Finding An OCD Therapist For Obsessive-Compulsive Disorder Treatment

Medically reviewed by Julie Dodson, MA, LCSW and Corey Pitts, MA, LCMHC, LCAS, CCS
Updated February 26th, 2025 by BetterHelp Editorial Team

Obsessive-compulsive disorder (OCD) is a mental health condition characterized by patterns of obsessive thoughts and compulsive behaviors, which are often distressing for the individual experiencing them. Around 1% of the world population is estimated to have OCD, but treatments are available. If you're looking for a therapist who can help address your OCD symptoms, getting familiar with types of therapeutic treatment for OCD and how to find an OCD therapist to meet with can be beneficial.

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Are you having trouble managing your OCD symptoms?

What is obsessive-compulsive disorder (OCD)? 

Many false myths and stereotypes about obsessive compulsive disorder are showcased in media and perpetuated in popular culture. That’s why it’s important to understand that obsessive compulsive disorder is a serious mental illness. It is considered an anxiety disorder, and it isnot simply a clean, organized, or hyper-focused personality type.

Types of obsessions and compulsions in obsessive-compulsive disorder treatment

Instead, like any anxiety disorder, symptoms of obsessive compulsive disorder can vary, and there are various types of compulsions and obsessions that someone may experience, including the following: 

  • Contamination fears and compulsions
  • Organizational fears and compulsions
  • Harm fears and compulsions
  • Intrusive thoughts (severely distressing and unwanted images or ideas)
  • Rumination
  • Checking behaviors, including reassurance seeking
  • Inappropriately aggressive or sexual thoughts
  • Fears regarding morality, values, and lawful behavior
  • Fears regarding self-control 

Not everyone with obsessive compulsive disorder experiences all types of compulsions; peoples' thoughts, anxieties, and behaviors may vary widely. For example, one person living with obsessive compulsive disorder may compulsively check their door's locks multiple times each night, whereas another might avoid certain situations due to intrusive thoughts about harm. Although themes of obsessive compulsive disorder can vary, a general pattern of obsessive thoughts and compulsive rituals is present across all clinical cases. It’s important to consult a therapist if you feel like you might be having symptoms of obsessive compulsive disorder. Therapists can help you find ways to manage obsessions and compulsions through targeted counseling sessions. Many different types of therapy exist, and a licensed therapist can help you choose the right method for your needs.

OCD compulsions 

The thoughts that a person with obsessive compulsive disorder has are often unwanted and distressing and may even involve explicit themes. The thoughts may go against a person's values, which can cause them to worry that because they are experiencing the thoughts, they believe in them or want to enact them in real life.

Because thoughts can be undesirable and create stress, an individual may perform specific actions to reduce anxiety and push thoughts away. These actions are known as compulsions, which are often ritualistic and carried out repetitively. A few examples of compulsions include: 
  • Checking
  • Washing
  • Skin picking
  • Counting
  • Organizing
  • Repeating mantras 
  • Seeking reassurance
  • Avoidance

Regardless of the content of thoughts, those living with OCD may spend time and energy controlling or trying to eliminate them. Those with obsessive compulsive disorder may also recognize that certain urges are not logical, and may feel shame about them or begin to show signs of depression. This cycle of obsessive compulsive disorder can be detrimental to an individual's mental health and may also impact relationships (which is especially common with subtypes like ROCD), work, and other aspects of life.

If you haven't been diagnosed with obsessive compulsive disorder but feel that key symptoms of this anxiety disordermatch your experiences, consider contacting a mental health professional like a therapist to confirm your OCD diagnosis through testing, and/or interviewing. Note, however, that you do not need any kind of obsessive compulsive disorder or other diagnosis to reach out for support from a therapist. Counseling can be beneficial for anyone, with or without any anxiety disorder, depression, ormental health condition. A therapist can even support individuals who just want an active listening ear or soundboard for challenges.

Obsessive compulsive disorder and other conditions

Obsessive compulsive disorder can occur alongside other mental health conditions. For example, obsessive compulsive disorder and anxiety disorders, like social anxiety or panic disorder, and mood disorders like depression are often comorbid.
Individuals with autism spectrum disorders tend to experience obsessive compulsive disorder at a higher rate. There are many similarities between the two disorders as both tend to manifest as compulsive behaviors, difficulty with change, restricted behaviors, and intense interest and focus on certain tasks.

There is also a link between OCD and eating disorders as well as body dysmorphic disorder. People experiencing these types of disorders may exhibit symptoms of obsessive compulsive disorder in how they prepare food, look at their body, or even in the act of eating itself. For example, a person may have a compulsion to only eat a certain number of mouthfuls of food, which could lead to undereating. It can be important to address other mental health conditions associated with obsessive compulsive disorder through a counseling session with a licensed professional.

If you or a loved one is experiencing an eating disorder, you can contact the National Eating Disorder Association Helpline for support and resources at 1-800-931-2237 (M–Th from 9 AM–9 PM EST and Fri 9 AM–5 PM EST).

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How is obsessive compulsive disorder treated? 

Just a few decades ago, obsessive compulsive disorder was considered untreatable. However, there are now several effective treatment options used by licensed therapists available for this condition. Certain forms of therapy are usually the first line of treatment for this anxiety disorder—particularly cognitive behavioral therapy or exposure and response prevention therapy. It’s important to seek help from a therapist if you feel like symptoms of obsessive compulsive disorder are becoming overwhelming. Licensed therapists can provide you with a plan to help you with treating obsessive compulsive disorder.

Cognitive behavioral therapy (CBT) 

Various forms of treatment exist for obsessive compulsive disorder.One widely recognized treatment for OCD is cognitive-behavioral therapy (CBT), which is also used to treat depression, anxiety, and other mental health challenges.

Cognitive-behavioral therapy is a form of talk therapy designed to challenge a client's unwanted or distorted thought patterns and shift thoughts toward more constructive or positive ones. Learning to recognize such thoughts is usually the first step, which may be helped through certain mindfulness-based practices. Below are some benefits of CBT for obsessive compulsive disorder:

  • Cognitive behavioral therapy can help with identifying irrational thoughts that are present in someone who has obsessive compulsive disorder.
  • Cognitive behavioral therapy can teach individuals how to tolerate feelings of discomfort and anxiety which can result in urges in obsessive compulsive disorder.
  • Cognitive behavioral therapy can help people with obsessive compulsive disorder learn how to respond to their obsessions and compulsions.
  • Cognitive behavioral therapy can guide those with obsessive compulsive disorder on ways to resist acting on their compulsions.

Note that CBT can also be delivered in support groups run by professionals who are trained to provide this type of treatment. According to the International OCD Foundation, support groups can be effective at treating obsessive compulsive disorder, but they are not a replacement for individual therapy.

Exposure and response prevention therapy (ERP) 

Exposure and response prevention (ERP), also sometimes referred to as exposure and ritual prevention (EXRP), is a type of cognitive-behavioral therapy commonly used to treat obsessive compulsive disorder. The premise of exposure and response prevention or ERP therapy is that by subjecting the client to triggers of their anxious thoughts and helping them resist the urge to perform their compulsions; they may become desensitized to thoughts over time. Exposure can be done in two ways: 

  • Exposure In vivo: This method of exposure response preventionfor treating obsessive compulsive disorder that is commonly used by therapists involves physically confronting the causes of obsessive thoughts. For instance, touching a public object and abstaining from hand-washing could reduce the fear of germs over time.
  • Imaginal exposure: In imaginal exposure, another method for obsessive compulsive disorder management commonly utilized by therapists, the client imagines the distressing obsessions and their perceived consequences. This technique might be used for explicit situations that cannot be practiced or faced in person ethically, such as the themes of intrusive thoughts. 

Before you begin exposure and response prevention therapy, your therapist may ask you to rate each of your fears surrounding not partaking in compulsions or facing your intrusive thoughts on a scale of zero to 100. They may then start with exposure to the lowest fears and move up over time. Using a graded worksheet in therapy, a therapist can then ask you to measure your stress levels during exposure therapy. When your anxiety levels go down, it can show that you are progressing. 

Effectiveness of CBT and ERP for obsessive compulsive disorder treatment

How effective are cognitive behavioral therapy and ERP for obsessive compulsive disorder? Cognitive-behavioral therapy and exposure and response prevention therapy are currently the most effective methods for treating obsessive compulsive disorder, which is supported by empirical evidence. One recent study suggests that over 50% of individuals experience reduced symptoms of obsessive compulsive disorder or even remission after engaging in ERP. However, this modality may not be an effective way to treat obsessive compulsive disorder for everyone who experiences it, and a degree of willingness to partake in a challenging type of therapy like this also usually needs to be present for best results.

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Are you having trouble managing your OCD symptoms?

How to find an OCD therapist near me 

There are a few ways to find a therapist who has expertise in working with individuals experiencing OCD. One way to find a therapist is to search online for " OCD therapists near me.” Or, you can contact your insurance company if applicable and ask for a list of providers and therapists in or near your zip code who are in the network. Once you find providers and therapists within a commutable distance, you can call and ask these therapists if they're accepting new patients for obsessive compulsive disorder treatment and what their rates are. You can also look into the provider’s credentials and any reviews you may be able to find to help you make your decision. If you find someone who seems like a good fit and suits your therapy needs, you can schedule a session.

If you do not have insurance, are having trouble finding therapy options in your area, are unable to find a suitable therapist in person, or would simply prefer to engage in therapy for treating obsessive compulsive disorder from home, you might also consider online therapy for OCD.  

Benefits of finding an obsessive compulsive disorder therapist near me practicing CBT or cognitive behavioral therapy online

One study on internet-based cognitive-behavioral therapy for obsessive compulsive disorder suggests that this treatment can be even more practical and cost-effective than face-to-face options for treating obsessive-compulsive disorder. In addition, internet-based programs with licensed therapists are often more flexible, as you can meet with the therapist from home or somewhere else with an internet connection and potentially choose meeting times outside of standard business hours.

Through an online therapy platform like BetterHelp, you can get matched with a licensed therapist who you can meet with via phone, video call, and/or in-app messaging. 

Takeaway

OCD can be challenging to live with. Embarking on a search for a trained therapist who can offer specific techniques that change how you think about stressors can represent a path toward healing from obsessive compulsive disorder. By learning to resist compulsions in a safe and monitored way, you may be able to desensitize yourself against your fears. Contacting a cognitive-behavioral therapy or exposure and response prevention (ERP) therapist to gain further insight into this process could be a helpful next step, whether you connect with this therapist virtually or in person. 
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