Hey everyone, my name is Stephen Smith and I’m the Founder and CEO of NOCD. I also have OCD, which is why I founded the platform. Specifically, I have “intrusive thoughts OCD”- relationship-based, sexual, and religious thoughts that made me at one point question many fundamental elements of my character. Although google searching for answers to my thoughts was my most noticeable compulsion, my compulsions were mainly mental, where I would reassure myself, mentally review past events, pray, and even check my body for different sensations. Since I didn’t suffer with the “standard symptoms”, I ended up getting misdiagnosed 5 times which caused me to get really severe, drop out of school, and become housebound. While housebound, I started searching my thoughts online which led me to realize that I had OCD. Then, when searching for evidence-based OCD treatment, I stumbled upon exposure and response prevention (ERP) therapy. Although ERP is extremely effective (about 80% of people with OCD see a significant reduction in symptoms after going through treatment), there was only one therapist in my area who specialized in it. She had a 7 month wait list and charged $250 per session- making the care pretty much inaccessible for me. I got lucky though since my mom, who was desperate at the time to see me get better, found money from a family friend to pay for my treatment. She also called the clinician and begged her to get me off the waitlist. If it wasn’t for her, I probably wouldn’t be here today. After doing ERP with the provider for 12 weeks, I ended up getting better- so much to the point where I was able to go back to school, finish up my football career (I was a college quarterback) and eventually complete my degree. Because I managed the OCD fears by accepting the uncertainty behind them (a core principle behind response prevention), the anxiety over time went away, and the thoughts decreased in frequency as well as in severity (since they didn’t really matter to me anymore). After that happened, I ended up returning back to normal pretty much- feeling as good as I did before my severe OCD onset. That’s when I started pondering the question, “if OCD is so treatable with a good ERP therapist, then why isn’t treatment more accessible to people going through the condition?” It’s a question I’m sure many of you are currently asking or have asked before. Now to the good news....There is no more need to ask that question. Now inside of NOCD, you can do live, face-to-face therapy sessions with a licensed therapist who specializes in treating OCD using exposure and response prevention (ERP). After signing up, all you need to do is open up your phone or laptop and start the session with the ERP therapist. It’s all video-conferencing. It’s the solution that I always wanted when I was going through treatment, so I hope you can find value in it if you are suffering- especially those who are stuck on the waitlist or who live hours from care. Anyways- if you have questions about doing ERP therapy with a NOCD telehealth provider or with another therapist feel free to ask them here. I will definitely give you the pros and cons. Much love!

Have you ever had a thought so unsettling it stopped you in your tracks? That’s how postpartum OCD started for me, triggered by my grandfather’s passing. After he died, a terrifying question popped into my head—What if I’m not a good person? From that moment, I became afraid of my own thoughts. When I had my daughter, a new fear took over: What if I could hurt her? I avoided being alone with her and constantly sought reassurance, but nothing eased the panic—until I found NOCD and realized I had OCD. Therapy was terrifying, but learning to face my fears instead of running from them changed everything. One day, when I was alone with my daughter, the thoughts came, and I simply responded, Maybe I could. Maybe I couldn’t, and moved on. That’s when I knew I was getting better. OCD no longer controls my life—and if you’re struggling, know that recovery is possible. I’ll be live on the app around 6:00 PM CT answering any questions, so ask away!"

I had just posted a summary of ERP for a group member, and I thought it might be useful for everybody. Here it is below (with a little extra added)…. ERP therapy is researched-based. Most other therapies don’t work. There have been people who have been literally stuck in their houses (from their OCD) who gained their lives back through ERP therapy. NOCD does ERP therapy exclusively. You can find it in other places too, but you have to ask around. There are two tenants of ERP therapy: The first one has to do with the repetitive thoughts inside our heads. These thoughts are actually defined as “obsessions”. You are not supposed to do anything with the obsessions. You are supposed to let them run through your head freely, without trying to fix them or stop them. Imagine a tree planted by a river. The leaves fall off and float down the river. You can see the leaves falling, but you don’t try to stop them or pick them up. You don’t try to fix them. You just let them float away. This is really important to do with your obsessive thoughts. The more you try to fight them off, the worse they get. I used to have blasphemous sentences running in my head 24/7. I felt like I had to put a “not” next to each sentence in order to “fix” it. But this just took hours of my time every day, and it was very scary, because I was worried that if I messed up, that I would go to hell. It was very freeing to learn later that I could just let those sentences run freely through my head without trying to fix them. The second part of ERP therapy is all about “denying your compulsions.” Every time OCD tells you that if you don’t do things a certain way that something really bad will happen, that is a compulsion. Once you recognize what your compulsions are, ERP therapy will have you practice stopping doing all of those things. For some people, that will mean stopping washing their hands or touching lights switches or, in my case, putting “fixing” words in their head. Compulsions are safety behaviors. During ERP therapy, you will practice stopping engaging with safety behaviors. All this is very hard to do and scary, so during therapy you will be given tools to help you deal with the fear. Often ERP therapy will take people from being non-functional to functional. I highly recommend it. ————————————————- PITFALL #1: After you have been doing ERP for a while and become somewhat successful, the OCD will try subtle little tricks to bring you down again. The first one is to tell you that your thoughts are REAL and not OCD, and therefore you can’t apply ERP therapy. Don’t fall for this trick! All thoughts are just thoughts. They are all meaningless. Don’t try to figure out what is real and what is OCD. Just treat all thoughts with ERP therapy. PITFALL #2: The second pitfall is that OCD will tell you that you can’t move forward unless you have absolute certainty that you will be safe. Hate to tell you this, folks, but there is no certainty in life. You will never know for SURE that you or your loved ones will be “safe” from the OCD rules. Therefore, you have to move forward in the uncertainty. It’s hard, but it gets easier with time and practice. We got this, guys !!!!!!

I haven’t done a Q&A in over a year (my bad) but I used to do these at least once a month. Work is slow today, so please send me any questions you have about OCD and I’ll answer them as best as I can. A little about me: I’ve been subclinical/recovered for going on 5 years and I’ve been on this app volunteering since 2019 in an unofficial capacity—I’m not connected to the NOCD team, so I don’t have any badges. I did ERP treatment with my therapist in-person while I was also being treated for PTSD. I have OCD, PTSD, ADHD, depression, GAD, social anxiety, driving anxiety, and a few speech impediments.