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NOCD

Specialized OCD therapy using evidence-based ERP — in all 50 states, covered by most major insurance, average $14 copay per session

Verified listingAetnaCigna+5 moreLicensed in 50 states

Quick facts

Price

$14–$240/visit

Insurance

Aetna, Cigna, Blue Cross Blue Shield, +4 more

States

All 50 states

Medications

Not reported

Service model

Not reported

Coaching

Not included

FDA-approved only

No

How NOCD compares

NOCD is the only large-scale telehealth platform built exclusively around OCD treatment using exposure and response prevention (ERP), which clinical guidelines identify as the gold-standard therapy for OCD. This single-condition focus distinguishes NOCD from general therapy platforms like BetterHelp, Alma, or Headway, where therapists may list OCD as a specialty but few have systematic training in ERP protocols. The difference matters clinically: ERP for OCD is a structured, protocol-driven therapy that requires significant training to deliver correctly, and general therapists who apply supportive or CBT techniques to OCD often produce poor outcomes. NOCD's therapists are specifically trained in ERP and work exclusively with OCD patients. Insurance acceptance is broad — over 138 million Americans can access NOCD through their insurance benefits — with an average insured copay of $14/session. Self-pay rates of $240/session are competitive with general therapy, given that OCD-specialized ERP outside NOCD typically costs $200–$400/session out-of-pocket with far fewer practitioners available. The primary limitation is scope: NOCD treats only OCD. Patients with significant comorbidities requiring additional mental health care will need supplementary providers.

About

NOCD (short for No to Compulsive Disorder) is a specialized telehealth platform focused exclusively on treating Obsessive-Compulsive Disorder (OCD) using Exposure and Response Prevention (ERP) therapy — the most clinically validated treatment for OCD. Founded in 2019 and available in all 50 states, NOCD was built to solve a critical access problem: despite the fact that OCD affects approximately two to three million Americans, the vast majority of therapists lack formal training in ERP, leading to years of misdiagnosis and ineffective treatment. NOCD's platform connects patients with therapists who have received specialized training in ERP and are credentialed to treat OCD across its many subtypes — including contamination OCD, harm OCD, sexual/relationship intrusive thoughts, scrupulosity (religious OCD), symmetry and ordering, and somatic fixation. All NOCD therapists follow the International OCD Foundation's clinical guidelines and complete ongoing supervision to ensure treatment fidelity. The platform's approach goes beyond weekly video sessions. Between appointments, patients have 24/7 text access to their therapist through the NOCD app, structured between-session practice exercises tied to their specific exposure hierarchy, and access to a peer support community of other OCD sufferers. This combination of live therapy and between-session support is central to NOCD's claim that patients achieve meaningful results approximately twice as fast as traditional weekly ERP. NOCD accepts over 100 insurance plans including Aetna, Cigna, United Healthcare, Kaiser Permanente, and dozens of BCBS regional plans. Over 90 percent of Americans with commercial insurance have access to in-network NOCD therapy. The average copay for insured members is approximately $14 per session. For cash-pay patients, NOCD offers interest-free payment plans to make full treatment courses financially accessible. NOCD treats children, adolescents, and adults. Clinicians can also work with family members on ERP accommodation techniques — an important component of treatment given that family members often inadvertently reinforce compulsive behaviors. For anyone with OCD or OCD spectrum symptoms who has struggled to find a qualified specialist, NOCD represents the most scalable access point to evidence-based care in the US.

What's Included

Therapy / CounselingPeer / Community Support

Convenience

Async Messaging with ProviderApp-Based CareEvening & Weekend Hours

Pricing

NOCD accepts over 100 insurance plans across all 50 states. The average copay for NOCD members with in-network insurance is approximately $14 per session. Without insurance, a 60-minute ERP session costs $120–$240. NOCD offers interest-free payment plans at $95/week or $50/week for patients who want to pay upfront for a full course of treatment. FSA and HSA funds are accepted. A free 15-minute introductory call is available before any financial commitment.

Who this is best for

Adults, teens, and children diagnosed with or suspected of having OCD who want access to Exposure and Response Prevention (ERP) therapy — the gold-standard evidence-based treatment — without navigating a shortage of trained specialists. NOCD is particularly valuable for patients in states with few in-person OCD specialists, or those who need flexible scheduling around work or school. NOCD treats all OCD subtypes including contamination, harm, sexual/relationship, religious (scrupulosity), symmetry, and intrusive thought presentations. Not appropriate for patients seeking medication management — NOCD is therapy-only and does not prescribe.

What to expect

After your intake call and insurance verification, you'll be matched with a therapist trained specifically in ERP. Your first session (60 minutes) involves assessment of your OCD history, symptom themes, and treatment goals. Subsequent ERP sessions involve graded exposure exercises — deliberately confronting feared situations or thoughts while resisting compulsive responses — facilitated live by your therapist over video. Between sessions, NOCD's app provides 24/7 access to your therapist for brief check-ins, structured between-session practice exercises, and a peer community forum. Research cited by NOCD indicates that their virtual ERP approach produces meaningful results approximately twice as fast as standard outpatient ERP.

How to book

Book a free 15-minute introductory call at treatmyocd.com to speak with an NOCD care team member who will match you with a therapist trained in ERP. You can also start by taking NOCD's free OCD assessment on the website. After your introductory call, your matched therapist will schedule your first 60-minute ERP session. NOCD verifies your insurance benefits before your first paid appointment. Most patients begin their first therapy session within one to two weeks of initial contact.

Seeing patients in 50 states

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Telehealth providers must be licensed in the state where you are located. If your state is not listed, this provider cannot legally see you.

Insurance accepted

Aetna · Cigna · Blue Cross Blue Shield · UnitedHealthcare · kaiser · out-of-pocket · hsa-fsa

Contact the provider to verify your specific plan before scheduling.

Also accepts self-pay patients.

Pricing

$14–$240/visit

Pricing is based on publicly available information and may vary.

Details

Average wait: Same week

Frequently asked questions

Does NOCD accept insurance?

Yes, NOCD accepts the following insurance plans: Aetna, Cigna, Blue Cross Blue Shield, UnitedHealthcare, kaiser, out-of-pocket, hsa-fsa. Contact the provider directly to verify coverage for your specific plan. They also accept self-pay patients.

What states does NOCD serve?

NOCD is licensed to see patients in 50 states: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming. Telehealth providers must be licensed in the state where you are physically located during your visit.

How do I book with NOCD?

Book a free 15-minute introductory call at treatmyocd.com to speak with an NOCD care team member who will match you with a therapist trained in ERP. You can also start by taking NOCD's free OCD assessment on the website. After your introductory call, your matched therapist will schedule your first 60-minute ERP session. NOCD verifies your insurance benefits before your first paid appointment. Most patients begin their first therapy session within one to two weeks of initial contact.

What conditions does NOCD treat?

NOCD specializes in Mental Health & Psychiatry. Visit their profile for more details on the specific services and conditions they treat.