OCD and Anxiety Resources
Trusted OCD resources including ERP education, levels of care, reputable organizations, and crisis supports—curated by a licensed OCD specialist.
Twice-weekly therapy is effective for many people with OCD—but not everyone. Sometimes symptoms are severe enough that even two sessions per week aren't sufficient to create the momentum needed for recovery.
Needing a higher level of care doesn't mean you've failed, that your symptoms are untreatable, or that therapy "didn't work." It often means that the intensity or frequency of treatment needs to match the severity of symptoms.
Emergency Resources
If you're in immediate danger or experiencing a mental health emergency, the following resources provide free, confidential support 24/7.
988 Suicide & Crisis Lifeline
Phone: Call or text 988
Website: 988lifeline.org
Available: 24/7, nationwide
Free, confidential crisis support for anyone experiencing suicidal thoughts, emotional distress, or mental health crisis.
Crisis Text Line
Text: Text HOME to 741741
Website: crisistextline.org
Available: 24/7, nationwide
Free crisis support via text message. Trained crisis counselors respond in real time.
NAMI HelpLine
Phone: 1-800-950-NAMI (6264)
Text: Text NAMI to 62640
Website: nami.org/help
Available: Monday–Friday, 10 a.m.–10 p.m. ET
Important: The NAMI HelpLine is not a crisis service. Call or text 988 for 24/7 crisis support.
Veteran Crisis Line
Phone: Call 988 and press 1
Text: Text 838255
Website: veteranscrisisline.net
Available: 24/7
The Trevor Project
Phone: 1-866-488-7386
Text: Text START to 678678
Website: thetrevorproject.org
Available: 24/7
Emergency Services
Call 911 if you or someone else is in immediate, life-threatening danger.
Understanding Levels of Care for OCD
1. Outpatient Therapy
Frequency: Typically 2 sessions per week initially, with frequency decreasing as progress is made.
Session length: 50-60 minutes per session.
Focus: Understanding how OCD works, building exposure hierarchies, practicing exposures in session, and assigning homework between appointments.
Format: Allows for steady progress while maintaining normal daily routines, work, school, and other responsibilities.
2. Intensive Outpatient Program (IOP)
Frequency: Typically 3-5 days per week, 3 hours per day.
Session structure: Group ERP therapy, individual therapy sessions, psychoeducation, and structured exposure practice.
Format: Higher intensity than outpatient therapy but less restrictive than residential.
Duration: Programs typically run 4-8 weeks.
Setting: Can be in-person or virtual.
3. Partial Hospitalization Program (PHP)
Frequency: Typically 5-6 days per week, 5-6 hours per day.
Session structure: Individual ERP therapy, group therapy, exposure practice, skills training, psychiatric monitoring, and case management.
Format: Most intensive outpatient option.
Duration: Programs typically run 2-6 weeks.
Setting: Primarily in-person at specialized treatment facilities.
4. Residential Treatment
Frequency: 24-hour care, 7 days per week with multiple therapy sessions daily.
Session structure: Individual ERP therapy, group therapy, continuous exposure practice, psychiatric care, meal support, recreational therapy, and around-the-clock clinical monitoring.
Format: You live at the treatment facility for the duration of the program.
Duration: Programs typically range from 30-90 days.
Setting: Specialized residential facilities with clinical staff available at all times.
5. Acute / Emergency Psychiatric Care
Frequency: Immediate, short-term stabilization.
Session structure: Crisis assessment, psychiatric evaluation, medication stabilization, safety planning, and continuous observation.
Format: Hospital-based inpatient psychiatric unit or emergency department admission.
Duration: Typically 3–14 days, depending on safety needs and stabilization.
Setting: General psychiatric hospitals or acute behavioral health units with 24/7 nursing and psychiatric supervision.
Not sure what level of care is right for you?
Let's connect and discuss appropriate level of care options.
Obsessive-Compulsive Disorder Resources
California HLOC Programs
Rogers Behavioral Health
Locations: Multiple locations throughout California (Los Angeles, San Diego and San Francisco)
Levels of care: Residential, PHP, IOP
Overview: One of the oldest and most established OCD treatment programs in the country. Rogers pioneered intensive ERP-based treatment for OCD and offers specialized tracks for adults, adolescents, and children.
Website: rogersbehavioralhealth.org
UCLA Health – Resnick Neuropsychiatric Hospital
Locations: Los Angeles (Westwood)
Levels of care: Partial Hospitalization Program (PHP), Intensive Outpatient Programs (IOP)
Overview: University-affiliated psychiatric programs offering structured, evidence-based treatment for adults requiring a higher level of care than standard outpatient therapy. Programs include multiple specialties.
Website: UCLA Health PHP/IOP programs
Westwood Institute for Anxiety Disorders
Locations: Los Angeles
Levels of care: Intensive Outpatient Program (IOP)
Overview: Specialized anxiety and OCD treatment program providing intensive outpatient care using exposure-based cognitive-behavioral therapy. Treatment includes structured group and individual interventions.
Website: Westwood Institute OCD Program
National HLOC Programs
Rogers Behavioral Health
Locations: Multiple states including Wisconsin, Florida, Georgia, Pennsylvania, and others
Levels of care: Residential, PHP, IOP
Overview: One of the oldest and most established OCD treatment programs in the country. Rogers pioneered intensive ERP-based treatment for OCD and offers specialized tracks for adults, adolescents, and children.
Website: rogersbehavioralhealth.org
NOCD - Virtual IOP
Location: Nationwide telehealth (In multiple states)
Levels of care: Virtual IOP
Overview: Telehealth-based intensive outpatient program with California-licensed OCD specialists. Offers structured virtual IOP and ongoing outpatient ERP therapy accessible from anywhere in California.
Website: NOCD Intensive Treatment
OCD Educational Resources
Evidence-based information to help you better understand OCD, ERP therapy, and available support.
International OCD Foundation (IOCDF)
Website: iocdf.org
Overview: The leading organization dedicated to OCD education, research, and advocacy. Offers comprehensive information on OCD subtypes, treatment options, how to find specialized care, and the latest research.
Key resources:
- OCD subtype fact sheets
- "What is OCD?" educational materials
- Provider directory
- Support group listings
- Family resources and guidance for loved ones
Anxiety & Depression Association of America (ADAA)
Website: adaa.org
Overview: Professional organization providing evidence-based resources on OCD, anxiety disorders, and related conditions. Offers educational articles, webinars, podcasts, and a therapist directory.
Key resources:
- Articles on OCD symptoms and treatment
- Tips for managing anxiety and OCD
- Therapist finder tool
- Free educational webinars
Recommended Books on OCD & ERP
"The OCD Workbook" by Bruce Hyman and Cherry Pedrick
Evidence-based self-help workbook covering ERP principles, exposure exercises, and practical strategies for managing OCD.
"Freedom from Obsessive-Compulsive Disorder" by Jonathan Grayson
Comprehensive guide to ERP therapy written by a leading OCD specialist. Includes detailed exposure strategies and addresses common treatment challenges.
"Overcoming Unwanted Intrusive Thoughts" by Sally Winston and Martin Seif
Focuses specifically on understanding and managing intrusive thoughts using acceptance-based approaches and ERP principles.
"Is Fred in the Refrigerator? Taming OCD and Reclaiming My Life" by Shala Nicely
First-person memoir offering insight into living with severe OCD and the recovery process through ERP therapy.
"The Imp of the Mind" by Lee Baer
Addresses taboo intrusive thoughts with compassion and clinical expertise. Helpful for understanding "Pure O" presentations.
"When a Family Member Has OCD" by Jon Hershfield
Resource for loved ones learning how to support someone with OCD without enabling compulsions or accommodating rituals.
Online Communities & Peer Support
Downloadable Tools for Therapists and Clients
The SUDS scale is commonly used in ERP therapy, as well as with other modalities. Below is an infographic of the SUDS scale and a version to use with children.
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