About Us

At Upstate Center for OCD & Anxiety, we specialize in the treatment of OCD, anxiety disorders, panic, phobias, and related conditions using gold-standard, evidence-based approaches. Our work is grounded in Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), and mindfulness-informed cognitive therapies, delivered with care that is collaborative, intentional, and deeply respectful of each person’s lived experience. We help clients build flexibility in the face of fear and move toward lives that feel fuller, steadier, and more aligned with what matters to them.

The practice is led by Carly Samach, LMHC, an OCD and anxiety specialist with over a decade of experience providing care, training, and consultation across New York State. Carly founded this practice with a commitment to expanding access to high-quality, evidence-based treatment in regions that have historically been under-resourced for OCD and anxiety care. That mission continues to guide our work today, as we serve clients throughout New York via secure telehealth and offer in-person care in the Capital District.

Upstate Center for OCD & Anxiety is rooted in thoughtful, affirming, and culturally responsive care, and in creating a supportive, growth-oriented environment for both clients and clinicians. We value clinical excellence, curiosity, and ongoing learning, and we welcome therapists who share a passion for evidence-based care, collaboration, and meaningful work.