Any idea how to find an OCD Therapist that is any good? I live in MA and it seems impossible. Everyone I try seems to be a jack of all psychiatric disorders and it ends up just being a waste of time. The whole system is set up to milk the insurance company because they are being paid by the hour so it’s in their best interest if you don’t get better *quickly*. At least that’s what it seems like. Tried the NOCD directory and they don’t service MA.

My therapist isn’t specialized in OCD. I’m her first OCD client. She told me she’s taking courses in ERP and specifically sexual OCD since a lot of my themes are sexual in nature. I want help, I need help. It feels like every time I meet with her I get set back. I make progress a lot on my own. Sitting with discomfort, trying to accept the thoughts and uncertainty. But every single time I meet with her, it feels like I’m explaining OCD to her. She even went as far as to suggest that some of my thoughts that bring me distress are mine. I am not a cheater. They are not mine. Why on earth would they not be intrusive if I was in tears about having this thought? I feel bad. I really do because I can see that even though I can very much see her mistakes, I can also see that she’s trying to help me. I’m just so scared of getting worse. I’ve been in therapy for 5 weeks now. I feel like had it been with a specialist, I would be doing so much better. Instead it takes me days to come backs to whatever progress I’ve made alone after meeting with her. She’s a great person, she tells me she experiences intrusive thoughts too and she doesn’t have OCD which helps me feel less alone but I don’t think that’s enough for me. She’s always available for a call whenever I’m in extreme panic. I just don’t think this is working. I trust her and I tell her everything, but it feels like she’s just listening to me talk the whole time. We’re doing a workbook but she gives me absolutely 0 input. I just read my replies and she just sits there. I don’t understand the point in that. I feel so anxious right now. She wants me to get properly evaluated for anything that may be going on because on top of the severe OCD, I was also diagnosed with PMDD, GAD, and MDD by my primary care doctor but I guess she doesn’t trust those diagnoses? My psychiatrist also told me I have ADHD, which I’ve suspected my whole life but it sounds like my therapist doesn’t know how to handle OCD much less OCD, MDD, GAD, PMDD, and ADHD. She’s questioning the validity of my diagnoses instead of helping me figure out how to deal with all of it. This is so suffocatingly difficult. I’m also a huge people pleaser so how on earth do I end this thing?

I tried contacting NOCD, but they said that they didn't accept my insurance, and even if they did, I'd have to provide co-payment. I felt devastated because I'm afraid of going to a therapist who will misunderstand me. I can't afford therapy at the moment but I might be able to in a few months. Are there any alternatives for self therapy?

I feel really scared and worried that the therapist I find on NOCD might not be effective, and instead of getting better, I might end up feeling worse. I’m afraid that if I don’t feel any progress, I’ll want to switch therapists, but my mom might get impatient with me. I worry that she’ll lose faith in therapy, stop paying for it, and think it’s a waste of time and money. I know therapy takes time and it’s not a quick fix, but I’m scared that things won’t go the way I hope. What if I don’t connect with the therapist? What if they don’t understand my OCD as well as I need them to? I’ve already been struggling so much, and the thought of going through another disappointment is exhausting. I’m only 14, and I feel stuck because I can’t manage this on my own. I need help, but I also need my mom to stay patient and supportive through this process. I’m scared that if things don’t improve fast enough, she’ll give up on paying for therapy. I don’t know what to do, and it’s making me feel really anxious. I just want to get better, but what if nothing works out?