41000 Woodward Ave. Suite 350 Bloomfield Hills, MI 48304



Dr. Steven Pence

Credentials and degrees : 
Dr. Steven Pence is a specialist in the treatment of OCD and anxiety related disorders with 17 years of experience in cognitive behavior therapy and 8 years in private practice. Dr. Pence is fellowship trained in OCD and anxiety related disorders. Prior to opening his own private practice, Dr. Pence completed a fellowship at the University of Florida where he focused on treating severe and refractory cases of OCD in the Department of Psychiatry and later joined the faculty of the Department of Pediatrics at the University of South Florida (USF) Rothman Center for Neuropsychiatry. Dr. Pence was an active member of the USF OCD Program. At these programs, Dr. Pence supervised postdoctoral fellows, psychiatry residents, & graduate students and provided lectures and presentations in the Department of Psychiatry. Dr. Pence’s education also includes obtaining a Ph.D. in Counseling Psychology from Michigan State University and a Master’s Education in Counseling Psychology from Western Michigan University. In addition to this experience, Dr. Pence has experience working in an Inpatient Unit, Detox Unit, and in the Emergency Department. Dr. Pence has published numerous articles related to OCD and related anxiety disorders.
Dr. Pence practices evidence-based treatment for Obsessive-Compulsive Disorder, Body Dysmorphic Disorder, Panic Disorder, Agoraphobia, Social Phobia, Trichotillomania, Excoriation (Skin-Picking) Disorder, Generalized Anxiety Disorder, Depression, and Selective Mutism. Dr. Pence’s comprehensive treatment programs include a 2-hour medical diagnostic assessment, evidence-based treatment of cognitive behavior therapy (CBT), exposure and response prevention (ERP), habit reversal training (HRT), cognitive restructuring, mindfulness, behavioral activation, and psychoeducation for families. In addition to weekly CBT therapy, Dr. Pence offers intensive outpatient treatment programs and telemedicine. 95% of Dr. Pence's patients have OCD and/or related anxiety disorders and Dr. Pence treats patients from many different states and countries through his intensive outpatient program. A two-hour comprehensive research-supported psychological evaluation is provided to all new patients. The purposes of this extensive assessment is to determine accurate diagnoses and to provide patients with an evidenced-based treatment plan. As part of the initial evaluation, patients are assessed for all psychological conditions, psychological comorbidity, as well as information about their medical, developmental, biological, social, family history and educational background. The impact of the stressors or traumas on the developmental and/or maintenance of anxiety or other symptoms need to be thoroughly assessed. Dr. Pence assesses all patients based on DSM-5 criteria and utilizes appropriate assessment tools as needed. Lastly, the comprehensive psychological assessment is helpful in tracking patient progress. 
Treatment methods: 
Evidence-Based Treatment Modalities: Cognitive Behavior Therapy (CBT) Exposure and Response Prevention (ERP)  Habit Reversal Training Cognitive Restructuring  Behavioral Activation Supportive Psychotherapy