Unwanted intrusive thoughts? Repeated checking? "Just-right" rituals?
A confidential self-check built around the validated OCI-R instrument. Every pre-assessment includes a free follow-up call with the Fettle team to discuss your results.
Our pre-assessment is based on the OCI-R, a validated clinical instrument. It is a screening aid, not a diagnosis. Results are reviewed against clinical thresholds and, where appropriate, we recommend a full assessment with a PSI-accredited psychologist.
Therapy covered by leading Irish health insurers
The full OCD assessment may be partially claimable through VHI, Laya, or Irish Life Health as an outpatient psychologist benefit, depending on your plan. Your clinician's receipt can be submitted for pay-and-claim reimbursement. Check your Table of Benefits or call your insurer before booking to confirm your per-session benefit amount.
OCD in Ireland: The Reality
OCD affects around 1 in 40 adults in Ireland. Many go undiagnosed because the symptoms don't match what people expect OCD to look like.
Unwanted, distressing thoughts, images or impulses that appear suddenly and feel impossible to dismiss, often about harm, contamination or taboo topics.
Checking locks, appliances, messages or actions repeatedly, even after already checking, because the anxiety of uncertainty won't settle.
Intense fear of germs, illness or contamination, leading to excessive hand-washing, avoiding surfaces, or elaborate cleaning routines that feel impossible to stop.
Arranging, ordering, or repeating actions until they feel "exactly right", driven not by logic but by an overwhelming sense that something is off or incomplete.
Repeatedly asking others, or yourself, for reassurance that something is safe, correct or "okay." The relief is always brief, and the urge returns stronger each time.
Internal compulsions like counting, praying, repeating phrases, or mentally reviewing events, invisible to others but just as exhausting and time-consuming.
All therapy is delivered by accredited clinicians. Here is one of the team you may be matched with.
Psychotherapist · IAHIP-accredited member
Dublin-based psychotherapist undertaking specialist training in CBT for OCD. Janet's broader practice focuses on anxiety, burnout and workplace stress — often the combination that first leads people to seek support for OCD-like patterns. Her approach is humanistic, integrative and neurodivergent-affirming, creating a calm, non-judgemental space to explore intrusive thoughts and compulsive behaviours.
Qualifications: MSc Counselling & Psychotherapy (University of Northampton, 2025) · BSc (Hons) Psychology (The Open University, 2020) · Certificate in Neurodiversity in the Therapy Room (2024) · safeTALK & Suicide Prevention Certificates (2023)
View Janet's full profileEveryone starts with the pre-assessment. Your results will determine your recommended next step.
Based on the OCI-R, a validated 18-item instrument used in clinical research. Identifies OCD-like patterns across thoughts, behaviours and daily impact. Includes a free follow-up call with the Fettle team.
In-depth clinician-led interview with a formal written OCD diagnosis and personalised treatment plan. Recommended based on your pre-assessment results.
Complete the pre-assessment first. Your results will determine if this is recommended.
Structured CBT & ERP with a dedicated OCD-specialist therapist. Matched within 24–72 hours. Insurance eligible.
Available after your clinical assessment is complete.
Have questions about OCD assessment? We have answers.
No. This is a validated pre-assessment tool that estimates the likelihood and impact of OCD-like patterns. A formal diagnosis requires a full clinical assessment with a qualified clinician, which Fettle can also provide.
OCD involves a specific cycle of intrusive thoughts (obsessions) followed by compulsive behaviours or mental rituals designed to reduce anxiety. While anxiety is part of OCD, the key defining feature is this obsession-compulsion loop, and the treatment approach is quite different.
Yes. OCD is highly treatable. CBT with Exposure and Response Prevention (ERP) is effective for up to 80% of people. Fettle has OCD-specialist therapists available online within 24–72 hours. The key is getting the right diagnosis and matched to the right therapist.
Disturbing intrusive thoughts are one of the most distressing and misunderstood aspects of OCD. The content of OCD thoughts is often ego-dystonic, completely at odds with your values. Many people suffer in silence for years because they're ashamed of their thoughts. You are not your thoughts, and OCD is not a character flaw.
About 10 minutes to complete the OCI-R questionnaire. 18 multiple-choice items covering intrusive thoughts, repetitive behaviours, and daily impact. You will receive your score, a section breakdown, and a recommended next step, followed by a free follow-up call with the Fettle team to walk through your results.
Yes. All Fettle therapy is private, confidential, and completely non-judgmental. Your data is GDPR-compliant, encrypted, and never shared without your consent. You can speak openly about your symptoms without fear of judgment.
No. You can access the OCD pre-assessment, full clinical assessment, and therapy directly through Fettle without any GP referral. We're a fully online service available 7 days a week.
Yes. OCD therapy with Fettle is eligible for reimbursement through VHI, Laya Healthcare, and Irish Life Health. We'll provide all the necessary documentation. It's worth checking your specific policy details with your insurer.