A thought keeps returning.
An unwanted thought, image, or doubt pulls your attention back, even when you want to move on.
Unwanted thoughts, repeated checking, or rituals you feel driven to complete can take up more of your day than anyone else realizes.
Dr. Kayla provides psychiatric evaluations and OCD medication management by telehealth across Colorado, with time to hear what has been happening and discuss what support may help.
What OCD can feel like
OCD involves unwanted obsessions, compulsions, or both. Some symptoms are easy to notice. Others happen almost entirely in your head.
An unwanted thought, image, or doubt pulls your attention back, even when you want to move on.
You repeatedly check locks, appliances, or whether you completed something correctly, without feeling finished.
You count, repeat words, or review something mentally in an effort to settle the distress.
Washing, repeating routines, or avoiding certain situations takes time away from the things you intended to do.
An intrusive thought or a repeated habit alone does not establish OCD. An evaluation considers the distress, time involved, and effect on everyday life.
Understanding the pattern
A doubt or fear creates distress. Checking, asking for reassurance, or completing a ritual may ease that feeling briefly. Then the uncertainty returns, and you feel pulled to do it again.
The subject of the thought can change. What matters is how the pattern works and how much room it takes up in your life. Dr. Kayla looks at both the thoughts and what you feel you need to do in response.
Your psychiatric evaluation
Your first appointment is a one-hour evaluation with Dr. Kayla. You can come in with a diagnosis, questions about OCD, or simply a pattern that has become difficult to live with.
Some thoughts can feel uncomfortable to discuss. You can start by explaining how often they happen, what you do afterward, and what they interrupt. Dr. Kayla will ask questions to better understand the pattern.
The next step may include medication, an ERP therapy referral, further information, or a different treatment recommendation.
What keeps returning, when it happens, and how distressing or difficult to dismiss it feels.
Visible behaviors, mental rituals, reassurance seeking, and situations you avoid.
Time spent on symptoms and their effect on school, work, relationships, sleep, and routines.
Mood, anxiety, health history, current medications, previous treatment, and caregiver input when relevant.
OCD medication management
Medication may help reduce OCD symptoms. Options often include SSRIs, a type of antidepressant also used for OCD. The choice depends on your history, age, previous response, side effects, and preferences.
Discuss the reason for considering a medication, expected benefits, possible side effects, and how the plan will be monitored.
Improvement can be gradual. Follow-up visits help review tolerability, dosing, and whether the medication has had an adequate trial.
Look at distress, time spent on rituals, and how much symptoms interfere with daily activities.
ERP therapy has an important role. Exposure and response prevention helps people practice facing OCD triggers while reducing compulsive responses, with guidance from a trained therapist. Honeybee provides evaluation and medication management; Dr. Kayla can discuss ERP referrals and coordinate with your therapist with your permission.
A small practice. A personal connection.
Kayla Day Krug, DNP, PMHNP-BC
Dr. Kayla is a board-certified psychiatric mental health nurse practitioner and the founder of Honeybee Psychiatry, a woman-owned practice.
Her approach is direct and compassionate, with time to explain treatment decisions and hear your questions. She has a particular focus on women's mental health and generally works with patients ages 8 through 40.
Getting started
Share a little about your concerns, current treatment, and insurance. You do not need to identify the right diagnosis before reaching out.
Meet with Dr. Kayla by telehealth to review symptoms, their impact, your history, and the questions you want answered.
Discuss whether medication management, an ERP referral, or another option fits your needs. If medication is started, follow-ups review your response and any changes needed.
Appointments & costs
Initial evaluations and most follow-up visits happen online. Join from a private, suitable space without making a regular trip to Denver.
You must be physically in Colorado during your appointment. Limited in-person visits are available at our Denver office by arrangement.
If in-person care is important to you, ask about scheduling before booking so we can discuss whether our availability will work for you.
We can help review your specific insurance coverage and estimated patient responsibility. Costs depend on your plan and benefits.
Insurance estimates are not a guarantee of your final cost. Self-pay is due at the time of service.
Questions about OCD care
The distinction involves more than the subject of a worry. An evaluation looks at recurring thoughts, compulsive responses, distress, and interference with daily life. You do not need to decide which diagnosis fits before scheduling.
Yes. Compulsions can include mental actions such as silently repeating words, counting, or reviewing an event. Describe these internal patterns as well as any visible checking or washing.
Medication may be recommended when appropriate, but it is not automatic. Dr. Kayla reviews your symptoms, health history, current treatment, and preferences before discussing a plan. Sometimes more information or a referral is needed first.
An SSRI trial for OCD commonly takes around 8–12 weeks, with timing affected by the dose and your response. Improvement may be gradual. Dr. Kayla will explain what to watch for and how follow-up visits will monitor progress and side effects.
Honeybee focuses on psychiatric evaluation and medication management. ERP is provided by a therapist trained in that approach. Dr. Kayla can discuss referral options and how therapy may fit alongside medication.
Yes. With your permission, Dr. Kayla can coordinate with your therapist. Let us know what treatment you are already receiving and whether your therapist works with OCD or ERP.
Dr. Kayla generally sees patients ages 8 through 40. For younger patients, caregiver input can help explain symptoms, routines, and how concerns affect home and school.
Some people benefit from specialized or more intensive OCD treatment. If that level of care would better meet your needs, Dr. Kayla can discuss referrals for care that better matches your needs.
If recurring thoughts or rituals are taking up time you want back, start with a conversation about what has been happening. Dr. Kayla can help you understand your treatment options and whether Honeybee is a good fit.