I can offer online I-CBT therapy to clients in New Hampshire, Maine and Florida. However I also offer online OCD coaching using I-CBT for clients worldwide!

Inference-Based Cognitive Behavioral Therapy (I-CBT) is a well-researched method for treating OCD and related anxiety disorders by addressing the core obsessional doubts that fuel compulsive behaviors. Unlike traditional CBT, which often emphasizes exposure therapy, I-CBT prioritizes the resolution of irrational doubts, leading to significant symptom relief. Research indicates that I-CBT is effective in reducing OCD symptoms. It consists of a structured 12-module program that helps you understand your symptoms, utilize cognitive techniques, and develop practical skills for managing everyday challenges. By focusing on reframing doubts and enhancing reality-sensing and self-trust, I-CBT therapy provides a thorough and empowering approach to taking charge of your mental health.

Yes, Inference-Based CBT is effective for all types of OCD symptoms. This treatment approach addresses the root cause of OCD by focusing on the inferential confusion that drives obsessional doubts, regardless of the specific theme or content of the thoughts.

I-CBT is a proven therapy treatment designed for OCD and related disorders. It operates on the principle that obsessions are driven by obsessional doubts about what “could be” or “might be” (like worrying, “Did I leave the stove on?” “Am I contaminated?” or “Could I be a bad person?”). By focusing on these doubts and how they distort our thinking, I-CBT therapy helps in managing and reducing the impact of such obsessive thoughts which lead to compulsions.

Inference-Based CBT addresses the core issues behind OCD by focusing on the deeper reasoning patterns that drive obsessive thoughts. Rather than just targeting surface-level symptoms, I-CBT aims to understand why these obsessions occur in the first place.

I-CBT works by tackling the concept of “inferential confusion,” which happens when abstract fears are mistaken for real threats. This confusion blurs the line between what’s real and what’s just a possibility, making unlikely fears feel urgent and true. By resolving this confusion, I-CBT helps you differentiate between genuine concerns and irrational worries. It also addresses identity fears and self-doubt, which often contribute to OCD symptoms by making you feel vulnerable in certain areas of life. Through this comprehensive approach, I-CBT helps manage OCD more effectively by targeting the root reasoning errors behind obsessive doubts.

When it comes to treating OCD, several evidence-based therapies can be effective. However, the best type of therapy often depends on the individual’s specific needs and circumstances. Here’s an overview of some of the most effective treatments:

1. Exposure and Response Prevention (ERP): ERP is a form of Cognitive Behavioral Therapy (CBT) that involves exposing individuals to their OCD triggers and preventing the usual compulsive responses. It helps reduce anxiety and break the cycle of obsession and compulsion by gradually facing fears in a controlled manner.

2. Inference-Based Cognitive Behavioral Therapy (I-CBT): I-CBT focuses on resolving the underlying cognitive processes that lead to OCD symptoms. It addresses the “inferential confusion” that makes obsessions seem more real and urgent. By targeting the core reasoning issues, I-CBT for OCD helps individuals manage their obsessive thoughts and reduce compulsive behaviors.

3. Acceptance and Commitment Therapy (ACT): ACT helps individuals accept their thoughts and feelings rather than trying to control or avoid them. It focuses on mindfulness and values-based living to reduce the impact of OCD symptoms on daily life. This is a great complementary therapy to I-CBT and ERP or as a standalone treatment option. 

No One Therapy is “Better” or “Best”

While these therapies are evidence-based and effective, no single approach is universally "better" or "best" for everyone. The effectiveness of therapy can vary based on individual factors such as:

• Personal Preferences: Different people respond to different approaches. What works best for one person may not be as effective for another.

• Specific Symptoms: The nature of your OCD symptoms and any co-occurring conditions can influence which therapy might be most beneficial.

• Treatment Goals: Your personal goals and what you hope to achieve through therapy can guide the choice of treatment.

Traditional Cognitive Behavioral Therapy (CBT) is a common method used for various mental health issues, but it doesn't always work well for the symptoms of OCD. This is mainly because it focuses on changing thought patterns without fully tackling the compulsive behaviors and underlying reasoning that contribute to OCD. While traditional CBT aims to reframe distressing thoughts, it might miss the compulsions and the “inferential confusion”—the tendency to perceive unlikely fears as real threats—that are key to OCD. To effectively treat OCD, it's important to address both obsessions and compulsions, something that traditional CBT may not accomplish completely.

When it comes to treating OCD, there isn't a one-size-fits-all solution. Success depends on various factors, including individual needs, specific symptoms, client engagement in treatment, adherence to the treatment plan and homework outside of sessions.