Obsessive compulsive disorder - OCD treatment and therapy from NOCD
OCD therapist Paula Fistein, Licensed Therapist, LMHC, LCMHC, Licensed OCD Therapist

Paula Fistein


Licensed Therapist, LMHC, LCMHC


My approach to treating OCD involves learning how OCD presents in a person's life, then building a treatment plan together—one that feels comfortable but is also challenging and can produce successful outcomes. During therapy, I'm non-judgmental and open to questions. I know this can be a scary process. I want members to feel safe and comfortable enough to share and express themselves. When I'm not doing therapy, I read everything from psychology to romance novels. On the weekends, I enjoy riding my motorcycle with my husband and friends, and I love to go hiking and take pictures of nature along the way.

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This is the first step in the right direction to understand yourself better, to get better, and to feel better. Everything we do pertains to you individually, and it's done in a collaborative way.

Get to know Paula Fistein

I decided to become a therapist because I love helping people. I love to learn how the mind works—thoughts, behaviors, and personalities. As a young person, I was always curious about how people behaved and presented themselves. As a result, when I noticed someone being bullied, hurt, or sad, I wanted to comfort them and cheer them up. I became the go-to person when my friends needed advice or just someone to talk to, because they didn’t feel judged or that I would tell them how to do things 'the right way.'

I’ve always been intrigued by OCD and how it shows up differently for everyone. Having seen firsthand how it affects a loved one and those around them, I was intrigued by ERP therapy and how effective it is in treating OCD. I decided to specialize because I love to see results, and seeing people get better through evidence-based treatment is something I want to be part of.

My clinical background is in substance abuse. I have extensive training in mood disorders, anxiety disorders, and trauma.

Know that this is the first step in the right direction to understand yourself better, to get better, and to feel better. The process is very thorough, and it is designed with you in mind. Everything we do pertains to you individually, and it's done in a collaborative way. I'm here to guide you along the way and check in with you in between sessions.

Understand that I'm here to help you, so the more information you provide, the better I can help you, and the more we can reduce symptoms of OCD. At the beginning, it can seem scary to share intrusive, unwanted thoughts. Sharing how scary those thoughts are can be helpful, even if you can’t say what they are. Acknowledging the theme or what they relate to can help us talk about the actual thoughts and how they affect you.

NOCD therapists are trained by our world-renowned clinical leadership team.

Learn more about our training

Insurance Coverages

  • United Healthcare / Optum
  • Aetna
  • Cigna
  • Florida Blue
  • Regence Blue Cross



What our members say about
Paula Fistein


Jun 03, 2024

Paula is always attentive, gives specific advice and things to work on, and is gentle during the process. She’s easygoing and helpful.


Jan 26, 2024

The best therapist I have ever had


Jan 17, 2024

Makes my days so much better!


Dec 30, 2023

I’m so hopeful I can get better!


Nov 16, 2023

I feel like my life is getting easier from ocd!


Oct 02, 2023

Always makes my day better!


Sep 26, 2023

Paula is amazing and truly understands what I’m experiencing and she’s helping me to discover what I need to tackle OCD. I am so lucky to have her as my therapist. ❤️


Sep 20, 2023

I always feel a sense of relief when I talk with her in my sessions.


Sep 18, 2023

I feel very hopeful and relieved


Sep 13, 2023

So great!


Sep 11, 2023

Really understanding!


Sep 05, 2023

Paula is easy to work with and always helpful


Sep 05, 2023

I feel so motivated


Aug 29, 2023

I am nervous but excited


Aug 23, 2023

Really great!


Jul 13, 2023



Jul 12, 2023

Paula is a great therapist! She is always coming up with new ways to tackle my unwanted thoughts. She also never judges and always makes me feel heard. So thankful I found a therapist like her.


Jul 10, 2023

Paula is amazing! She always takes the time to listen and provide relevant and meaningful feedback. She has helped me very much in my NOCD journey. I cannot recommend her enough!


Jun 21, 2023

Paula is very attentive to me. She’s kind, relatable, and validating. I don’t feel “crazy” talking with her.


May 05, 2023

Paula’s amazing, so patient and understanding


Apr 23, 2023

I wish I had the money to continue therapy because I am really gaining a lot from the therapy provided.


Apr 11, 2023

Paula seems very nice. I really think we had a prospective session.

Badges and training


These designations signify the therapist's expertise in treating specific mental health conditions, ensuring you receive the personalized care you deserve.


Cultural competencies

We've partnered with Violet, a health equity platform, to offer training to all NOCD therapists. These comprehensive training programs foster professional development and champion inclusivity in the healthcare industry. Learn more.


Languages spoken

  • English,
  • Spanish

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