Behavior Therapy Training Institute (BTTI)

What is the BTTI?

APA Approved Sponsor
The International OCD Foundation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International OCD Foundation maintains responsibility for this program and its content.

The Behavior Therapy Training Institute (BTTI) is an in-depth three-day intensive training course in cognitive behavior therapy (CBT) for mental health professionals who are treating individuals with obsessive compulsive disorder (OCD) and related disorders. The BTTI was developed to help address the shortage of therapists properly trained in using CBT to treat OCD around the country and the world. The objective was to find a training model and format that was more intensive comprehensive and clinically useful than most workshops but that was also shorter and more accessible than the few fellowships and internships offering training in the treatment of OCD.

The IOCDF Board of Directors appointed a panel to develop the training model that is used for the BTTI The panel included Gail Steketee, PhD, LICSW; Lee Baer, PhD; Fugen Neziroglu, PhD; John Greist, MD; and C. Alec Pollard, PhD (Clinical Chair of the BTTI). The format has been modified somewhat over the years in response to feedback from participants but the basic model remains intact.

In addition to the flagship BTTI course (called the General BTTI), we now offer additional BTTI courses on specialty and advanced topics. The Pediatric BTTI offers CBT training for professionals who specialize in treating children and adolescents with OCD and related disorders. And the new Advanced Forum BTTI (previously known as the BTTI 2) offers advanced training for those professionals who have already completed the General BTTI.

For an insider’s look at the BTTI, click here to read a firsthand account by Dr. Annette Perot, a recent BTTI graduate.

When and Where are the Next BTTI Programs?

  • General BTTI
    February 8 – 10, 2019
    Atlanta, GA
    Sponsored by OCD Georgia

    Registration for this event is closed.

    Complete the BTTI Interest List Survey (below) to receive notifications on registration.

  • Pediatric BTTI
    April 12 – 14, 2019
    Oconomowoc, WI
    Hosted by Rogers Behavioral Health

    Registration for this event will begin in January 2019
    Please see the updated guidelines on the BTTI procedure. 

  • General BTTI
    May 17 – 19, 2019
    Seattle, WA
    Sponsored by EBT Centers of Seattle and OCD Washington

    Registration for this event will begin in February 2019
    Please see the updated guidelines on the BTTI procedure. 

If you have any questions or concerns pertaining to these upcoming trainings, please call us at (617) 973-5801 or email

How to Register?

Note! The BTTI registration procedure has changed as of January 25th, 2019. In order to register for these trainings, please take the following steps:

  1. Complete the BTTI Interest List Survey.
  2. In the survey, select which region(s) of the US and Canada you are interested in attending.
  3. Offers to register will begin being sent out approximately four months before the training begins.
  4. Seats will be offered in the order individuals completed the BTTI Interest List Form and sent via the email address used to fill out the form.
  5. Once a spot is offered, therapists will have one (1) week to accept or decline the offer.
  6. If a therapist is not able to attend the specific BTTI offered, they will continue to be offered a seat for future BTTIs until they are able to attend.
  7. Once a therapist on the Interest List has been offered and subsequently declined FIVE options for attending, they will be moved to the end of the Interest List.
  8. When an offered is declined, an offer will be extended to the next therapist on the list until all seats have been filled.

The new BTTI registration process takes into account time spent on the BTTI Interest List and offers therapists a full week to register, allowing them, and the IOCDF, sufficient time to handle any issues as they arise. It is our hope that this process will give every therapist a fair chance to attend a BTTI, as we make our way through the extensive list of interested clinicians.

Please note the following:

  • The IOCDF BTTI Scholarship Program remains unchanged.
  • Offers will be made only to those who indicated interest in the area that the BTTI is taking place (ie: West Coast, Northeast, etc…)
  • Trainings cannot be repeated. If you have attended a General BTTI, you can still attend a Pediatric BTTI, and vice versa.
  • If a therapist has signed up for the BTTI Interest List more than once, the IOCDF will use their earliest registration to mark their place in line.

How Frequently is the BTTI Offered?

The IOCDF hosts between 5 and 8 BTTI courses around North America each year, including our General BTTI, Pediatric BTTI, and other specialty BTTIs.

Are There Scholarship Opportunities?

The IOCDF is committed to increasing access to OCD and related disorders treatment for underserved communities in the United States. In service of this commitment, we will grant several scholarships per BTTI to therapists who are people of color, who practice therapy in languages other than English, and/or who work with a significant portion of underserved patients (e.g. patients of color, those with public insurance, those of a low socioeconomic status, etc.).

If accepted, scholarship recipients will be able to attend the BTTI for $50, and will receive a free year of professional membership with the IOCDF. Scholarship preference will be granted to therapists who are local to a given training (e.g. scholarships for the Atlanta BTTI will first go to therapists in the Atlanta area, etc.). Click here to learn more and apply for a BTTI Scholarship.

Who Can Attend the BTTI?

You can register for the BTTI if:

  • You are a licensed mental health professional who currently treats OCD and/or related disorders. (Note: You must have an independent license, meaning that you do not require supervision to see clients.)
  • You are a current professional member of the IOCDF. You do not need to be a member to register for the BTTI; however you do need to become a member if we offer you a spot in an upcoming training and officially register you. Professional membership is $125 per person per year. Click here for more information about IOCDF Professional Membership join or renew your expired membership prior to registering.
  • You have not already attended the same type of BTTI you plan to register for in the past. Due to the high demand for these trainings, IOCDF will not allow a person to attend a General BTTI or Pediatric BTTI more than once. If you have previously attended a General BTTI, you may still attend the Pediatric BTTI or Advanced Forum. Conversely, if you have previously attended a Pediatric BTTI, you may still attend the General BTTI or an Advanced Forum.

Who Makes Up the BTTI Faculty?

The faculty of each BTTI is made up of some of the most experienced and well-respected OCD therapists in North America, most of them being members of the IOCDF’s Scientific Advisory Board.

How Much Does the BTTI Cost?

The cost of registration is $550 for all three days of the training. This fee includes the cost of continuing education (CE) credits and lunch on the third day. When you register for the BTTI, you are automatically registered for CE credits. Cancellation guidelines and restrictions vary for each specific training. If you have any questions or concerns about this, please feel free to contact us at the IOCDF.

How Can I Register to Attend the BTTI?

Our BTTI’s tend to sell out very quickly — some in less than 30 minutes! Clinicians who have filled out our BTTI Interest List get the first opportunity to register. Click here to join the BTTI Interest List today. As you complete this survey, please make sure you thoughtfully select the regions of the United States and Canada where you would like to attend trainings. When we open registration for specific trainings, we first notify those who have indicated that they want to attend a training in this particular geographic area.

Registration for the BTTI is on a first-come, first-served basis. Once you complete the BTTI Interest Survey, you can expect to receive email alerts when we plan to open a training in a location that you selected. Instructions for how to register and documents needed in order to complete the registration process will be included in these emails.

Are Continuing Education Credits Offered?

Yes. Continuing education (CE) credits are offered for psychologists, social workers, and mental health counselors.

This program has been approved by the National Board for Certified Counselors. Course meets the qualifications for 21 hours of continuing education credit for MFCCs and/or LCSWs as required by the California Board of Behavioral Sciences. This is approved by the National Association of Social Workers for 21 Social Work continuing education contact hours. The IOCDF is approved by the American Psychological Association to sponsor continuing education for psychologists. This program is sponsored by the International OCD Foundation, Inc. (IOCDF) and the IOCDF maintains responsibility for this program and its content. For additional continuing education certificates requested after the end of the BTTI, there will be a $25.00 processing fee.

For more information about the BTTI, as well as if you have any questions or concerns, please contact us at the IOCDF at (617) 973-5801 or