Sophia smiles warmly with an open mouth grin. They are standing in front of a plant with their left hand confidently placed on their hip. Sophia wears a purple cardigan and a multicolored blouse. Sophia is also wearing a long white pendant.

Sophia Alapati, LCPC

“It is enough to exist in the world and marvel at it. You don’t need to justify that, or earn it. You are allowed to just live.” – Becky Chambers


Towson University, 2018/MA in Clinical Psychology

Accepting new clients for waitlist only.

What’s therapy with me like? I focus on Body-Focused Repetitive Behaviors (BFRBs, including hair pulling disorder/trichotillomania, skin picking disorder/dermatillomania/excoriation disorder, etc.), Obsessive Compulsive Disorder (OCD), and anxiety disorders (Panic Disorder, specific phobias, Social Anxiety Disorder, Generalized Anxiety Disorder, Illness Anxiety).

Clients choose me as a therapist because they want to overcome feelings of anxiety and shame, build confidence and self-compassion, feel more comfortable with themselves, and function more effectively. After working with me, clients have a toolbox of strategies to cope with urges and behaviors they want to change; understand more about themselves, their emotions, and their behaviors; are able to do things they used to avoid; and can reclaim their time and mental energy from BFRBs, anxiety, and OCD.

For treating BFRBs, I use the Comprehensive Behavioral Model (ComB). I like that this model is customizable to each client. Instead of taking a one-size-fits-all approach, ComB helps clients identify the factors that uniquely influence their BFRB and develop strategies to address those factors.

I use Exposure and Response Prevention (ERP) to treat OCD and anxiety disorders. For me, ERP stands out as an evidence-based therapeutic practice with a large body of support. Exposure enables people to embrace uncertainty and get back to the things that matter to them, instead of living a life in the service of anxiety. I also use Inference-Based Cognitive Behavioral Therapy (I-CBT) to treat OCD. I-CBT is designed to help clients connect with the “here and now” and address doubts about themselves that underlie OCD. I work with clients to help them decide which treatment modality feels like the best fit for them.

In general, I mix in elements of solutions-focused therapy, mindfulness, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, and talk therapy when I work with clients.

How I’ve kept learning… I am a member of the TLC Foundation for Body-Focused Repetitive Behaviors, the Anxiety and Depression Association of America, and the International OCD Foundation. I have completed the TLC Foundation’s Virtual Professional Training Institute for treating BFRBs, and of IOCDF’s Behavior Therapy Training Institute (BTTI) for using exposure and response prevention to treat OCD and related disorders. In addition to attending conferences and trainings provided by the TLC Foundation, ADAA, and IOCDF, I continue my education by reading books by professionals in the field. I also participate in consult groups for supervisors and for BFRB specialists.

Who do I work with? I specialize in individual therapy with young adults and adults. I’m also happy to collaborate with families/support people to help them understand their loved one’s diagnosis and how they can most effectively help. I work with adolescents with OCD and BFRBs, as long as they are committed to participating in therapy. I also enjoy working with writers, members of the queer community, and other therapists.

My impacting identities are… I am biracial (white/Asian Indian) and a member of the queer community. I have personal experience with hair pulling disorder (trichotillomania). I was raised Catholic and am agnostic.

I feel allied/aware/informed/knowledgeable about… queer/LGBTQIA+ (part of) and biracial (part of).

I am the best fit for a client who… is willing to embrace uncertainty and challenge behaviors that no longer serve them. I am a great fit for a client who enjoys the use of humor and is committed to trying new strategies.

I am not a good fit for a client who… is not interested in completing assignments or “homework” outside of the session. I am not a good fit for someone who holds prejudicial views against queer people or people of color.

What makes me unique? I believe in a collaborative approach that puts me on equal footing with my clients. You have expertise about you, I have expertise about BFRBs/OCD/anxiety. While CBT is a very structured approach, real people are not textbook cases. I’m flexible with my clients and pull in aspects of other theoretical orientations to support their treatment.


The Practical Stuff

What insurances do I accept? I am in network with Carefirst BCBS and Evernorth (previously known as Cigna).

What are my out-of-network rates? As a supervising clinician, my rates are $230 for an initial intake and $200 for subsequent 53+-minute sessions. Find more details about my out-of-network rates here.

Do I offer telehealth or in person sessions? I currently offer telehealth sessions only.


The Fun Stuff

Did you know…In college, I minored in classical studies, with a focus on magic in ancient Rome.

Any pets? I have a cat named Fenris (named after a character from Dragon Age II).

What I’ve Learned Lately

  • Clinician’s Handbook for Obsessive Compulsive Disorder; Kieron O’Connor and Frederick Aardema; January 2023
  • Therapeutically Applied Role-Playing Games: Level Two for Mental Health Professionals; Adam Davis of Game to Grow; February 2023
  • Don’t Become a Legal Case: Documentation Liability Risks; Jennifer Flynn, CPHRM; February 2023
  • Practical Application of I-CBT: A case-demonstration workshop; Michael Heady, LCPC & Carl Robbins; LCPC, March 2023
  • Role of the Clinical Supervisor in Implementing Disability Accommodations; Deborah Levi, LCSW-C, Giselle Ferretto, LCSW-C, & Laura Loessner, LICSW, LCSW-C; March 2023
  • Virtual Behavior Therapy Training Institute; The International OCD Foundation; June 2023
  • Social Work Supervision: Key Strategies for Transforming the Workplace; Gillian Berry, PhD, LICSW, LCSW-C; June 2023
  • Ethical Considerations of Hosting Interns and Supervisees; Tara Sanderson, PsyD, MBA; July 2023
  • Managing Your Supervision Group; Shannon Heers, LPC; September 2023
  • Introduction to Contemporary Practices in the Treatment of Body-Focused Repetitive Behaviors; Marla Deibler, PsyD, ABPP & Renae Reinardy, PsyD; September 2023
  • Triched Out: How to Treat Body-Focused Repetitive Behaviors; Sophia Alapati (presenter); October 2023
  • The BFRB Recovery Workbook; Marla Deibler, PsyD, ABPP & Renae Reinardy, PsyD; November 2023
  • Fundamentals of LGBTQIA+ Affirmative Therapy; Cadyn Cathers, PsyD via The Affirmative Couch; February 2024
  • The Intersection of HIV, Long COVID, & Associated Mental Health Symptoms; Angele Moss-Baker, LPC, LMFT, MAC, SAP via MidAtlantic AIDS Education and Training Center; March 2024
  • Neurodiversity-Affirming OCD Care; Jeremy Shuman, PsyD; April 2024
  • Helping Transgender and Gender Nonbinary Young Adults Develop Self-Compassion; Dr. addyson tucker via The Affirmative Couch; April 2024

What I’ve Learned

  • Mandatory Reporter Training; Baltimore Child Abuse Center; April 2022
  • Working More Effectively with the LGBTQ+ Community; Relias Academy; April 2022
  • HIPAA and Behavioral Health; Relias Academy; April 2022
  • Best Practices in Suicide Screening and Assessment; Relias Academy; April 2022
  • Legal and Ethical Standards of Care in Behavioral Health; Relias Academy; April 2022
  • Understanding and Addressing Racial Trauma in Behavioral Health; Relias Academy; April 2022
  • Anti-Racism Training; Dr. Nathalie Edmond; April 2022
  • Inclusive Evidence-Based Practices in Gender Non-Binary Mental Health Services; SMIAdvisor, webinar presented by Dr. Lisa A. Razzano and Dr. Brandon J. Hill; April 2022
  • The Anxious Perfectionist; Clarissa W. Ong & Michael Twohig; May 2022
  • Dungeons & Dragons & Mental Health; Charlene MacPherson; May 2022
  • 2-Day Supervision Training; Dr. Marsha Riggio; June 2022
  • Gender Affirming Surgery Letter Writing Training; Tavi Hawn, LCSW-C; July 2022
  • Sometimes Therapy Is Awkward; Nicole Arzt; August 2022
  • Treatment for Body-Focused Repetitive Behaviors: An Integrative Psychodynamic Approach; Stacy K. Nakell, LCSW; September 2022
  • The Game to Grow Method of Therapeutically Applied Role-Playing Games: A Level One Training For Mental Health Professionals; Game to Grow, Adam Davis & Elizabeth Kilmer, PhD; October 2022
  • Implicit Bias in Behavioral Health; Gisele Ferretto, LCSW-C & Neijma Celestine-Donnor, LCSW-C; October 2022
  • Neurodiversity Training; Eddie Lomash, LCPC; November 2022
  • Overcoming Body-Focused Repetitive Behaviors; Charles Mansueto, Sherrie Vavrichek, & Ruth Golomb; December 2022

How to Give Me a Buzz

The best way to contact me is… by email, at 

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