An obsessive-compulsive disorder (OCS) – also known as a compulsion disorder – is characterised by the presence of thoughts of compulsion (obsessions) and/or acts of compulsion (compulsions).
Obsessions are persistent, recurring inner experiences (thoughts, tendencies or images) that are experienced as intrusive, disturbing and undesirable. For example, you may feel infected or infect or harm others, or feel that you have done something wrong or dangerous, or have exaggerated doubts as to whether you have done things well enough, or have intrusive embarrassing images of aggressive or sexual acts. Obsessions usually cause anxiety and distress.
Compulsions are repeated actions (such as excessive cleaning or hand washing, collecting, organizing or controlling) or psychological activities (such as counting, repeating words or superstitious rituals) that a person feels compelled to perform. Someone with an obsessive-compulsive disorder is trying to reduce anxiety or anxiety in response to an obsession or to avoid a dreaded disaster.
The obsessions and compulsions are time-consuming and cause clear suffering.
If the intake shows that symptoms of an obsessive-compulsive disorder are present and treatment with rTMS may be indicated, a quantitative EEG (QEEG) is then taken. This is necessary to assess whether rTMS can be applied safely. Neuropsychological research is carried out on an incidental basis.
Sometimes sleeping problems can contribute to the seriousness of the obsessive-compulsive symptoms or maintain the symptoms. In order to assess whether sleeping problems play a role in your symptoms, we carry out a sleep test.
The results of the intake, the questionnaire survey, the sleep test and the QEEG determine the content of your treatment.
rTMS is performed by a psychologist. While you are lying in a comfortable treatment chair, a magnetic coil is placed on your head. This coil generates a pulsating magnetic field that stimulates the target areas in the brain. The magnetic field generates a noticeable ticking sensation. The stimulation is not painful but is often experienced as a tingling sensation on the scalp.
– for adolescents or adults with obsessive-compulsive disorder;
– for adolescents or adults with obsessive-compulsive disorder who have not benefited from other treatment methods (e.g. medication or psychotherapy);
– for adolescents or adults with obsessive-compulsive symptoms who want to lower their medication and need guidance during this process.