Accelerated rTMS Therapeutic Approach for Refractory Obsessive-Compulsive Disorder

This study is testing an accelerated form of repetitive magnetic brain stimulation (rTMS) as a treatment for people with obsessive-compulsive disorder (OCD) that hasn't responded well to standard therapies like medication or therapy. The treatment uses magnetic pulses to target specific brain areas involved in OCD. **You may be eligible if...** - You are 18–60 years old and right-handed - You have been diagnosed with OCD - Your OCD symptoms are severe enough to score 16 or above on the standard OCD rating scale - You have tried at least 2 medications (SSRIs or clomipramine) at optimal doses for at least 12 weeks each, without enough improvement - Your medication has been stable for at least 4 weeks **You may NOT be eligible if...** - You have OCD associated with tics (Tourette syndrome) - You have metal implants in your head or a pacemaker - You have a history of seizures - You are pregnant Talk to your doctor to see if this trial is right for you.