Intensive In-Home OCD Treatment based in New Braunfels serving all of Texas
Discreet, expert exposure and response prevention (ERP), delivered privately in your home by senior clinicians trained through the IOCDF’s Behavior Therapy Training Institute.
Clients consistently achieve meaningful reductions in OCD severity through our focused, intensive approach.
Serving clients statewide: Dallas-Fort Worth, Houston, San Antonio, Austin, and the Texas Hill Country.
Who We Are
Texas's Only In-Home 1;1 OCD Treatment Program
Specialized Care for Moderate to Severe OCD. Delivered Where You Need It Most
Unlike traditional IOPs that rely on group work, our team provides intensive treatment for OCD in the client’s natural environment. This structure allows us to deliver an expert OCD treatment model that fits your life while addressing your symptoms in real time.
1;1
Personalized Care
Trusted
Service Area
Bringing Expert OCD Treatment Throughout Texas
The OCD Clinics serves clients across the entire state of Texas through our in-home treatment model. With physical offices in the Dallas-Fort Worth metroplex and New Braunfels, we bring specialized care directly to your home, wherever you are in Texas.
Our Service Areas Include;
- Dallas-Fort Worth Metroplex
- Houston and surrounding areas
- San Antonio and Central Texas
- Austin and Hill Country
- And all other Texas communities
Statewide Texas Including DFW, Houston, San Antonio, Austin & beyond
When OCD Takes Over Your Life
When OCD disrupts your relationships, work, or daily routine, you need more than standard therapy. You need focused care. Our fourteen-day, 32-hour intensive program offers a customized OCD treatment plan that adapts to your home, your triggers, and your daily patterns. This program functions as an advanced IOP for OCD in Texas, and it delivers high-impact care designed to create lasting behavioral change.
Elite Clinical Expertise You Can Trust
All of our clinicians are trained through the IOCDF’s Behavior Therapy Training Institute. Consequently, you receive evidence-based OCD treatment from experts who understand complex OCD presentations.
This advanced training ensures you receive evidence-based treatment from clinicians who have mastered the gold-standard approaches to OCD treatment and understand the complexities of moderate to severe presentations
Our Comprehensive 32-Hour Treatment Program
Fourteen Days of Intensive, Personalized Care
Initial Assessment & Planning
Your journey begins with a thorough intake assessment, allowing us to develop a customized treatment plan incorporating:
- Your specific OCD symptoms and triggers
- Input from family members (with your permission)
- Relevant treatment history
- Personal goals and priorities for recovery
In-Home Treatment Sessions
- 24 hours of 1:1 intervention in your home
- Three days per week of intensive in-person therapy
- Real-world exposure work in your actual environment
- Immediate application of skills where you need them most
Daily Remote Support
- 8 hours of remote check-in sessions with your dedicated clinician on non-treatment days
- Continuous support and guidance
- Progress monitoring and plan adjustments
Evidence-Based Approaches
We integrate two powerful, empirically-validated treatment methodologies:
- Exposure and Response Prevention (ERP) – The gold standard for OCD treatment
- Acceptance and Commitment Therapy (ACT) – Enhancing psychological flexibility
Flexible Scheduling
- You and your clinician determine treatment dates together
- Accommodates your personal and professional commitments
- Designed to fit your lifestyle while maximizing outcomes
Ongoing Support & Continuity
- Work with the same dedicated clinician throughout
- Deep understanding of your unique symptoms
- Options for continuing care after program completion
- Family education and resources
Why In-Home 1;1 Treatment Changes Everything
Treating OCD Where It Lives
Unlike traditional office-based therapy, our clinicians work with you in your actual environment—your home, where many OCD symptoms are most active. This innovative approach allows you to develop and practice coping skills in real-time, in the places where you'll need them most, leading to faster and more sustainable recovery.
The Only Program of Its Kind in Texas
Many individuals struggle to find an intensive outpatient program for OCD that offers true 1:1 care. Until we opened, this level of support simply didn’t exist in the state. We now fill that gap by offering the most specialized OCD treatment in Texas, delivered by BTTI-Trained (IOCDF) clinicians.
The Power of Context-Based Learning
Research consistently demonstrates that skills learned in context are more effectively retained and applied. When you learn to manage your OCD symptoms in the actual environments where they occur, you build genuine confidence and capability that transfers seamlessly to daily life.
Who this is for
Who Benefits from Our In-Home Intensive Program
Moderate to Severe OCD
Symptoms that significantly impact your daily functioning and quality of life
Homebound Challenges
Difficulty leaving home due to contamination fears, checking compulsions, or other OCD-related barriers
Limited Traditional Progress
Weekly outpatient therapy hasn't provided the breakthrough you need
Need for Intensive Care
Requiring more support than traditional therapy but not needing inpatient hospitalization
Transitioning from Higher Care
Stepping down from residential treatment and needing ongoing intensive support
Multiple Treatment Attempts
Previous therapies haven't worked and you're seeking a different, more intensive approach
Discover Our Services
Texas’s only in-home, 1:1 intensive program for OCD. Our approach acknowledges that OCD impacts both the family and the sufferer. We deliver structured care through our OCD Intensive Treatment Program, which blends in-home ERP sessions with education and coaching.
What To Expect
OUR COMMITMENT TO YOU THROUGHOUT THIS PROCESS, YOU CAN EXPECT:
Compassionate, non-judgmental care. We create a safe space where you feel heard, understood, and supported every step of the way. No shame, no stigma
Celebration of your successes, both large and small We believe that treatment works best when you feel genuinely understood and supported
Evidence-based approaches customized to your specific needs Clear communication about treatment progress
Flexibility to adapt when something isn’t working. Therapy isn’t one-size-fits-all, and neither are we.
If something’s not helping, we pivot.
We honor your time, values, and capacity.
No pressure, no pushy sales — just honest support. Clear pricing, open communication, and care that respects your boundaries.
Our approach empowers you with the skills, insights, and confidence to create lasting positive change.
See what Our Clients are saying
My teen daughter had debilitating OCD with intense rituals and severe contamination fears that kept her largely confined to the shower or couch. We were waitlisted for two of the leading in-house OCD programs in the country, but connected with The OCD Clinics after my daughter was unable to return to high school after the first day. Therapist Karly Kothmann met with us at our home the following week, and, after two weeks of intensive therapy sessions, she was able to get my child back in school and well along the path to recovery. I am thankful every single day for Karly’s care and expertise in our time of crisis.
Karly is knowledgeable, compassionate, and personable. Her expertise when it comes to treating OCD is unmatched. She’s got a confidence that immediately empowers and encourages clients to succeed. The time our son spent working with her was life changing for him and for our entire family.–
Christi P
My time with Karly has been life changing! She taught me the exposure skills necessary to battle my OCD. It really helps to have someone come along beside you.
~Janie S
Meet Your Clinical Team
Expert, licensed clinicians specialized in OCD, trusted in your home.
Why Does Treatment Work Better at Home?
Research consistently shows that skills learned in the actual environment where they’ll be used lead to better outcomes:
Real-world application
Practice techniques exactly where you’ll need them most
Environmental triggers
We can identify and address specific triggers within your daily environment
Skill Transfer to Real Life
Skills you build in your own environment transfer directly to daily life.
Family integration
When appropriate, we can involve supportive family members in the process
Comfort equals openness
Most clients report feeling more at ease discussing challenging topics in their own space
Consistency
Eliminates transportation barriers that often lead to missed appointments.
Our data shows that clients receiving in-home treatment maintain improvements at significantly higher rates than those receiving traditional office-based care.
A Standard of Care You Won't Find Elsewhere in Texas
Most intensive programs ask you to travel, sit in group sessions, and adapt to their schedule. We do the opposite. Our clinicians come to you — working one-on-one, in the environment where your OCD actually operates, on a schedule built around your professional and family life.
This is private, concierge-level clinical care: a single dedicated expert, complete discretion, and a treatment plan built around your life — not a waitlist and a clinic waiting room.
Customized Approach
We design personalized treatment plans that adapt to your specific needs, circumstances, and goals
Evidence-Based Methods
Our approaches are grounded in research and proven clinical outcomes, ensuring you receive the most effective care available
Compassionate Understanding
We recognize the courage it takes to seek help after previous attempts, and meet you with dignity, respect, and hope
Our Mission
At The OCD Clinics, we work to transform lives through customized OCD treatment delivered in the comfort of each client’s home. As Texas’s sole provider of intensive OCD treatment in the comfort of patients’ homes, our team of expert clinicians brings evidence-based therapies directly to those who need them most. We are committed to breaking down barriers to effective treatment, empowering our clients to reclaim their lives from OCD, and providing compassionate, personalized care that respects each individual’s unique journey toward recovery.
You Don't Have to Leave Texas to Get Expert OCD Treatment
As the only program in Texas offering 1:1 in-home care for moderate to severe OCD with BTTI-Trained (IOCDF) clinicians, we bring expert OCD treatment directly to you. Our 32-hour intensive program provides the depth and personalization needed for meaningful, lasting change.
If OCD has taken over your life and traditional therapy hasn’t been enough, our OCD intensive outpatient program model offers the best help.
Take the first step toward reclaiming your life from OCD today.
Request Appointment
You can request an appointment right now. Simply fill out the form, and we will respond quickly. You may also call or email anytime to begin your OCD treatment in Texas.
FAQ
What makes The OCD Clinics different from other treatment programs?
We are the only program in Texas providing 1:1 in-home intensive care for moderate to severe OCD. Unlike traditional IOPs that use group sessions in clinics, we bring BTTI-Trained (IOCDF) therapists directly to your home for 32 hours of personalized treatment over 14 days. Treatment happens where your OCD actually lives, leading to faster, more lasting results.
Do you accept insurance?
We are a private-pay specialty practice and do not bill insurance directly. This is deliberate: working outside insurance networks lets us deliver the intensity, privacy, and clinician time that meaningful OCD recovery requires, without insurer-imposed session limits. We provide detailed superbills you can submit for out-of-network reimbursement, and we'll help you understand your potential benefits before you begin.
How quickly can I start the program?
Most clients begin within 1-2 weeks of their initial consultation. Once your intake assessment is complete, you and your clinician will determine treatment dates that fit your schedule.
What does BTTI training mean for my treatment?
All our clinicians are trained through the IOCDF’s Behavior Therapy Training Institute, the premier specialized training for OCD treatment. This ensures you receive care from therapists who have mastered gold-standard approaches and understand moderate to severe OCD presentations.
What are your success rates?
Clients consistently achieve meaningful reductions in OCD severity through our focused, intensive approach after completing our two-week program. Our in-home approach leads to more effective skill transfer than traditional office-based therapy.
Can I work during the 14-day program?
Many clients maintain part-time or flexible work schedules during treatment. We work with you to create a schedule that accommodates your responsibilities while providing the intensity needed for meaningful progress.
