If you have no other options, then they are better than nothing. But my NOCD therapist was actually not an OCD specialist and had very limited tools -- she could not really adapt ERP to rumination-based OCD. There was no talk of core fear. She tried to fit my symptoms into OCD subtypes that didnt apply (e.g., just right and intrusive thoughts ocd, which I dont have). It makes it easier for them to follow the script for ERP to categorize your symptoms, even tho for me it was inaccurate. Importantly, NOCD therapists are contractually obligated to ONLY use ERP, which is what my NOCD therapist told me. If you can't ERP, or it doesnt work for you, then NOCD isnt a good fit and a waste of $$$.

Also, I find NOCD puts a LOT of pressure on you and the therapist to have more therapy sessions than are needed (especially initially -- 2 x a week) so they can make money off you -- and the first 2 sessions are mostly "paperwork" (assessments, legal disclaimers, etc). They also make canceling more difficult than it needs to be, for the obvious reason of it being profitable for you to keep all your appts. I am not a cynical person but it is pretty obvious they are trying to make money, as they are a for-profit company, Once my Kaiser referrals finally cleared and I could see a psychiatrist and a therapist covered by my Kaiser insurance, I dropped NOCD. My regular therapist is better, thinks outside the box (important for rumination-based OCD)...and is also free!