OCD Treatment · OPD & rTMS
It is not cleanliness. It is a treatable illness.
Obsessive Compulsive Disorder is not a preference for tidiness. It is a condition in which unwanted thoughts (obsessions) create intense distress, and repeated acts (compulsions) are performed to relieve it — consuming hours of every day. It is one of the conditions where the right treatment makes the most dramatic difference, and where the wrong treatment, or none, causes years of avoidable suffering.
Manas Neuropsychiatry Hospital · Bhavnagar
OCD steals hours, not habits. On average, patients wait 7 years before asking for help.
Symptoms
How it actually shows up.
Obsessions — the thoughts
- Fear of contamination, dirt, germs or illness
- Doubt about whether the gas, lock or tap was really turned off
- Intrusive blasphemous, violent or sexual thoughts that feel alien and shameful
- Need for symmetry, exactness or things to feel 'just right'
- Fear of harming someone by accident or negligence
- Repeated doubts about religious rituals or purity
Compulsions — the acts
- Washing hands, bathing or cleaning for long periods
- Checking locks, gas, switches or documents repeatedly
- Counting, repeating words or actions a fixed number of times
- Arranging and re-arranging objects
- Seeking reassurance from family again and again
- Mental rituals — silently praying or reviewing events to cancel a thought
- Avoiding touching, cooking, or leaving the house altogether
Why it happens
Causes we look for before prescribing.
- Genetic and family predisposition — OCD frequently runs in families
- Differences in the brain's cortico-striatal circuitry (which is why rTMS helps)
- Onset or worsening after stress, childbirth, or a serious illness
- Sometimes beginning in childhood or adolescence and mistaken for stubbornness
Our treatment approach
What treatment at Manas actually involves.
Diagnosis and severity scoring
A detailed assessment using standard rating scales, so that improvement can be measured objectively rather than guessed at — and so hoarding, tics or body-image disorders are not missed.
Exposure & Response Prevention (ERP)
The single most effective psychological treatment for OCD. You gradually face the trigger and deliberately do not perform the ritual, with the therapist's support, until the anxiety falls on its own.
High-dose SSRI medication
OCD needs higher doses and longer trials (10–12 weeks) than depression. Under-dosing and stopping early are the two most common reasons patients believe 'medicines don't work for me'.
Augmentation for partial response
Where SSRIs help only partly, low-dose augmenting agents or clomipramine are added — always with a clear plan and review date.
rTMS for treatment-resistant OCD
Repetitive transcranial magnetic stimulation is FDA-approved for OCD and available at Manas. It is non-invasive, requires no anaesthesia, and is done as a daily 30-minute OPD sitting.
See our rTMS suiteFamily training
Families are often pulled into the rituals — answering the same question fifty times, or cleaning on the patient's behalf. We teach relatives how to stop accommodating the OCD without becoming harsh.
Please read this
Intrusive violent or sexual thoughts are a symptom of OCD, not an intention, and they do not mean you are dangerous. They are among the most treatable and most under-reported forms of OCD.
Frequently asked
Questions we are asked every week.
Treatment begins with one consultation.
OPD Mon – Sat, 9 AM – 8 PM at Kalanala, Bhavnagar. No referral needed. Emergency support 24×7.