I see you, Howie Mandel

Now that we’ve kicked off the new year, I find myself reflecting on where the OCD community is today—how things have changed for the better, as well as my hopes for the future. Ten years ago, it was almost impossible to access a licensed therapist with specialty training in OCD using health insurance. Most professionals simply didn’t understand what OCD actually looks like, so over 95% of OCD cases weren’t correctly diagnosed. As a result, insurance companies weren’t able to see how widespread OCD actually was—or how effective exposure and response prevention (ERP) therapy was at treating it. Instead, people with OCD had to pay about $350 or more per session, all out of pocket, for their best chance at getting their life back. I know this from personal experience. OCD turned my life completely upside-down, and I reached out desperately for help, only to be misdiagnosed and mistreated by professionals who didn’t understand OCD. When I finally learned about ERP therapy, the evidence-based treatment specifically designed for OCD, I learned that I’d have to wait for months to see the one OCD specialist in my area, and I couldn’t afford the cost. But I was fortunate. My mom found a way to help us pay, and I finally got the help I needed. Otherwise, I don’t think I’d be here today. In a few months, I started seeing improvement. As I continued to get better using the skills I learned while working with my OCD specialist, I learned I wasn’t the only one with this experience—in fact, millions of people across the country were going through the exact same things I was. That’s why we started NOCD. Since 2015, we’ve always had one mission: to restore hope for people with OCD through better awareness and treatment. The OCD community needed an option for evidence-based treatment that they could afford and access, no matter where they live—an option that also provided necessary support between sessions. And the entire healthcare industry needed to understand how OCD actually works. As I write this post, I’m more enthusiastic than ever about our mission. Just recently, we’ve partnered with Blue Cross Blue Shield of Illinois, Texas, New Mexico, Montana, and Oklahoma. To put this into perspective, 155 million Americans can now use their insurance to access NOCD Therapy. This year, I have high hopes for the OCD community. More and more people will be able to use their insurance to pay for NOCD Therapy, and we’re working hard to give everyone who has OCD the ability to access the treatment they deserve. In addition to providing ERP Therapy, our OCD-specialty therapists also support our Members in prioritizing their overall well-being. With a focus on developing important lifestyle habits, including diet, exercise, mindfulness, and healthy sleep hygiene, they help our members build a strong foundation for lasting mental health so people are more prepared to manage OCD long-term. For every person who gains access to a therapist specialized in OCD for the first time, 2025 could be a year that changes their lives. If you or a loved one is suffering from OCD, please comment below or schedule a free 15-minute call with our team to learn more about how to access evidence-based OCD treatment and ongoing support using your insurance benefits.

Looking back, I realize I’ve had OCD since I was 7. though I wasn’t diagnosed until I was 30. As a kid, I was consumed by fears I couldn’t explain: "What if God isn’t real? What happens when we die? How do I know I’m real?" These existential thoughts terrified me, and while everyone has them from time to time, I felt like they were consuming my life. By 12, I was having daily panic attacks about death and war, feeling untethered from reality as depersonalization and derealization set in. At 15, I turned to drinking, spending the next 15 years drunk, trying to escape my mind. I hated myself, struggled with my body, and my intrusive thoughts. Sobriety forced me to face it all head-on. In May 2022, I finally learned I had OCD. I remember the exact date: May 10th. Reading about it, I thought, "Oh my God, this is it. This explains everything." My main themes were existential OCD and self-harm intrusive thoughts. The self-harm fears were the hardest: "What if I kill myself? What if I lose control?" These thoughts terrified me because I didn’t want to die. ERP changed everything. At first, I thought, "You want me to confront my worst fears? Are you kidding me?" But ERP is gradual and done at your pace. My therapist taught me to lean into uncertainty instead of fighting it. She’d say, "Maybe you’ll kill yourself—who knows?" At first, it felt scary, but for OCD, it was freeing. Slowly, I realized my thoughts were just thoughts. ERP gave me my life back. I’m working again, I’m sober, and for the first time, I can imagine a future. If you’re scared to try ERP, I get it. But if you’re already living in fear, why not try a set of tools that can give you hope?

My earliest memory of OCD was at five years old. Even short trips away from home made me physically sick with fear. I couldn’t stop thinking, What if something bad happens when I’m not with my mom? In class, I’d get so nervous I’d feel like throwing up. By the time I was ten, my school teacher talked openly about her illnesses, and suddenly I was terrified of cancer and diseases I didn’t even understand. I thought, What if this happens to me? As I got older, my fears shifted, but the cycle stayed the same. I couldn’t stop ruminating about my thoughts: What if I get sick? What if something terrible happens when I’m not home? Then came sexually intrusive thoughts that made me feel ashamed, like something was deeply wrong with me. I would replay scenarios, imagine every “what if,” and subtly ask friends or family for reassurance without ever saying what was really going on. I was drowning in fear and exhaustion. At 13, I was officially diagnosed with OCD. Therapy back then wasn’t what it is now. I only had access to talk therapy and I was able to vent, but I wasn’t given tools. By the time I found out about ERP in 2020, I thought, There’s no way this will work for me. My thoughts are too bad, too different. What if the therapist thinks I’m awful for having them? But my therapist didn’t judge me. She taught me that OCD thoughts aren’t important—they’re just noise. I won’t lie, ERP was terrifying at first. I had to sit with thoughts like, did I ever say or do something in the past that hurt or upset someone? I didn’t want to face my fears, but I knew OCD wasn’t going away on its own. My therapist taught me to sit with uncertainty and let those thoughts pass without reacting. It wasn’t easy—ERP felt like going to the gym for your brain—but slowly, I felt the weight of my thoughts dissipate. Today, I still have intrusive thoughts because OCD isn’t curable—but they don’t control me anymore. ERP wasn’t easy. Facing the fears I’d avoided for years felt impossible at first, but I realized that avoiding them only gave OCD more power. Slowly, I learned to sit with the discomfort and see my thoughts for what they are: just thoughts.