Carly Samach

Clinical Director & Founder | LMHC

Providing virtual and in-person individual teletherapy services to all NY residents.

Carly Samach is a licensed clinical therapist based in NY and is also the founder of Counseling with Carly a space she uses to build resources and education for the OCD community at large.

Carly specializes in treating OCD and related anxiety disorders for individuals of all ages using evidence-based approaches, including Exposure and Response Prevention (ERP). In addition to her work with individuals, she is also specialized in providing evidenced based coaching for family systems. Her work is deeply rooted in the belief that hope can be a powerful tool in treatment—helping clients find meaning, grit and a path forward even in the midst of the uncertainty. In addition to her clinical work, she also trains and supervises clinicians in the same evidence-based care and emphasizes meaning-making and self-discovery.

Specialized Treatment:

  • Exposure Response Prevention 

  • Accommodation Reduction Training

  • Mindfulness and Somatic Practices 

  • Expressive and Creative Therapies 

  • Self-compassion focused care 

  • Existential focused care

Background

My take on care:

For me, therapy begins with viewing myself, my clients, and their support systems as a unified team. Over the years, I’ve found that the most meaningful progress happens when we approach therapy as a true collaboration. My priority at the start of care is to get to know you—not just your symptoms or stressors, but the whole person behind them.

You are not defined by your struggles, and I believe that understanding your experiences, values, and hopes is just as important as addressing what’s hard. Together, we’ll shape a path forward that feels both purposeful and fulfilling—aligned with the goals you set and grounded in the connection we build.

Therapy Protocol:

As a trained specialist, I promote the use of evidence-based protocols, which often involve meeting 1–2 times per week at the start of care to effectively target and manage impairing symptoms. As improvement is seen, we gradually taper sessions to a less frequent schedule based on your needs and progress.

Just as no one is defined by their struggles, I believe every person has the capacity to become the expert of their own care. This model is collaborative and flexible—yet grounded in structure—and is designed to support you in becoming the authority of your own skills, confidence, and recovery journey.

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