Stephen Smith

Problem Tech Solves

Obsessive-compulsive disorder (OCD) is a severe psychiatric condition requiring specialized treatment: Exposure & Response Prevention (ERP). Lifetime prevalence of OCD is approximately 2.3%, affecting nearly 1 in 40 people (~8M Americans). OCD is debilitating; those suffering are 10X more likely to commit suicide, it is ranked by the WHO as 10th leading casue of disablity, and approximatly 1 in 4 people with OCD develop substance abuse. Despite the prevalence, OCD is widely misunderstood & misdiagnosed. This, combined with a lack of mental health resources, causes a 14-17 year patient journey to find appropriate care. Limited access to proper care at the appropriate time creates a burden on the healthcare system. Per 1M commercially insured, OCD generates $104M+ annually in behavioral health costs; of which, 96% is associated with inappropriate care. NOCD revolutionized OCD treatment & the patient experience. NOCD’s telehealth platform enables patients to schedule live face-to-face therapy sessions with licensed clinical therapists specializing in ERP therapy. In between visits NOCD’s patient tools empower them to better manage their OCD and practice therapeutic techniques. We’ve built the leading online OCD community with 100K+ community engagements a month. Patients no longer have to feel alone as we reduce social stigma surrounding OCD. Reducing this stigma & identifying people in need allows us to enroll patients into the largest telehealth network of OCD-specialized therapists in the world. As a result, we’ve grown from 100s of patient visits a month to over 12K visits a month; and we’re a covered benefit for 1 and 3 Americans.

Tech Brief

Few Behavioral Health Apps provide personalized care from qualified therapists. NOCD’s technological approach is comprehensive & solves 3 challenges: 1) Efficient Evidence-Based Treatment 2) Convenient & Constant Support 3) Cost of Specialized Treatment. Access to ERP is critical as regular talk-therapy often makes OCD patients worse. NOCD has created the largest nationwide network of licensed ERP-specialized clinical therapists. Through our telehealth platform, we quickly bring evidence-based OCD therapy to patients in the convenience of their home or other preferred setting. NOCD doesn’t stop at just providing access to live face to face therapy sessions. We virtually wrap additional care services around our patients. They can use our self-help tools to practice what they’ve learned in therapy, reachout to therapists via secure messaging, and monitor their progress & symptoms. Additionally, each patient is assigned a personal care advisor that can help them with their condition and personalized treatment plan. Lastly, with our App patients can access educational resources; they can join groups for people with similar symptoms, attend weekly educational sessions led by clinicians & care advocates. Until NOCD, ERP therapy was largely unaffordable. Private practices typically charge $250-350 per ERP session. NOCD’s cash payment option is nearly half the market rate. Additionally, we accept commercial and medicaid insurance, which further reduces the economic burden and makes care more accessible to more people that need it.

Tech Differentiators

NOCD is the leading comprehensive telehealth solution uniquely focused on the identification, education and treatment of OCD. Prior to NOCD, people suffering with OCD could only access traditional treatment modalities from a limited set of therapists that are often not covered by insurance. The traditional approach to OCD treatment is to largely ignore it, which allows millions of people with the condition to suffer in silence. Providing a Comprehensive & Evidence-Based Solution. NOCD uniquely combines elements of community, treatment, self-empowerment tools and technology to deliver a superior patient experience to end the needless suffering caused by OCD worldwide. NOCD is built from the consumer backwards. From a patient’s first call to scheduling all appointments, our process is designed to be a frictionless experience for the consumer. NOCD’s evidence-based care doesn’t just stop at the visit, we continuously stay with our patients throughout their care experience. Our goal is to return patients to their communities and avoid the current revolving door of inappropriate & potentially harmful care. Reducing Therapist Scarcity & Patient Costs. Before NOCD, finding an in-network therapist specifically trained in ERP therapy was challenging. Out-of-network ERP therapists are unaffordable (average per appointment fee being $250-$350)*. Most therapists have a 120+ day or greater waitlist. With 200+ therapists, NOCD has created the largest nationwide network of ERP therapists. NOCD patients typically have their first appointment within 7 days. Additionally, self-pay rates are significantly lower than market rates. We further lowered the economic barrier for many by accepting commercial insurance. *


NOCD consistently measures success through analytics on utilization improvement, symptom reduction & outcome improvement. We’re identified experts on OCD subject matter & recently commissioned an independent actuarial study. The first of its kind, this study found the under-counted OCD population results in payers, employers & patients wasting billions annually on inappropriate care. NOCD has a treatment analytics division continually monitoring efficiency and effectiveness of our care protocol in: Standard of Care: NOCD is the only nationwide network of clinical licensed therapists specializing in ERP, the gold standard for OCD treatment, and is accessible in all 50 states & 4 countries. Care Delivery Efficiency: Our patient population shows a 40%+ reduction in OCD & co-morbid symptoms in 70-90 days of treatment. Compared to the industry average therapeutic time and visits we are delivering results 75% faster with roughly half the amount of treatment. Reduced Economic Burden Through Lower Costs: Our cash pay rates are nearly half of ERP market price Unlike many therapists, we accept national and regional commercial and Medicaid insurance. NOCD has made ERP a covered benefit for 1 and 3 Americans. Improved patient Outcomes/Improved user satisfaction: Reduction of OCD severity by 47% Lowered comorbid anxiety by 45% Reduced comorbid depression by 40% Lowered comorbid stress by 34% Case Studies: Columbia University studied the effects of integrating ERP therapy with a Mobile App to treat OCD. The results found a majority of the study participants had positive outcomes with the integrated delivery model. Our patients say it best. Please see our testimonial links attached.

Why Us

The system failed people with OCD. NOCD’s solution: provide care to an underserved population. In <2 years, we’ve created the largest online OCD community, grown from 100 patients per month to almost 12,000 & expanded to 4 countries. Fueled by empathy & science - NOCD has a chance to impact millions.

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