Cavany Therapy
Evidence-Based Therapy for Anxiety, OCD and Trauma in Durham NC
Compassionate therapy - now accepting new clients - in person Saturday appointments

Pam Crepps, LCSW
I’m a Licensed Clinical Social Worker with more than 20 years of experience. I provide evidence-based, trauma-informed therapy for adolescents (ages 15+), young adults and adults experiencing anxiety, intrusive thoughts, overthinking, OCD, ADHD, perfectionism, people-pleasing, life transitions, and trauma. My style is compassionate, nonjudgmental, practical, and tailored to your needs.

"Who looks outside, dreams; who looks inside, awakes" - C.G. Jung
Who I Help
OCD
I provide evidence-based Exposure and Response Prevention (ERP) and Inference-Based CBT (I-CBT) to help manage intrusive thoughts and compulsive behaviors.
Young Adults
Supporting young adults navigating life transitions and building resilience through a compassionate, nonjudgmental clinical approach.
Anxiety
Addressing complex anxiety patterns and their impact on daily life through evidence-based, collaborative treatment.
Perfectionism
Helping you identify and challenge perfectionistic patterns that contribute to stress, burnout, and emotional exhaustion.
Life Transitions
Providing a safe space to process significant life changes, career shifts, and relationship adjustments with professional guidance.
Trauma
I offer trauma-informed therapy to help clients process painful experiences while building safety, resilience, and greater stability in the present.
Therapeutic Approaches
Eye Movement Desensitization and Reprocessing (EMDR)
EMDR is a structured therapy that can help people process distressing experiences and traumatic memories. I completed EMDR training in January 2026 and am currently working toward EMDRIA certification.
Inference-Based CBT (I-CBT)
I-CBT helps you understand how obsessional doubt develops through reasoning processes that pull you away from information available through direct evidence and your senses. Treatment helps you recognize this pattern, reconnect with reality-based reasoning, and reduce reliance on compulsions.
Exposure and Response Prevention (ERP)
ERP is a leading evidence-based treatment for OCD. Together, we gradually approach feared thoughts, images, sensations, or situations while reducing compulsions and avoidance, helping you build confidence and flexibility.
Cognitive Behavioral Therapy (CBT)
CBT is a first-line treatment for generalized anxiety, panic, and social anxiety, with strong evidence behind it. We'll work with concrete tools you can practice between sessions, so change happens in your daily life rather than only in the room.
