The career move she almost didn’t make

NOCD Staff

Published Oct 15, 2026 by

NOCD Staff

Meet Misti Slaughter, LCPC the therapist who took a chance on NOCD and found a place to build the rest of her career

Misti Slaughter wasn’t looking for a new job when an email from NOCD landed in her inbox.

She’d spent years working in behavioral health, including eight years in a hospital system and, most recently, community behavioral health. She wasn’t unhappy—but she wasn’t feeling fully fulfilled, either.

In community mental health, she treated people with a wide range of conditions. She was expected to know a little about everything but didn’t quite feel like an expert in anything. So when NOCD reached out, the opportunity to specialize caught her attention.

Still, she had reservations. She’d never heard of NOCD, and she hesitated to join a virtual company—but she decided to learn more. What she found changed her career direction.

Finding the support to specialize in OCD

When Misti joined NOCD, she finally had the opportunity to focus her clinical work on a specialty. The training was extensive. But she quickly discovered she didn’t have to figure everything out on her own.

“I always felt very supported,” she says.

She felt comfortable asking questions, admitting when she didn’t understand something, and turning to experienced colleagues who genuinely wanted her to learn.

“There was just so much support in the training,” she says.

For a therapist who had spent years treating a little bit of everything, having access to specialized training and knowledgeable colleagues was exactly the opportunity that had caught her attention in the first place.

Seeing the difference in her work

One thing Misti values about working at NOCD is being able to show Members the progress they’re making.

Through regular assessments throughout their care, Members can track changes in their OCD symptoms and see the progress they’re making over time. “I’ve had a lot of members say how much they appreciate getting to see that graph and those numbers,” she says.

NOCD uses performance metrics to understand how therapists are doing and the outcomes Members are achieving. The goal is to provide the best possible care by recognizing what’s working well and identifying where therapists might benefit from additional coaching and support.  

For Misti, meeting the metrics comes from focusing on what matters most: doing the best she can for her Members and providing them with quality care. “I meet with my Members, I do the best I can, and I meet the metrics,” she says. That approach has earned her a place in NOCD’s Life Changers Club for two consecutive years. The recognition program celebrates therapists who meet specific metrics and offers trips that let them connect with colleagues and leadership.

While the recognition has been meaningful, it’s the support Misti has experienced in her day-to-day work that has made an even bigger impression.

Support that lived up to its promise

But seeing the impact of her work was only part of what made NOCD different for Misti. The behind-the-scenes support she experienced mattered just as much. Misti had worked in enough healthcare settings to know that what employers promise and what employees experience aren’t always the same.

She’d heard organizations talk about supporting clinicians, listening to feedback, and providing training. But those promises hadn’t always matched her experience.

NOCD was different. She kept waiting to discover something she’d missed, but it never came. It took her a little over a year to believe that the support and commitment she was experiencing were genuine.

What convinced her was seeing the company listen to clinicians and act on their feedback.

She points to improvements in technology and specifically Noto, NOCD’s AI platform as examples. When something isn’t working, therapists can speak up and see changes happen. She also appreciates how accessible senior leadership is, whether through Slack, a phone call, or a meeting.

A place she plans to stay

When Misti first heard about NOCD, she wasn’t sure what to expect. Now, she has a clear message for other therapists considering joining. Her advice is to stay open to learning and change, something she says therapists learn through exposure and response prevention (ERP) therapy.

Looking back, she doesn’t hesitate when describing her decision to join.

“This was the best career decision I’ve made,” she says.

After years of working in different healthcare settings, she’s found a place she wants to stay.

“This is where I plan to wrap up my career.”

Misti wasn’t looking for a new opportunity when she found NOCD. But taking that chance let her specialize, grow as a clinician, and find a place where she wants to spend the rest of her career. 

If you’re looking for the next step in your career, NOCD may be worth a closer look. Explore Open Roles

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