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Is TMS treatment better than other forms of OCD treatment?

The current, first line/gold standard treatments for OCD continue to be Serotonin Reuptake Inhibitors and a very specific type of behavioral therapy known as Exposure-Response Prevention or ERP. For most patients, these two types of treatment will generally work. When they don’t work enough, or when these treatment cause substantial side effects that limit their ability to be used, TMS would be a reasonable alternative or more often a reasonable adjunctive treatment. In fact, in some of the research and what we see in clinical practice, is that TMS appears to enhance the effectiveness of medications and Exposure Therapy, as opposed to thinking of it as a complete alternative.

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