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01

Free 20-Minute Call

Understand your OCD, answer your questions, and confirm fit. No commitment. Happens over video at a time that works in your timezone.

02

Mapping Your OCD

A structured conversation mapping how your OCD runs: triggers, obsessions, compulsions, avoidance. It isn't a diagnosis. It becomes the foundation for your exposure hierarchy.

03

Exposure Hierarchy

A custom-built hierarchy of exposures, ranked from easiest to hardest and built around how your OCD actually works. Think of the gym: nobody starts with 300 pounds. You start with the two-pound weights, and those can still be hard.

04

Active ERP Work

Weekly sessions working through the hierarchy. You do exposures between sessions; each session we debrief, adjust and plan the next rep.

05

Independence

The goal is for you to not need coaching. You understand the model, you can build hierarchies yourself, you know what to do when OCD flares.

New York, Los Angeles, Chicago, Houston, Phoenix, Seattle

Insurance coverage for OCD-focused therapists varies a lot. Directories are long, and it's hard to tell from a profile who actually does ERP. Coaching is one way to learn the model while you look.

London, Manchester, Birmingham, Leeds, Glasgow, Bristol

NICE recommends ERP, but getting ERP through the NHS can mean a long wait, and private ERP is not cheap. Coaching can start while you wait.

Dublin, Cork, Limerick, Galway, Waterford

OCD-focused care through the HSE can be hard to reach, and private ERP options thin out outside Dublin. Online coaching is one way to start.

Sydney, Melbourne, Brisbane, Perth, Adelaide, Canberra

OCD-focused therapists are concentrated in Sydney and Melbourne. Outside the big cities, ERP-trained therapists can be hard to find. NDIS sometimes funds coaching.

Is this the same as therapy?

No. Coaching is a skills-based, educational service. It uses the ERP model to teach you how to work through OCD, but it is not regulated psychotherapy, does not involve diagnosis, and does not constitute a therapeutic relationship. Justin La Rose provides coaching to international clients as an educator, not as a regulated health professional in your jurisdiction.

Is coaching as effective as therapy?

Nobody can honestly promise you that, and the research on ERP is research on therapy, not coaching. What coaching gives you is the model: building a hierarchy, doing exposures, dropping compulsions, and practising it every week. If you have significant comorbidities, trauma, or are in active crisis, a licensed clinician in your country is the right starting point.

Do I need a diagnosis before starting?

A formal diagnosis isn't required to start coaching. If you have OCD symptoms and haven't been assessed, we can discuss whether coaching is appropriate in your first session. Coaching does not include diagnosis.

What if I'm on a waiting list for NHS therapy?

Coaching can run alongside that wait. Many clients start ERP skills coaching while waiting for local services. When NHS therapy begins, you'll already understand the model and can tell your therapist what you've practised.

Can NDIS fund OCD coaching in Australia?

Some NDIS participants have used NDIS funding for OCD coaching under capacity building supports. This depends on your plan and goals. Justin can't promise NDIS funding, so check with your NDIS planner.

What time zones do you work across?

Sessions are available across a wide range of time zones. Early morning Toronto time (EST) maps to evening in the UK and morning in Australia. Availability is discussed at the free consultation.

How much does coaching cost?

Sessions are $400 CAD, approximately $280 USD, £220 GBP, €265 EUR, or $430 AUD. Billing is in Canadian dollars. Sessions are paid per session, no packages required.