Treatment for Obsessive-Compulsive Disorder (OCD)
Deep brain situmulation
Deep brain stimulation (DBS) is a surgical procedure in which a thin wire (electrode) is implanted in the area of the brain responsible for the patient’s symptoms.
The electrode, connected to a pulse generator implanted under the skin below the collarbone, carries mild electrical pulses to the brain to help control abnormal behaviors. The DBS procedure, performed by a specially trained neurosurgeon, is both adjustable and reversible.
DBS, which is most often used to treat movement disorders, is approved for OCD treatment under a Humanitarian Device Exemption.
DBS may be considered for patients who:
- Have a diagnosis of OCD with a documented duration of at least five years
- Have OCD rated as a severe or extreme illness
- Have depression and anxiety
- Have failed to improve following treatment with at least three selective serotonin reuptake inhibitors (SSRIs)
- Do not have hoarding as a primary subclassification
- Have completed or tried to complete cognitive behavior therapy
- Have no serious psychiatric disorder (for example, personality disorder) in addition to OCD, nor substance abuse issues
- Are 18 years old or older and are not pregnant
- Have not had a previous surgery to destroy the region of the brain that will be the target of stimulation
- Have no other neurological disorders, including dementia
- Do not require routine MRIs
» Learn more about deep brain stimulation at UPMC