Andrea M Alvarez, M.Ed, LPC-S, NCC has the only group clinic in San Antonio, Texas specializing in Anxiety and OCD Related Disorders. Originally from San Antonio, she noticed no one in 2014 had the training for evidenced based treatment for BFRBs. She became the first clinician certified and assists all ages. She trains and supervises her LPC-Associates to provide additional access to treatment. She is also BTTI trained by IOCDF for OCD for both children and adults since 2017. She serves on the Texas OCD Board as treasurer. BFRB support groups are offered.