With so much information out there regarding providers and treatment options for obsessive compulsive disorder, it can be hard to know exactly where to start—especially when you have to consider everything from the type of provider to the different treatment methods, as well as how you’ll fit it into your busy schedule.
If you’re feeling overwhelmed and anxious, and you want to avoid spending hours searching through the internet, we put together this guide to finding the right therapist to treat your OCD, specifically one that works with ERP.
There are several types of mental health professionals that treat OCD, including:
While all of these types of mental health professionals have different backgrounds and education levels, it’s important to remember that none are necessarily better or worse to help treat your condition. A specific degree matters far less than your therapist’s overall experience level and specific background in relation to OCD, and the ultimate goal is to find the right person with the right experience who can help you receive the quality treatment you deserve.
Exposure and Response Prevention is the treatment of choice for OCD. It’s a common form of psychological treatment that’s been proven to effectively treat a number of conditions including depression, anxiety and eating disorders.
ERP is a highly effective form of treatment that comes from the Cognitive Behavioral Therapy family. While CBT can treat a variety of disorders, ERP remains the gold standard for treating OCD.
ERP is one of the most effective behavioral therapy treatments for OCD. It works by exposing people to various situations that may provoke their obsessions while giving them the opportunity to work on the prevention of compulsive responses in a controlled environment. The ultimate goal of ERP isn’t to get rid of unwanted thoughts or feelings, but rather to teach people with OCD how to handle them.
Along with ERP, serotonin reuptake inhibitors (SRIs) are another highly effective treatment option for OCD — especially for people who don’t have access to therapy or who experience more severe symptoms. While medication isn’t always necessary in order to treat OCD, and many SRIs can produce unwanted side effects, people who use medication typically see a 40%-60% reduction in symptoms. It’s also important to point out that while SRIs can be a helpful part of managing OCD systems, it’s not a substitute for ERP itself. The exposure and responsive prevention is a necessary part of treating OCD, regardless of whether or not a patient needs medication.
Yes, you can absolutely receive virtual treatment for OCD! Therapists across the world have turned to telehealth services for the treatment of OCD, even for some intensive outpatient and partial hospitalization programs, such as the program at Alexian Brothers Behavioral Health Hospital.
Other than an internet or cell phone connection, the only things you need to begin treating OCD online are a therapist trained in treating OCD and a willingness to make changes in your life.
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Virtual treatment has some great benefits. Virtual appointments for OCD allow you to perform therapist-assisted ERP at home, meaning—with your therapist’s support—you can face your fears in real time as they arise, making it more convenient and more applicable to your daily struggles and challenges.
Plus, for some people, in-person treatment isn’t always an option due to the severity of compulsions or a lack of available resources in their area. Virtual treatment eliminates that barrier, and it allows more people to receive quality care in their homes when they need it.
There are some patients who do best with in-person treatment, however, so it’s important to consider your own preferences and experiences. Some patients may need to do exposures in social or public settings—which may be more easily treated with in-person sessions—and virtual treatment isn’t appropriate for anyone at imminent risk of harming themselves or others.
Before you begin working with a potential therapist, there are a few questions you can ask them to make sure they’re the right match for you.
No matter what kind of therapy you’re looking for, there are always red flags to consider when you’re looking for a therapist. Things like inappropriate behavior, poor boundaries, appearing bored or distracted during sessions or being judgmental are all red flags for any therapist.
For OCD specifically, an obvious red flag is a therapist who doesn’t use ERP. Beyond that, you should look for a therapist who encourages you to sit with anxiety and discomfort instead of trying to “bail you out.” OCD therapists are trained to be comfortable with patients’ discomfort, and your therapist isn’t there to rescue you from your feelings.
We believe that you can safely do hard things and feel uncomfortable feelings, and — in order to conquer OCD — you’re going to have to do exactly that. Anyone who isn’t encouraging you to face those feelings and work through them probably isn’t the best person to help you with OCD.
Research suggests that one of the biggest predictors of treatment success is having a good relationship with your therapist. You should be able to tell fairly quickly if you feel accepted, understood by and comfortable with your therapist.
If there aren’t any major red flags, it usually takes three to four sessions to tell if a therapist is the right fit for you. If you don’t “click” with your therapist right away, that’s okay! It doesn’t always happen immediately. The important thing is to trust your gut, and if your instincts are telling you to move on after one session, do it.
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One thing to keep in mind, however, is that some people can fall into a pattern of trying — and leaving — different therapists. Therapy can be hard and uncomfortable, so make sure you aren’t confusing your discomfort with a specific treatment itself as discomfort with a particular therapist. How do I get started seeking care? If you’re interested in exploring treatment for OCD, you’re definitely not alone. OCD can impact anyone, and roughly 7 to 9 million adults are living with OCD in the United States alone. Just by learning more about your options, you’ve already taken the first step, which means you’re well on your way to finding help.
While finding a therapist for OCD might seem overwhelming, we’d like to help make it easier. NOCD is available to people in all 50 states and can provide one of the most cost effective options on the market. Schedule a free call with our team, and we can connect you with a licensed, OCD-trained therapist right on your phone. And if you still have questions? We’re always here to help.