Unlike other eating disorders, ARFID is not driven by body image concerns but by a fear of choking, texture aversions, or a lack of interest in eating. This disorder can significantly impact physical health and daily functioning.

  • Orthorexia nervosa is an unhealthy obsession with eating only "pure" or "healthy" foods, often leading to restrictive eating patterns. Unlike other eating disorders, the focus in orthorexia is on food quality rather than quantity or body image. This fixation can result in nutritional imbalances, social isolation, and a negative impact on overall well-being.

  • Phobias are intense fears of specific objects, situations, or activities. These fears can lead to avoidance behaviors and significant distress, interfering with daily life. Phobias are categorized into specific phobias (like fear of spiders or heights) and agoraphobia (fear of places where escape might be difficult).

    Agoraphobia is the fear of encountering anxiety, panic, or distress in situations where escaping or finding help would be difficult.

  • Anxiety sensitivity is the fear of anxiety-related sensations, stemming from the belief that these sensations have harmful physical, social, or psychological consequences. People with high anxiety sensitivity might misinterpret symptoms like a racing heart or shortness of breath as dangerous, which can lead to heightened anxiety and even panic attacks. This fear amplifies the overall experience of anxiety, often creating a cycle of worry about worry.

  • Social anxiety is an intense fear of being judged, embarrassed, or negatively evaluated in social or performance situations. People with social anxiety often worry excessively about everyday interactions, leading to avoidance of social activities or enduring them with significant distress. This fear can interfere with relationships, work, and daily functioning, often resulting in isolation and feelings of loneliness.

Curious about working with Sierra?