Rivulet Clinical Services


Sometimes OCD symptoms themselves obstruct access to recommended treatment (such as group therapy, in-person sessions, or residential care for OCD).  Additionally, you may wish to access evidence-based psychotherapy for OCD while waiting for admission to a recommended treatment or to prevent OCD relapse. A good option as well for rural residents with OCD who have difficulty accessing effective treatment. 


sarah @ rivuletclinical.com



Sarah Francois, LCSW

Sarah Francois, LCSW

Clinician, Owner

Sarah Francois works with adult patients to address depression and anxiety as well as trauma sequelae which are manifest by depressed or anxious mood, obsessive-compulsive behaviors, insomnia, substance misuse, and interpersonal problems.   She employs Cognitive Behavioral Therapy and relevant clinical adaptations to address mood or anxiety disorders with co-occurring substance use disorders and/or trauma recovery as well as singular diagnoses.

She is a subject matter expert in psychotherapeutic interventions to address deep, psychological wounds often referred to as “moral injury”.  Sarah applies CBT, Adaptive Disclosure, and Narrative Therapy interventions to address debilitating guilt, shame, or betrayal while embracing spiritual well-being and meaning-making in mental health treatment.  Sarah has a strong commitment to mental health recovery and adopts a strengths-based treatment approach.  Sarah has been a Clinical Social Worker since 2003.


Individual psychotherapy for OCD with in-home/on-site in vivo exposure to maximize outcomes and minimize length of treatment


Professional consultation provided for clinicians looking for training and guidance in treating OCD patients