Say With Sarah's Intensive Outpatient Program (IOP) provides specialized, evidence-based treatment for individuals with OCD and anxiety who would benefit from a higher level of care than traditional weekly outpatient therapy.

Sarah Weber Belka, MA, LMHC, LPC, ATR, specializes in treating OCD, panic disorder, generalized anxiety, social anxiety, phobias, health anxiety, and related conditions. The program meets Monday through Thursday, 9:00 AM–12:00 PM (12 hours per week), for a total program length of 36 hours of clinical care. It offers structured, consistent support in an intensive outpatient setting with individualized treatment tailored to each client’s needs and goals.

A key feature of this program is that clients receive direct 1:1 therapy with Sarah throughout the duration of care, rather than rotating providers, mandatory group therapy, or behavioral technicians. This allows for highly individualized, continuous clinical work grounded in evidence-based approaches including Exposure and Response Prevention (ERP), Inference-Based Cognitive Behavioral Therapy (I-CBT), Acceptance and Commitment Therapy (ACT), and other interventions based on clinical presentation and treatment goals.

Sarah collaborates closely with referring providers throughout treatment to support continuity of care and ensure a smooth transition back to outpatient services when appropriate.

Now accepting referrals throughout Washington. To learn more or refer a client, visit Sarah-Weber.org or contact Sarah at saywithsarah@proton.me or 971-394-3433.