mind by design counseling online therapy in new jersey for anxiety, grief, women teens and adults NJ online therapist near me

Online Therapy in New Jersey

Mind by Design Counseling

Online Therapy for OCD
| Free Your Mind |

Online therapy for OCD can give you the skills to overcome the challenges and symptoms related to OCD.  It is possible to live free from OCD with the right help. Our NJ specialists help clients struggling with Obsessive Compulsive Disorder, employing proven strategies to overcome OCD & reclaim the joy of life.

Experience Mental Clarity with
Therapy for OCD

Obsessive-Compulsive Disorder (OCD) is a mental health condition that affects individuals across various ages and life circumstances. This condition manifests as a cycle of persistent, unwanted thoughts, images, or impulses—termed obsessions—which can provoke profound distress. To mitigate this stress and anxiety, individuals with OCD often resort to repetitive behaviors or rituals, known as compulsions. However, these compulsions inadvertently perpetuate the OCD cycle. The intensity, frequency, and content of obsessive thoughts and compulsive behaviors can significantly vary.Therapists at MBD are thoroughly trained in providing online therapy for OCD for NJ teens and adults

Unsure if you Therapy for OCD is Right for you?

Therapy for OCD may be right for you if you experience any of these

common obsessions

Contamination Obsessions:

  • Fear of coming into contact with perceived contaminated substances/things, such as:
    • Body fluids
    • Environmental contaminants
    • Household chemicals
    • Dirt

Violence/Harm Obsessions:

  • Fear of acting on an impulse to harm oneself
  • Fear of acting on an impulse to harm others
  • Fear of violent or horrific images in one’s mind

Responsibility Obsessions

  • Fear of being responsible for something terrible happening
  • Fear of harming others because of not being careful enough

Perfectionism-related Obsessions

  • Excessive concern about evenness or exactness
  • Excessive concern with a need to know or remember
  • Fear of losing or forgetting important information when throwing something out
  • Excessive concern with performing tasks “perfectly” or “correctly”
  • Fear of making mistakes

Sexual Obsessions

  • Unwanted thoughts or mental images related to sex, including:
    • Fear of acting on a sex-related impulse
    • Fears about sexually harming children, relatives, or others
    • Fears about aggressive sexual behaviors towards others

Religious/Moral Obsessions (Scrupulosity)

  • Excessive concern with offending God, damnation, and/or concern about blasphemy
  • Excessive concern with right/wrong or morality

Identity Obsessions

  • Excessive concern with one’s sexual orientation.
  • Excessive concern with one’s gender identity.

Other Obsessions Addressed in Therapy for OCD

Relationship-Related Obsessions

  • Excessive concern about whether one’s partner is “the one,” the partner’s flaws and qualities. These types of obsessions can center around romantic partners, relatives, friends, and other relationships.

Obsessions about Death/Existence

  • Excessive preoccupation with existential and philosophical themes, such as death, the universe, and one’s role in “the grand scheme.”

False Memory Obsessions/Real Event Obsessions

  • Excessive concern about things that happened in the past and what impacts they may have had.
  • Excessive concern or fear of mis-remembering something “bad”

Emotional Contamination Obsessions

  • Fear of “catching” personality traits or personal characteristics of other individuals

Find Relief with
Online Therapy for OCD

Only trained therapists can diagnose OCD. During online therapy for OCD, sessions, your therapist will look for three things while making an assessment:

  • The person has obsessions.
  • The person engaged in compulsive behaviors.
  • The obsessions and compulsions disrupt the person’s life, take a lot of time and get in the way of important activities the person values, such as working, going to school, or spending time with friends.

Although the symptoms of OCD may seem obvious on the surface, it’s important to recognize signs of other co-occurring mental disorders that must be assessed. When Looking for therapy for OCD, it is essential to connect with a trained provider who is well versed in OCD when seeking help for obsessive-compulsive disorder. Our OCD therapists in New Jersey know the characteristics of obsessive thought patterns. 


Common Compulsions

Washing and Cleaning

  • Washing hands excessively or in a certain way
  • Excessive showering, bathing, tooth-brushing, grooming, or toilet routines
  • Cleaning household items or other objects excessively
  • Doing other things to prevent or remove contact with contaminants

Reassurance Seeking

  • Asking for reassurance from another person related to the trigger
  • Seeking confirmation or evidence to neutralize anxiety or stress through searching on the internet or confirmation from providers/trusted individuals


  • Checking that you did not/will not harm others
  • Checking that you did not/will not harm yourself
  • Checking that nothing terrible happened
  • Checking that you did not make a mistake
  • Checking some parts of your physical condition or body


  • Rereading or rewriting
  • Repeating routine activities (examples: going in and out through doorways, opening and closing cabinets, doors, windows, etc)
  • Repeating body movements (example: tapping, touching, blinking)
  • Repeating activities in “multiples” (examples: doing a task X number of times because there is a “good,” “right,” “safe” number)

Mental Compulsions

  • Mental review of events to prevent harm (to oneself others, to prevent terrible consequences)
  • Praying to prevent harm (to oneself others, to prevent terrible consequences)
  • Counting while performing a task to end on a “good,” “right,” or “safe” number
  • “Canceling” or “Undoing” (example: replacing a “bad” thought with a “good” thought to cancel it out)

Other Compulsions Addressed in Therapy for OCD

  • Collecting/Hoarding Items with little to no significant relevance
  • Putting things in order or arranging things until it “feels right”
  • Telling asking or confessing to get reassurance
  • Avoiding situations that might trigger your obsessions

Therapy for OCD at Mind by Design

Our online therapy services help clients in OCD treatment to address symptoms through the use of Exposure Therapy, Cognitive Behavioral therapy, Acceptance and Commitment Therapy and Mindfulness Based Therapies. Clients in therapy for OCD may also opt in for less traditional approaches such as Creative Art Therapies.

Online Therapy for OCD:

woman in online therapy for trauma and effective OCD treatment

Learning about OCD helps understand the causes and identify the obsessions and compulsions while building self-confidence and self-esteem. Our therapists offer evidence-based treatments, which include but are not limited to the following:


ERP, a subset of CBT, empowers individuals to confront their fears without resorting to compulsive behaviors. ERP therapists in NJ facilitate anxiety reduction and diminish obsessions’ influence by helping patients confront their fears in a secure, controlled setting.

Virtual Reality Exposure Therapy

Virtual Reality Exposure Therapy (VRET) treats mental health concerns, including obsessive-compulsive disorder. This virtual reality technology allows patients to experience virtual simulations of true-to-life situational triggers for obsessions and compulsions. This exposure is a powerful tool that utilizes modern technology to allow for gradually controlled experiences in a safe environment. Online therapy for OCD incorporates VR as a comfortable and simple support for exposure therapy. The patient uses the provided headset while contacting the therapist online during therapy sessions.  This method involves a virtual reality headset used during online therapy for OCD sessions, which is mailed directly to our clients at no additional cost to them.


Ketamine Assisted Psychotherapy (KAP) is accessible to New Jersey residents and has demonstrated significant efficacy in alleviating OCD symptoms. Research, including a 2016 study in the Journal of Affective Disorders, supports KAP’s effectiveness for treatment-resistant OCD. KAP’s availability in NJ is a groundbreaking development, and we advocate for informed decision-making regarding your mental health journey.

Cognitive behavioral therapy for OCD Treatment

Cognitive behavioral therapy focuses on changing thoughts and behaviors associated with the patterns of OCD obsessions and compulsions. CBT is designed for individual work between a therapist and patient to identify the negative thoughts and non-effective harmful coping mechanisms. Once the obsessions and compulsions are identified, work can begin with a resolution. 

Medication-assisted OCD Treatment

Medication can alleviate symptom severity, but it requires thorough evaluation by a healthcare provider before prescription. Continuous assessment is necessary to adjust dosages or change medications as needed.


FAQ's About Therapy for OCD in New Jersey

Mind by Design Counseling in New Jersey is equipped to answer your queries about OCD treatment and therapy options. Our certified therapists are committed to continuous education and training to provide the most effective treatment options. If OCD or other mental health concerns are affecting your life, please contact us.


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.

Start Online Therapy for OCD in New Jersey Today!

Call or Text Us

Ready discuss your needs with our online therapist? Contact us at 609-300-6481 to schedule your appointment.

Book a Call

First-time visitor? Fill out our inquiry form for more information or to arrange an appointment.

Send us an Email

Send us an email, and our client care coordinator will assist you in scheduling an appointment. Begin your journey today.