{"id":14679,"date":"2026-11-12T14:33:17","date_gmt":"2026-11-12T14:33:17","guid":{"rendered":"https:\/\/idtherapy.ro\/?page_id=14679"},"modified":"2026-11-13T18:25:25","modified_gmt":"2026-11-13T18:25:25","slug":"ocd","status":"publish","type":"page","link":"https:\/\/idtherapy.ro\/en\/tms-bucharest\/ocd\/","title":{"rendered":"TMS for OCD"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"14679\" class=\"elementor elementor-14679 elementor-14644\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-00cd39b e-con-full e-flex e-con e-parent\" data-id=\"00cd39b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-20d6341 elementor-widget elementor-widget-html\" data-id=\"20d6341\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<link rel=\"preconnect\" href=\"https:\/\/fonts.googleapis.com\">\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Montserrat:wght@400;500;600;700;800&amp;display=swap\" rel=\"stylesheet\">\n<style>\n.idt-tms a{color:#107E88}.idt-tms a:hover{color:#0B5E66}\n@media (max-width:720px){.idt-h1{font-size:30px!important}.idt-sub{font-size:18px!important}.idt-tms h2{font-size:26px!important;line-height:1.25!important}.idt-hbtns{gap:8px!important;flex-wrap:nowrap!important}h3{word-break:normal}.idt-hbtns a{padding:10px 14px!important;font-size:14px!important;min-height:42px!important}}\n\/* idtherapy.ro: Imagify pune imaginile in <picture> si muta stilul pe el *\/\n.elementor-widget-html picture.idt-aobs > img{width:100%;height:auto;display:block;border-radius:50%}\n<\/style>\n<script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@graph\": [{\"@type\": \"MedicalClinic\", \"@id\": \"https:\/\/idtherapy.ro\/#organization\", \"name\": \"ID Therapy Brain & Longevity Clinic\", \"url\": \"https:\/\/idtherapy.ro\", \"telephone\": \"+40751202272\", \"email\": \"office@idtherapy.ro\", \"address\": {\"@type\": \"PostalAddress\", \"streetAddress\": \"3 Aviator Jean Texier Street, 1st floor, apt. 2\", \"addressLocality\": \"Bucharest\", \"addressRegion\": \"Sector 1\", \"addressCountry\": \"RO\"}, \"openingHours\": \"Mo-Fr 10:00-20:00\", \"medicalSpecialty\": [\"Psychiatric\", \"Neurologic\"]}, {\"@type\": \"Physician\", \"@id\": \"https:\/\/idtherapy.ro\/#dr-nadia-gorduza\", \"name\": \"Dr Nadia Gorduza\", \"url\": \"https:\/\/idtherapy.ro\/en\/team\/nadia-gorduza\/\", \"worksFor\": {\"@id\": \"https:\/\/idtherapy.ro\/#organization\"}, \"hasCredential\": {\"@type\": \"EducationalOccupationalCredential\", \"name\": \"Clinical TMS Practitioner\", \"recognizedBy\": {\"@type\": \"Organization\", \"name\": \"Academy of Brain Stimulation\", \"url\": \"https:\/\/www.brainstimulation-academy.com\"}, \"url\": \"https:\/\/idtherapy.ro\/wp-content\/uploads\/2026\/04\/Nadia-Maria-Lupu-Gorduza.pdf\"}}, {\"@type\": \"MedicalWebPage\", \"name\": \"TMS for OCD with Localite Neuronavigation | ID Therapy\", \"description\": \"TMS for obsessive-compulsive disorder, added to medication and exposure therapy, with the target found by Neuronavigation. Medical assessment in Bucharest.\", \"url\": \"https:\/\/idtherapy.ro\/en\/tms-bucharest\/ocd\", \"inLanguage\": \"en\", \"lastReviewed\": \"2026-11\", \"about\": {\"@type\": \"MedicalTherapy\", \"name\": \"Transcranial magnetic stimulation (TMS)\"}, \"publisher\": {\"@id\": \"https:\/\/idtherapy.ro\/#organization\"}, \"reviewedBy\": {\"@id\": \"https:\/\/idtherapy.ro\/#dr-nadia-gorduza\"}}, {\"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Does TMS replace medication or therapy?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"No. In OCD, TMS is added to your treatment. The best results come in combination with exposure therapy.\"}}, {\"@type\": \"Question\", \"name\": \"How soon will I see results?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Improvement usually comes gradually, after 4\u20136 weeks. We reassess you after 10, 20 and 30 sessions.\"}}, {\"@type\": \"Question\", \"name\": \"Does it hurt?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"You feel a light tapping on the scalp and hear a click with each pulse. You are awake and can go home on your own after the session.\"}}]}]}<\/script>\n<div class=\"idt-tms\" style=\"font-family: Montserrat, Arial, sans-serif; color: #333333; background: #FFFFFF; line-height: 1.6; font-size: 16px\">\n<nav aria-label=\"TMS pages\" style=\"background: #00A8B6\">\n<div style=\"max-width: 1200px; margin: 0 auto; padding: 0 24px; display: flex; flex-wrap: wrap; gap: 4px 28px; font-size: 16px\">\n<a href=\"\/en\/tms-bucharest\" style=\"color: #FFFFFF; text-decoration: none; padding: 16px 0\">TMS with Neuronavigation<\/a>\n<a href=\"\/en\/tms-bucharest\/depression\" style=\"color: #FFFFFF; text-decoration: none; padding: 16px 0\">Depression<\/a>\n<a href=\"\/en\/tms-bucharest\/ocd\" style=\"color: #FFFFFF; text-decoration: none; padding: 16px 0\">OCD<\/a>\n<a href=\"\/en\/tms-bucharest\/neuropathic-pain\" style=\"color: #FFFFFF; text-decoration: none; padding: 16px 0\">Neuropathic pain<\/a>\n<a href=\"\/en\/tms-bucharest\/stroke-recovery\" style=\"color: #FFFFFF; text-decoration: none; padding: 16px 0\">Stroke recovery<\/a>\n<a href=\"\/en\/tms-bucharest\/parkinsons\" style=\"color: #FFFFFF; text-decoration: none; padding: 16px 0\">Parkinson\u2019s<\/a>\n<a href=\"\/en\/tms-bucharest\/addictions\" style=\"color: #FFFFFF; text-decoration: none; padding: 16px 0\">Addictions<\/a>\n<\/div>\n<\/nav>\n<section style=\"background: linear-gradient(180deg, #FFFFFF 0%, #EAF8FA 100%)\">\n<div style=\"max-width: 1200px; margin: 0 auto; padding: 28px 24px 80px\">\n<p style=\"margin: 0 0 40px; font-size: 14px; color: #5D5D5D\"><a href=\"\/en\/tms-bucharest\" style=\"text-decoration: none\">TMS with Neuronavigation<\/a> \u203a Obsessive-compulsive disorder<\/p>\n<div style=\"display: flex; flex-wrap: wrap; gap: 48px; align-items: center\">\n<div style=\"flex: 999 1 560px; min-width: 0\">\n<h1 class=\"idt-h1\" style=\"margin: 0 0 14px; font-size: 40px; line-height: 1.2; font-weight: 700; color: #000000\">TMS for obsessive-compulsive disorder (OCD)<\/h1>\n<p class=\"idt-sub\" style=\"margin: 0 0 18px; font-size: 22px; line-height: 1.35; font-weight: 600; color: #107E88\">When intrusive thoughts and rituals will not let go.<\/p>\n<span style=\"display: block; width: 50px; height: 3px; background: #DFBD69; margin: 0 0 22px\"><\/span>\n<p style=\"margin: 0 0 28px; font-size: 19px; color: #3A3A3A; max-width: 640px\">Transcranial magnetic stimulation (TMS) acts on the brain circuit that, in obsessive-compulsive disorder, stays stuck on alert. It is added to medication and exposure therapy as a further step when current treatment is not enough.<\/p>\n<div style=\"display: flex; flex-wrap: wrap; gap: 12px\">\n<a href=\"https:\/\/wa.me\/40770942836\" target=\"_blank\" rel=\"noopener\" style=\"background: #DFBD69; color: #FFFFFF; text-decoration: none; padding: 16px 28px; border-radius: 5px; font-weight: 700; font-size: 17px; min-height: 52px; box-sizing: border-box; display: inline-flex; align-items: center\">Book an assessment<\/a>\n<a href=\"#rezultate\" style=\"background: #00A8B6; color: #FFFFFF; text-decoration: none; padding: 16px 28px; border-radius: 5px; font-weight: 700; font-size: 17px; min-height: 52px; box-sizing: border-box; display: inline-flex; align-items: center\">See the study results<\/a>\n<\/div>\n<\/div>\n<div style=\"flex: 1 1 340px; min-width: 0; background: #107E88; color: #FFFFFF; border-radius: 8px; padding: 36px; display: flex; flex-direction: column; gap: 14px\">\n<p style=\"margin: 0; font-size: 14px; font-weight: 700; letter-spacing: 0.08em; text-transform: uppercase; color: #BFF0F4\">A lasting effect<\/p>\n<p style=\"margin: 0; font-size: 60px; font-weight: 800; line-height: 1\">31<\/p>\n<p style=\"margin: 0; font-size: 15px; color: #DDF5F7\">randomised studies analysed together (2025) show that TMS reduces obsessive-compulsive symptoms, and the effect lasts after treatment ends.<\/p>\n<p style=\"margin: 0; font-size: 13px; color: #BFF0F4\">Source: <a href=\"https:\/\/doi.org\/10.47626\/1516-4446-2025-4515\" target=\"_blank\" rel=\"noopener\" style=\"color: #FFFFFF\">Revista Brasileira de Psiquiatria, 2025 (meta-analysis, 31 studies)<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section aria-label=\"Why TMS\" style=\"display: grid; grid-template-columns: repeat(auto-fit, minmax(300px, 1fr))\">\n<div style=\"background: #107E88; color: #FFFFFF; padding: 44px 40px\">\n<h2 style=\"margin: 0 0 12px; font-size: 25px; line-height: 1.2; font-weight: 800\">A circuit, not just a chemical<\/h2>\n<p style=\"margin: 0; font-size: 15px\">In OCD, the loop between the frontal cortex, striatum and thalamus is overactive. TMS calms it directly, where medication only partly reaches.<\/p>\n<\/div>\n<div style=\"background: #0FB8CD; color: #FFFFFF; padding: 44px 40px\">\n<h2 style=\"margin: 0 0 12px; font-size: 25px; line-height: 1.2; font-weight: 800\">Together with exposure therapy<\/h2>\n<p style=\"margin: 0; font-size: 15px\">TMS is added to exposure and response prevention therapy, the recommended psychological treatment for OCD, which we offer in the same clinic.<\/p>\n<\/div>\n<div style=\"background: #54C8D9; color: #FFFFFF; padding: 44px 40px\">\n<h2 style=\"margin: 0 0 12px; font-size: 25px; line-height: 1.2; font-weight: 800\">The target checked at every session<\/h2>\n<p style=\"margin: 0; font-size: 15px\">The stimulated area is small and varies from person to person. Neuronavigation shows us in real time whether the coil is exactly on it.<\/p>\n<\/div>\n<\/section>\n<section id=\"rezultate\" aria-labelledby=\"rez-h\" style=\"max-width: 1200px; margin: 0 auto; padding: 88px 24px\">\n<p style=\"margin: 0 0 10px; text-align: center; font-size: 14px; letter-spacing: 0.1em; text-transform: uppercase; color: #8A8A8A\">What the research shows<\/p>\n<span style=\"display: block; width: 56px; height: 3px; background: #DFBD69; margin: 0 auto 18px\"><\/span>\n<h2 id=\"rez-h\" style=\"margin: 0 0 14px; text-align: center; font-size: 38px; line-height: 1.2; font-weight: 800; color: #000000\">What studies show in OCD<\/h2>\n<p style=\"margin: 0 auto 44px; max-width: 760px; text-align: center; color: #5D5D5D; font-size: 17px\">OCD is the second most researched psychiatric indication for TMS, with dozens of randomised studies.<\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit, minmax(250px, 1fr)); gap: 22px\">\n<div style=\"background: #F8F8F9; border-radius: 8px; padding: 30px 26px; display: flex; flex-direction: column; border-top: 4px solid #00A8B6\">\n<p style=\"margin: 0; font-size: 44px; font-weight: 800; line-height: 1; color: #107E88\">3 times<\/p>\n<p style=\"margin: 12px 0 8px; font-size: 17px; font-weight: 700; color: #000000\">the chance of response<\/p>\n<p style=\"margin: 0; font-size: 14px; color: #5D5D5D\">Across 25 randomised studies (860 patients), TMS tripled the likelihood of response compared with placebo.<\/p>\n<p style=\"margin: auto 0 0; padding-top: 12px; border-top: 1px solid #E1E5EB; font-size: 13px; color: #5D5D5D\">Source: <a href=\"https:\/\/doi.org\/10.1016\/j.bpsc.2023.06.003\" target=\"_blank\" rel=\"noopener\" style=\"color: #107E88\">Steuber and McGuire, Biological Psychiatry: CNNI, 2023<\/a><\/p><\/div>\n<div style=\"background: #F8F8F9; border-radius: 8px; padding: 30px 26px; display: flex; flex-direction: column; border-top: 4px solid #00A8B6\">\n<p style=\"margin: 0; font-size: 44px; font-weight: 800; line-height: 1; color: #107E88\">1 in 6<\/p>\n<p style=\"margin: 12px 0 8px; font-size: 17px; font-weight: 700; color: #000000\">additional patients respond<\/p>\n<p style=\"margin: 0; font-size: 14px; color: #5D5D5D\">For every six patients treated, one more responds thanks to TMS compared with placebo, and the effect holds at follow-up visits.<\/p>\n<p style=\"margin: auto 0 0; padding-top: 12px; border-top: 1px solid #E1E5EB; font-size: 13px; color: #5D5D5D\">Source: <a href=\"https:\/\/doi.org\/10.47626\/1516-4446-2025-4515\" target=\"_blank\" rel=\"noopener\" style=\"color: #107E88\">Revista Brasileira de Psiquiatria, 2025 (meta-analysis, 31 studies)<\/a><\/p><\/div>\n<div style=\"background: #F8F8F9; border-radius: 8px; padding: 30px 26px; display: flex; flex-direction: column; border-top: 4px solid #00A8B6\">\n<p style=\"margin: 0; font-size: 44px; font-weight: 800; line-height: 1; color: #107E88\">34<\/p>\n<p style=\"margin: 12px 0 8px; font-size: 17px; font-weight: 700; color: #000000\">studies, 1,089 patients<\/p>\n<p style=\"margin: 0; font-size: 14px; color: #5D5D5D\">A comparative analysis of 24 stimulation methods in OCD confirmed the efficacy of prefrontal stimulation, including the right-hemisphere protocol.<\/p>\n<p style=\"margin: auto 0 0; padding-top: 12px; border-top: 1px solid #E1E5EB; font-size: 13px; color: #5D5D5D\">Source: <a href=\"https:\/\/doi.org\/10.1111\/acps.13809\" target=\"_blank\" rel=\"noopener\" style=\"color: #107E88\">Tseng et al., Acta Psychiatrica Scandinavica, 2025<\/a><\/p><\/div>\n<div style=\"background: #F8F8F9; border-radius: 8px; padding: 30px 26px; display: flex; flex-direction: column; border-top: 4px solid #DFBD69\">\n<p style=\"margin: 0; font-size: 44px; font-weight: 800; line-height: 1; color: #107E88\">well tolerated<\/p>\n<p style=\"margin: 12px 0 8px; font-size: 17px; font-weight: 700; color: #000000\">dropout similar to placebo<\/p>\n<p style=\"margin: 0; font-size: 14px; color: #5D5D5D\">Patients stopped treatment as rarely as in the placebo group, a sign that TMS is well tolerated.<\/p>\n<p style=\"margin: auto 0 0; padding-top: 12px; border-top: 1px solid #E1E5EB; font-size: 13px; color: #5D5D5D\">Source: <a href=\"https:\/\/doi.org\/10.47626\/1516-4446-2025-4515\" target=\"_blank\" rel=\"noopener\" style=\"color: #107E88\">Revista Brasileira de Psiquiatria, 2025 (meta-analysis, 31 studies)<\/a><\/p><\/div>\n<\/div>\n<\/section>\n<section aria-label=\"Video\" style=\"background: #F8F8F9\">\n<div style=\"max-width: 1200px; margin: 0 auto; padding: 88px 24px; display: flex; flex-wrap: wrap; gap: 48px; align-items: center\">\n<div style=\"flex: 1 1 380px; min-width: 0\">\n<p style=\"margin: 0 0 10px; font-size: 14px; letter-spacing: 0.1em; text-transform: uppercase; color: #8A8A8A\">In brief, with Dr Nadia Gorduza<\/p>\n<span style=\"display: block; width: 56px; height: 3px; background: #DFBD69; margin: 0 0 18px\"><\/span>\n<h2 style=\"margin: 0 0 14px; font-size: 34px; line-height: 1.2; font-weight: 800; color: #000000\">How TMS helps in OCD<\/h2>\n<p style=\"margin: 0; font-size: 17px; color: #3A3A3A\"><a href=\"https:\/\/idtherapy.ro\/en\/team\/nadia-gorduza\/\" target=\"_blank\" rel=\"noopener\" style=\"font-weight: 700; color: #107E88\">Dr Nadia Gorduza<\/a> explains how TMS works together with medication and exposure therapy for intrusive thoughts and rituals.<\/p>\n<\/div>\n<div style=\"flex: 999 1 560px; min-width: 0\"><div data-placeholder=\"video\" style=\"position: relative; width: 100%; aspect-ratio: 16 \/ 9; border-radius: 8px; background: linear-gradient(135deg, #107E88 0%, #0FB8CD 100%); border: 2px dashed #DFBD69; box-sizing: border-box; display: flex; flex-direction: column; align-items: center; justify-content: center; gap: 12px; color: #FFFFFF; text-align: center; padding: 16px\">\n<span aria-hidden=\"true\" style=\"width: 72px; height: 72px; border-radius: 50%; background: rgba(255,255,255,0.18); border: 2px solid #FFFFFF; display: inline-flex; align-items: center; justify-content: center; font-size: 28px; padding-left: 5px; box-sizing: border-box\">\u25b6<\/span>\n<span style=\"font-size: 17px; font-weight: 700\">Video: TMS in OCD<\/span>\n<span style=\"font-size: 13px; color: #DDF5F7\">Video or photo coming soon<\/span>\n<\/div><\/div>\n<\/div>\n<\/section>\n<section id=\"protocol\" aria-labelledby=\"prot-h\" style=\"background: #107E88; color: #FFFFFF\">\n<div style=\"max-width: 1200px; margin: 0 auto; padding: 88px 24px\">\n<h2 id=\"prot-h\" style=\"margin: 0 0 12px; text-align: center; font-size: 38px; line-height: 1.2; font-weight: 800\">What treatment looks like<\/h2>\n<p style=\"margin: 0 auto 44px; max-width: 760px; text-align: center; color: #DDF5F7; font-size: 17px\">The doctor chooses the target after the assessment. Both protocols use gentle, low-frequency stimulation.<\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit, minmax(240px, 1fr)); gap: 18px\">\n<div style=\"background: rgba(255,255,255,0.1); border-radius: 8px; padding: 26px; display: flex; flex-direction: column; gap: 6px\">\n<p style=\"margin: 0; font-size: 13px; font-weight: 700; letter-spacing: 0.08em; text-transform: uppercase; color: #DFBD69\">Target 1<\/p>\n<p style=\"margin: 0; font-size: 18px; font-weight: 700\">Right prefrontal area<\/p>\n<p style=\"margin: 0; font-size: 14px; color: #DDF5F7\">Involved in controlling intrusive thoughts. About 25 minutes per session.<\/p>\n<\/div>\n<div style=\"background: rgba(255,255,255,0.1); border-radius: 8px; padding: 26px; display: flex; flex-direction: column; gap: 6px\">\n<p style=\"margin: 0; font-size: 13px; font-weight: 700; letter-spacing: 0.08em; text-transform: uppercase; color: #DFBD69\">Target 2<\/p>\n<p style=\"margin: 0; font-size: 18px; font-weight: 700\">Pre-supplementary motor area<\/p>\n<p style=\"margin: 0; font-size: 14px; color: #DDF5F7\">Involved in stopping rituals. About 25 minutes per session.<\/p>\n<\/div>\n<div style=\"background: rgba(255,255,255,0.1); border-radius: 8px; padding: 26px; display: flex; flex-direction: column; gap: 6px\">\n<p style=\"margin: 0; font-size: 13px; font-weight: 700; letter-spacing: 0.08em; text-transform: uppercase; color: #DFBD69\">Recommended course<\/p>\n<p style=\"margin: 0; font-size: 18px; font-weight: 700\">at least 30 sessions<\/p>\n<p style=\"margin: 0; font-size: 14px; color: #DDF5F7\">Usually 5 days a week for 6 weeks or more.<\/p>\n<\/div>\n<div style=\"background: rgba(255,255,255,0.1); border-radius: 8px; padding: 26px; display: flex; flex-direction: column; gap: 6px\">\n<p style=\"margin: 0; font-size: 13px; font-weight: 700; letter-spacing: 0.08em; text-transform: uppercase; color: #DFBD69\">Alongside<\/p>\n<p style=\"margin: 0; font-size: 18px; font-weight: 700\">exposure therapy<\/p>\n<p style=\"margin: 0; font-size: 14px; color: #DDF5F7\">You continue medication and exposure and response prevention therapy.<\/p>\n<\/div>\n<\/div>\n<p style=\"margin: 28px 0 0; text-align: center; font-size: 15px; color: #DDF5F7\">The doctor sets the session frequency and the exact protocol after the initial assessment. Reassessment on clinical scales after 10, 20 and 30 sessions.<\/p>\n<\/div>\n<\/section>\n<section id=\"protocoale\" aria-labelledby=\"spec-h\" style=\"background: #F2FBFC\">\n<div style=\"max-width: 1200px; margin: 0 auto; padding: 88px 24px\">\n<p style=\"margin: 0 0 10px; text-align: center; font-size: 14px; letter-spacing: 0.1em; text-transform: uppercase; color: #8A8A8A\">The protocols we use<\/p>\n<span style=\"display: block; width: 56px; height: 3px; background: #DFBD69; margin: 0 auto 18px\"><\/span>\n<h2 id=\"spec-h\" style=\"margin: 0 0 14px; text-align: center; font-size: 38px; line-height: 1.2; font-weight: 800; color: #000000\">A protocol that suits you<\/h2>\n<p style=\"margin: 0 auto 40px; max-width: 820px; text-align: center; color: #5D5D5D; font-size: 17px\">We use protocols validated in clinical studies and in the European recommendations for TMS. The doctor chooses the right protocol for you at the initial assessment.<\/p>\n<div style=\"margin: -16px auto 40px; display: flex; flex-wrap: wrap; gap: 16px; align-items: center; justify-content: center; text-align: left\"><a href=\"https:\/\/www.brainstimulation-academy.com\" target=\"_blank\" rel=\"noopener\" style=\"flex: 0 0 auto; text-decoration: none; border: none; display: block\"><img decoding=\"async\" src=\"https:\/\/idtherapy.ro\/wp-content\/uploads\/2026\/11\/aobs-member-2026.png\" alt=\"Academy of Brain Stimulation Member\" style=\"display: block; border: none; width: 150px; max-width: 100%; height: auto; border-radius: 50%\"><\/a><p style=\"margin: 0; max-width: 520px; font-size: 16px; color: #5D5D5D\"><a href=\"https:\/\/idtherapy.ro\/en\/team\/nadia-gorduza\/\" target=\"_blank\" rel=\"noopener\" style=\"font-weight: 700; color: #107E88\">Dr Nadia Gorduza<\/a>, Academy of Brain Stimulation member 2026, certified <strong>Clinical TMS Practitioner<\/strong> \u00b7 <a href=\"https:\/\/idtherapy.ro\/wp-content\/uploads\/2026\/04\/Nadia-Maria-Lupu-Gorduza.pdf\" target=\"_blank\" rel=\"noopener\">View the certificate<\/a><\/p><\/div>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit, minmax(300px, 1fr)); gap: 20px\">\n<div style=\"background: #FFFFFF; border: 1px solid #E1E5EB; border-radius: 8px; padding: 26px 26px 18px; display: flex; flex-direction: column; gap: 12px\">\n<span style=\"align-self: flex-start; background: #C9A24E; color: #FFFFFF; border-radius: 999px; padding: 4px 12px; font-size: 12px; font-weight: 700; letter-spacing: 0.04em\">Level C \u00b7 evidence still building<\/span>\n<h3 style=\"margin: 0; font-size: 19px; line-height: 1.3; font-weight: 700; color: #000000\">The prefrontal protocol<\/h3>\n<div><div style=\"display: flex; justify-content: space-between; gap: 16px; padding: 9px 0; border-top: 1px solid #E1E5EB; font-size: 14px\"><span style=\"color: #8A8A8A; flex: 0 0 auto\">For<\/span><span style=\"text-align: right; font-weight: 600; color: #222222\">Intrusive thoughts and anxiety in OCD<\/span><\/div><div style=\"display: flex; justify-content: space-between; gap: 16px; padding: 9px 0; border-top: 1px solid #E1E5EB; font-size: 14px\"><span style=\"color: #8A8A8A; flex: 0 0 auto\">One session<\/span><span style=\"text-align: right; font-weight: 600; color: #222222\">~25 minutes<\/span><\/div><div style=\"display: flex; justify-content: space-between; gap: 16px; padding: 9px 0; border-top: 1px solid #E1E5EB; font-size: 14px\"><span style=\"color: #8A8A8A; flex: 0 0 auto\">Course<\/span><span style=\"text-align: right; font-weight: 600; color: #222222\">at least 30 sessions<\/span><\/div><\/div>\n<\/div>\n<div style=\"background: #FFFFFF; border: 1px solid #E1E5EB; border-radius: 8px; padding: 26px 26px 18px; display: flex; flex-direction: column; gap: 12px\">\n<span style=\"align-self: flex-start; background: #C9A24E; color: #FFFFFF; border-radius: 999px; padding: 4px 12px; font-size: 12px; font-weight: 700; letter-spacing: 0.04em\">Level C \u00b7 evidence still building<\/span>\n<h3 style=\"margin: 0; font-size: 19px; line-height: 1.3; font-weight: 700; color: #000000\">The pre-supplementary motor area protocol<\/h3>\n<div><div style=\"display: flex; justify-content: space-between; gap: 16px; padding: 9px 0; border-top: 1px solid #E1E5EB; font-size: 14px\"><span style=\"color: #8A8A8A; flex: 0 0 auto\">For<\/span><span style=\"text-align: right; font-weight: 600; color: #222222\">Rituals and compulsions that are hard to stop<\/span><\/div><div style=\"display: flex; justify-content: space-between; gap: 16px; padding: 9px 0; border-top: 1px solid #E1E5EB; font-size: 14px\"><span style=\"color: #8A8A8A; flex: 0 0 auto\">One session<\/span><span style=\"text-align: right; font-weight: 600; color: #222222\">~25 minutes<\/span><\/div><div style=\"display: flex; justify-content: space-between; gap: 16px; padding: 9px 0; border-top: 1px solid #E1E5EB; font-size: 14px\"><span style=\"color: #8A8A8A; flex: 0 0 auto\">Course<\/span><span style=\"text-align: right; font-weight: 600; color: #222222\">at least 30 sessions<\/span><\/div><\/div>\n<\/div>\n<\/div>\n<p style=\"margin: 28px auto 0; max-width: 820px; text-align: center; font-size: 15px; color: #5D5D5D\">In OCD, the European recommendations place these protocols at Level C: study results are encouraging but still building. That is why the doctor explains at the assessment what you can expect, and TMS is always given together with medication and exposure therapy.<\/p>\n<\/div>\n<\/section>\n<section aria-labelledby=\"scale-h\" style=\"max-width: 1200px; margin: 0 auto; padding: 88px 24px 0\">\n<p style=\"margin: 0 0 10px; text-align: center; font-size: 14px; letter-spacing: 0.1em; text-transform: uppercase; color: #8A8A8A\">Progress you can measure, not just feel<\/p>\n<span style=\"display: block; width: 56px; height: 3px; background: #DFBD69; margin: 0 auto 18px\"><\/span>\n<h2 id=\"scale-h\" style=\"margin: 0 0 14px; text-align: center; font-size: 38px; line-height: 1.2; font-weight: 800; color: #000000\">How we measure your progress<\/h2>\n<p style=\"margin: 0 auto 36px; max-width: 760px; text-align: center; color: #5D5D5D; font-size: 17px\">We carry out the clinical assessment with standardised test batteries at the start of treatment and then after 10, 20 and 30 sessions. You see your progress in numbers, and the doctor adjusts the plan.<\/p>\n<div style=\"display: flex; flex-wrap: wrap; gap: 16px\"><div style=\"flex: 1 1 240px; min-width: 0; border-left: 4px solid #DFBD69; background: #FFFFFF; border-radius: 0 8px 8px 0; padding: 16px 20px; box-shadow: 0 1px 4px rgba(0,0,0,0.05)\"><p style=\"margin: 0 0 4px; font-size: 17px; font-weight: 700; color: #107E88\">Intrusive thoughts<\/p><p style=\"margin: 0; font-size: 14px; color: #5D5D5D\">how often they come and how much they upset you<\/p><\/div><div style=\"flex: 1 1 240px; min-width: 0; border-left: 4px solid #DFBD69; background: #FFFFFF; border-radius: 0 8px 8px 0; padding: 16px 20px; box-shadow: 0 1px 4px rgba(0,0,0,0.05)\"><p style=\"margin: 0 0 4px; font-size: 17px; font-weight: 700; color: #107E88\">Rituals<\/p><p style=\"margin: 0; font-size: 14px; color: #5D5D5D\">how much time they take and how hard they are to stop<\/p><\/div><div style=\"flex: 1 1 240px; min-width: 0; border-left: 4px solid #DFBD69; background: #FFFFFF; border-radius: 0 8px 8px 0; padding: 16px 20px; box-shadow: 0 1px 4px rgba(0,0,0,0.05)\"><p style=\"margin: 0 0 4px; font-size: 17px; font-weight: 700; color: #107E88\">Mood<\/p><p style=\"margin: 0; font-size: 14px; color: #5D5D5D\">mood, which often changes with OCD<\/p><\/div><div style=\"flex: 1 1 240px; min-width: 0; border-left: 4px solid #DFBD69; background: #FFFFFF; border-radius: 0 8px 8px 0; padding: 16px 20px; box-shadow: 0 1px 4px rgba(0,0,0,0.05)\"><p style=\"margin: 0 0 4px; font-size: 17px; font-weight: 700; color: #107E88\">Everyday life<\/p><p style=\"margin: 0; font-size: 14px; color: #5D5D5D\">how well you keep up with everyday tasks<\/p><\/div><\/div>\n<\/section>\n<section aria-labelledby=\"cine-h\" style=\"max-width: 1200px; margin: 0 auto; padding: 88px 24px\">\n<div style=\"display: flex; flex-wrap: wrap; gap: 24px\">\n<div style=\"flex: 1 1 440px; min-width: 0; background: #F8F8F9; border-radius: 8px; padding: 34px\">\n<h2 id=\"cine-h\" style=\"margin: 0 0 16px; font-size: 28px; line-height: 1.2; font-weight: 800; color: #000000\">Who it is for<\/h2>\n<ul style=\"margin: 0; padding-left: 20px; display: flex; flex-direction: column; gap: 8px; font-size: 16px\"><li>You have obsessive-compulsive disorder and your current treatment is not enough<\/li><li>You already take medication for OCD and want an add-on treatment<\/li><li>You are in, or want to start, exposure and response prevention therapy<\/li><li>You are over 18<\/li><\/ul>\n<\/div>\n<div style=\"flex: 1 1 440px; min-width: 0; background: #EAF8FA; border-radius: 8px; padding: 34px\">\n<h2 style=\"margin: 0 0 16px; font-size: 28px; line-height: 1.2; font-weight: 800; color: #000000\">What you get at ID Therapy<\/h2>\n<ul style=\"margin: 0; padding-left: 20px; display: flex; flex-direction: column; gap: 8px; font-size: 16px\"><li>Clinical assessment with standardised test batteries<\/li><li>Target checked by Neuronavigation at every session<\/li><li>Reassessment after 10, 20 and 30 sessions<\/li><li>Exposure therapy in the same clinic<\/li><\/ul>\n<\/div>\n<\/div>\n<\/section>\n<section aria-labelledby=\"cercetare-h\" style=\"background: #F8F8F9\">\n<div style=\"max-width: 1200px; margin: 0 auto; padding: 88px 24px\">\n<p style=\"margin: 0 0 10px; text-align: center; font-size: 14px; letter-spacing: 0.1em; text-transform: uppercase; color: #8A8A8A\">Ongoing research<\/p>\n<span style=\"display: block; width: 56px; height: 3px; background: #DFBD69; margin: 0 auto 18px\"><\/span>\n<h2 id=\"cercetare-h\" style=\"margin: 0 0 14px; text-align: center; font-size: 38px; line-height: 1.2; font-weight: 800; color: #000000\">Current research in OCD<\/h2>\n<p style=\"margin: 0 auto 40px; max-width: 760px; text-align: center; color: #5D5D5D; font-size: 17px\">The international clinical trials registry (ClinicalTrials.gov) lists 23 ongoing TMS studies in OCD, most not yet published. Here are some of them:<\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit, minmax(300px, 1fr)); gap: 18px\">\n<div style=\"background: #FFFFFF; border-radius: 8px; padding: 24px; display: flex; flex-direction: column; gap: 6px\">\n<p style=\"margin: 0; font-size: 13px; font-weight: 700; color: #8A8A8A\">Amsterdam UMC, 8 centres in the Netherlands \u00b7 250 patients \u00b7 phase 3<\/p>\n<p style=\"margin: 0; font-size: 16px; font-weight: 700; color: #107E88\">OCD that has not responded to exposure therapy<\/p>\n<p style=\"margin: 0; font-size: 14px\">A large multicentre study using exactly the pre-supplementary motor area protocol we use.<\/p>\n<\/div>\n<div style=\"background: #FFFFFF; border-radius: 8px; padding: 24px; display: flex; flex-direction: column; gap: 6px\">\n<p style=\"margin: 0; font-size: 13px; font-weight: 700; color: #8A8A8A\">Stanford University \u00b7 212 patients<\/p>\n<p style=\"margin: 0; font-size: 16px; font-weight: 700; color: #107E88\">Who responds best to TMS in OCD<\/p>\n<p style=\"margin: 0; font-size: 14px\">Looks for signs on brain images that predict response, so that treatment can be chosen individually.<\/p>\n<\/div>\n<div style=\"background: #FFFFFF; border-radius: 8px; padding: 24px; display: flex; flex-direction: column; gap: 6px\">\n<p style=\"margin: 0; font-size: 13px; font-weight: 700; color: #8A8A8A\">Champalimaud Foundation, Lisbon \u00b7 ongoing<\/p>\n<p style=\"margin: 0; font-size: 16px; font-weight: 700; color: #107E88\">New targets found with Neuronavigation<\/p>\n<p style=\"margin: 0; font-size: 14px\">Uses MRI and Neuronavigation to identify the brain networks involved in OCD and stimulate them precisely.<\/p>\n<\/div>\n<div style=\"background: #FFFFFF; border-radius: 8px; padding: 24px; display: flex; flex-direction: column; gap: 6px\">\n<p style=\"margin: 0; font-size: 13px; font-weight: 700; color: #8A8A8A\">Ghent University Hospital, Belgium \u00b7 60 patients<\/p>\n<p style=\"margin: 0; font-size: 16px; font-weight: 700; color: #107E88\">Accelerated TMS together with exposure therapy<\/p>\n<p style=\"margin: 0; font-size: 14px\">Tests whether intensive stimulation given just before exposure therapy speeds up improvement.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section aria-labelledby=\"pret-h\" style=\"max-width: 1200px; margin: 0 auto; padding: 72px 24px 0\">\n    <div style=\"border: 2px solid #DFBD69; background: #FFFCF4; border-radius: 8px; padding: 32px 36px; display: flex; flex-wrap: wrap; gap: 20px; align-items: center; justify-content: space-between\">\n    <div style=\"flex: 999 1 480px; min-width: 0\">\n    <h2 id=\"pret-h\" style=\"margin: 0 0 8px; font-size: 26px; font-weight: 800; color: #000000\">The plan is set at the assessment<\/h2>\n    <p style=\"margin: 0; font-size: 16px\">In OCD, the number of sessions and the right package are set at the initial assessment, according to the chosen protocol. The price per session starts from the launch price.<\/p>\n    <\/div>\n    <a href=\"\/en\/tms-bucharest#tarife\" style=\"background: #00A8B6; color: #FFFFFF; text-decoration: none; padding: 14px 26px; border-radius: 5px; font-weight: 700; min-height: 48px; box-sizing: border-box; display: inline-flex; align-items: center\">See prices<\/a>\n    <\/div>\n    <\/section>\n    <section aria-labelledby=\"faq-h\" style=\"max-width: 900px; margin: 0 auto; padding: 88px 24px\">\n<span style=\"display: block; width: 56px; height: 3px; background: #DFBD69; margin: 0 auto 18px\"><\/span>\n<h2 id=\"faq-h\" style=\"margin: 0 0 32px; text-align: center; font-size: 38px; line-height: 1.2; font-weight: 800; color: #000000\">Frequently asked questions<\/h2>\n<div style=\"display: flex; flex-direction: column; gap: 12px\">\n<div style=\"border: 1px solid #E1E5EB; border-radius: 8px; padding: 22px 26px\">\n<h3 style=\"margin: 0 0 6px; font-size: 18px; font-weight: 700; color: #107E88\">Does TMS replace medication or therapy?<\/h3>\n<p style=\"margin: 0; font-size: 15px\">No. In OCD, TMS is added to your treatment. The best results come in combination with exposure therapy.<\/p>\n<\/div>\n<div style=\"border: 1px solid #E1E5EB; border-radius: 8px; padding: 22px 26px\">\n<h3 style=\"margin: 0 0 6px; font-size: 18px; font-weight: 700; color: #107E88\">How soon will I see results?<\/h3>\n<p style=\"margin: 0; font-size: 15px\">Improvement usually comes gradually, after 4\u20136 weeks. We reassess you after 10, 20 and 30 sessions.<\/p>\n<\/div>\n<div style=\"border: 1px solid #E1E5EB; border-radius: 8px; padding: 22px 26px\">\n<h3 style=\"margin: 0 0 6px; font-size: 18px; font-weight: 700; color: #107E88\">Does it hurt?<\/h3>\n<p style=\"margin: 0; font-size: 15px\">You feel a light tapping on the scalp and hear a click with each pulse. You are awake and can go home on your own after the session.<\/p>\n<\/div>\n<\/div>\n<\/section>\n<section aria-labelledby=\"prog-h\" style=\"background: #00A8B6; color: #FFFFFF\">\n<div style=\"max-width: 1200px; margin: 0 auto; padding: 72px 24px; display: flex; flex-wrap: wrap; gap: 40px; align-items: center; justify-content: space-between\">\n<div style=\"flex: 999 1 520px; min-width: 0\">\n<h2 id=\"prog-h\" style=\"margin: 0 0 12px; font-size: 40px; line-height: 1.15; font-weight: 800\">Book your appointment<\/h2>\n<p style=\"margin: 0 0 6px; font-size: 18px; color: #F0FCFD\">The first step is the initial assessment. Tap \u201cBook now!\u201d and choose your time directly on WhatsApp. Bring your medical records, your list of medications and your MRI, if you have one.<\/p>\n<p style=\"margin: 0; font-size: 15px; color: #E0F7FA\">3 Aviator Jean Texier Street, 1st floor, apt. 2, Sector 1, Bucharest \u00b7 Monday\u2013Friday, 10:00\u201320:00<\/p>\n<\/div>\n<div style=\"flex: 1 1 280px; min-width: 0; display: flex; flex-direction: column; gap: 12px\">\n<a href=\"https:\/\/wa.me\/40770942836\" target=\"_blank\" rel=\"noopener\" style=\"background: #DFBD69; color: #FFFFFF; text-decoration: none; padding: 18px 24px; border-radius: 5px; font-weight: 800; font-size: 20px; text-align: center; min-height: 56px; box-sizing: border-box\">Book now!<\/a>\n<\/div>\n<\/div>\n<\/section>\n<div class=\"idt-surse\" style=\"background: #F8F8F9\">\n<div style=\"max-width: 1200px; margin: 0 auto; padding: 32px 24px 44px; font-size: 12px; color: #8A8A8A; display: flex; flex-direction: column; gap: 8px\">\n<p style=\"margin: 0\">Results vary from patient to patient. The indication for TMS is set by the doctor after an assessment. Sources: Steuber and McGuire, Biol Psychiatry CNNI 2023 \u00b7 Rev Bras Psiquiatr 2025 \u00b7 Tseng et al., Acta Psychiatr Scand 2025 \u00b7 ClinicalTrials.gov, November 2026 \u00b7 Academy of Brain Stimulation, TMS Protocols 08\/2026.<\/p>\n<p style=\"margin: 0\">ID Therapy Brain &amp; Longevity Clinic<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<script>\n(function(){function go(){var h=decodeURIComponent(location.hash||'').slice(1);if(!h)return;var e=document.getElementById(h);if(e){e.scrollIntoView({block:'start'});}}\nwindow.addEventListener('load',function(){go();setTimeout(go,300);setTimeout(go,900);});window.addEventListener('hashchange',go);})();\n<\/script>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>TMS with Neuronavigation Depression OCD Neuropathic pain Stroke recovery Parkinson\u2019s Addictions TMS with Neuronavigation \u203a Obsessive-compulsive disorder TMS for obsessive-compulsive disorder (OCD) When intrusive thoughts and rituals will not let go. Transcranial magnetic stimulation (TMS) acts on the brain circuit that, in obsessive-compulsive disorder, stays stuck on alert. It is added to medication and exposure [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":14675,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-14679","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/idtherapy.ro\/en\/wp-json\/wp\/v2\/pages\/14679","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/idtherapy.ro\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/idtherapy.ro\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/idtherapy.ro\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/idtherapy.ro\/en\/wp-json\/wp\/v2\/comments?post=14679"}],"version-history":[{"count":3,"href":"https:\/\/idtherapy.ro\/en\/wp-json\/wp\/v2\/pages\/14679\/revisions"}],"predecessor-version":[{"id":14778,"href":"https:\/\/idtherapy.ro\/en\/wp-json\/wp\/v2\/pages\/14679\/revisions\/14778"}],"up":[{"embeddable":true,"href":"https:\/\/idtherapy.ro\/en\/wp-json\/wp\/v2\/pages\/14675"}],"wp:attachment":[{"href":"https:\/\/idtherapy.ro\/en\/wp-json\/wp\/v2\/media?parent=14679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}