# BetterHelp vs NOCD

The clearest difference is monetization model: NOCD at free with in-app purchases against BetterHelp's subscription. NOCD also leads on ads (none vs shown) and update cadence (fortnightly vs monthly). BetterHelp's advantage is review sentiment (80% vs 61%) and chart position (#68 vs unranked). On price, rating and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

On the App Store both sit at effectively the same score — 4.8 for BetterHelp against 4.9 for NOCD. That said, the two scores are not equally well evidenced: BetterHelp has 150K ratings behind it against 17K, so its average is the more settled of the two. Written reviews are what separate them: 80% of BetterHelp's written reviews are positive against 61% of NOCD's.

BetterHelp ships an update monthly, NOCD fortnightly. Both last shipped on October 27, 2026.

## The numbers

| Metric | BetterHelp | NOCD |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.8 (150K ratings)](https://appshunter.io/ios/app/betterhelp-therapy/id995252384/reviews) | **[4.9 (17K ratings)](https://appshunter.io/ios/app/nocd-ocd-therapy-and-tools/id1063365447/reviews)** |
| Number of ratings | **150K** | 17K |
| Positive reviews | **80.0% of reviews** | 60.7% of reviews |
| In-app purchases | No | No |
| Ads | Yes | **No** |
| Update frequency | Monthly | **Fortnightly** |
| Monetization | Subscription | **Free with in-app purchases** |
| Best chart rank | **#68** | — |
| Size | 34 MB | 167 MB |
| Requires iOS | **15.6** | 17.0 |
| Devices | **iPhone, iPad, iPod** | iPhone |
| Age rating | 12+ | 17+ |
| Developer | [BetterHelp](https://appshunter.io/developer/995252383) | [NOCD INC](https://appshunter.io/developer/1063365446) |

## What reviewers say

### BetterHelp

[App page](https://appshunter.io/ios/app/betterhelp-therapy/id995252384)

**Currently charting:** #68 Top Free · Health & Fitness (US App Store)

Access professional mental health support from licensed therapists. Connect via messaging or live sessions, and join educational webinars. Find personalized guidance for various challenges.

**Highlights:** 30,000+ licensed therapists, Therapist matching, Unlimited messaging, Live video/phone sessions, Group webinars

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 👍 Convenient and accessible therapy
- 🚀 Quick matching with therapists
- 💬 Ability to message therapist anytime
- 📝 Helpful journaling and worksheets
- 🤗 Supportive and understanding therapists

**What reviewers complain about**

- 💰 Expensive for some users
- 🕰️ Incompatible time zones for some users
- 🔄 Difficulty switching therapists at times
- 🔌 Technical issues with app and video calls
- 🤷‍♀️ Inconsistent quality of therapists

**Reported bugs**

- App crashes and freezes
- Video call disconnections
- Billing and subscription issues

**Requested features**

- More affordable pricing options
- Availability of therapists in different time zones
- Easier process for switching therapists
- Improved video call and app stability
- Better screening and training for therapists


### NOCD

[App page](https://appshunter.io/ios/app/nocd-ocd-therapy-and-tools/id1063365447)

Access online therapy and support for Obsessive Compulsive Disorder. Get matched with a licensed therapist specializing in ERP therapy and utilize tools and community support between sessions to manage your condition.

**Highlights:** Online OCD therapy sessions, Matched with licensed OCD therapist, Exposure and Response Prevention (ERP) therapy, Therapist messaging, OCD therapy tools, Support groups, Community interaction

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 🚀 Effective ERP therapy
- 👍 Supportive community
- 🚀 Accessible mental health treatment
- 👍 Helpful tools and features
- 🚀 Life-changing results

**What reviewers complain about**

- 🐛 Billing and payment issues
- 👎 Inconsistent therapist quality
- 👎 Overwhelming app interface
- 👎 Discriminatory policies
- 👎 Lack of personalization

**Reported bugs**

- Timer issues when switching apps
- Unreliable push notifications

**Requested features**

- Improved calendar integration
- Trigger warning and content filtering
- Better data tracking and analytics
- More inclusive and diverse representation


## Frequently asked questions

### Is BetterHelp free?

BetterHelp is free to download, with no in-app purchases.

### Is NOCD free?

NOCD is free to download, with no in-app purchases.

### Which has better reviews, BetterHelp or NOCD?

NOCD is rated higher. BetterHelp averages 4.8 out of 5 from 150K ratings, while NOCD averages 4.9 from 17K ratings.

### Do BetterHelp or NOCD have ads?

BetterHelp shows ads; NOCD does not.

### Which is updated more often, BetterHelp or NOCD?

BetterHelp ships an update monthly, and NOCD fortnightly. Most recently, BetterHelp was updated on October 27, 2026 and NOCD on October 27, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*