Grow Therapy vs NOCD: How to Choose in 2026

• Choose NOCD if OCD is your diagnosis and you want specialist treatment. Every NOCD therapist is trained in exposure and response prevention (ERP), which NOCD’s own guide calls the gold standard OCD treatment.
• Choose Grow Therapy if you want broader insurance coverage, therapy and medication in one place, or an in-person option. Its directory has 26,000 providers and accepts 125+ plans, including some Medicaid.
• With in-network insurance, the two services cost about the same per session. Grow averages $21, with a $0 to $50 range. NOCD copays typically run $5 to $50.

These services are built for different needs. Grow Therapy is a directory where you can filter licensed therapists and prescribers by insurance, state, specialty, and appointment format. It covers 90+ specialties, offers virtual and in-person sessions, and does not require a subscription. NOCD focuses only on OCD. It provides live-video ERP through therapists who receive graduate-level ERP training, with 24/7 support in the app between sessions.

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Grow Therapy vs NOCD comparison

Choose NOCD if

• You are seeking treatment for OCD or a subtype such as contamination OCD or rumination-focused OCD. NOCD’s own medication guide calls ERP the most effective OCD treatment. Sessions start twice a week, then taper to maintenance.
• You want an ERP-trained therapist without having to verify the training yourself. Grow’s own OCD guide says that “not all therapists who list OCD as a specialty have dedicated training in ERP” and that OCD is often undertreated for exactly that reason.
• You want support between appointments. NOCD’s app includes therapist messaging, exposure tools, and a peer community around the clock.

Book NOCD’s free 15-minute call to check coverage and get matched.

Choose Grow Therapy if

• You want therapy and medication management through the same service. Grow’s prescribers are psychiatrists and psychiatric nurse practitioners who e-prescribe to your pharmacy. Medication visits are typically about once a month.
• Insurance is the deciding factor. Grow takes 125+ plans, including Medicaid in select states. It verifies your Member ID at booking and shows a cost estimate up front.
• You want in-person sessions, evening or weekend appointments, or care for something other than OCD.
• You are paying cash and want a lower rate. Provider-set prices run $100 to $200+ per session, compared with $240 for a 60-minute NOCD session.

Browse Grow Therapy providers with your insurance filter on.

OCD treatment at each service

NOCD is built around ERP, and every therapist is trained in it. The company reports significant results for 74% of members and cites peer-reviewed research showing a 40% average reduction in symptom severity after 8 weeks.¹ These are NOCD’s outcomes from company-funded research. Our guide on whether OCD can be cured explains what those response numbers mean.

Grow can also work for OCD. Its directory lets you filter by OCD specialty and ERP approach. An OCD specialty tag does not guarantee ERP training, according to Grow’s own guide, so ask the therapist about their ERP experience before booking.

Medication

Grow handles medication within its network. Its prescribers are MDs and psychiatric NPs, and prescriptions go to your pharmacy electronically. Grow says a prescription is not guaranteed at the first visit. Refills require about a week’s notice, with no same-day scheduling, and some controlled substances, including certain ADHD medications, have additional telehealth requirements.

NOCD does not prescribe medication. Its therapists refer members to outside prescribers and point to the IOCDF directory. NOCD’s education pages say SSRIs for OCD usually take 6 to 12 weeks to show an effect and produce an average 30 to 50% symptom reduction for people who take them. They are also prescribed at higher doses for OCD than for depression or anxiety. If medication will be part of your treatment, NOCD adds a referral step that Grow does not.

Cost and billing

With insurance, the per-session costs are close. Grow reports a $21 average, while NOCD copays typically run $5 to $50.

NOCD bills its initial diagnostic session under CPT 90791 and regular sessions under 90837, 90834, or 90832. Those codes can help when you call your insurer to confirm benefits. Grow lists each provider’s self-pay rate on the provider profile before you book.

Grow providers may charge up to $200 for a no-show or a cancellation within 24 hours, and insurance does not cover those fees. NOCD’s late fees range from $50 to $100 based on session length. Its BBB complaints commonly mention delayed billing and late notice of what members owe.² Grow charges cash-pay cards automatically after the appointment.

Without insurance, Grow is usually cheaper per session. NOCD provides a Good Faith Estimate before the first appointment, superbills for out-of-network reimbursement, and interest-free payment plans starting at $50 a week. NOCD verifies whether your plan is in network before the first session, uses standard CPT codes, and is also available across the UK. Grow verifies your Member ID at booking and shows an upfront cost estimate.

What users report

Grow Therapy has a 4.7 Trustpilot score from 8,293 reviews. Reviewers often praise therapist quality and easy scheduling. Common complaints involve technical glitches and slow help with urgent billing questions.³

Its client-facing Miami BBB profile has an F rating and 31 complaints, most unanswered. The complaints focus on billing and prescription-fulfillment problems.⁴ Grow’s provider-facing New York entity has a separate A+ accredited BBB profile, so the two listings look very different.

NOCD’s BBB profile has an A+ rating, with billing-notice complaints as the main theme. Its Trustpilot page has no reviews, so there is less public feedback overall. Our NOCD review has the fuller record.²

If neither fits

For psychiatrist-led medication care in a complex situation, consider Talkiatry. Its clinicians are psychiatrists, it works through insurance, and it can prescribe controlled substances where state law permits after an initial evaluation.⁵ The psychiatrist first completes a diagnosis and treatment plan. Continuing a medication from a previous doctor is not guaranteed.