Sarah Tippit is a Licensed Marriage and Family Therapist in North San Diego County specializing in treating obsessive compulsive disorder (OCD) and related disorders in children (age 3 and up), teens and adults. With offices in Escondido and San Diego, Sarah sees clients from San Diego and Riverside counties.

She also provides treatment for phobias, emetophobia (fear of vomiting), anxiety, fears, trichotillomania, hair pulling, skin picking, dermotillomania, problem gambling, hoarding, and scrupulosity.

Services include:

  • providing a diagnosis,
  • formulating a treatment plan, and
  • providing therapy.

Treatment will almost always include cognitive-behavioral therapy (CBT), which experts consider to be the first line of defense for OCD.

Properly diagnosing OCD is an extremely important first step. Unless a practitioner has the appropriate background and training, it is easy to misdiagnose and/or mistreat the disorder. It is also very important that you or your child feel comfortable with the therapist.

Be sure to read What to Look for in a Therapist for OCD as you make your decisions.

Hours and Availability

Regular office hours are  Tuesday through Saturday, 10 a.m. to 6 p.m. Clients are welcome to call 619-272-6858, ext. 707  any time and may leave a message on a confidential voice mail system. Every effort will be made to return calls within 24 hours (or by the next business day).

Office Locations

Therapeutic Center for Anxiety and Trauma
502 W. El Norte Parkway
Escondido, California 92026
(See Google map for directions)

Therapeutic Center for Anxiety and Trauma
2121 5th Ave., Suite 214
San Diego, CA 92101

Phone:  619-272-6858, ext. 707

We are unable to provide 24-hour crisis service. In the event that a client is feeling unsafe or requires immediate medical or psychiatric assistance, the client should call 911 or go to the nearest emergency room. The San Diego County Department of Mental Health 24-hour Access and Crisis line number is (800) 479-3339.

Fee and Fee Arrangements

Therapy Session: A regular 45- to 50-minute therapy session is $145. Sessions longer than 50 minutes are charged for the additional time pro rata. A brief session of 20 to 25 minutes is $85. A sliding scale is available.

Advance notification will be provided for any fee changes. There is a $50 no show or short cancellation fee per session.

Assessment and Diagnostic Session. This 60- to 90-minute session option allows for a more thorough assessment and diagnosis. The fee is $200.

Additionally, clients are responsible for payment of the agreed-upon fee (on a pro rata basis) for any telephone contact for purposes other than scheduling sessions. Clients are expected to pay for services at the time services are rendered. Cash or checks are accepted.

Clients are responsible for payment of the agreed upon fee for any missed session or for any session for which the client failed to give at least 24 hours notice of cancellation.


Sarah Tippit is not contracted with any insurance company, HMO, or managed care organization. PPO insurance can be billed directly, or if a client chooses to bill his or her insurance themselves, a statement can be provided which the client can submit to the third party to seek reimbursement of fees already paid.


The information disclosed by a client is generally confidential and will not be released to any third party without written authorization from the client, except where required or permitted by law.

Exceptions to confidentiality, include, but are not limited to, reporting child, elder and dependent adult abuse, when a client makes a serious threat of violence toward a reasonably identifiable victim, or when a client is dangerous to himself or herself or the person or property of another.