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Online Therapy in New Jersey

Mind by Design Counseling

Effective OCD Treatment:
The Top 7 Techniques Used in Therapy

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Finding Effective OCD treatment can feel like an up-hill battle! However, there are a few go-to techniques that we’ve seen warrant positive and hopeful outcomes. If you’re a resident of New Jersey and are seeking effective techniques for OCD treatment, you’re in the right place. OCD is a challenging mental health condition, but with the right guidance and support, it can be managed. As an experienced therapist offering online telehealth services in New Jersey, I’ve seen firsthand the transformative power of various therapy techniques. In this article, we’ll delve into six of these methods, providing a comprehensive overview and practical examples for each.

woman in online therapy for trauma and effective OCD treatment

Top Effective OCD Treatment: Exposure & Response Prevention (ERP)

ERP is a specialized form of CBT that is often used in OCD treatment and is known as the “gold standard” of OCD treatment. It involves gradually exposing individuals to their fears or obsessions and teaching them to resist the urge to perform their compulsive behaviors.

Example: Someone with intrusive thoughts about harming a loved one might be encouraged to talk about these thoughts without engaging in any compulsive behaviors to neutralize them.

Cognitive Behavioral Therapy for OCD

CBT is a cornerstone in OCD treatment and has been a foundation in which other therapies have been build upon, such as ERP. This therapeutic approach focuses on identifying and challenging negative thought patterns and behaviors. By understanding the root causes of these patterns, individuals can develop strategies to replace them with healthier thoughts and actions. The goal is to empower individuals to recognize and change detrimental behaviors, leading to improved mental well-being.

Example: An individual constantly ruminates over past mistakes, believing they define their worth. Through CBT, they learn to challenge these ruminative patterns, understanding that past errors don’t determine their value.

Ketamine Assisted Therapy for OCD

Ketamine, traditionally used as an anesthetic, has recently gained attention for its potential in treating various mental health conditions, including OCD treatment. Mind by Design offers Ketamine Assisted Psychotherapy for New Jersey residents, providing a unique approach to confronting and processing deep-seated fears and traumas. Research has shown that Ketamine Assisted Therapy can be effective in reducing symptoms of OCD, especially in treatment-resistant cases. OCD treatment does not start first with Ketamine Treatment. Instead, Ketamine Treatment is used when an individual has found little to no success with other modalities. 

Example: During a session, a patient might receive a controlled ketamine dose, allowing them to address and process deeply rooted fears. 

Using 'Body Scans' in OCD treatment

Grounding techniques are essential tools to help individuals stay connected to the present moment, especially during intense episodes of anxiety or distress associated with OCD. The body scan is a mindfulness exercise that encourages individuals to focus on sensations throughout their body, promoting relaxation and awareness. 

Acceptance and Commitment Therapy (ACT)

ACT is a therapeutic approach that encourages individuals to embrace their thoughts and feelings without judgment. Instead of battling or suppressing these thoughts, This is particularly hard for individuals with OCD, or “pure-o”. ACT is used in OCD therapy because it  teaches individuals to commit to actions that align with their values and life goals, fostering a more fulfilling life.

Example: A person struggling with the obsessive thought that they might accidentally harm someone they care about learns to accept the presence of this thought without judgment. Instead of trying to suppress or argue with the thought, they acknowledge it and then redirect their focus to activities that align with their core values, such as spending quality time with loved ones or engaging in a hobby they’re passionate about.

Creative Art Therapies in OCD Treatment

Using art as a medium, individuals can express and process their feelings and thoughts related to OCD. This form of therapy offers a safe space for individuals to visualize and understand their journey with OCD.

Example: Someone might create a painting representing their OCD journey, helping them visualize their progress and challenges.

Final Thoughts on Effective techniques for OCD Treatment

In conclusion, there are various techniques available to try throughout your OCD therapy journey. It’s hard to know which one will work best, but don’t lose hope or feel discouraged, as it takes time to find the ‘right fit’.  Therapy can help those struggling with OCD, especially for residents of New Jersey seeking online therapy. It’s crucial to find the method that resonates best with the individual, ensuring optimal healing and growth. If you or someone you know is looking for online therapy services in New Jersey, or an expert OCD treatment provider in,  don’t hesitate to contact us  or learn more about our therapy services and meet our therapists.

Frequently Asked Questions about OCD Treatment

How do I get started as a new client?

New Clients can reach out to us directly via call, text or email here:




Or, you can complete a new client form and we’ll reach out to you within 24 hours here:

new client contact form request contact

What is your cancellation policy?

We ask that clients provide at least 24 hours notice in the event that they need to cancel to avoid the 50% cancellation fee. we understand that life happens and do our best to be flexible & reschedule.

Does my insurance cover my visits?

We provide”Courtesy Billing” for clients who are using the Out-of-network insurance benefits.

Our Insurance Page shares a small blurb about Why We Left Insurance Panels

Do you offer traditional talk therapy?

of course! though we have some unconventional therapy approaches, we are rooted in evidenced based practices. Talk therapy is a major player in the therapy room! See What we Treat and Integrative Services for more information

Is Online Therapy As Effective As In-Person Therapy?

Online therapy is essentially face-to-face counseling, just conducted remotely. Studies show that teletherapy is as effective as traditional counseling. Professional organizations and state governments recognize its benefits and have set regulations for it. However, like any therapy, its success in achieving your goals isn’t guaranteed. It’s important to discuss with your therapist whether teletherapy is working for you.

Can I Change Therapists If I'm Not Happy?

Yes, you can switch therapists to another provider within the practice, or we can provide you a referral if preferred. We want to ensure that your time and effort are well spent, and that you are getting the relief you need, that’s why we work collaboratively with each other in the practice, as well as outside therapists who we know and trust.

How Do I Know If Therapy Is Helping?

You should feel like you’re making progress. Signs it’s working include:

Feeling comfortable talking to your therapist
Your therapist respects boundaries
You’re moving towards your goals
You feel listened to
You’re doing better in life
Your self-esteem is getting better

Is Online Therapy Easy to Use for Non-Tech-Savvy People?

Yes, it’s pretty simple to access sessions. You’ll need basic internet skills, such as opening and visiting the patient link sent to you via email. It’s similar to video chatting like Facetime or Zoom. We can also walk you through it on the phone the first time to ensure a strong connection

What Questions Should I Ask My New Therapist?

Feel free to ask anything. Some good questions are:

  • How often will we meet?
  • What do you specialize in?
  • What experience do you have with my issue?
  • What outcomes can I expect?
  • How will I know I’m progressing?
  • How long do you usually work with clients?
  • How will we set my treatment goals?

How Should I Prepare for My First Session?

Showing up is all that you need to do! But if you really want to get the most out of session, it could help to take some time to think about what you want from therapy. It helps to write down your goals, questions you have or things that you feel are important to share. 

What is the difference between associate therapists & fully licensed therapists?

Our Qualifications:

Our founder, Rebecca Sidoti, is a highly qualified, state-licensed therapist and supervisor with extensive training in anxiety related disorders and innovative treatment such as Ketamine Therapy. Mind by Design Counseling adheres to standards set by the our governing counseling boards.

To see each providers credentials, training and licenses, visit our “Meet the Therapists” Page to learn more.


  • LAC/LSW are therapists who may practice clinical work under the supervision of a fully licensed therapist.
  • LPC/LCSW are therapists who have completed the necessary clinical hours post-graduation under supervision and can practice clinical work independently.

What Geographic Areas Are Served?

Currently, we serve clients in New Jersey and are expanding to other states as telehealth laws evolve. While telehealth offers the convenience of attending sessions from anywhere, state laws require clients to be in-state during their session.

Is Virtual Counseling Suitable for Everyone?

Online therapy might not be as effective for individuals with chronic suicidal thoughts, severe trauma, significant mental health history, or those recently in intensive care. Such cases often benefit more from traditional, in-person counseling. We’ll help you decide if our online services are right for you during your intake and evaluation.

What Equipment is Needed for Online Therapy?

To join a session, log in using the credentials we provide. No downloads are needed. Our platform, compatible with both individual and group sessions, requires:
A computer or mobile device with a webcam and internet access.
We’ll help you test your setup before your first appointment to ensure a reliable connection. iOS users should use the Safari browser for mobile and tablet sessions.

What Questions Will Therapists Ask Me?

It depends on your goals. Expect questions about your thoughts, feelings, relationships, work, school, and health. They’ll ask to understand your therapy goals.

How Do You Keep Client Information Secure?

Security and Confidentiality of Sessions:
Your privacy is crucial to us. We use TherapyNotes, a HIPAA-compliant platform, ensuring secure and confidential teletherapy sessions. This platform’s security features include encrypted video connections, secure data transfers, and encrypted databases, ensuring your information is safe at all times.

What is VRT used for?

we use VRT to support Exposure Therapy, a long standing traditional therapy modality to treat phobias, anxiety and stress. we send a headset directly to your home so you can access VRT from anywhere.

VRT not only helps with exposure therapy for phobias, but is great for ADHD, mindfulness, PTSD and social anxiety.

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