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Mood & Anxiety

Obsessive-Compulsive Disorder (OCD) Treatment

OCD is highly treatable with the right approach. We deliver exposure and response prevention alongside the broader supports that help young people fully re-engage with life.

Why Families Choose Pand

OCD and the psychosis spectrum overlap more than most clinicians realize, and the consequences of missing that overlap are significant. When thought-disorder symptoms emerge alongside OCD, exposure and response prevention alone is often insufficient — and OCD that looks 'treatment-resistant' is sometimes OCD with an unrecognized psychotic process underneath. Pand Health holds both lenses, so we can deliver gold-standard ERP and simultaneously address the thought-disorder dimension when it presents.

~1 in 200

Children & adolescents affected

~1 in 100

Adults affected

14–17 years

Average delay before treatment

~60–80%

ERP response rate

Understanding Obsessive-Compulsive Disorder (OCD)

OCD is a neurobiological condition that creates a cycle of unwanted intrusive thoughts and the behaviors people use to relieve the distress they cause. These experiences are far more common than most families realize — and they respond exceptionally well to evidence-based treatment. With the right support, people can quiet the cycle and regain clarity, function, and confidence.

Signs and Symptoms

  • Intrusive, unwanted thoughts
  • Repeated behaviors or mental rituals to reduce distress
  • Avoidance of places, people, or activities
  • Significant time lost to symptoms each day
  • Strong distress when rituals are interrupted

Our Approach

  • Exposure and response prevention (ERP) — the gold standard
  • Medication management when indicated (SSRIs, augmentation when needed)
  • Family coaching to reduce accommodation
  • Coordinated care for co-occurring conditions, including psychosis-spectrum disorders
  • Group programming for shared exposure work and social confidence

Obsessions

Intrusive, unwanted thoughts or images that feel upsetting or hard to control. Examples include:

  • Fears about contamination or getting sick
  • Worry about accidentally harming yourself or others
  • 'Not just right' feelings or perfectionistic thoughts
  • Taboo or distressing intrusive images
  • Doubt and uncertainty about memory, intentions, or identity

Compulsions

Behaviors or mental rituals someone does to feel safer or reduce anxiety. Relief is brief, and the fear usually returns.

  • Repeated cleaning or washing
  • Checking locks, appliances, or tasks over and over
  • Seeking reassurance from others
  • Silent mental rituals — counting, replaying thoughts, repeating phrases

OCD and Co-Occurring Psychosis

A meaningful subset of OCD presents alongside schizophrenia-spectrum conditions — sometimes called 'schizo-obsessive' presentations. The overlap is increasingly recognized in the research literature and is one of the most common drivers of OCD that fails standard treatment. We have deep experience teasing these apart and treating them simultaneously: ERP for OCD alongside the psychosocial and pharmacologic interventions that target the cognitive systems disturbed by psychosis. When OCD has felt treatment-resistant, this dual lens often changes the outcome.

Typical Onset

OCD often begins between ages 8 and 13, with a second peak in late adolescence and early adulthood — frequently triggered or amplified by stressful transitions. Many individuals experience their first symptoms around age 19, putting OCD onset squarely in our age range.

The Standard of Care

Coordinated Specialty Care — Delivered with Fidelity

Pand Health applies the same Coordinated Specialty Care principles we use for psychosis to every condition we treat: a single multidisciplinary team, evidence-based therapies delivered with fidelity, family included as partners, and care coordinated across psychiatry, therapy, and real-world functioning. We adhere strictly to best practices established by NIMH, the APA, and leading academic centers such as McLean Hospital, Yale PRIME, and the OnTrackNY network — because shortcuts produce relapse, and integration produces recovery.

Ready to talk through OCD care?

Our clinical team is here to listen. A member will reach out within one business day.

Ready to take the next step?

A clinical team member will reach out within one business day.