Meet Our Therapists

Ashley Annestedt, LCSW

Ashley Annestedt


Ashley is the Founder & Executive Director of Beyond Borders CBT. She specializes in OCD, Tourette, BFRBs, & related disorders across the lifespan.

She is licensed in Alaska, Arkansas, Colorado, Florida, Idaho, Tennessee, & Utah and sees patients in various countries around the world.

Learn More About Ashley

Jack Jacobsen, LCSW

Jack Jacobsen


Jack is the Clinical Director of Beyond Borders CBT and specializes in the treatment of OCD, Anxiety, BFRBs, Tourette, and related disorders.

He is licensed in Arkansas, Colorado, Idaho, Illinois, Missouri & Virginia and sees patients in various countries around the world .

Learn More About Jack

Armando De La Garza, LPCC, NCC

Armando De La Garza


Armando is a therapist specializing in the treatment of OCD, Tics/Tourette, BFRBs, & Anxiety disorders.

He is licensed as a professional counselor in the states of Arizona, Colorado, New Mexico, Missouri, Illinois & Texas.

Learn More About Armando

Rani Dronamraju MSW, LCSW

Rani Dronamraju


Rani specializes in OCD, Tics/Tourette, Anxiety & related disorders across the lifespan and is fluent in both Hindi & Telugu.

She is licensed in Connecticut, Michigan, Tennessee, & Vermont and also sees patients outside of the US.

Learn More About Rani

Gabriela Osorio Fajardo, MTA, MTFS

Gabriela Osorio Fajardo


Gabriela is a bilingual therapist & behavior coach, speaking both English and Spanish, who serves patients in various countries around the world.

She specializes in OCD & Anxiety disorders across the lifespan.

Learn More About Gabriela

Melissa Hunter, LPC

Melissa Hunter


Melissa is a therapist specializing in the treatment of OCD, Anxiety, BFRBs, Tourette & related disorders, as well as relationship counseling.

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

Learn More About Melissa

Melissa Lillie, LCSW

Melissa Lillie


Melissa Lillie, LCSW is a therapist specializing in the treatment of OCD, BFRBs, Tics/Tourette, and Autism.

She is licensed in Colorado, North Carolina & Virginia and also sees patients outside the US.

Learn More About Melissa

Important News and Announcements

In addition to offering treatment to 20 US states, Mexico, & various countries, we also offer services in Spanish, Hindi, & Telugu and have lower cost options! Interested in a 15 minute consultation? Please email or fill out a contact request!

Visite nuestro sitio web en Español

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 licensed in Alaska, Arkansas, Arizona, Colorado, Connecticut, Florida, Idaho, Illinois, Massachusetts, Michigan, Missouri, New Jersey, New Mexico, North Carolina, Tennessee, Texas, Utah, & Virginia and see patients in various countries around the world. For those who do not speak English, Hindi, Spanish, or Telugu we will gladly coordinate care with a professional confidential interpreter.

Why Choose a Specialist?

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

Learn how to make peace with your anxiety.


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 we cannot promise you a cure, we 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. There are less than 300 CBIT clinicians worldwide and we are lucky to have 5 of them.

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 the 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