Intensive Outpatient Program (IOP)

Intensive Outpatient Program (IOP)

Two Specialized Programs. Faster Progress. No Filler. Real ERP From Specialists Trained by world renowned OCD researchers and clinicians.

Natalie Noel, LMHC  |  Anxiety & OCD Treatment Specialists  |  Tampa, FL

Weekly therapy works for most people with OCD and anxiety. But for some people — those with severe symptoms, those who have not made enough progress with weekly sessions, those facing a time-sensitive situation, or those who simply want to recover faster — one appointment per week is not enough. The time between sessions is too long. The OCD rebuilds. The anxiety cycle continues.

That is what our Intensive Outpatient Programs are designed for. More treatment time, compressed into a defined period, delivered by specialists who treat nothing but OCD and anxiety disorders. Not a program padded with activities to fill your schedule. Not a generic mental health IOP. A focused, evidence-based ERP program built around getting you — or your child — back to your life as quickly as possible.

We offer two distinct IOP programs, designed for different levels of severity, different schedules, and different preferences. Both are available to adults, teenagers, and children in Florida.


Who Our IOP Programs Are For

Our IOP programs are designed for people who need more than weekly therapy can provide. This includes:

  • Moderate to severe OCD or anxiety that has not responded adequately to standard weekly ERP
  • People who want to compress treatment into a defined period rather than months of weekly sessions
  • Those stepping down from a residential or partial hospitalization program who need continued intensive support
  • People with a specific time constraint — a college start date, a return to work, a pregnancy, or a major life transition — that makes rapid progress essential
  • Children and teenagers whose OCD or anxiety is significantly impairing school, family functioning, or daily life
  • Adults or families who have tried IOP elsewhere and did not receive genuine ERP from trained specialists

Why Our IOP Is Different From Most

Most IOP programs fill treatment hours with a mix of group therapy, mindfulness, journaling, coping skills groups, and activities designed to fill your schedule rather than treat your condition. This is because they are filling the time that insurance has approved for treatment. We do not prolong treatment in any way and are not under the pressure of any insurance panels. We can make your treatment completely individualized based on your symptoms and severity.

Every hour of our IOP is clinically purposeful. You will not find filler activities, generic coping skills workshops, or therapeutic approaches that have nothing to do with OCD and anxiety. What you will find is real ERP — the same approach that the IOCDF, the APA, and the AACAP identify as the gold standard for OCD — delivered by clinicians trained at some of the most respected OCD programs in the country.

We work closely with psychiatrists when medication is part of your treatment picture. We do not provide medication management ourselves, but we maintain relationships with trusted psychiatrists and coordinate care actively when needed. Medication is never required to participate in our IOP — but we will be honest with you about how medication may affect your rate of progress.


Required First Step — The Initial Evaluation

All prospective IOP clients must complete a 1.5-hour initial evaluation with a clinician before enrolling in either program. This evaluation is not a formality.

Initial Evaluation — What to Expect

Duration
1.5 Hours
Cost
$300
Format
In-Person or Virtual

What happens during the evaluation:

  • Thorough clinical interview covering your OCD or anxiety history
  • Standardized symptom measures (Y-BOCS for OCD and condition-specific scales)
  • Assessment of co-occurring conditions — depression, ADHD, tic disorders, BFRBs
  • Family accommodation assessment for children and adults with family involved in the OCD or anxiety cycle
  • Review of previous treatment and what did or did not work
  • Beginning of the exposure hierarchy
  • Honest discussion of prognosis, medication considerations, and which IOP program is the right fit

The evaluation is required because our IOP programs are intensive and specialized. We do not enroll clients in an IOP without first understanding exactly what we are treating and how to treat it. We also will not admit a prospective patient into either of our IOP programs if we don’t think they will benefit.


The Two Programs

Standard Virtual IOP

$3,800  ·  2-Week Package  ·  18 Hours

The Standard Virtual IOP delivers concentrated ERP to multiple clients simultaneously without compromising the individualized nature of each person’s treatment. Each client is in their own private virtual room with their own individualized exposure hierarchy.

Schedule

  • Days: Monday, Tuesday, and Thursday
  • Hours: 9:00 a.m. – 12:00 p.m.
  • Duration: 2 consecutive weeks — 6 sessions, 3 hrs each
  • Format: Virtual — Florida residents only

How Sessions Work

  1. Weekly Skills Group (60 min/week) — ERP psychoeducation, exposure hierarchy review, relapse prevention, and motivation work. Cameras are optional.
  2. Supervised Independent Exposure Practice — Each client works their individualized hierarchy while the clinician rotates, spending ~30–45 min of dedicated 1:1 time per client per session.
Privacy Note: Clients will not see or interact with other clients during exposure practice. Your OCD content and personal information remain entirely private.

Best For

  • Adults, teenagers, and children with moderate to severe OCD or anxiety
  • People who can commit to a fixed Mon/Tue/Thu morning schedule
  • Those who want concentrated intensive treatment at a more accessible price point
  • Florida residents comfortable with virtual treatment

Premium One-on-One IOP

$4,500  ·  2-Week Package  ·  15 Hours

The Premium One-on-One IOP is for clients who need — or prefer — exclusive, continuous clinician access throughout their intensive treatment. Every hour is one clinician and one client. No group component. No shared schedule. No rotating attention.

Schedule & Format

  • 15 hours of 1:1 treatment over two consecutive weeks
  • Scheduling arranged directly with the clinician
  • Format: In-person (Tampa), virtual, or hybrid — client’s choice
  • Available to Florida and New York residents

Family Involvement & Parent Coaching

Family involvement is built into treatment from the first session. Parents learn the ERP model, receive specific coaching on responding to OCD at home, identify accommodation patterns, and actively support between-session practice. For adults, family coaching sessions can be incorporated alongside individual sessions without constraints.

Best For

  • Severe or complex OCD — multiple subtypes, significant co-occurring conditions, or treatment-resistant presentations
  • Children and teenagers requiring intensive parent involvement, including those on the autism spectrum
  • Adults who need or prefer a flexible schedule
  • Clients stepping down from residential or partial hospitalization
  • Florida (in-person or virtual) or New York (virtual)

Which Program Is Right for You?

  Standard Virtual IOP Premium One-on-One IOP
Price $3,800 (+ $300 evaluation) $4,500 (+ $300 evaluation)
Format Virtual — group-based with individual rotation In-person, virtual, or hybrid
Hours 18 hours over 2 weeks 15 hours over 2 weeks
Schedule Fixed: Mon / Tue / Thu, 9 a.m.–noon Flexible: arranged with clinician
Clinician Access Rotating individual time within sessions Exclusive 1:1 throughout
Skills Group Yes — one per week, cameras optional Optional
Family Involvement Limited — standard parent coaching Extensive — integrated throughout
Best For Moderate to severe OCD/anxiety, fixed schedule, value-focused Severe/complex presentations, children, maximum flexibility, family-intensive
Availability Florida (virtual only) Florida (in-person or virtual) & New York (virtual)

Our Commitment to Real Treatment

We want to be direct about what makes our IOP different from many programs you may encounter.

No Filler

We will not fill your treatment hours with activities, groups, or therapeutic approaches unrelated to OCD and anxiety. Every hour is spent in ERP work — psychoeducation, exposure hierarchy building, active exposure practice, between-session review, family coaching, and relapse prevention.

No Unnecessary Prolonging of Treatment

We do not extend treatment beyond what is clinically needed. Our goal is remission — or a level of functioning where weekly outpatient therapy can maintain your gains — as efficiently as possible. Our IOP programs have a defined endpoint. You know exactly how many hours you are purchasing and what the clinical objectives are.

No Watered-Down ERP

Many programs that describe themselves as ERP-based deliver imaginal exposure without real-world practice, or insight-oriented work dressed up as ERP. Exposures begin early, real-world practice is central, response prevention is enforced, and progress is measured with standardized tools at every session.

Psychiatrist Coordination

We are therapists, not psychiatrists. For clients where medication may be relevant, we coordinate actively with trusted psychiatrists and will be transparent about how medication may affect your prognosis. Medication is never required to participate in either program.


Policies and Important Information

  • Non-refundable packages: Both IOP programs are non-refundable once purchased. Cancellations result in the loss of those treatment hours with no refund. Please confirm your availability for the full two-week period before enrolling.
  • Initial evaluation required: No client may enroll in either IOP program without first completing the 1.5-hour initial evaluation at $300. This is a clinical requirement, not an administrative one.
  • Minors: Children must have a parent or legal guardian present for all sessions. Some teenagers may engage in treatment without parents on a case-by-case basis at the clinician’s discretion — a signed parental letter will be required in those cases.
  • Out-of-network benefits: We do not accept insurance directly. Contact your insurance carrier before enrolling to confirm your out-of-network benefits. We provide documentation for out-of-network claims upon request.
  • Medication: Neither program requires medication. We will discuss medication openly if it may be relevant to your prognosis. If the clinician believes a client will not benefit without medication, they will not be admitted into the IOP.
  • Provider availability: For the Premium One-on-One IOP, scheduling is arranged directly with the clinician and is dependent on provider availability.

Frequently Asked Questions

How is your IOP different from a regular IOP at a mental health clinic?

Most mental health IOPs are staffed by generalist clinicians and include a broad mix of group therapy, coping skills training, mindfulness, and other modalities. Our IOP is a specialty program — we treat only OCD and anxiety disorders, our entire team has received specialized training in ERP, and every hour of our programs is focused on the ERP work that the research consistently identifies as the most effective treatment for OCD and anxiety.

My child has severe OCD and has been refusing treatment. Which program is better?

The Premium One-on-One IOP is almost always the right choice for children with severe OCD who have been refusing treatment. The scheduling flexibility means the clinician can work at a pace the child can accept. The extensive parent involvement component addresses the family accommodation patterns that are often maintaining both the OCD and the treatment refusal. And the exclusive one-on-one relationship is better suited for building therapeutic alliance with a resistant child than a group-adjacent format.

What happens after the IOP ends?

The final session of both programs includes relapse prevention planning — a specific, personalized plan for maintaining your gains, recognizing early warning signs, and knowing exactly what to do if symptoms spike. Most clients step down to standard weekly outpatient therapy with one of our clinicians. For clients who live outside Tampa, we provide recommendations for ERP-trained therapists in their area and a thorough clinical summary to ease the transition.

Is the $300 evaluation fee applied toward the IOP package?

No — the $300 initial evaluation fee is separate from and in addition to the IOP package price. The evaluation is a thorough 1.5-hour clinical assessment that happens before IOP enrollment. It is billed and completed before any package is purchased.

How do I know if I am ready for IOP rather than regular weekly therapy?

The initial evaluation answers this question definitively. Generally, IOP is most appropriate when OCD or anxiety is significantly impairing daily functioning and weekly therapy is not producing adequate progress, when a time-sensitive situation requires faster treatment, or when a prior course of inadequate treatment has allowed symptoms to escalate. If you are unsure, contact our office — we will give you an honest assessment of whether IOP is the right level of care.


Ready to discuss which IOP program is right for you?

📞 (813) 812-4940
  |  
✉️ info@anxietyocdspecialists.com
  |  
📍 730 S Sterling Ave, Suite 306, Tampa, FL 33609

Meet Your Counselors

Headshot of Natalie Noel, LMHC & Owner

NATALIE NOEL, LMHC

Mental health specialist

MATT MCCANN, LMHC

Mario Juster-Kruse, LMHC, Anxiety & OCD Specialists.

MARIO JUSTER-KRUSE, LMHC

Mental health specialist

NONA ZAMIRI, LMHC

Mariah Ramirez LMHC for Anxiety OCD Specialists

MARIAH RAMIREZ, LMHC

Why We Love Our Work