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Meet Your Therapist

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Matthew Gumb, LPC-MHSP (TN), LCMHC (NC)

Clinical Expertise Driven by Lived Experience

I specialize in treating OCD because I live it. In my late teenage years I developed OCD without knowing what it was. I remember how lost and scared I felt, and how much shame I carried before I had any language for what was happening in my mind. If you are in that place right now, I want you to know that what you are feeling is real, it is hard, and it makes complete sense to feel afraid.

Therapy is what helped me find my way back to freedom, acceptance, and my own values. That experience is why I became a therapist. I wanted to help others avoid feeling as lost as I once did, to help them understand their OCD instead of being ruled by it, and to help them reclaim their lives and live in a way that reflects who they truly are.

I bring both clinical training and lived experience to this work. That combination means I understand OCD not only as a therapist who has studied it, but as someone who has walked through it myself. My approach integrates Exposure and Response Prevention with Acceptance and Commitment Therapy, grounded in genuine care for where you are and belief in where you can go.

My approach is also humanistic at its core. Before any diagnosis, before OCD or any disorder, you are a person. That's always where I start, and it never stops being where I start. I also believe humor has a real place in this work. OCD and anxiety can feel deadly serious, and they deserve to be taken seriously, but I've found that even in the scariest moments, there's room to laugh, and that laughter itself can be part of what helps us heal. As William James put it, "We don't laugh because we feel good; we feel good because we laugh."

Before I focused my practice on OCD, anxiety, and related conditions, I spent ten years showing up for people during some of the hardest moments of their lives. I sat with individuals and families in hospice and bereavement care, present with them through grief and loss. I supported people in inpatient psychiatric care during their moments of crisis, and in community mental health work, when individuals and families needed help right away and had nowhere else to turn. I also spent time in schools, alongside children and teens navigating everyday struggles.

Each of these settings taught me something I carry into every session now. How to stay present with someone in pain instead of looking away. How to slow down and move at the pace a person actually needs, not the pace I think they should move at. And how important it is to see the whole person in front of me, not just a diagnosis. Paired with my own lived experience with OCD, this is a lot of why I show up the way I do, with care, patience, and a belief that healing is possible.

I currently serve as Treasurer of OCD TN, an affiliate of the International OCD Foundation, supporting the broader OCD community here in Tennessee.

Credentials
Professional Licenses

Licensed Professional Counselor, MHSP (TN)
Licensed Clinical Mental Health Counselor (NC)

Clinical Experience

Ten years of dedicated clinical practice, with deep specialization in OCD and advanced anxiety treatments.

Professional Roles

Treasurer, OCD TN, an official affiliate of the International OCD Foundation (IOCDF).

Focus Areas and Expertise

Treatment draws on evidence-based approaches, primarily Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), and Inference-Based Cognitive Behavioral Therapy (I-CBT), adapted to fit each client rather than applied as a fixed protocol.

Exposure Response Prevention (ERP)

The gold-standard treatment for OCD, helping you gradually face feared thoughts and situations without engaging in compulsions.

Acceptance Commitment Therapy (ACT)

Builds the flexibility to notice a difficult thought or urge without automatically acting on it, so your life can be guided by your values.

Inference-Cognitive Behavioral Therapy (I-CBT)

Targets the reasoning behind obsessions, helping rebuild trust in your senses and direct experience rather than the obsessional story.

Habit Reversal Therapy/Comprehensive Behavioral (HRT/ComB)

An individualized approach for BFRBs like skin picking and hair pulling, building awareness of urges and identifying what drives the behavior.

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