Dr. Tatyana Mestechkina

Dr. Tatyana Mestechkina I am a Licensed Clinical Psychologist who specializes in evidence-based treatment for obsessive comp

Some compulsions can be hard to spot and not all are clearly observable. If a behavior brings short-term relief but keep...
01/19/2026

Some compulsions can be hard to spot and not all are clearly observable. If a behavior brings short-term relief but keeps anxiety coming back, it might be a “sneaky” compulsion.

Common examples:
• Mental checking
• Reassurance seeking
• “Just in case” researching
• Avoiding triggers

Ask yourself:
-Am I doing this to feel certain or safe?
-Is it repetitive?
-Does it bring relief now—but more urges later?

Awareness is the first step toward breaking the cycle. You don’t need certainty to move forward.



Crafting our way into the season with warmth, creativity, and all the best team energy!
12/10/2025

Crafting our way into the season with warmth, creativity, and all the best team energy!

Your values are your inner compass — they guide your choices. Here are some quick tips for how to help start clarifying ...
10/30/2025

Your values are your inner compass — they guide your choices. Here are some quick tips for how to help start clarifying yours. Remember, values clarification is an ongoing process. What do you want your life to stand for?

Values are about what you want to stand for, what you want to guide your life— goals are about what you want to achieve....
10/26/2025

Values are about what you want to stand for, what you want to guide your life— goals are about what you want to achieve.
When your goals align with your values, your actions feel more meaningful, and your progress feels more authentic.

Check out this great new article written by our newest team member, Dr. Gabby Ciminera!
10/13/2025

Check out this great new article written by our newest team member, Dr. Gabby Ciminera!

The OCD Monster Myth Your brain isn’t the enemy: Rethinking the OCD Monster Myth Let’s review the concept of the OCD Monster, how our brain acts as a protector, and explore five ways that we can replace the myth. Author: Dr. Gabrielle Ciminera, PsyD, BCB Gabby A dark, shadowy, and large presence...

In OCD, safety behaviors are the rituals and ‘just in case’ actions we use to lower anxiety—like checking, asking for re...
10/02/2025

In OCD, safety behaviors are the rituals and ‘just in case’ actions we use to lower anxiety—like checking, asking for reassurance, avoiding triggers, or mentally reviewing. They feel protective in the moment, but they actually keep OCD strong. The path forward is showing your brain you no longer need to do them.

ROCD can be a trick OCD theme to spot as so many people without OCD question their relationships. Being able to identify...
09/30/2025

ROCD can be a trick OCD theme to spot as so many people without OCD question their relationships. Being able to identify it, is the first step to treating it!

Being kind isn’t just for others—it rewires your brain for connection, meaning, and joy.
09/28/2025

Being kind isn’t just for others—it rewires your brain for connection, meaning, and joy.

Just because your mind says it… doesn’t make it real. Your brain will tell you many stories and you get to decide which ...
09/26/2025

Just because your mind says it… doesn’t make it real. Your brain will tell you many stories and you get to decide which you put the spotlight on or give any relevance to.

OCD can feel threatening but its intent isn’t harm—it’s misguided protection. When we understand this, we can meet it wi...
09/24/2025

OCD can feel threatening but its intent isn’t harm—it’s misguided protection. When we understand this, we can meet it with compassion and boundaries.

It may feel like OCD is attacking you, but seeing it as evil or a ‘monster’ only feeds the fear. When we view OCD as an ...
09/18/2025

It may feel like OCD is attacking you, but seeing it as evil or a ‘monster’ only feeds the fear. When we view OCD as an enemy, our natural response is to fight or run away—and that cycle actually strengthens and fuels it.

A more helpful way to think about OCD? Like an overzealous but misinformed friend. It thinks it’s protecting you by warning you of danger or pushing you to do something about it (i.e., rituals), but it’s just misguided.

By changing how you relate to it, you take away OCD’s power and give yourself space to live more fully and freely.

The harder we try to fight intrusive thoughts and feelings, the stronger and more relevant they feel. What we resist, pe...
09/14/2025

The harder we try to fight intrusive thoughts and feelings, the stronger and more relevant they feel. What we resist, persists. Not every thought or feeling needs a response. If we pause, notice them, and let them pass, we create space to focus on what really matters—living a life that feels full and true to our values.

Address

138 West 25th Street Floor 11, Suite 1120
New York, NY
10001

Opening Hours

Monday 8am - 8pm
Tuesday 8am - 8pm
Wednesday 8am - 8pm
Thursday 8am - 8pm
Friday 9am - 8pm
Saturday 9am - 5pm
Sunday 9am - 5pm

Telephone

+19176052120

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Welcome! About Dr. Mestechkina

Starting therapy could take strength and courage. My aim is to establish a collaborative partnership to empower people to live more meaningful, values-driven lives. I place importance on creating a trusting environment and encourage open communication to strengthen the therapeutic alliance.

I specialize in the evidence-based treatment of obsessive-compulsive disorder (OCD), including "Pure O," or purely obsessional type, anxiety disorders (e.g., generalized, social, panic, and phobias) and depressive disorders. I have extensive expertise in the treatment of perfectionism, postpartum anxiety and depression, concerns related to relationships, career and school, as well as body dysmorphic disorder (BDD), trichotillomania (hair-pulling), and excoriation (skin-picking).

I was trained by an internationally-recognized expert in Exposure and Response Prevention (ERP/ExRP), the gold-standard of OCD treatment.

Expertise in: