Is anyone here familiar with ROCD or OCD treatments?

Hi there, I'm so glad you reached out! There are definitely therapists with Betterhelp who are able to address OCD and ROCD. I apologize that that was not made clear to you. When you are making a request for a particular therapist specialty, be sure to request someone who has experience with anxiety. I know that OCD and ROCD are not technically anxiety disorders, however, a clinician who is skilled in treating someone with anxiety should be familiar with the treatments used for OCD and ROCD. 

The psychotherapy of choice for the treatment of OCD is exposure and response prevention (ERP), which is a form of CBT. In ERP therapy, people who have OCD are placed in situations where they are gradually exposed to their obsessions and asked not to perform the compulsions that usually ease their anxiety and distress. This is done at your pace; your therapist should never force you to do anything that you do not want to do.  

The following is an explanation from the International OCD Foundation: Treatment of ROCD is similar to other cognitive-behavioral treatments of OCD. Before treatment can begin, however, it is important for those with ROCD to recognize that the ROCD symptoms are getting in the way of their ability to fully experience their relationships. Significant symptom reduction through treatment would, therefore, allow them to reach a decision about their relationship based on their experience of it, rather than based on ROCD-related fears. Therapy includes assessment and information gathering, and mapping of the client’s symptoms. The therapist and client must also reach an understanding of what beliefs and views of self and others may be affected by the individual’s ROCD symptoms. A variety of CBT [e.g., cognitive restructuring, exposure and response prevention (ERP)] and experiential techniques (e.g., imagination-based exposures) are then used to explore and challenge these beliefs and views and reduce compulsive behaviors.

Finally, treatment gains are reviewed, effective strategies are summarized, and relapse prevention plans are made for possible setbacks down the road. In addition to obsessive preoccupation and doubts, both presentations of ROCD are associated with a variety of compulsive behaviors aimed to reduce their feelings of uncertainty, anxiety, and distress, or to reduce the frequency of such thoughts.

I hope that this answers your question! Please reach out if you have anything further that you would like to explore.