OCD & Anxiety Center of Knoxville

OCD & Anxiety Center Of Knoxville

People with OCD including myself, realize that their seemingly uncontrollable behavior is irrational, but they feel unable to stop it.
— Abhijit Naskar

Karen R Swanay MS, LPC-MHSP, CAAP

I care deeply about the people who suffer with OCD and anxiety which is borne from being a sufferer myself.  I know first hand the obsessive intrusive thoughts and the compulsions to tamp it down. In the end though, they don't work.  I've dedicated myself to learning all I can about the treatment of OCD and anxiety.  I am a member of the International OCD Foundation and I make it a priority to attend the IOCDF Conference each year as well to continue my education. 

In 2013 I studied and was certified as an Animal Assisted Psychotherapist.  I believe that the human animal bond is a very healing and grounding thing which can be utilized in the therapeutic process to make great strides.  I lost my therapy dog to cancer in 2015 and I now work with donkey co-therapists.

Before coming to therapy as a career I spent my early years working with animals, both domestic and exotic.  I trained dogs and chickens and kangaroos in a zoo.  It was during these two decades that I learned all about the science of behavior.  And it's that foundation that informs behavior change therapy.

I believe that the counseling relationship should be egalitarian which encourages equality between the therapist and the client. Clients should know that they have the power to change and define themselves and the therapist is only a tool with new insight and information.  

Additionally, a focus of my work is with the LGBT+ community. I have sought further education from the Trans Wellness Conference and I see trans folk in my practice frequently. I am sex positive, open, kink-friendly and non-judgmental about human sexuality.


You must consider your email address and how vulnerable you are to having your privacy violated.  If you are at work and use this form to contact me and I respond to you and your boss monitors email, then your privacy will no longer be intact.  This is your responsibility and in no way will I share or claim any responsibility for this error. I cannot know where you are emailing from.  It is best to call me.

 It is important that the addressee/s be aware that e-mail communication can be relatively easily accessed by unauthorized people and hence can compromise the privacy and confidentiality of such communication. E-mails, in particular, are vulnerable to such unauthorized access, due to the fact that servers have unlimited and direct access to all e-mails that go through them.  A non-encrypted e-mail, such as this, is even more vulnerable to unauthorized access. PLEASE CONSIDER CALLING ME AT THE NUMBER PROVIDED IF YOU WISH TO AVOID THE POSSIBILITY OF YOUR CONFIDENTIALITY BEING COMPROMISED.  Alternatively, you can leave very scant information in the contact box and I will respond to you.  Please notify me if you decide to avoid or limit, in any way, the use of e-mail.  Unless I hear from you otherwise, I will continue to communicate with you via e-mail when necessary or appropriate.

 Please do not use e-mail for emergencies.  If you are in crisis you need to call 911 for immediate help. While I check my phone messages during the day when I am in town, I do not always check my e-mails daily. 

Name *

Contact Info:

Phone: 850.387.5173