ONLINE OCD THERAPY, COVERED BY INSURANCE
Online Therapy For OCD, Built On ERP
OCD does not respond to reassurance, willpower, or logic; it responds to the right treatment. Octave offers online treatment with licensed therapists trained in exposure and response prevention (ERP), matched to you in 1 to 3 days, with most members paying $28 or less per session with insurance.
1,200+
Therapists
In-network
with major carriers
3,400+
Licensed Therapists
$28
Typical Out-Of-Pocket Per Session, In Network
1 to 8
Days To A First Appointment
Insurance
We Work With Major Carriers
Clients only pay $28 per session, on average. How is this possible? Octave works with you and your insurance provider to secure the best coverage for therapy and make high-quality care accessible.Did you know?
Got an HSA or FSA? You can also use your pre-tax funds to pay for therapy.
Insurance Coverage
Save time and money
Know the cost of therapy before you start. Discover how much your insurance will cover for therapy with Octave. Simply select your state and insurance provider to see any out-of-pocket costs.
How it works
4 steps to start therapy
Step 01
Answer a few questions
Tell us a little about yourself and what you're looking for. You'll get an idea of your cost (if any) after answering.
Step 02
Find the right therapist
Browse licensed Octave therapists or work 1:1 with our team to find a match for your needs and schedule.
Step 03
Start therapy
Schedule your sessions and build a care plan with your therapist that measures progress.
Step 04
See results
Care is grounded in measurable outcomes, with tailored techniques to support real improvement in anxiety, depression, and other concerns.
Get seen by an Octave therapist within 1-8 days.
Provider credentialing section
Less than 4% of therapists who apply join the Octave network.
Every clinician is independently licensed, masters- or doctorate-trained, and reviewed for clinical fit before they see a single client.
3,400+
Therapists in network
Independently licensed across all 50 states
100%
License verified
Active state licensure confirmed quarterly with the issuing board
3.8%
Acceptance rate
Clinicians pass a multi-stage interview, case review, and reference check
10 yrs
Average experience
Median post-licensure clinical practice in the network
Outcomes and clinical evidence
A clearer alternative to the typical referral grind.
94%
report meaningful improvement within 12 sessions
Octave outcomes report, 2024 (n=18,400)
71%
show clinical reduction in PHQ-9 depression scores
Octave outcomes report, 2024 (n=18,400)
82%
remain in care at 6 months — well above industry average
Octave outcomes report, 2024 (n=18,400)
Published research
Meta-analysis
Andersson, G., et al. (2019).
Internet-delivered psychological treatments: from innovation to implementation.
World Psychiatry, 18(1), 20–28.
RCT
Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012).
The efficacy of cognitive behavioral therapy: A review of meta-analyses.
Cognitive Therapy and Research, 36(5), 427–440.
Outcomes
Lambert, M. J. (2017).
Maximizing psychotherapy outcome beyond evidence-based medicine.
Psychotherapy and Psychosomatics, 86(2), 80–89.
Comprehensive Review
Smith, J., et al. (2021).
Digital mental health interventions: bridging the gap between research and practice.
In our clients’ own words
Our success is measured by the satisfaction of the clients we serve. See what some of them have to say about their experience.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Octave Patient
Frequently Asked Questions
Online OCD Therapy, Answered
OCD questions can be hard to ask out loud. Here's what ERP involves, what it costs, and how soon you can start — with nothing to brace for in week one.
Yes, in most cases. Most Octave members pay $28 or less per session using in-network insurance, and the cost estimator shows your per-session cost before you book. ERP runs as weekly sessions over a defined arc, so one number tells you most of what treatment will ask.
Exposure and response prevention (ERP) is the gold-standard treatment for OCD, a form of cognitive behavioral therapy in which you gradually face the situations that trigger obsessions while practicing not performing the compulsion. Each repetition teaches your brain that the feared outcome does not arrive and the anxiety passes on its own. It is structured, collaborative, and paced by agreement, never by surprise.
Yes, and for OCD the format has a real advantage: your obsessions and compulsions live at home, in your kitchen, your doorway, your sink. Doing exposures by video from the actual places the rituals happen makes the practice more true to life than an office ever was. Study outcomes for video-delivered ERP are comparable to in-person treatment.
Yes, ERP is an effective treatment for many people with OCD, and it is the first-line recommendation in clinical guidelines. Some people also work with a prescriber on medication. Octave therapists do not prescribe; if medication becomes part of your plan, your therapist coordinates with your psychiatrist or primary care doctor while ERP continues.
ERP is typically structured over roughly 12 to 20 sessions, with between-session practice doing much of the work. Many people feel the rituals loosening within the first month. You and your therapist track progress concretely: time spent on compulsions, situations reclaimed, distress ratings coming down.
That fear is one of OCD’s most common symptoms, especially with intrusive thoughts about harm, sexuality, or morality. Therapists who treat OCD know these themes well, know that intrusive thoughts are not intentions, and will not be shocked. You control what you share and when; treatment can begin before you have said the hardest part.
Matching takes 1 to 3 days, and first appointments run within 1 to 8 days, with evening and weekend times, online or in person in select cities. The first sessions are mapping, not exposures, so there is nothing to brace for in week one.
More On Online OCD Therapy
What online OCD Therapy At Octave Looks Like
Obsessive-compulsive disorder (OCD) is a cycle: intrusive, unwanted thoughts or fears (obsessions) drive repetitive behaviors or mental rituals (compulsions) that relieve the anxiety briefly and strengthen it long term. It is not a personality quirk about tidiness; it is a treatable condition that consumes hours and narrows lives. Online OCD therapy at Octave means video sessions with a licensed therapist trained in exposure and response prevention, the treatment with the strongest evidence for OCD.
How ERP treats OCD
ERP works by breaking the link between obsession and compulsion, and it does it gradually:
You and your therapist map your triggers and rituals into a hierarchy, from mildly uncomfortable to hardest.
Starting low on the ladder, you face a trigger and practice not performing the compulsion, with your therapist coaching you through what the anxiety does next: it rises, peaks, and falls on its own.
Each rung up the ladder is agreed in advance. Nothing is sprung on you, and the pace is yours.
Alongside exposures, you build relapse-prevention skills, because OCD probes for new doors when old ones close.
The mechanism is simple and well studied: compulsions teach your brain the fear was valid, and ERP teaches it the opposite.
The first sessions of OCD therapy
The first sessions map the OCD: what it targets, what it demands, and what it costs you in time and avoided situations. Exposures do not start until the map and the plan exist and you have agreed to both. If the fit is not right, Octave’s Care Navigators rematch you.
ERP, medication, or both
ERP is the core of OCD treatment at Octave, and some people also work with a prescriber on medication. Octave therapists do not prescribe; if medication belongs in your plan, your therapist coordinates with your psychiatrist or primary care doctor while the exposure work continues.
Starting when OCD says the timing is wrong
OCD is a machine for generating doubt, and it will generate doubt about treatment too: not sick enough, too weird, what if therapy makes it worse. Those are symptoms, not assessments. Starting is small: answer a few questions, get matched with an ERP-trained therapist in 1 to 3 days, and have a first conversation within about a week. The rituals took time; taking it back starts with one appointment.
If you need help right now
Crisis resources.
Octave is not an emergency service. If you or someone you love is in immediate danger, call 911 or go to your nearest emergency room.
988 Suicide & Crisis Lifeline
24/7, free, confidential — call or text
Crisis Text Line
Text HOME — 24/7 trained counselors
National DV Hotline
24/7 confidential support
Veterans Crisis Line
Press 1 after dialing 988
SAMHSA National Helpline
Treatment referral & info, 24/7
Trevor Project
LGBTQ+ youth crisis support
The Rituals End. The Relief Stays.
Online OCD therapy with an ERP-trained, matched therapist, covered by most major insurance plans.
Find Your Best Therapist