Obsessive-Compulsive Disorder

When OCD Takes Over

Standard treatment for OCD includes psychological therapy, specifically Exposure and Response Prevention (ERP). For many people, this approach works well. But for others, OCD remains severe despite comprehensive treatment—this is known as treatment-resistant OCD.

Current Evidence on TMS for OCD

NICE guidance states that current evidence on the efficacy of TMS for obsessive-compulsive disorder is inadequate in quantity and quality and recommends that the procedure be used only in the context of research. Established evidence-based OCD care, including appropriately delivered Exposure and Response Prevention and medical management where indicated, remains central. Any discussion of TMS should include the current evidence limitations, uncertainties, potential risks and alternative treatment options.

Is TMS Right for Your OCD?

TMS for OCD is typically recommended when:

• You have tried standard treatment approaches without adequate relief
• You have engaged in Exposure and Response Prevention (ERP) therapy with a trained therapist
• OCD symptoms remain moderate to severe despite these treatments
• You don't have contraindications to TMS (metal implants, seizure history, etc.)

Even if you haven't completed these treatments, we may still be able to help. During your consultation, we'll review your history and discuss all available options.

Your OCD Treatment Programme

Our TMS programme for OCD typically involves:

Assessment Phase

• Detailed clinical assessment of your OCD symptoms
• Review of previous treatments and their effects
• Psychological evaluation to understand your specific obsessions and compulsions
• QEEG brain mapping (in some cases) to guide treatment

Treatment Phase

• a treatment period of daily TMS sessions (regular sessions)
• Each session approximately varies
• Targeting protocols specific to OCD
• Optional integration with ongoing ERP therapy

Follow-Up Phase

• Assessment of symptom reduction
• Planning for maintenance treatment if beneficial
• Coordination with your existing mental health team