Online Therapy For OCD | Best Services Reviewed

OCD or obsessive compulsive disorder can be very difficult to live with. When your thoughts are stressing you out to a level that you are using repetitive behaviors to manage this, it might be time to seek help.

In this guide, we’ve looked at the best online therapy services for OCD. We’ll also look at this disorder in more detail, and how to treat it.

Quick comparison table

#1

BetterHelp logo.

BetterHelp

Online OCD Therapy

Overall rating

⭐⭐⭐⭐⭐

#2

Talkspace logo.

Talkspace

Online OCD Therapy

Overall rating

⭐⭐⭐⭐⭐

#3

online-therapy.com logo.

Online-Therapy.com

Online OCD Therapy

Overall rating

⭐⭐⭐⭐⭐

#1
BetterHelp logo.
BetterHelp

Online OCD Therapy

Overall rating

⭐⭐⭐⭐⭐

#2
Talkspace logo.
Talkspace

Online OCD Therapy

Overall rating

⭐⭐⭐⭐⭐

#3
online-therapy.com logo.
Online-Therapy.com

Online OCD Therapy

Overall rating

⭐⭐⭐⭐⭐

Best online therapy services for OCD

Pencils lined up on a table.

Let’s begin our reviews.

Below, you will find three providers that provide online therapy to help you manage your OCD.

1. BetterHelp

#1

BetterHelp logo.

BetterHelp

Online OCD Therapy

Overall rating

⭐⭐⭐⭐⭐

#1
BetterHelp logo.
BetterHelp

Online OCD Therapy

Overall rating

⭐⭐⭐⭐⭐

BetterHelp is an online therapy platform, with plenty of licensed therapists available who are experienced at providing online treatment for OCD.

When you join BetterHelp, their mental health professionals provide therapy through video/phone calls, text messages, and live chat.

You can talk with your therapist through your laptop, tablet, or smartphone. With the default plan, you get access to one live session each week, which you can choose to complete over the phone, through a video call, or using live messaging.

Plus, when feeling stuck on a compulsion, you can easily send your therapist a text message to get immediate assistance, rather than waiting for the next scheduled session. This greater level of connection with your therapist can be a good reason to choose an online counseling platform over face-to-face counseling.

To get started with BetterHelp, you fill out an online questionnaire. When it’s completed, the platform will match you with a therapist, based on the information you’ve provided. For example, if you ask for a female therapist experienced in helping people with OCD, you’ll be matched with someone who fits this profile.

BetterHelp has many therapists available, which makes it easy to plan a live appointment whenever you want. This means you could connect with your online therapist outside of work hours, in the early morning or late evening, if you’d prefer.

2. Talkspace

#2

Talkspace logo.

Talkspace

Online OCD Therapy

Overall rating

⭐⭐⭐⭐⭐

#2
Talkspace logo.
Talkspace

Online OCD Therapy

Overall rating

⭐⭐⭐⭐⭐

Talkspace also provides online therapy sessions for those with obsessive compulsive disorder, giving you access to a range of licensed therapists.

The treatment plans offered by Talkspace are quite similar to on BetterHelp. They offer live video or phone call sessions, text messages, and live chat conversations. All these options are available on any modern mobile device or laptop, using the Talkspace website or mobile app.

When you sign up, Talkspace will give you a choice of mental health professionals after chatting with a matching agent over live chat. This sign up process is a bit more tedious than BetterHelp, as you will be asked to open up to someone before talking to your therapist. However, this process does allow you to ask any questions you may have, which can be helpful for some people.

In short, BetterHelp and Talkspace have a similar concept with the same advantages (therapy from home, licensed, experience therapists, adapted to your schedule) however, the matching process is a bit different with Talkspace.

Another difference is pricing – Talkspace works with some insurance companies, while BetterHelp doesn’t at this stage. However, BetterHelp does offer a financial assistance program for those facing hardship, and their packages are often cheaper than Talkspace, despite not being covered by most insurance companies.

3. online-therapy.com

#3

online-therapy.com logo.

Online-Therapy.com

Online OCD Therapy

Overall rating

⭐⭐⭐⭐⭐

#3
online-therapy.com logo.
Online-Therapy.com

Online OCD Therapy

Overall rating

⭐⭐⭐⭐⭐

online-therapy.com provides a whole toolbox of mental health support. They offer therapy sessions and plans focused on cognitive behavioral therapy (CBT), which is a recommended treatment for OCD.

Although the licensed therapists on the two other platforms are also experienced at providing OCD treatment, there is no guarantee that they will be able to provide CBT, unless you ask for this specifically. It’s a good idea to research some of the different types of therapies used to treat OCD, which we’ve done below, to see whether CBT is the right fit for you.

online-therapy.com provides comprehensive therapy packages, including the following services, which you can pick and choose from:

  • Live therapy sessions
  • Text messages
  • Worksheets
  • Journaling
  • Activity plans
  • Yoga
  • Online resources

The online resources include videos, audio clips, and written guides, including information and hands-on tools to help you overcome your OCD. These resources give you more information about how and why OCD happens, and are used by your therapist in conjunction with your phone/video sessions.

Regarding journaling, this practise has been shown to have a positive impact on your mental health when focused on cognitive and emotional processing or emotion-focused self-regulation for some.

Yoga can also be a useful addition to an OCD treatment program. A study on 17 patients with OCD showed that yoga could potentially be a feasible way to lower OCD symptoms. Another study shows that it could be an effective add-on for stable, medicated people with OCD.

Further research is needed in this area, but as an online-therapy.com patient, you’re always free to try out the different parts of their therapy package, and see what works for you, as you work with your assigned therapist.

Can OCD be treated online?

Woman receiving therapy on a laptop.

OCD can be treated effectively over the internet. Online therapy can be a viable option for those that don’t have easy access to face-to-face therapy, or who feel anxious about seeing a therapist in person.

Studies show that online therapist-assisted cognitive behavioral therapy (CBT) may be just as effective as traditional therapy. Further, your working alliance with a therapist doesn’t differ for patients receiving therapy online or face-to-face, provided that the therapist is experienced in providing support over the internet (they know how to overcome any technical obstacles, for example).

Although they cannot read your body language as easily, as long as you’re able to communicate effectively with your therapist, you can get help for your OCD over the internet.

Advantages of online OCD therapy

Other than being an effective way to help people with OCD, depression, or anxiety, there are other reasons you might like to choose online therapy.

Location independent

If you live in a rural area and there are not many good OCD therapists nearby, then online therapy might help to solve this issue.

By getting help online, you won’t have to travel to the next city to get the help you need.

Affordability

Online therapy is often less expensive than traditional therapy.

Prices of traditional therapy can vary between $100 to $300 per session. With online therapy, prices start from $80 per week, depending on the exact package you choose to buy. Some online services, like BetterHelp, also offer financial assistance schemes for unemployed people, and those facing financial hardship.

You typically also get the ability to text your therapist for help in between sessions, which isn’t normally possible with in-person therapy.

The issue is, online therapy isn’t always covered by insurance companies. In-person support may be cheaper if your insurance covers therapy services.

Makes it less stressful to get help

Woman receiving therapy on a computer.

Online therapy is very easy to access, and it lowers the threshold to look for help. There is still a lot of taboo associated with consulting a psychologist or therapist. Going online can take some of these obstacles away – you can even use get online counseling anonymously, if you’d prefer.

Also, there are now so many online therapy treatment options that you won’t have to worry about waiting lists. You can begin getting support for your OCD immediately over the internet.

Accessibility

For people with mobility issues or physical disabilities, this might make it difficult to seek help. Thinking through the details about how to go to therapy and whether your wheelchair can pass through hallways or doors comfortably can be tiring. This is no longer a problem with online therapy.

Disadvantages of online OCD therapy

However, there are some disadvantages to seeking help online, rather than visiting a professional in their office.

Some insurance providers won’t pay for it

Only certain health insurance providers cover online therapy, and the ones that do only cover specific providers, like Talkspace.

Technology issues

If you or your therapist has problems with their WiFi or internet connection, this could disturb your sessions.

Further, privacy can also be a potential issue when getting mental health support over the internet. It is important to check whether your therapist or therapy platform complies with HIPAA rules, to ensure your privacy and security as a client.

Crisis situations

Online therapy can sometimes be unsynchronized – your therapist might be far away from your location. In case of a crisis situation, it won’t be easy for your therapist to intervene or provide the help you need on short notice. In this case, it may be better to seek in-person help. In an immediate emergency, you can call 911 or the National Suicide Prevention Lifeline on 1-800-273-8255.

What is obsessive-compulsive disorder (OCD)?

OCD letters.

Obsessive-compulsive disorder (OCD) is a neuropsychiatric disorder recognized by the American Psychological Association. It is characterized by recurrent distressing thoughts and repetitive behaviors or mental rituals.

Usually, people perform these compulsive actions to help reduce anxiety. It often years between when OCD symptoms arise to when people are diagnosed with OCD, possibly because many people cover these symptoms with shame and secrecy.

Since 2013, obsessive compulsive disorder has been categorized as a specific disorder in its own right – previously, it was classed as one of the anxiety disorders.

What isn’t OCD?

OCD is not just being clean or wanting to keep your house neat and tidy. Obsessive compulsive disorder is a time consuming issue – the acts interfere with your daily activities. The symptoms of OCD cause a clinically significant impact on your social, occupational and other areas of your life.

If you have OCD, you are wasting at least an hour per day on these obsessions and compulsions. In short, OCD is a combination between obsessive thoughts or urges with repetitive behaviors that are rather excessive or wouldn’t factually solve the anxiety or distress the patient is feeling.

Signs and symptoms of OCD

Person washing their hands.

People with OCD present with obsessions, compulsions, or both.

There are two symptoms of obsessions:

  1. Thoughts, images, or urges that are recurrent and persistent. Usually, people find these disturbing, intrusive or unwanted, and in most cases, they cause marked anxiety or distress.
  2. You try to ignore, neutralize or suppress the above symptom with thought or action (by presenting a compulsion).

There are two necessary symptoms of compulsions:

  1. Repetitive behaviors or mental acts that you need to do as a reaction to an obsession, or a rigid rule.
  2. You perform these acts or behaviors as a way to prevent or reduce distress or a dreaded event or situation. The connection between these acts and the events or distress are not realistically connected, or are excessive.

What causes OCD?

OCD is caused by an interplay between your neurobiology, genetics, and environment. For example, it might be that your genetics make you vulnerable in how you manage environmental stressors.

The Obsessive Compulsive Cognitions Working Group found some dysfunctional beliefs that could underlie OCD symptoms. The three following beliefs are common:

  1. Overestimation of threat or an inflated sense of responsibility
  2. Beliefs about the importance of, and need to control, intrusive thoughts
  3. Perfectionism and intolerance of uncertainty

Which is the best type of OCD treatment?

OCD Scrabble letters.

OCD can be treated using different psychological therapy and/or psychopharmacology methods.

  • Cognitive Behavioral Therapy (CBT) is a form of therapy in which therapists work to adapt faulty or unhelpful ways of thinking (or behaviors) that are part of the psychological problem.
  • Exposure therapy is a way of “exposing” you to what is difficult. An example is exposing someone with a phobia of spiders to spiders, step by step, and working through how you respond in these stressful situations.
  • Medication: serotonergic medications can help people suffering from extreme OCD. Such medications include tricyclic antidepressants and selective serotonin reuptake inhibitors.

Medication is not always necessary to treat OCD, especially if your symptoms are not extreme. However, it can be helpful in dealing with very serious cases of OCD, when combined with psychological therapy. Your therapist will be able to advise on whether or not to consider seeing a psychiatrist for OCD medication.

Can you get over OCD without treatment?

It is not easy to get over OCD without treatment. While you might be able to live with it, chances are that it won’t go away on its own.

If your daily life is interrupted by these thoughts or compulsions, then you should contact a therapist to learn some tools to manage these symptoms. Even seeing a therapist for a short period to learn some strategies to manage your OCD can be extremely helpful.

Conclusion

This is the end of our article on OCD treatment methods, including five different online OCD therapy services.

If you have any questions, or would like more help choosing a therapist for OCD, feel free to leave a comment below.

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