Meet Our Therapists

Ashley Annestedt, LCSW

Ashley Annestedt


Ashley is the owner & clinical director of Beyond Borders CBT. She specializes in OCD, Tourette, BFRBs, & related disorders.

She is licensed in Alabama, Alaska, Arkansas, Colorado, Idaho, and Tennessee.

Learn More About Ashley

Melissa Hunter, LPC

Melissa Hunter


Melissa is a therapist specializing in the treatment of OCD, Anxiety & related disorders, as well as relationship counseling, for ages 18 and older.

She is licensed in Colorado, New Jersey, Massachusetts, and Florida.

Learn More About Melissa

Jack Jacobsen, LCSW

Jack Jacobsen


Jack is a therapist and professor of clinical social work specializing in the treatment of OCD, Anxiety, BFRBs, Tourette, and related disorders.

He is licensed in Missouri and soon-to-be licensed in Arkansas.

Learn More About Jack

Important News and Announcements

We welcome Jack to the practice. Jack specializes in OCD, Anxiety, & related disorders and is an expert in Acceptance & Commitment Therapy (ACT). All clinicians are currently accepting new patients. Jack is prepared to accept new patients beginning Nov. 1st, Melissa has a wait of 3-4 weeks, and Ashley has a wait of roughly 4 months. Join us in celebrating OCD Awareness Week Oct 11th-17th!! contact us.

Treatments That Work

Welcome! If you or your child are struggling with OCD, Anxiety, Tourette , or Body Focused Repetitive Behaviors, change is possible.

Beyond Borders CBT is dedicated to the evidence based treatment of these disorders and we look forward to providing you with compassionate care. We offer individual, group, and couples therapy.

We have clinicians permanently licensed in Alabama, Alaska, Arkansas, Colorado, Florida, Idaho, Massachusetts, New Jersey, & Tennessee and see patients in various countries around the world. For those who do not speak English, we will gladly coordinate care with a professional confidential interpreter.

Why Choose a Specialist?

Similar to specialities in medicine, such as dermatology & cardiology, mental health has specialities as well.

Unlike general therapy, sometimes referred to as "talk therapy", the treatment methods we offer require specific training and expertise. It can be difficult to find a therapist that matches your treatment needs and is a good fit for you as an individual. We welcome the opportunity to connect and explore if we are a good fit. For a 15 minute no-cost consultation, please fill out the contact form, call, or email us.

Areas of Specialization

Anxiety & Related Disorders

Anxiety is a normal human emotion. Anxiety, in and of itself, is not a problem. Yes, you read that correctly. Anxiety is not the problem, but it's our relationship with this emotion, and the thoughts and behaviors around it. If you experience Anxiety, Panic, or Specific Phobias, you can learn to navigate your anxiety like never before. It's time to take back your life.

Find out how can you navigate anxiety differently


Obsessive Compulsive Disorder is not a funny way to describe your friend who loves to clean or a disorder all about hand washing. For many, it is a debilitating issue that is often misunderstood, leaving the sufferer feeling alone. While I cannot promise you a cure, I can offer you hope and a better way of living through evidence-based treatments such as Exposure and Response Prevention (ERP) and Acceptance and Commitment Therapy (ACT).

Tell me more about OCD treatment

Tics & Tourettes

Sniff, blink, head jerk, humming. These are just a few of many different motor and vocal tics. Have you heard of CBIT (Comprehensive Behavioral Intervention for Tics)? CBIT is an evidence-based treatment for tics and Tourette Syndrome and considered a front-line treatment. I am one of less than 300 certified CBIT clinicians around the world.

Learn how you can significantly reduce your tics through CBIT

Trich & Skin Picking

Body focused repetitive behaviors (BFRBs), including hair pulling and skin picking are more common than you might imagine. ComB, Comprehensive Model for Behavioral Treatment, can help you or your child implement cognitive, behavioral, or environmental changes to increase awareness, reduce the behavior, and create healthier patterns.

Take your first step toward reducing your picking and pulling

After suffering from social anxiety for the majority of my adult life, I felt as though I was destined for a life of solitude. After losing several opportunities within my company due to lack of engagement in social settings, I decided to seek help. I progressed weekly through treatment with Ashley, and finished treatment after roughly 3 months. I now feel confident at work, making small talk on the golf course, and in one day pursuing a relationship. I only wish I sought out therapy sooner.

— George R.

Read More Praise for Beyond Borders CBT