To find the best OCD treatment online, our team reviewed over 50 providers, evaluating them for quality of care, specialization in OCD, insurance acceptance, and access to medication. The best option, NOCD, connects clients with OCD-trained therapists who use exposure and response prevention (ERP) therapy to treat OCD and its many subtypes.
Our Favorites
- Best Overall - NOCD | Read review
- Best Value - Brightside Health | Read review
- Best for OCD Medication - Talkiatry | Read review
- Best CBT for OCD - Online-Therapy.com | Read review
- Most Affordable - Open Path Collective | Read review
- Best Free OCD Test - Talkspace | Read review
- Best for Women With OCD - LunaJoy | Read review
- Best for Severe OCD - Charlie Health | Read review
Best Options for Online OCD Therapy
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Exposure and response prevention (ERP) -
Treats OCD & its subtypes (ages 5+) -
Also treats depressive & anxiety disorders -
24/7 support between sessions
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No medication services -
Signup requires a phone call
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Accepts most insurance -
Medication shipped directly to you
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Customer service can be slow to respond -
Only serves teens in 38 states
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300+ highly vetted psychiatrists -
Can prescribe OCD medication -
Accept FSA/HSA & Medicare
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Only accepts in-network patients -
Fees vary based on location & coverage
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CBT-based therapy program -
Video, phone, & text sessions
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Insurance not accepted -
No mobile app
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Affordable therapy for individuals, couples, & families -
One-time membership fee to access -
Many membership benefits (e.g., resources, discounts, courses)
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Does not accept insurance -
Does not offer psychiatry -
Requires you to contact therapist yourself
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Free OCD quiz to assess symptoms -
Most insurance plans accepted -
Offers medication management -
Treats teens, adults, & couples
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Costly without insurance
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Specializes in treatment for women -
Can prescribe medication -
Accepts many insurance plans -
Accepts Medicare & Medicaid
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Only available in 12 US states -
Therapist availability varies
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Virtual intensive outpatient program (IOP) for teens & adults -
Evidence-based approaches like CBT, DBT, etc. -
Treatment plans include individual therapy, family & group therapy -
Accepts insurance including Medicaid
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Out-of-pocket costs are unclear and depend on insurance coverage -
Only available in 36 US States
Detailed Reviews
Cost: $120–$240 per session
Insurance: Yes
Location: US & international
Medication: No
NOCD was designed specifically for people living with obsessive compulsive disorder (OCD). Its licensed therapists specialize in exposure and response prevention (ERP), a form of cognitive behavioral therapy (CBT) that is widely recognized as the most effective approach for managing OCD. Plus, you’ll have access to 24/7 community support and practical tools to help you apply ERP strategies in your daily life.
Pros & Cons
Pros - Treats OCD & its subtypes (ages 5+)
- Accepts insurance
- Provides ERP treatment
- Has helpful self-guided tools on the app
- Also treats depression & anxiety
- 24/7 support between sessions
- Accepts FSA/HSA
Cons - No medication management services
- Cash-pay can be expensive
- NOCD prefers a phone call to complete signup
Cost
NOCD therapy costs $120–$240 per session, depending on the session length. It accepts a range of insurance providers—including Kaiser Permanente, United Healthcare, Aetna, BlueCross BlueShield, and Cigna—which can significantly lower out-of-pocket costs for patients, depending on their coverage.
NOCD also offers flexible payment plans, allowing for payment in weekly installments, and accepts FSA/HSA funds.
Overview
NOCD supports people who are managing OCD and/or its subtypes (including body-focused repetitive behavior like nail biting, skin picking, and hair pulling), offering treatment based on peer-reviewed research and delivered by licensed professionals. Users are connected with therapists in a convenient, highly specialized directory. Sessions typically occur twice weekly, with frequency adjusting as treatment progresses.
In addition to therapy, NOCD provides a variety of extra resources, including self-guided ERP exercises. The platform also includes 24/7 support between sessions, weekly therapist-led support groups, and additional therapeutic exercises.
To learn more, read our in-depth NOCD review.
Cost: $45–$349 monthly
Insurance: Yes
Location: US
Medication: Yes
Brightside Health is a subscription-based platform that makes comprehensive online psychiatry and therapy affordable, whether or not you have insurance. Its providers use CBT to treat OCD symptoms, and if medication is necessary, its psychiatrists analyze hundreds of data points with support from an AI model (PrecisionRX) to figure out the most effective prescription for you.
Pros & Cons
Pros - Accepts many insurance plans
- Accept Medicare & Medicaid
- Has unique Suicide Prevention Program
- Same-day appts. often available
- Medication shipped directly
Cons - Teen therapy not in all states (38 & counting)
- No couples therapy
Cost
Brightside Health offers payment options based on your insurance coverage. It accepts Aetna, Blue Cross Blue Shield, Cigna, United Healthcare, Allegiance, Medicare, Medicaid, and more. If your insurance does not fully cover services, you can request a superbill to submit for potential reimbursement.
Here are Brightside’s cash-pay prices:
- Psychiatry: $95 monthly plus applicable pharmacy copays (if your insurance includes Rx benefits). This plan covers a full psychiatric evaluation, ongoing provider support, and medication management. Medications can be delivered for a $15 shipping fee per prescription.
- Psychiatry Maintenance: $45 monthly after 90 days of established care.
- Therapy: $299 monthly for four video sessions and unlimited messaging with a licensed therapist, with additional 45-minute sessions available for $59 each.
- Psychiatry + Therapy: $349 per month, combining the Psychiatry Plan with weekly therapy sessions and unlimited messaging, providing a $45 monthly savings.
Overview
Brightside is available to anyone 18+ in all 50 US states and to those 13+ in 38 states and counting. Brightside also accepts many insurance plans, including some Medicare and Medicaid, making care more accessible. It is also among the few online providers that can support those at elevated suicide risk through its Suicide Prevention Program.
Brightside’s medication management connects clients with licensed prescribers who can prescribe treatments for depression and anxiety, excluding controlled substances, with support from the AI tool, PrecisionRX. Medication consultations typically last 15–30 minutes, delving into progress expectations and care plans.
For more, check out our full Brightside Health review.
Cost: ~ $30 copay
Insurance: Yes, exclusively
Location: 44 US States
Medication: Yes
Working exclusively with in-network clients, Talkiatry offers online psychiatry services, including diagnostic evaluations and medication management, in 44 states. When medically necessary, one of its 300+ psychiatric specialists can prescribe medications (including stimulants and benzodiazepines). For OCD, the first-line of medication is usually an antidepressant or selective serotonin reuptake inhibitor (SSRI), which Talkiatry can also prescribe.
Pros & Cons
Pros - Treats kids (5+), teens, & adults
- Psychiatry appts. longer than most competitors in the space
- Detailed, individualized treatment
- Can prescribe controlled medication
- Can provide therapy as-needed
Cons - Only accepts in-network patients
- Not available in all states (44 & counting)
Cost
Talkiatry’s costs are determined by your health insurance plan and coverage. The platform only serves clients with in-network insurance. Before your first appointment, Talkiatry will confirm whether your insurance is accepted and provide a breakdown of deductibles, copays, and total out-of-pocket costs. Most patients pay around a $30 copay.
Overview
Talkiatry is one of few online psychiatry services that treat children and adolescents, allowing kids as young as five to connect with a psychiatrist online with a parent or guardian’s consent. Talkiatry is also among the few online providers equipped to prescribe clinically approved controlled medications, depending on state regulations. It also provides therapy on a flexible, as-needed basis. Alternatively, its providers can collaborate with your existing therapist, even if they are outside the Talkiatry umbrella.
Talkiatry does not accept cash payments, which can be inconvenient for some. It does, however, offer longer appointment times than other platforms, giving patients ample time to cover any questions and concerns. Initial evaluations can last up to 60 minutes, with follow-up sessions at 30 minutes. It also has evening and weekend appointments available, and upon signing up, patients can typically book an appointment within five days.
For more details, see our comprehensive Talkiatry review.
Cost: $240–$480 monthly
Insurance: No
Location: US & international
Medication: No
Online-Therapy.com specializes in cognitive behavioral therapy (CBT), a proven approach for treating OCD. Along with live therapy sessions, the platform offers a self-guided CBT course, giving you the tools you need to work independently on your general mental health independently. It’s worth noting that NOCD’s self-guided tools are more specific to OCD.
Pros & Cons
Pros - Based on CBT principles
- Video, phone, & text sessions
- Includes self-guided CBT material
- Extra tools (e.g., journal & yoga videos)
Cons - Insurance not accepted
- No medication management
Cost
Online-Therapy.com offers subscription plans ranging from $240–$480 monthly (advertised as $60–$120 weekly). Each plan includes unlimited therapist messaging, access to a comprehensive CBT course, and extra tools like a journal and yoga videos. Though Online-Therapy.com doesn’t accept insurance, it does provide superbills for potential out-of-network reimbursement.
Online-Therapy.com offers three tiers for its online therapy subscriptions:
- Basic ($240 monthly): This plan gives you access to the full toolkit from Online-Therapy.com, including the independent CBT course and unlimited messaging with a therapist.
- Standard ($360 monthly): This plan includes everything in the Basic plan, plus a weekly live session with a therapist.
- Premium ($480 monthly): This plan includes everything in the Standard, plus two live weekly sessions versus one.
- Couples Therapy ($480 monthly): This plan is for couples who would like to attend joint sessions. While it is the same price as the premium plan, you only get one live session weekly rather than two.
Online-Therapy.com also provides financial aid for students, veterans, and low-income individuals, with automatic discounts for those who qualify. Additionally, new users receive 20% off their first month.
Overview
Online-Therapy.com specializes in CBT, offering structured, evidence-based treatment for conditions like OCD, anxiety, and depression, as well as couples therapy. The mental health platform combines live sessions with a therapist, unlimited messaging, and a self-guided CBT program, complete with resources like journaling tools, worksheets, and yoga videos.
For more information, read our Online-Therapy.com review.
Cost: $65 one-time fee; $30–$70 per session
Insurance: No
Location: US & Canada
Medication: No
Open Path Collective makes online and in-person therapy much more affordable for those who are uninsured/underinsured or have limited financial resources. To qualify and gain access to the reduced prices (i.e., $30–$70 per session after a one-time membership fee), clients typically need to have an annual household income below $100,000.
Pros & Cons
Pros - Extremely affordable for individuals, couples, & families
- One-time membership fee to access care at reduced cost
- Many membership benefits (e.g., resources, discounts, courses)
- Focused on inclusive care
- Fixed rates unless your finances change
- No financial records required
Cons - Does not accept insurance
- Does not offer psychiatry or medication management
- Requires you to contact therapist yourself
Cost
Open Path Collective provides affordable therapy for clients in need, with individual sessions ranging from $30–$70 and couples/family sessions from $40–$80. Clients pay a one-time $65 membership fee to support Open Path’s nonprofit operations, which include site maintenance, therapist recruitment, and expanding access to low-cost care. No financial records are required; Open Path trusts clients to only seek services if they genuinely need a low-cost option.
Overview
Open Path Collective connects individuals, couples, and families with affordable mental healthcare, online or in-person. Designed for folks who are uninsured or underinsured and may not be able to afford traditional therapy rates, Open Path offers a network of therapists (no psychiatrists) who provide sessions at significantly reduced costs. Clients pay a one-time membership fee to access this service, supporting Open Path’s mission to increase mental health accessibility without requiring financial documentation.
For more information, read our Open Path Collective review.
Cost: $276–$436 monthly
Insurance: Yes
Service Location: US & international
Medication: Yes
Talkspace was designed for people with mild to moderate mental health issues, including OCD. When one member of our editorial team used Talkspace, she found it really helped her anxiety, a common co-occurring issue for people with OCD. Something else we really like and want to recognize is their free OCD quiz, which can help you evaluate whether some of your symptoms and experiences might point to an OCD diagnosis.
Pros & Cons
Pros - Offers a free OCD test/quiz
- Accepts most major insurance plans
- Accept Medicare & Medicare Advantage
- Prescribes non-controlled meds
- Offers teen & couples therapy
Cons - Pricey without insurance
- Not much control over initial therapist
Cost
Talkspace accepts a range of insurance plans, with costs depending on your coverage. You’ll pay only your copay, though additional fees may apply if you haven’t met your deductible. FSA/HSA cards are accepted, and Talkspace is one of the few online therapy providers that accepts Medicare and Medicare Advantage plans.
Without insurance, Talkspace offers three therapy plans ranging from $276–$436 monthly, depending on what you want out of your subscription:
- Messaging Therapy: $276 monthly for unlimited text, audio, or video messages with your therapist, with daily responses (Monday-Friday).
- Video + Messaging: $396 monthly, which includes four 45-minute video sessions and messaging support.
- Video + Messaging + Workshops: $436 monthly, which adds access to live Zoom workshops on mental health topics.
Additional services include:
- Psychiatry: $299 for the initial evaluation; $175 for follow-up sessions, with session bundles available.
- Couples Therapy: $436 monthly for weekly live sessions and unlimited messaging.
- Teen Therapy: Available for ages 13-17 at the same cost as adult therapy.
- Talkspace Go: $29.99 monthly for this self-directed therapy app offering exercises, live classes, and mental health tools.
Overview
Talkspace offers therapy and psychiatry for adults, as well as therapy for couples and teens. The platform hosts educational webinars for subscribers on its highest plan. Anyone who is on the fence about therapy can try Talkspace Go, a self-directed app that serves up live workshops and ongoing exercises.
Talkspace’s medical providers can prescribe medications like SSRIs, SNRIs, and other antidepressant or anti-anxiety medications, but do not prescribe controlled substances such as Adderall.
For people who think they might have OCD but aren’t sure, Talkspace has a free OCD quiz. It takes less than ten minutes to complete and can help you gauge the likelihood that your symptoms and experience might be indicative of an OCD diagnosis. The test encourages you to bring your results to a licensed therapist at Talkspace or elsewhere.
For a more comprehensive overview, read our Talkspace review.
Cost: $125–$240 per appointment
Insurance: Yes
Location: 12 US states
Medication: Yes
LunaJoy addresses the unique mental health challenges women experience. By focusing on the often-overlooked needs of women with OCD, including women with postpartum OCD, LunaJoy provides essential care for those who may otherwise struggle to find tailored, effective treatment.
Pros & Cons
Pros - Accepts insurance, including Medicare
- Incorporates ERP and CBT
- Medication management available if needed
- Option for group therapy
- Free, 24/7 care navigator
Cons - Not available in all 50 states (12 plus D.C.)
- Unclear whether users can access prescriptions for controlled medications (e.g., stimulants)
Cost
Many providers on the platform accept insurance, which can significantly reduce costs. Commonly accepted plans include Cigna, Optum, Humana, BlueCross BlueShield, Meridian, Medicare, and more.
If your insurance isn’t accepted, here are the costs for their services:
- Therapy Appointments
- Initial intake: $150
- Follow-up appointments: $125 each
- Medication Management
- Initial intake: $240
- Follow-up appointments: $150 each (this may or may not include genetic testing)
- Mental Health Coaching: $100 for new and follow-up sessions
Learn more about LunaJoy in our full review.
Overview
LunaJoy delivers specialized care for women, focusing on conditions like ADHD, anxiety, OCD, and depression. With services ranging from therapy and coaching to medication management, LunaJoy addresses mental health issues that are unique to women’s experiences, ensuring treatment is both personalized and relevant.
LunaJoy is currently available in 12 U.S. states, plus D.C. Those states are: Colorado, New Jersey, Virginia, Illinois, North Carolina, Alaska, Washington DC, Georgia, Florida, New York, Pennsylvania, California, and Maryland.
Get more information about LunaJoy in our comprehensive review.
Cost: Insurance-dependent
Insurance: Yes
Location: 36 US states
Medication: Yes
Charlie Health specializes in treating severe mental health cases through intensive outpatient programs (IOP), a more structured and involved treatment plan that doesn’t require overnight stays in a residential program (i.e., inpatient care). With Charlie Health, you can complete the entirety of your IOP online with highly trained clinicians and ERP-trained therapists who can treat OCD, as well as associated mental health conditions like anxiety, trauma, and neurodivergence.
Pros & Cons
Pros - Accepts most insurance plans
- Offers unique intensive outpatient program (IOP)
- Includes individual, group, and family therapy
- Treats patients with ERP, CBT, & ACT
Cons - Costs are a bit unclear and likely expensive without insurance
Cost
Charlie Health’s virtual adult IOP treatment is in-network with most major insurance providers, including commercial plans like Aetna, Cigna, BlueCross BlueShield, and Anthem, as well as Medicaid (in states where IOP is covered).
Cost will ultimately depend on your insurance. Out-of-pocket costs are unclear but may be high for many. Charlie Health does offer a sliding scale fee structure that is tailored to people’s unique financial circumstances. Financial aid is also available.
Learn more about Charlie Health in our full review.
Overview
Charlie Health is a virtual intensive outpatient therapy (IOP) program that provides clinically-proven care to individuals with serious mental health conditions. Their comprehensive services are geared toward teenagers, young adults, and adults, with precise age ranges varying by provider
The IOP program lasts roughly nine to 12 weeks and includes:
- Individual therapy
- Curated group therapy
- Family therapy, as needed
- Psychiatry and medication management, as needed
All adult patients also have access to 24/7 crisis care, 20+ free family support groups, mentors, and more.
Explore additional details on Charlie Health in our review of their services.
Compare the Options For Best Online OCD Therapy
| Price | $120–$240 per session | $45 – $349 monthly | ~ $30 copay | $240 –$480 monthly | $65 one-time membership fee | $276 – $436 monthly | $125 – $240 per appointment | Insurance dependent |
| Insurance |  |  |  | Free | Free |  |  |  |
| Location | US | US | 44 US States | US | US & Canada | US & International | 12 states plus D.C | 36 US states |
| Meds? |  |  |  |  |  |  |  |  |
| Price | |||||||
| $120–$240 per session | $45 – $349 monthly | ~ $30 copay | $240 –$480 monthly | $65 one-time membership fee | $276 – $436 monthly | $125 – $240 per appointment | Insurance dependent |
| Insurance | |||||||
 |  |  | Free | Free |  |  |  |
| Location | |||||||
| US | US | 44 US States | US | US & Canada | US & International | 12 states plus D.C | 36 US states |
| Meds? | |||||||
 |  |  |  |  |  |  |  |
Final Verdict
“As a clinical psychologist, I understand how life-changing the right online therapy can be for managing OCD. NOCD stands out as the Best Overall platform for OCD treatment, offering specialized, evidence-based care designed specifically for this condition. Its therapists are extensively trained in ERP, a form of CBT and an effective approach for treating OCD. If you have severe or debilitating OCD, consider Charlie Health’s intensive outpatient program.
For those seeking broader treatment options, platforms like Talkiatry, Brightside, and Online-Therapy.com are all excellent choices. They offer OCD treatment at accessible price points, although Talkiaty does not accept out-of-network patients. With each and every platform on our list, virtual OCD treatment is more convenient and empowering, letting you take charge of your mental health from home.”
Frequently Asked Questions
How Does Online OCD Therapy Compare to In-Person Therapy?
Online OCD therapy offers flexibility and accessibility, allowing people to receive treatment from home. However, certain individuals may prefer or require an in-person experience for hands-on support, especially in cases requiring intensive exposure therapy.
What Types of Therapy Are Most Effective For OCD?
Effective treatment for OCD primarily relies on cognitive behavioral therapy (CBT), specifically exposure and response prevention (ERP), which has been shown to reduce OCD symptoms. Some platforms may also offer medication management.1
What Should I Look For in an Online OCD Therapy Platform?
Consider looking for a platform with licensed therapists trained in ERP or CBT, personalized care plans, transparent pricing, easy-to-use tools, privacy protections, and good reviews from patients.
Do These Platforms Have Therapists Specifically Trained in Treating OCD?
Since ERP is a specialized treatment, verify the platform provides access to therapists experienced in OCD treatment and ERP. Not all therapists have ERP training, which is crucial for effective care.
Can Online Therapy Platforms Prescribe Medication For OCD?
Some platforms, particularly those with psychiatry services, can prescribe medications for OCD management, including anti-depressants. It’s essential to confirm if the platform offers medication management and whether it has licensed psychiatrists or psychiatric nurse practitioners.
How Often Should I Attend Therapy Sessions For OCD?
For ERP and CBT, weekly sessions are common, though some platforms may require more intensive or less frequent sessions depending on symptom severity.
Can I Self-Treat OCD?
Self-help techniques like mindfulness, journaling, and exposure exercises can be helpful. Books and online resources about ERP therapy and CBT are also valuable tools. However, OCD is a complex disorder, and evidence-based treatments, particularly with trained mental health professionals, often lead to better outcomes. For moderate to severe OCD, professional guidance is strongly recommended.
What Are High-Functioning OCD Symptoms?
People with high-functioning OCD experience symptoms but are often able to manage them well enough to continue with daily responsibilities, work, and social life. However, this doesn’t mean they are free from distress.
High-functioning OCD symptoms may include:
- Compulsive checking or repetitive behaviors done discreetly or in ways that don’t disrupt their routine.
- Intrusive thoughts that are distressing but managed without visibly impacting daily functioning.
- Perfectionism or needing things “just right,” often labeled as being detail-oriented or meticulous.
- Mental compulsions like repeatedly seeking reassurance, analyzing, or “undoing” hidden thoughts.
- Avoidance behaviors to manage anxiety without noticeable interference in life.
High-functioning individuals with OCD often struggle privately, and their symptoms can still cause significant distress, even if they appear to have things under control.
Is OCD Caused by Low Serotonin?
OCD likely stems from a combination of genetic, neurological, and environmental factors. Neuroimaging studies suggest abnormalities in brain circuits involving the orbitofrontal cortex, thalamus, and basal ganglia, which regulate repetitive thoughts and behaviors. Serotonin does play a role in this process, which is why selective serotonin reuptake inhibitors (SSRIs) can help alleviate symptoms in some people. However, low serotonin alone is not considered the cause of OCD.2
ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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(2022, Oct. 28) “Treatments for OCD.” Anxiety & Depression Association of America. https://adaa.org/understanding-anxiety/obsessive-compulsive-disorder-ocd/treatments-for-ocd
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H.G Baumgarten, Z Grozdanociv. (n.d.). “Role of serotonin in obsessive-compulsive disorder.” https://pubmed.ncbi.nlm.nih.gov/9829022/
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Reuger, A. (2025, March 10). “NOCD Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/nocd-review/
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Church, M. (2025, Jan. 28). “Talkiatry Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/talkiatry-review/
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Church, M. (2025, March 18). “Brightside Health Review: Pros & Cons, Cost, & My Experience” https://www.choosingtherapy.com/brightside-health-review/
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Church, M. (2025, March 15). “Talkspace Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/talkspace-review/
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Church, M. (2025, Feb. 21). “Online-Therapy.com Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/online-therapy-com-review/
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Lieberman, A. (2025, April 29). “Charlie Health Review 2024: Pros & Cons, Cost, & Who It’s Right For.” https://www.choosingtherapy.com/charlie-health-review/
We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: Melissa Boudin, PsyD (No Change)
Medical Reviewer: Kristen Fuller, MD (No Change)
Primary Changes: Updated for clarity and accuracy; added Charlie Health as Best for Severe OCD; changed Talkspace from Best for Insurance to Best Free OCD Test; changed LunaJoy from Best for Postpartum OCD to Best for Women With OCD; removed Therapy Tribe as Best OCD Support; added two new sources.
Author: Melissa Boudin, PsyD
Medical Reviewer: Kristen Fuller, MD
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