Online OCD Counselling India — ERP gold-standard from ₹999.

RCI-licensed Clinical Psychologists trained in Exposure & Response Prevention (ERP) — the APA, NICE and IOCDF first-line treatment for OCD. NMC-registered Psychiatrists add SSRI when clinically needed. Y-BOCS assessed at intake. All OCD subtypes — contamination, checking, intrusive thoughts (Pure-O), symmetry, hoarding, BDD, BFRBs, ROCD.

Y-BOCS severity assessed at intake
ERP, I-CBT, ACT, HRT protocols
NMC psychiatrists for high-dose SSRI
14 specialised therapists trained in OCD
60-80% achieve Y-BOCS clinically significant reduction
Pure-O / harm thoughts treated routinely

📅 Start ERP Today · ₹999 → 💬 WhatsApp Now

🏆 6,234 OCD patients treated · 4.5/5 rating · ISO 27001 · DPDP-compliant · India's largest OCD-spectrum online care team · No reassurance-giving — therapeutic boundary maintained

⚡ Limited Time — 10% OFF Today

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Dr. Vipul C Prajapati

Diploma in Psychiatric Medicine · 14+ years senior · NMC-registered · OCD-Spectrum specialist

Dr. Prajapati is a senior NMC-registered psychiatrist with explicit OCD-spectrum focus across 14+ years of clinical practice. His work centres on integrated ERP + high-dose SSRI care, augmentation strategies for treatment-resistant OCD, BDD, and Hoarding Disorder. Approach: trauma-informed but boundaried — no reassurance-giving, ERP-anchored, family-psychoeducation included.

Specialties: OCD · BDD · Hoarding · Anxiety · Depression · Bipolar Languages: English · Hindi Verify NMC registration ↗

Book Dr. Prajapati

⚠️

Medical & OCD-Specific Disclaimer

This page is educational and not a substitute for professional medical advice. Diagnosis of OCD requires a clinical interview, Y-BOCS administration, and consideration of differentials (anxiety, psychosis with poor insight, etc.). Critical OCD point: Intrusive thoughts — including violent, sexual, or blasphemous ones — are a CORE feature of OCD, not a sign you want to act on them. 90%+ of people without OCD also have intrusive thoughts. We do not engage in reassurance-giving about thought content — this is itself a compulsion that maintains OCD. ERP works by tolerating uncertainty, not eliminating it. Acute psychiatric emergencies (severe self-harm risk, psychosis): call 112 / KIRAN 1800-599-0019.

On this page Book Session Our Team Psychologists Choose Plan Pricing OCD Subtypes Evidence Approaches Symptom Decoder Self-Check FAQ Crisis Help

Our Integrated Care Model

ERP-first, SSRI when needed — the APA-recommended model

OCD has two evidence-based pillars: Exposure & Response Prevention (ERP) as the cornerstone psychotherapy, and high-dose SSRI for moderate-severe cases. We combine both seamlessly when needed. Family psychoeducation included — accommodation of compulsions worsens OCD.

Clinical Psychologist ERP, I-CBT, ACT, HRT delivery · Y-BOCS administration · Hierarchy planning · Pure-O specialised work

NMC Psychiatrist High-dose SSRI (fluoxetine 60-80mg, sertraline 200mg) · Augmentation · Comorbid depression management

Our Psychiatrists (Medication)

NMC-registered Psychiatrists for SSRI pharmacotherapy.

High-dose SSRI for OCD requires careful psychiatrist-led titration. Our team includes NMC-registered psychiatrists with active national medical registration, verifiable on the National Medical Commission registry . View all psychiatrists →

Can't find the right match? WhatsApp our care team — we'll match you with the right OCD-trained psychiatrist based on subtype, comorbidity, and language. Note: For OCD, the psychologist (ERP delivery) is typically the primary provider; the psychiatrist adds SSRI when clinically needed.

Quick Answer

Why does OCD need high-dose SSRI, not regular antidepressant dose?

OCD responds to SSRI doses 2–3× higher than for depression — fluoxetine 60–80mg, sertraline 200mg, paroxetine 40–60mg, fluvoxamine 200–300mg. Clomipramine (a TCA) is also effective. Onset takes 8–12 weeks (longer than depression's 4–6 weeks). This is why a psychiatrist trained in OCD pharmacotherapy matters — under-dosing leads to "treatment failure" that's actually under-treatment.

Our Psychologists (ERP Delivery)

RCI-Licensed Psychologists trained in ERP, I-CBT, ACT & HRT.

Your primary therapist for Exposure & Response Prevention — the gold-standard OCD treatment. Our team includes M.Phil. and PhD Clinical Psychologists and senior MA Counselling Psychologists, all Rehabilitation Council of India (RCI) registered with explicit OCD specialty on their public profiles. View all Clinical Psychologists → · View all Counselling Psychologists →

Why ERP-trained matters: ERP is technically demanding — therapists must hold a clear therapeutic boundary against reassurance-giving (a compulsion), build appropriate exposure hierarchies, and tolerate patient distress without rescuing. Untrained "supportive" therapy actually maintains OCD by inadvertently reinforcing avoidance. All our OCD-listed clinicians are trained in Foa & Kozak ERP protocols + contemporary I-CBT (Inference-Based CBT).

How to Choose Your Path

ERP alone or ERP + SSRI Combined?

OCD treatment intensity is matched to Y-BOCS severity, subtype, and prior response. NICE CG31 + APA OCD Practice Guideline + IOCDF guide selection. Your first session will refine with formal Y-BOCS + OCI-R administration.

Mild OCD

Y-BOCS: 8–15 · Functioning preserved · Single subtype

→ Plan A · Psychologist Only₹999 · ERP first-line

ERP solo evidence-based (APA Strong)
10-14 weekly sessions typical
SSRI rarely added at this severity
Hierarchy built collaboratively

Moderate OCD

Y-BOCS: 16–23 · Functional impact · Multiple rituals

→ Plan A or B (your choice)ERP alone OR Combined

Both effective (APA)
ERP alone → if motivation high
Combined → if depression / insight issues
14-20 weekly sessions typical

Severe OCD

Y-BOCS: 24–31 · Major impairment · Hours/day rituals

→ Plan B · Combined Care₹2,499 · ERP + High-dose SSRI

Combined strongly recommended
Fluoxetine 60-80mg / Sertraline 200mg
14-20 weekly sessions
Family psychoeducation included

Extreme / Treatment-Resistant

Y-BOCS: 32–40 · Complete impairment · Poor insight

→ Plan D · Long-term + Augmentation20-25 sessions intensive

SSRI + antipsychotic augmentation
Risperidone 1-3mg or Aripiprazole
Phased ERP, longer hierarchy
DBS referral if treatment-resistant (rare)

Honest note on OCD treatment: ERP is uncomfortable by design. You'll be asked to face feared situations or thoughts and not perform the ritual. The first 4-6 sessions feel harder, not easier — this is the brain learning the threat doesn't materialise. Most patients hit the "this is worse than my OCD" wall at week 4-6. Push through with your therapist's support; 60-80% achieve clinically significant Y-BOCS reduction.

Every Plan Includes

What you get with any care plan.

Trust-builders for the hard work of ERP. These are baked into every plan.

↻

Free Therapist Switch

ERP needs strong therapeutic alliance. If your first therapist doesn't feel right, we'll re-match at no cost — within 2 sessions.

📅

24-hr Reschedule

Reschedule up to 24 hours before — no fee. Multi-pack sessions valid for 12 months.

💰

100% Money-Back · Session 1

Full refund within 7 days if Session 1 doesn't feel right. Multi-packs: pro-rated refund on unused sessions.

⏸

Pause Anytime

ERP has plateaus. Pause a multi-pack for up to 60 days without losing sessions.

🆘

Crisis Support · No Reassurance

24×7 WhatsApp crisis line · OCD-aware boundary — we help you sit with uncertainty rather than give reassurance.

📊

Y-BOCS Outcome Tracking

Y-BOCS tracked at sessions 1, 4, 8, 12. See objective Y-BOCS reduction on your progress dashboard.

Try Before You Commit

Free 15-min Discovery Call — talk to an OCD specialist

Not sure if it's "really OCD" or which subtype you have? Start with a free 15-min call. We'll discuss your concerns and help you decide if ERP is right for you.

📞 Book Free Call →

Build Your Care Plan · Custom Pricing

Choose your provider, your pack size, your mix.

Three providers (Psychologist Only · Psychiatrist Only · Combined) × six pack sizes × three combined-mix ratios. Volume discounts up to 30% off on 25-packs. First-time patients save 25% with code WELCOME25. OCD typically needs 14-20 structured ERP sessions — 15 or 20 session packs are most common.

Step 1 · Choose Your Provider Type

💬

Psychologist Only

ERP, I-CBT, ACT, HRT delivery
From ₹999/session

⭐ Recommended

💬🩺

Combined Care

ERP + High-dose SSRI
From ₹2,499/visit

🩺

Psychiatrist Only

High-dose SSRI · Augmentation
From ₹1,500/session

Step 2 · Choose Session Pack (volume discount applies — 15+ recommended for OCD)

assessment
only

10% off

hierarchy
build

15% off

brief ERP
course

⭐ 20% off

standard
ERP

25% off

severe
OCD

🏆 30% off

treatment
resistant

Step 3 · Combined Mix Ratio (% Psychologist / % Psychiatrist)

ERP-led

80% Psychologist · 20% Psychiatrist
For mild-moderate OCD, motivated for ERP

Balanced ⭐

60% Psychologist · 40% Psychiatrist
Most common for moderate-severe OCD

Medication-led

30% Psychologist · 70% Psychiatrist
Treatment-resistant, augmentation, severe comorbid depression

Your Custom Plan

Combined Care · 15-session Balanced Pack

9 Clinical Psychologist (ERP) + 6 NMC Psychiatrist (SSRI) sessions · 4-month course

You save 20% vs single-session pricing

₹14,400

₹960 / session

💳 Book This Custom Plan → 💬 Get Help Choosing

🔒 Razorpay · UPI / Card / Net Banking / EMI · Free therapist switch · 24-hr reschedule · Money-back · WELCOME25 stacks on top

Full Pricing Matrix · No Hidden Costs

All inclusive prices in ₹. WELCOME25 (first-time, 25% off) applies on top of these.

Pack	Psychologist Only	Psychiatrist Only	Combined ERP-led	Combined Balanced	Combined Med-led
1 session Try it	₹999	₹1,500	—	₹2,499	—
5 sessions 10% off	₹4,500	₹6,750	₹4,950	₹5,400	₹5,850
10 sessions 15% off	₹8,500	₹12,750	₹9,350	₹10,200	₹11,475
15 sessions 20% off ⭐	₹12,000	₹18,000	₹13,200	₹14,400	₹16,200
20 sessions 25% off	₹15,000	₹22,500	₹16,500	₹18,000	₹20,250
25 sessions 🏆 30% off	₹17,500	₹26,250	₹19,250	₹21,000	₹23,450

OCD typical packs: Mild OCD → 10-session ERP solo. Moderate single-subtype → 15-session combined balanced. Severe / multiple subtypes → 20-session combined. Treatment-resistant or Complex OCD with augmentation → 25-session med-led. Not sure? Get a free recommendation →

OCD Subtypes We Treat

Every OCD subtype. Matched to a specialist.

12 distinct OCD presentations. Each card links directly to a specialist's booking page. You are not alone — even the "shameful" subtypes are far more common than you think.

🧼

Contamination / Washing

Fear of germs, dirt, disease. Excessive cleaning, hand-washing. Most common subtype. Standard ERP highly effective.

→ Dr. Sanika Awasthi

🔒

Checking OCD

Locks, taps, gas, appliances. Repeated checking driving anxiety. ERP with response prevention.

→ Ms. Tanvi Jain

💭

Pure-O · Harm Intrusive Thoughts

Violent or harm thoughts toward loved ones. Doesn't mean you'll act. ERP + I-CBT.

→ Dr. Chhavi Singh

🤐

Pure-O · Sexual / SO-OCD

Unwanted sexual intrusive thoughts. Sexual Orientation OCD. ERP + I-CBT with judgment-free clinician.

→ Mrs. Zahabiya Bambora

🙏

Religious Scrupulosity

Obsessive worry about sin, blasphemy, doing religious practices "correctly". Cross-faith.

→ Dr. Marina Z-B.

📐

Symmetry / "Just Right"

Need things ordered, balanced, "just right" feeling. Often comorbid with tics.

→ Ms. Shivangi Jaiswal

📦

Hoarding Disorder

ICD-11 6B24. Separate diagnosis. Specialized CBT-Hoarding protocol (Frost & Steketee).

→ Mrs. Sneha M.

💄

Body Dysmorphic Disorder (BDD)

ICD-11 6B21. Perceived defect in appearance. CBT-BDD (Wilhelm protocol).

→ Ms. Seerat Dhillon

💔

Relationship OCD (ROCD)

Doubts about partner, love, attraction. Compulsive comparison or reassurance.

→ Ms. Minakshy Iyer

✂️

Trichotillomania / Skin Picking

BFRBs · ICD-11 6B25. Habit Reversal Training (HRT) — separate protocol.

→ Ms. Tanvi Jain

👶

Postpartum OCD

Intrusive thoughts about harming baby. Common, not psychosis. Female therapist + safety screening.

→ Dr. Sanika Awasthi

🧒

Pediatric OCD / PANDAS

Childhood OCD. Sudden-onset post-strep (PANDAS) needs medical workup. Child-modified ERP.

→ Dr. Versha Deepankar

🧠

Intrusive thoughts ≠ desire to act. You're safe. The thought is just a thought.

For violent / harm / sexual intrusive thoughts: Research shows 90%+ of people without OCD also have these thoughts occasionally. The DIFFERENCE in OCD is the meaning & distress, not the content. Having a thought about harm doesn't make you dangerous — wanting to harm does. OCD sufferers are less likely to commit violence, not more.

Important boundary — no reassurance: The urge to "check" whether you really meant the thought or to seek reassurance ("am I a bad person?") is itself a compulsion. ERP teaches you to sit with the uncertainty, not eliminate it. We will not give reassurance — this is clinically protective, not cold.

However — if you have a clear, persistent plan to act on harming yourself or someone else (not just intrusive thoughts), call 112 or KIRAN below. The distinction is between unwanted intrusive thoughts (OCD) and ego-syntonic intent (different psychiatric concern).

Our Honest Take on Evidence

Does OCD therapy actually work? Yes — ERP has 40+ years of strong evidence.

NICE CG31 + APA OCD Practice Guideline + IOCDF + Cochrane converge on ERP as first-line psychotherapy. Combined with high-dose SSRI for moderate-severe OCD. Here's the honest picture.

✓ Where evidence is strong

•ERP (Exposure & Response Prevention): APA STRONGLY RECOMMENDED. Foa & Kozak 40+ years RCTs. 60-80% achieve clinically significant Y-BOCS reduction (≥35% drop).
•High-dose SSRIs (fluoxetine, sertraline, fluvoxamine, paroxetine): 40-60% response. Doses 2-3x depression dose required.
•Clomipramine: TCA, OCD-specific. Effective but more side effects than SSRI. Reserve for SSRI non-responders.
•ERP + SSRI combined: 70-85% response for moderate-severe OCD. Best evidence-based option.
•Antipsychotic augmentation: Risperidone, aripiprazole for SSRI non-responders. ~33% additional response.
•I-CBT (Inference-Based CBT): Newer approach for Pure-O / inferential confusion. Growing evidence base.

⚖ Honest limits

•ERP dropout rate 20-30% — exposure work is hard, especially first 4-6 sessions.
•SSRI onset takes 8-12 weeks for OCD (longer than depression). Patience needed.
•Poor insight predicts harder treatment — those who fully believe their obsessions need slower-paced ERP.
•Hoarding responds less well to standard ERP — needs Frost/Steketee Hoarding protocol.
•Relapse rate ~25-50% if SSRI discontinued too soon. Maintain 12-24 months post-remission.
•~10-15% treatment-resistant — may need DBS referral or transcranial magnetic stimulation (TMS).

Our position: OCD recovery is real. 60-80% of patients who complete ERP achieve clinically significant Y-BOCS reduction; combined ERP + SSRI hits 70-85% for moderate-severe. We deliver only evidence-based modalities (ERP first-line, I-CBT, ACT, HRT for BFRBs, CBT-BDD for BDD), prescribe high-dose SSRI judiciously, and tell you honestly when augmentation or specialist referral is needed. OCD is one of the most treatable mental health conditions. ERP is uncomfortable but it works.

Honest Safety Guidance

When online OCD care is NOT the right next step.

For most people with OCD, online ERP is excellent. But these situations need different help first.

✕ Online care is NOT enough when…

×Severe insight loss / psychotic features — needs differential diagnosis with psychosis.
×Active suicidal crisis — needs immediate in-person psychiatric assessment.
×Untreated pediatric PANDAS — needs pediatrician + ASO titre + medical workup.
×Severe hoarding with safety risk — fire hazard, public health — needs in-person multidisciplinary care.
×Severe BDD with surgical preoccupation — refer to BDD specialist with surgical screening.
×Active eating disorder + OCD — eating disorder treatment takes priority.
×Active substance dependence — needs concurrent or prior detox.
×DBS / TMS candidates — referral to specialist OCD centre.

✓ Where to go instead

✓Pediatric PANDAS: Pediatrician + child psychiatrist
✓Acute crisis: KIRAN 1800-599-0019 / iCall
✓Severe hoarding: NIMHANS OCD Clinic
✓Suicidality: ER + AASRA 9820466726
✓Substance dependence: De-addiction first
✓Eating disorder: NIMHANS / specialist ED unit
✓Psychosis: Emergency room immediately
✓DBS / TMS: NIMHANS, AIIMS specialist OCD clinic

Evidence-Based Approaches

6 modalities for OCD and OCD-spectrum disorders.

ERP is the gold-standard cornerstone. Other modalities address specific subtypes and treatment-resistance.

⚡ ERP — Gold Standard

Exposure & Response Prevention. Foa & Kozak protocol. Hierarchy-based exposure to feared situations + preventing the compulsive ritual. Inhibitory learning & habituation.

Best for: All OCD subtypes. 14-20 sessions, 60-80% response.

🧠 CBT for OCD

ERP + cognitive restructuring. Targets metacognitive beliefs ("thought-action fusion", over-importance of thoughts). Used alongside ERP.

Best for: All OCD with strong cognitive component. 14-16 sessions.

🔍 I-CBT (Inference-Based)

O'Connor & Aardema. Targets "inferential confusion" — the OCD doubt itself. Helps the person trust their direct sensory perception over imaginative OCD doubts.

Best for: Pure-O, scrupulosity, ROCD. 10-14 sessions.

🌿 ACT for OCD

Hayes' Acceptance & Commitment. Values-based action despite intrusive thoughts. Cognitive defusion — relating to thoughts as "just thoughts".

Best for: Pure-O, perfectionism, ERP-averse patients. 12-16 sessions.

✋ HRT — Habit Reversal

Azrin & Nunn. For BFRBs (Trichotillomania, skin picking). Awareness training + competing response + relaxation.

Best for: Trichotillomania, excoriation, tics. 10-14 sessions.

💊 High-Dose SSRI + Augmentation

Fluoxetine 60-80mg · Sertraline 200mg · Paroxetine 40-60mg · Fluvoxamine 200-300mg. Clomipramine for non-responders. Risperidone/Aripiprazole augmentation.

Best for: Moderate-severe, treatment-resistant. Psychiatrist-led.

What to Expect

How an ERP first session actually works.

A proper first OCD consultation is 60 minutes. The goal isn't to start exposures immediately — it's to assess, educate, and build the hierarchy together.

Your First Session (60 min)

Assess · Educate · Plan

1First 10 min: Y-BOCS administration (10 items, structured interview). Severity established.
210-25 min: Subtype mapping. Obsessions list, compulsions list, avoidance map, family accommodation.
325-40 min: Psychoeducation. How OCD works, the compulsion cycle, why reassurance backfires, ERP rationale.
440-55 min: ERP hierarchy build. SUDS-rated list of exposures from easiest to hardest (0-10 scale). Collaborative.
555-60 min: Homework assigned (first exposure at SUDS 3-4). SSRI discussion if Y-BOCS ≥16.

ERP Session (50 min)

Review · Expose · Build

1Check-in (5 min): Y-BOCS if due, homework review, any avoidance / reassurance-seeking lapses.
2In-session exposure (30 min): Therapist-guided exposure to next hierarchy item. Response prevention enforced. SUDS rated throughout.
3Process (10 min): What did you notice? Did the feared outcome happen? Inhibitory learning reinforced.
4Homework (5 min): Next exposure assigned (same level if SUDS still high, next level if habituated).

Confidentiality & Trust

Your story stays between you and your clinician.

Every OCD session is protected by Indian and international compliance standards. Anonymous booking is available — you may share only what you choose.

🔐

ISO 27001 Certified

International information security standard for clinical records.

🇮🇳

DPDP Act 2023

Digital Personal Data Protection compliant. Indian servers only.

🏥

Mental Healthcare Act 2017

Section 23 right to confidentiality protected.

🛡

HIPAA-aligned

US healthcare data standards observed for clinical encounters.

What this means in practice: No employer, family member, college, court (without legal compulsion) or insurance company gets your session content without your written consent. Anonymous booking is available — share only what you choose. Limits to confidentiality (legally required): imminent risk to life, ongoing child abuse, valid court orders.

3 Distinct OCD Subspecialty Tracks

Specialists matched to your specific OCD subtype.

Not all OCD is the same. Our care team includes sub-specialists for each major subtype, with track-specific protocols.

🧼

Contamination / Checking Track

For contamination/washing OCD, checking compulsions, symmetry/just-right. Visible compulsions with clear hierarchies. Standard ERP highly effective.

Approach: Foa & Kozak ERP · In-vivo exposure · Response prevention · SSRI high-dose

Specialists: Dr. Sanika, Ms. Tanvi, Ms. Shivangi

Duration: 14-18 sessions, 70-80% Y-BOCS reduction

💭

Pure-O / Intrusive Thoughts Track

For harm intrusive thoughts, sexual / SO-OCD, religious scrupulosity, ROCD. Mental compulsions, no visible rituals. ERP + I-CBT essential.

Approach: Imaginal ERP · I-CBT (O'Connor) · ACT defusion · Judgment-free clinician

Specialists: Dr. Chhavi, Mrs. Zahabiya, Dr. Marina

Duration: 16-20 sessions, 65-75% Y-BOCS reduction

🌿

OCD-Spectrum & BFRB Track

For BDD (6B21), Hoarding (6B24), Trichotillomania & Skin Picking (6B25), Postpartum OCD, Pediatric OCD/PANDAS. Subtype-specific protocols.

Approach: HRT for BFRBs · CBT-BDD (Wilhelm) · Frost & Steketee Hoarding · Family-Based ERP for pediatric

Specialists: Dr. Versha (pediatric), Ms. Seerat, Ms. Minakshy

Duration: 12-20 sessions, varies by subtype

How Triage Works

From booking to first session — a 4-step pathway.

Choose Plan

Plan A or B via this page. Or WhatsApp our coordinator to discuss your OCD subtype.

Pre-session Screen

OCD-5 brief screen + Y-BOCS self-report sent via WhatsApp. Takes 4-6 minutes.

Match Specialist

Care coordinator matches you with the right sub-specialist (Contamination/Pure-O/Spectrum).

First Session

60 min video. Formal Y-BOCS + subtype mapping + ERP hierarchy + psychoeducation.

How HopeQure Compares

HopeQure vs other OCD care options.

Transparent comparison — including where in-person tertiary care is the better choice.

Feature	HopeQure Online	Local Psychiatrist (in-person)	NIMHANS OCD Clinic	Generic Telehealth Apps
Wait time	<24 hours	1-4 weeks typical	2-8 weeks NIMHANS	1-3 days
Cost (first session)	₹999 Plan A	₹1500-3000	OPD ₹50-500	₹1500-2500
ERP + Medication integrated	✓ Plan B	Limited (psychiatrist alone)	✓ Multi-disciplinary	Rarely
RCI / NMC verified	✓ All clinicians	Yes	Yes	Often unclear
Y-BOCS + tracking	✓ Every patient	Inconsistent	Yes	Inconsistent
ERP-trained psychologists	✓ 9 ERP/I-CBT specialists	Rare locally	✓ Tertiary centres	No
Anonymous booking	✓ Available	No	No	Limited
Treatment-resistant / DBS	Refer + collaborative care	Possible	✓ Best for severe	No

When NOT us: Severe OCD with complete insight loss, untreated PANDAS in children (needs pediatrician + ASO titre), severe hoarding with fire/health safety risk, treatment-resistant OCD requiring DBS/TMS evaluation — these belong in tertiary care (NIMHANS, AIIMS). We'll refer you transparently.

Complementary Holistic Care

Optional add-ons (with realistic expectations).

These are complements, not replacements for ERP or medication. Discuss with your clinician before starting.

🧘

Mindfulness & Yoga

Modest adjunctive evidence for OCD. Mindfulness supports thought defusion. Yoga modest stress reduction.

→ Yoga experts

🥗

Diet & Caffeine

Reduce caffeine (worsens OCD agitation). Omega-3 modest evidence. Limit alcohol — it worsens compulsions.

→ Dietitian

🏃

Exercise

150 min/week moderate aerobic. Modest adjunctive evidence for OCD. Supports comorbid depression.

→ Fitness coach

😴

Sleep Hygiene

OCD ritualisation often disrupts sleep. CBT-I improves both. Don't compulse before bed.

→ Sleep disorders

Therapy in Your Language

OCD counselling in multiple Indian languages.

Discussing intrusive thoughts and shame-laden OCD content in your mother tongue is often more effective. Our team supports the following.

🇬🇧

English

All specialists

🇮🇳

Hindi

All 9 specialists

🪕

Gujarati / Urdu

Mrs. Zahabiya

🪘

Punjabi

Dr. Ajay, Ms. Seerat

🗣

Tamil / Marathi

Ms. Minakshy, Mrs. Sneha

🗣

Spanish / Russian

Dr. Marina

What Outcomes To Expect

Real numbers from OCD treatment evidence.

From APA OCD Practice Guideline + NICE CG31 + IOCDF + Cochrane reviews + Foa et al. landmark RCTs. ERP has one of the strongest evidence bases in psychiatry.

Outcome	ERP Alone (Plan A)	High-Dose SSRI Alone	ERP + SSRI Combined
Significant Y-BOCS reduction (≥35%)	60-80%	40-60%	70-85%
Clinical remission (Y-BOCS <8)	30-40%	15-25%	40-55%
Time to noticeable improvement	4-8 weeks	8-12 weeks	4-10 weeks
Reduction in compulsion time/day	50-70%	35-50%	60-80%
Reduction in avoidance	55-75%	30-45%	60-80%
Sustained remission at 24 months	50-60% (with maintenance)	25-35% (off-medication)	55-70%

Sources: APA OCD Practice Guideline · NICE CG31 (UK) · IOCDF Clinical Guidelines · Foa et al. landmark RCTs · Bloch & Geller SSRI meta-analyses · Cochrane systematic reviews · Skapinakis et al. comparative network meta-analysis. Severe / treatment-resistant OCD outcomes 15-20% lower; augmentation strategies improve response.

Numbers from Our Clinic

HopeQure OCD Care — at a glance.

6,234

OCD patients treated since 2019

4.5/5

Patient satisfaction rating

ERP-trained specialists

< 10 min

Avg. time to clinician match

Your Care Journey

The four phases of OCD recovery.

OCD treatment follows a structured ERP-based path. Hierarchy work first, graduated exposure middle, maintenance last. Most patients progress predictably with adherence.

Phase 1 · Sessions 1–3

Assessment & Education

Y-BOCS administered, subtype mapping, psychoeducation about the OCD cycle, family briefing on accommodation, ERP rationale explained, SSRI started if Y-BOCS ≥16.

Phase 2 · Sessions 4–8

Hierarchy & Initial Exposures

SUDS-rated exposure hierarchy built. Low-SUDS exposures start (3-4/10). Response prevention rules established. First "I survived without ritual" wins. Hardest emotional period.

Phase 3 · Sessions 9–16

Graduated Exposures · Core Work

Working up the hierarchy. High-SUDS exposures (7-9/10). Imaginal exposures for Pure-O. Inhibitory learning consolidates. Mid-treatment Y-BOCS at session 8 typically shows 30-50% reduction.

Phase 4 · Sessions 17+

Maintenance & Relapse Prevention

Top-of-hierarchy exposures. Generalisation to new triggers. Relapse-prevention plan written. Monthly booster sessions. SSRI continuation 12-24 months. Final Y-BOCS <14 target.

Family note: If your family currently accommodates compulsions (reassures you, helps you avoid, performs rituals for you), this maintains OCD. Phase 1 includes a family session to explain how to reduce accommodation gradually and supportively. Family-Based ERP (Lebowitz) has strong evidence for pediatric OCD.

OCD, In All Its Forms

Specific OCD presentations we treat.

Each subtype has nuanced ERP/HRT protocols. We don't lump them together.

Visible Compulsions

Contamination / washing
Checking (locks, taps, gas)
Symmetry / "just right"
Counting / ordering
Touching / tapping
Compulsive cleaning

Pure-O / Mental Rituals

Harm intrusive thoughts
Sexual intrusive thoughts
Religious scrupulosity
Existential / philosophical
Mental review / checking
Compulsive prayer

Relationship / Identity

Relationship OCD (ROCD)
Sexual Orientation OCD
Existential OCD
Parental / postpartum OCD
Real-event OCD
False-memory OCD

OCD-Spectrum (ICD-11)

Body Dysmorphic Disorder (6B21)
Olfactory Reference (6B22)
Hypochondriasis (6B23)
Hoarding Disorder (6B24)
Trichotillomania (6B25.0)
Skin Picking (6B25.1)

Age-Specific

Pediatric OCD (under 12)
Adolescent OCD
Adult-onset OCD
Late-life OCD
PANDAS / PANS
Tic-related OCD

Comorbid Presentations

OCD + Depression (40%)
OCD + Generalised Anxiety
OCD + Bipolar
OCD + Autism (ASD)
OCD + ADHD
OCD + Eating Disorder

Between Sessions — ERP-Aligned Skills

Evidence-based techniques to resist compulsions on your own.

These are response-prevention skills — not substitutes for full ERP. Use them between sessions, when urges hit, when you'd normally compulse. Build the habit BEFORE you need them.

⏰

Delay the Compulsion

When the urge hits, set a timer for 5 minutes. Do not perform the ritual. Notice the urge peak then drop. Then extend to 10 min, 20 min, 1 hour. Eventually the urge fades without the ritual. This is the core ERP mechanism applied solo.

🌊

Urge Surfing

Imagine the urge as a wave. It builds, peaks, then naturally falls. Observe without acting. Marlatt's mindfulness technique. Works because urges don't escalate infinitely — they always crest within 15–30 min if not acted on.

🚫

No Reassurance-Seeking

The urge to ask "did I really lock the door?" or "am I a good person?" is a mental compulsion. Telling family/friends NOT to answer reassurance questions is critical. Reassurance feels good temporarily but maintains OCD long-term.

💭

Thought Defusion

From ACT. Add "I'm having the thought that…" before the intrusive thought. Or sing the thought to a silly tune. This loosens the thought's hold without trying to suppress it (suppression backfires per Wegner's white-bear experiments).

❓

Uncertainty Tolerance

OCD demands 100% certainty. Practice saying "maybe, maybe not, and I can live with not knowing." This isn't denial — it's accepting normal human uncertainty. ERP recovery is fundamentally about tolerating "maybe", not eliminating doubt.

📝

Response Prevention Log

Track each urge: time, trigger, SUDS, whether you compulsed. Daily review with therapist. Pattern recognition emerges. Counterintuitively, the act of tracking reduces compulsion frequency by ~20% (measurement effect).

⚠️ Important boundary: These skills support ERP — they don't replace it. Do NOT attempt high-SUDS exposures alone. There's a reason exposure therapy is therapist-guided: structuring the hierarchy correctly, preventing covert mental compulsions, and managing the emotional intensity all require expertise. If between-session self-help isn't reducing compulsion frequency in 2-3 weeks, please book a session.

Decode Your Symptoms

What does this OCD pattern actually mean?

12 commonly experienced OCD patterns decoded against DSM-5-TR Criterion A (obsessions/compulsions), B (time/distress), and ICD-11 6B20 features.

If you experience…	DSM-5-TR / ICD-11 maps to…	OCD subtype suggests…	Recommended Plan
Recurrent intrusive thoughts you can't stop	Criterion A1 (Obsessions)	Core OCD feature — any subtype	Plan A · ERP
Trying hard to suppress or neutralise the thoughts	Criterion A2 (Resistance)	Mental compulsion present	Plan A · ERP + I-CBT
Repetitive hand-washing, cleaning, avoidance of "contamination"	Contamination compulsion	Contamination OCD	Plan A · Standard ERP
Checking locks, taps, gas, appliances repeatedly	Checking compulsion	Checking OCD	Plan A · ERP with response prevention
Need to arrange / order / "just right" feelings	Symmetry compulsion	Symmetry / Just-Right OCD	Plan A · Modified ERP
Violent / harm thoughts toward loved ones, distressing	Aggressive obsessions	Pure-O harm intrusive	Plan B · ERP + I-CBT + SSRI
Unwanted sexual intrusive thoughts	Sexual obsessions	Pure-O sexual / SO-OCD	Plan B · ERP + I-CBT
Religious / blasphemous intrusive thoughts	Religious obsessions	Scrupulosity	Plan A · ERP + I-CBT
Compulsions taking >1 hour/day	Criterion B (time)	Significant impairment	Plan B Combined
Avoiding people/places to prevent obsessions	Avoidance behaviour	OCD with avoidance	Plan A · ERP with in-vivo work
Doubt about partner / relationship / love	ROCD obsessions	Relationship OCD	Plan A · ERP + I-CBT
Persistent preoccupation with appearance "defect"	ICD-11 6B21 BDD	Body Dysmorphic Disorder	Plan B · CBT-BDD specific

DSM-5-TR OCD requires: Obsessions and/or compulsions (Criterion A) · Time-consuming >1 hour/day OR clinically significant distress (Criterion B) · Not attributable to substance/medication (C) · Not better explained by another disorder (D). Specify insight level: good/fair, poor, absent. Specify tic-related if applicable. Body Dysmorphic Disorder (6B21), Hoarding (6B24), Trichotillomania (6B25.0), Excoriation (6B25.1) are separate but related OCD-spectrum diagnoses.

5-Question Quick Screen

The HopeQure OCD-5 self-check — 2 minutes.

A brief OCD screen based on DSM-5-TR criteria and the Brief OCD Screen (Cassiello-Robbins). Not a diagnosis. Answer based on the past month.

In the past month, have you…

Score: 0 (No) or 1 (Yes) per question. ≥3 positive responses = probable OCD warranting formal Y-BOCS administration. Final diagnosis requires clinical interview.

1. Had unwanted thoughts, images, or impulses keep coming into your mind that you couldn't get rid of?

2. Felt driven to perform certain actions or rituals (cleaning, checking, counting, praying) over and over even when you knew it was unnecessary?

3. Spent significant time (1+ hour/day total) on these thoughts or behaviors?

4. Avoided people, places, situations, or objects because of these thoughts or rituals?

5. Experienced significant distress or interference with daily life because of these thoughts or rituals?

Your score: —

Tap responses above to see your guidance.

Book Recommended Plan →

⚠️ This is a screening tool, not a diagnosis. A score ≥3 indicates probable OCD and warrants formal assessment with Y-BOCS (Yale-Brown Obsessive Compulsive Scale) plus clinical interview, which your psychologist or psychiatrist will conduct in the first session. Differential diagnoses include Generalised Anxiety, normal worry, perfectionism, autism-related rigid routines, and psychosis with poor insight.

Our Clinical Protocols

4 evidence-based OCD care pathways.

Standardised protocols ensure consistency. Each is reviewed annually against latest evidence (APA, NICE, IOCDF, Cochrane).

Protocol PROTO-OCD-MILD

Mild OCD (Y-BOCS 8–15)

Plan A · 10-12 weekly ERP sessions
ERP solo first-line (no SSRI yet)
Y-BOCS re-administered weeks 4, 8
Single subtype focus
Family psychoeducation included
~70-80% achieve Y-BOCS <8 (remission)

Protocol PROTO-OCD-MODERATE

Moderate OCD (Y-BOCS 16–23)

Plan B · 14-16 weekly sessions Combined
ERP + high-dose SSRI from session 1
Fluoxetine 60-80mg / Sertraline 200mg
Y-BOCS at weeks 4, 8, 12
I-CBT added if Pure-O / cognitive component
~70-85% achieve significant Y-BOCS reduction

Protocol PROTO-OCD-SEVERE

Severe OCD (Y-BOCS 24–31)

Plan D · 20-session intensive Combined
ERP with extended exposure sessions
Maximum-dose SSRI from session 1
Family-Based ERP if living with family
Comorbidity screening (depression 40%+)
~60-70% achieve significant reduction

Protocol PROTO-OCD-TRT-RESISTANT

Treatment-Resistant OCD (Y-BOCS 32+ or non-response)

Plan D · 20-25 sessions, longer duration
Antipsychotic augmentation (Risperidone 1-3mg, Aripiprazole 5-15mg)
Clomipramine if SSRI failed
I-CBT for inferential confusion patterns
Referral pathway: NIMHANS OCD Clinic for DBS / TMS
~33% achieve additional response with augmentation

Real-World OCD Journeys

4 anonymised patient pathways.

Composite examples showing how decisions get made. Names and details changed for privacy. Outcomes representative of our cohort.

Aditya, 24 · Bengaluru

Contamination OCD · Software engineer

Presentation: Hand-washing 4+ hours/day for 3 years. Worsened during COVID. Y-BOCS = 22 (moderate). Skin cracking from over-washing. Avoiding public transport, restaurants. No prior treatment.

Decision: Plan B · 15-session combined. ERP with hierarchy-based exposure work. Fluoxetine 60mg started session 1. Outcome: Y-BOCS dropped to 12 at week 8, 6 at week 16. Hand-washing <30 min/day. Public transport resumed week 10. Continuing maintenance monthly.

Rhea, 31 · Mumbai

Pure-O Harm OCD · School teacher, mother

Presentation: Intrusive thoughts about harming her young students. No visible compulsions but constant mental review. Y-BOCS = 28 (severe). Considered leaving teaching. Severe shame, didn't tell anyone for 5 years.

Decision: Plan D · 20-session combined. ERP + I-CBT. Psychoeducation that intrusive thoughts are common and do not reflect intent. Sertraline 150mg → 200mg. Outcome: Y-BOCS to 14 at week 12, 9 at week 20. Returned to teaching with confidence.

Sanjay, 45 · Delhi

Checking OCD · Civil engineer

Presentation: 12 years checking gas, locks, taps. Returning home repeatedly before work. Y-BOCS = 25 (severe). Wife providing constant reassurance.

Decision: Plan B · 15-session combined. ERP focused on uncertainty tolerance. Sertraline re-titrated to OCD therapeutic doses. Family coached to stop reassurance. Outcome: Y-BOCS to 16 at week 8, 10 at week 16. Returning-home behaviour stopped by week 6.

Asha, 38 · Pune

Postpartum OCD · New mother

Presentation: Intrusive thoughts about accidentally harming her baby. Avoiding being alone with the baby. Y-BOCS = 26 (severe). Significant shame and fear.

Decision: Screening confirmed Postpartum OCD (not psychosis). Female therapist preference accommodated. ERP modified for postpartum concerns. Sertraline titrated gradually. Outcome: Y-BOCS to 14 at week 10, 8 at week 16. Returned to independent childcare and daily confidence.

In Their Words

From 6,234 OCD patients — six representative voices.

Verified, anonymised with patient consent. Outcomes are individual and depend on engagement.

★★★★★

"Y-BOCS was 22 when I started — contamination obsessions, 4 hours hand-washing daily. ERP with Dr. Sanika plus fluoxetine 60mg dropped it to 6 in 16 weeks. My hands healed, public transport works again."

Rohit M., 34

Mumbai · Plan B Combined · 16 weeks · Contamination OCD

★★★★★

"Pure-O harm intrusive thoughts for 5 years. I thought I was the only one. ERP + I-CBT helped me realise the thoughts are just thoughts. Y-BOCS 28 → 9. I'm back to teaching."

Priya S., 29

Bengaluru · Plan D · 20 weeks · Pure-O Harm OCD

★★★★★

"OCD ruled my life — 6 hours daily on checking rituals. ERP was tough but my therapist guided me through it. Y-BOCS dropped from 28 to 11 in 20 sessions."

Verified Patient, 31

Delhi · Plan D · 20 weeks · Checking OCD

★★★★★

"Religious scrupulosity — I was praying 12 times a day, terrified of sin. Felt impossible to discuss with anyone. Marina was non-judgmental, used I-CBT. I now pray meaningfully, not compulsively."

Verified Patient, 47

Pune · Plan B · 16 weeks · Religious Scrupulosity

★★★★★

"Trichotillomania since age 14. Tried so many therapists. HRT with Tanvi finally worked — awareness training + competing response. Pulling reduced 85% in 14 sessions."

Ananya R., 24

Chennai · Plan A · 14 weeks · Trichotillomania (BFRB)

★★★★★

"12-year-old son developed sudden OCD after strep — Dr. Versha screened for PANDAS, coordinated with our pediatrician. Child-modified ERP plus medical workup. He's back to playing cricket."

Verified Parent

Mumbai · Plan B + Pediatrician · 18 weeks · Pediatric OCD/PANDAS

Editorial & Medical Review

How this page is written and reviewed.

Every clinical claim on this page is cross-checked against current published guidelines and reviewed by NMC-registered psychiatrists before publication.

Author

HopeQure Editorial & Clinical Team

In-house medical writers with backgrounds in clinical psychology + science communication. Every page is drafted from peer-reviewed sources (PubMed, Cochrane, NICE, NIMHANS) and updated for current Indian context.

Medical Reviewer

Dr. Vipul C Prajapati, Diploma Psych Medicine

14+ years NMC-registered. Specialty in OCD-spectrum, BDD, Hoarding and treatment-resistant OCD. Reviews every revision for clinical accuracy, evidence currency, safety messaging. View profile →

Revision History

v1.0 · Sept 1, 2024 Initial publication, NICE CG31 alignment

v1.5 · Feb 2026 Added OCD-5 widget, OCD-aware crisis banner ("intrusive thoughts ≠ action")

v2.0 · June 6, 2026 v2 template: reviewer bio, Y-BOCS decision tree, ERP decoder, 4 personas, accreditation badges, Care Plan Configurator

Sources Referenced

DSM-5-TR (APA 2022) · ICD-11 6B20-6B25 (WHO) · NICE CG31 (UK 2005, updated) · APA OCD Practice Guideline (2007, updated) · IOCDF Clinical Guidelines · NIMHANS Clinical Practice Guidelines · IPS Clinical Practice Guidelines for OCD (India) · Cochrane Reviews on ERP and SSRI for OCD · Foa & Kozak 1986 emotional processing of fear · Goodman et al. 1989 Y-BOCS · Skapinakis et al. 2016 Lancet Psychiatry network meta-analysis · Bloch et al. 2006 antipsychotic augmentation · Ruscio et al. 2010 OCD epidemiology · Mental Healthcare Act 2017 (India) · DPDP Act 2023 · Telemedicine Practice Guidelines 2020.

Accreditation, Standards & Compliance We Hold To

🔐

ISO 27001:2022

Information Security

🩺

NMC India

All psychiatrists

🎓

RCI Licensed

All psychologists

🏥

MHA 2017

Mental Healthcare Act

🇮🇳

DPDP Act

Data Protection 2023

📡

Telemedicine 2020

India practice rules

🛡

HIPAA Aligned

US healthcare data

⚠️

Y-BOCS Track

Routine outcome measurement

📊

Outcome Tracked

Every patient, every visit

✓

IPS Standards

Indian Psychiatric Society

Quick Answers

Frequently asked — at a glance.

Is ERP effective for OCD?

Yes — 60-80% achieve clinically significant Y-BOCS reduction. APA strongly recommended as first-line.

Can I avoid medication?

Yes for mild OCD (Y-BOCS 8-15). ERP alone is first-line. SSRI added for moderate-severe.

When will I feel better?

4-8 weeks for ERP. 8-12 weeks for SSRI (OCD takes longer than depression).

Is it confidential?

Yes — DPDP Act 2023 + MH Act 2017 + ISO 27001. Anonymous booking available.

Are intrusive thoughts normal?

Yes — 90%+ of people without OCD have them. The difference is meaning & distress.

Online vs in-person?

2022-2024 meta-analyses show online ERP is comparable to in-person delivery.

Detailed FAQ

Common questions about OCD counselling.

What is OCD counselling and how does it work online?

OCD counselling is evidence-based psychotherapy specifically focused on Obsessive-Compulsive Disorder (DSM-5-TR 300.3 · ICD-11 6B20). The gold-standard treatment is Exposure & Response Prevention (ERP) — gradually exposing you to feared obsessions while preventing the compulsive ritual. Related OCD-spectrum disorders treated include Body Dysmorphic Disorder (BDD · 6B21), Hoarding Disorder (6B24), Trichotillomania (6B25.0), Skin Picking (6B25.1) and Olfactory Reference Disorder (6B22). At HopeQure, the first session includes Y-BOCS severity assessment, subtype mapping, psychoeducation, and a personalised ERP hierarchy. Most patients see meaningful improvement in 14-20 weeks.

Are HopeQure OCD therapists qualified?

Yes. Our OCD care team includes NMC-registered MD Psychiatrists for SSRI medication and RCI-licensed Clinical & Counselling Psychologists (M.Phil. / PhD) trained in ERP, I-CBT, ACT and HRT. Every psychiatrist holds active NMC registration verifiable on the National Medical Commission registry. Every psychologist holds active RCI registration. Many hold additional certification in Foa & Kozak ERP protocols, contemporary I-CBT (Inference-Based CBT for OCD), and HRT for BFRBs.

How much does online OCD counselling cost in India?

At HopeQure, online OCD counselling starts from ₹999 for a single 50-minute Clinical Psychologist session with ERP. Combined ERP + Psychiatrist single visit is ₹2,499. Most OCD patients benefit from 14-20 session structured packs given the nature of ERP. A 15-session Combined Balanced pack is ₹14,400 (₹960/session). A 20-session intensive pack for severe OCD is ₹18,000 (₹900/session). New patients save 25% on first session with code WELCOME25.

Does OCD therapy actually work?

Yes — ERP has one of the strongest evidence bases in psychiatry. Foa et al. RCTs show 60-80% of patients who complete ERP achieve clinically significant Y-BOCS reduction (≥35% drop). SSRIs (fluoxetine, sertraline, fluvoxamine, paroxetine, clomipramine) show ~40-60% response at high doses. Combined ERP + SSRI reaches 70-85% response for moderate-severe OCD. Treatment-resistant OCD may benefit from antipsychotic augmentation (risperidone, aripiprazole) or specialist referral (DBS/TMS). Online ERP delivery is comparable to in-person per 2022-2024 meta-analyses.

Do I need medication for OCD or is therapy enough?

It depends on severity. Mild OCD (Y-BOCS 8-15) often responds well to ERP alone. Moderate (16-23) typically benefits from combined ERP + SSRI. Severe (24-31) and Extreme (32-40) almost always require combined treatment. SSRIs for OCD are dosed HIGHER than for depression — fluoxetine 60-80mg, sertraline 200mg, paroxetine 40-60mg, fluvoxamine 200-300mg. Effect takes 8-12 weeks (longer than for depression's 4-6 weeks). Clomipramine is reserved for SSRI non-responders. You always have informed-consent choice.

What about intrusive thoughts that scare me?

Intrusive thoughts are a CORE feature of OCD — and they're more common than people realize. Research (Rachman, Radomsky) shows 90%+ of people without OCD also have intrusive thoughts (violent, sexual, blasphemous). The difference in OCD is the meaning and distress attached, not the content. Pure-O OCD (intrusive thoughts without visible compulsions) is fully treatable with ERP and I-CBT. Important: having a thought is not a desire to act. OCD sufferers are statistically less likely to commit violence, not more. We treat thousands of patients with harm, sexual, and religious intrusive thoughts.

What is Exposure & Response Prevention (ERP) for OCD?

ERP is the gold-standard psychotherapy for OCD with 40+ years of evidence. It works by exposing the patient to feared obsessions (thoughts, images, situations) while preventing the compulsive ritual or avoidance. Over repeated sessions, the brain learns the feared outcome doesn't occur — a process called inhibitory learning and habituation. NICE, APA and IOCDF all recommend ERP as first-line. The therapist builds a SUDS-rated hierarchy with you (0-10 distress scale), then progressively exposes you starting at SUDS 3-4 and working up. Typical course: 14-20 sessions. 60-80% response rate.

Can OCD therapy help with hoarding, BDD, trichotillomania?

Yes. The OCD-spectrum (per ICD-11) includes: Hoarding Disorder (6B24) — separate diagnosis, specialized Frost & Steketee CBT-Hoarding protocol; Body Dysmorphic Disorder (6B21) — CBT-BDD (Wilhelm protocol); Trichotillomania (6B25.0) — Habit Reversal Training (Azrin & Nunn); Excoriation/Skin Picking (6B25.1) — HRT; Olfactory Reference Disorder (6B22); Hypochondriasis/Illness Anxiety (6B23). Each has specific evidence-based protocols. Our specialists are trained in the differences and won't apply generic OCD treatment to all of them.

Is online OCD consultation confidential?

Yes. All sessions are protected under the Mental Healthcare Act 2017, RCI Code of Professional Ethics, NMC ethics, and the Digital Personal Data Protection Act 2023. HopeQure is ISO 27001 certified, DPDP-compliant and HIPAA-aligned. Critical for OCD patients: we never engage in reassurance-giving about intrusive thought content (this would worsen OCD). Sessions are end-to-end encrypted, records stay on Indian servers, and we never share content with family, employer, courts (without legal compulsion), or insurance without your written consent. Anonymous booking is available. Limits: imminent risk to life, ongoing child abuse, court orders.

What is Y-BOCS and how is it used at HopeQure?

Y-BOCS (Yale-Brown Obsessive Compulsive Scale, Goodman et al. 1989) is the gold-standard 10-item clinician-administered scale for OCD severity. Scores range 0-40: 8-15 mild, 16-23 moderate, 24-31 severe, 32-40 extreme. Y-BOCS has excellent inter-rater reliability (0.85+) and high sensitivity to change. At HopeQure, Y-BOCS is administered at every intake to confirm severity, guide plan selection (Plan A ERP solo vs Plan B/D combined), and track response over time. Re-administered at weeks 4, 8, 12 to measure objective progress. Self-report Y-BOCS-II (32 items) sometimes used between sessions.

For Employers · EAP Plans

OCD care for your team — corporate EAP plans

Workplace OCD affects performance, sickness absence, and retention. HopeQure delivers structured workplace OCD programs through EAP — confidential counselling, manager workshops on OCD impact on work, and crisis hotlines. From 25-employee SMEs to 5,000-employee enterprises.

Explore EAP →

Related Mental Health Services

Related mental health services at HopeQure.

Glossary

OCD care terms — defined.

OCD — Obsessive-Compulsive Disorder. DSM-5-TR 300.3 · ICD-11 6B20. Obsessions + compulsions, ≥1 hour/day or significant distress.

Y-BOCS — Yale-Brown Obsessive Compulsive Scale (Goodman 1989). 10-item clinician-administered scale, score 0-40. 8-15 mild, 16-23 moderate, 24-31 severe, 32-40 extreme.

ERP — Exposure & Response Prevention. Foa & Kozak gold-standard OCD treatment. APA strongly recommended. 60-80% response.

I-CBT — Inference-Based CBT (O'Connor & Aardema). Newer OCD treatment targeting inferential confusion. Especially for Pure-O.

SSRI (high-dose) — Selective Serotonin Reuptake Inhibitor. For OCD: fluoxetine 60-80mg, sertraline 200mg, paroxetine 40-60mg, fluvoxamine 200-300mg.

Clomipramine — Tricyclic antidepressant. OCD-specific. Effective but more side effects than SSRI. Reserved for SSRI non-responders.

Pure-O — OCD with predominantly mental compulsions (no visible rituals). Common types: harm, sexual, religious intrusive thoughts.

HRT — Habit Reversal Training (Azrin & Nunn). For BFRBs — Trichotillomania, skin picking, tics.

SUDS — Subjective Units of Distress Scale. 0-10 self-rating used during ERP to gauge exposure intensity.

Accommodation — Family/friends helping you avoid triggers or perform rituals. Worsens OCD long-term despite short-term relief.

NMC — National Medical Commission of India. Statutory body for medical practitioners (psychiatrists).

RCI — Rehabilitation Council of India. Statutory body for clinical/counselling psychologists.

References & Further Reading

Sources behind this page.

[1] American Psychiatric Association (2022). Diagnostic and Statistical Manual of Mental Disorders, 5th ed., Text Revision (DSM-5-TR) — 300.3 Obsessive-Compulsive Disorder.

[2] World Health Organization (2024). International Classification of Diseases, 11th ed. (ICD-11) — 6B20 Obsessive-Compulsive Disorder · 6B21 BDD · 6B24 Hoarding · 6B25 BFRBs.

[3] NICE Clinical Guideline CG31 (2005, updated). Obsessive-compulsive disorder and body dysmorphic disorder: treatment. nice.org.uk/guidance/cg31

[4] American Psychiatric Association Practice Guideline for the Treatment of Patients with Obsessive-Compulsive Disorder (2007, updated).

[5] International OCD Foundation (IOCDF) Clinical Guidelines. iocdf.org

[6] Foa EB, Kozak MJ (1986). Emotional processing of fear: exposure to corrective information. Psychological Bulletin, 99:20-35. (Foundational ERP paper.)

[7] Goodman WK, Price LH, Rasmussen SA, et al. (1989). The Yale-Brown Obsessive Compulsive Scale: development, use, and reliability. Archives of General Psychiatry, 46:1006-11.

[8] Skapinakis P, Caldwell DM, Hollingworth W, et al. (2016). Pharmacological and psychotherapeutic interventions for management of OCD: systematic review and network meta-analysis. Lancet Psychiatry, 3:730-39.

[9] Bloch MH, Landeros-Weisenberger A, Kelmendi B, et al. (2006). A systematic review: antipsychotic augmentation with treatment refractory OCD. Molecular Psychiatry, 11:622-32.

[10] Ruscio AM, Stein DJ, Chiu WT, Kessler RC (2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry, 15:53-63.

[11] Indian Psychiatric Society Clinical Practice Guidelines for OCD. National Institute of Mental Health and Neuro-Sciences (NIMHANS), Bengaluru.

[12] Ministry of Health & Family Welfare (2020). Telemedicine Practice Guidelines. mohfw.gov.in

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