To find the best online OCD therapy, our team reviewed over 50 providers. Many of these options accept insurance, prescribe medication, and provide peer- or therapist-led OCD support. The best, NOCD, offers evidence-based treatment from specialists, providing Exposure and Response Prevention (ERP) therapy for OCD and its many subtypes.
Our Favorites
- Best Overall - NOCD | Read review
- Best For Medication - Talkiatry | Read review
- Best Value - Brightside | Read review
- Best With Insurance - Talkspace | Read review
- Most Affordable - Open Path Collective | Read review
- Best CBT For OCD - Online-Therapy.com | Read review
- Best For Postpartum OCD - LunaJoy | Read review
- Best OCD Support Group - Therapy Tribe | Read review
Best Options For Online OCD Therapy
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Exposure & response prevention (ERP) -
Treats OCD & subtypes (ages 5+)
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Must sign-up via phone -
No medication services
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Treats children (5+), teens, & adults -
Longer psychiatry appts.
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Must have insurance to use -
Cost depends on location/coverage
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Accepts most insurance -
Meds shipped directly to you
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Cash-pay can be pricey -
Some states only treat ages 13+
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Most insurances plan accepted -
Offers medication management -
Treats teens, adults, & couples
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Costly without insurance
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Nonprofit for uninsured/underinsured -
No annual membership fees
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One-time membership fee -
Doesn’t accept insurance
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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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Prescribe non-controlled meds -
Treats women specifically
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Not currently available nationwide -
Therapist availability varies
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Free to use -
Includes mood mapping
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Doesn’t prescribe medication -
Peer-led vs. clinician-led groups
Detailed Reviews
Insurance? Yes
Service Location: US & Internationally
Medication? No
If you’re living with obsessive-compulsive disorder, NOCD was designed specifically for you. Its licensed therapists specialize in Exposure and Response Prevention (ERP), 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 - Accepts insurance
- Provides ERP treatment
- Also treats depression & anxiety
- Accepts FSA/HSA
- Treats people ages 5+
Cons - No medication management services
- Cash-pay can be expensive
Cost
NOCD’s costs vary based on session length, with a cash-pay rate listed at $240 per session. They accept 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.
Insurance? Yes
Service Location: 43 US States
Medication? Yes
Talkiatry offers comprehensive online psychiatry services to support you, including diagnostic evaluations and medication management available in 43 states. When necessary, they can prescribe controlled medications. Working exclusively with in-network clients, Talkiatry also provides therapy on a flexible, as-needed basis.
Pros & Cons
Pros - Treats kids (5+), teens, & adults
- Psychiatry appts. longer than competition
- Detailed, individualized treatment
- Can prescribe controlled medication
Cons - Only accepts in-network patients
- Not available in all states
- May need to refer out for therapy services
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.
For balances over $250, Talkiatry offers flexible payment plans, allowing monthly or biweekly payments with a minimum of $50 and a maximum repayment period of six months.
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. They can provide therapy services to established psychiatric patients.
While Talkaitry does not accept cash payments, which can be inconvenient for some, they do offer longer appointment times than other platforms. Their initial evaluations are 60 minutes, with follow-up sessions at 30 minutes. They also offer evening and weekend appointments. Upon signing up, patients can typically book an appointment within five days.
For more details, see our comprehensive Talkiatry review.
Insurance? Yes
Service Location: Nationwide
Medication? Yes
Brightside Health makes online psychiatry and therapy affordable, whether or not you have insurance. As a subscription-based platform, it’s available to anyone 18+ in all 50 US states and to those 13+ in select states. Brightside also accepts many insurance plans, including some Medicare and Medicaid, making care more accessible.
Pros & Cons
Pros - Accepts many insurance plans
- Accept Medicare & Medicaid
- Provides crisis care
- Same-day appts. often available
- Medication shipped directly
Cons - No teen therapy in some states
- No couples therapy
Cost
Brightside Health offers payment options based on your insurance coverage. If your insurance does not fully cover services, you can request a superbill to submit for potential reimbursement.
- 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.
- 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.
In regard to insurance, Brightside accepts Aetna, Blue Cross Blue Shield, Cigna, United Healthcare, Allegiance, Medicare, and Medicaid.
Overview
Brightside Health provides online psychiatry and therapy, including OCD treatment, for individuals aged 18+ across the US. In some states, they will treat people 13+. Brightside is among the few online providers that can support those at elevated suicide risk through its Crisis Care program.
Brightside’s medication management connects clients with licensed prescribers who can prescribe treatments for depression and anxiety, excluding controlled substances. Medication consultations typically last 15–30 minutes, delving into progress expectations and care plans.
For more, check out our full Brightside Health review.
Insurance? Yes
Service Location: US & Internationally
Medication? Yes
Talkspace was designed for people with mild to moderate mental health issues, including OCD. One member of our editorial team used Talkspace and found it effective, but pricey without insurance. Fortunately, they accept most major providers, including Medicare and Medicare Advantage.
Pros & Cons
Pros - Accepts most major insurance plans
- Accept Medicare & Medicare Advantage
- FSA/HSA accepted
- Offers teen & couples therapy
- Prescribes non-controlled meds
Cons - Pricey without insurance
- Not much control over initial therapist
Cost
Without insurance, Talkspace offers three therapy plans ranging from $276 – $436 monthly, depending on your location and therapist availability:
- 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 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.
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. Serving individuals aged 13+ across the US and internationally, Talkspace’s plans range from $276 – $436 monthly, with most major insurance plans accepted. Talkspace is one of the few online providers that accepts Medicare plans.
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 a more comprehensive overview, read our Talkspace review.
Insurance? No
Service Location: Nationwide
Medication? No
Open Path Collective makes online and in-person therapy affordable for those with limited financial resources. To qualify, clients typically have an annual household income below $100,000, and need to pay a one-time membership fee of $65.
Pros & Cons
Pros - Extremely affordable
- Focused on inclusive care
- Fixed rates unless your finances change
- Offers wellness courses
- No financial records required
Cons - Requires one-time $65 membership fee
- No medication management/psychiatry
Cost
Open Path Collective provides affordable therapy for clients in need, with individual sessions ranging from $40 – $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 health care, online or in-person. Designed for folks who may not be able to afford traditional therapy rates, Open Path offers a network of therapists (no psychiatrists) providing 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.
Insurance? No
Service Location: US
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 on your mental health independently.
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 $200 – $440 monthly (or $50 – $110 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.
Here’s a breakdown:
- Basic ($200 monthly): Includes access to the CBT toolkit, course, and unlimited therapist messaging.
- Standard ($256 monthly): Adds one live therapy session weekly, alongside unlimited messaging and full access to the platform’s tools.
- Premium ($440 monthly): Offers two weekly live sessions, unlimited messaging, and all resources in the Standard plan.
- Couples Therapy ($440 monthly): Provides one live joint session per week for couples, with unlimited messaging and full access to all tools.
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.
Insurance? Yes
Service Location: 13 US States
Medication? Yes
LunaJoy addresses the unique mental health challenges women experience. By focusing on the often-overlooked needs of women with OCD, LunaJoy provides essential care for those who may otherwise struggle to find tailored, effective treatment.
Pros & Cons
Pros - Accepts insurance, including Medicare
- Medication management available
- Option for group therapy
- Free, 24/7 care navigator
Cons - Not available in all 50 States
- Unclear whether they prescribe controlled vs. noncontrolled meds
Cost
LunaJoy costs are as follows:
- Medication management: $240, 45-minute session
- Therapy session: $150, 60-minute session
- Coaching session: $100, 60-minute session
- Group session: $30, 60-minute session
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.
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 to medication management, LunaJoy addresses mental health issues that are unique to women’s experiences, ensuring treatment is both personalized and relevant.
Currently available in 16 U.S. states—including California, Pennsylvania, New York, Texas, and Florida—LunaJoy strives to make high-quality, women-centered mental health care accessible through online services.
Get more information about LunaJoy in our comprehensive review.
Insurance? No
Service Location: Nationwide
Medication? No
The Tribe by Therapy Tribe hosts an OCD support group, alongside other groups for conditions like anxiety and depression, curating spaces to share relatable stories and encouragement. These groups foster connection and mutual support.
Pros & Cons
Pros - Free community with chat room
- Features member blog
- an send & receive “kudos”
Cons - Peer-led vs. clinician-led
- Message boards peer-moderated
- No mobile app
Cost
The wellness community, Therapy Tribe, is free to join and use.
Overview
Therapy Tribe serves as a therapist directory and offers a free resource called The Tribe, one of the most comprehensive online support groups available. While therapy and sometimes medication can play key roles in managing OCD and other mental health conditions, The Tribe provides a distinct layer of support through human connection and shared experience, helping members feel seen and better understood.
Compare the Options For Best Online OCD Therapy
| Online-therapy.com | ||||||||
|---|---|---|---|---|---|---|---|---|
| Price | $110 – $210 per session | Depends on insurance | $95 – $349 monthly | $276 – $436 monthly | Free | $200 – $440 monthly | $30 - $240 per session | Free |
| Insurance |  |  |  |  | Free | Free |  | Free |
| Location | US | 43 US States | US | US & International | US & Canada | US | 16 US States | US |
| Meds? |  |  |  |  |  |  |  |  |
| Online-therapy.com | |||||||
|---|---|---|---|---|---|---|---|
| Price | |||||||
| $110 – $210 per session | Depends on insurance | $95 – $349 monthly | $276 – $436 monthly | Free | $200 – $440 monthly | $30 - $240 per session | Free |
| Insurance | |||||||
 |  |  |  | Free | Free |  | Free |
| Location | |||||||
| US | 43 US States | US | US & International | US & Canada | US | 16 US States | US |
| 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 exclusively for this condition. Its therapists are extensively trained in Exposure and Response Prevention (ERP), an effective approach for treating OCD, ensuring you receive focused, expert support.
If you are seeking broader treatment options, platforms like Talkiatry and Brightside are both excellent choices. They offer comprehensive care, including OCD treatment, at accessible price points. 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.
What Should I Look For in an Online OCD Therapy Platform?
Consider the platform’s therapist qualifications, the availability of specialists in OCD or ERP, reviews, pricing, and accessibility of customer support. It’s also important to check if they offer ERP-trained therapists and accept insurance.
Do These Platforms Have Therapists Specifically Trained in Treating OCD?
Since ERP is a specialized treatment, verify if the platform provides access to therapists experienced in OCD treatment and ERP. Not all therapists have ERP training, which is crucial for effective OCD treatment.
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 they have 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 Exposure and Response Prevention (ERP) therapy and Cognitive Behavioral Therapy (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.
Choosing Therapy 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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Liu, Michelle. (2024, Sep. 3). “NOCD Review 2024: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/nocd-review/
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Church, Matthew. (2024, Oct. 2). “Talkiatry Review: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/talkiatry-review/
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Church, Matthew. (2024, Oct. 3). “Brightside Health Review 2024: Pros & Cons, Cost, & My Experience” https://www.choosingtherapy.com/brightside-he
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Church, Matthew. (2024, Aug 26.) “Talkspace Review 2024: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/talkspace-review/
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Church, Matthew. (2024, Sep. 23). “Online-Therapy.com Review 2024: Pros & Cons, Cost, & My Experience.” https://www.choosingtherapy.com/online-therapy-com-review/
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