Treating OCD with TMS: What Orange County Patients Should Expect from First Session to Results

Obsessive-compulsive disorder (OCD) is a challenging mental health condition characterized by intrusive thoughts (obsessions) and repetitive behaviors or mental acts (compulsions). It affects millions of individuals in the U.S., often interfering with relationships, career goals, and day-to-day functioning. For many, traditional treatments like cognitive behavioral therapy (CBT) and medications offer relief. But for those who continue to experience debilitating symptoms, Deep Transcranial Magnetic Stimulation (Deep TMS) offers a new path forward. At Resiliency Mind + Body Medicine in Newport Beach, CA, under the care of Dr. Stefani LaFrenierre, patients with treatment-resistant OCD are finding renewed hope through BrainsWay Deep TMS. If you’re considering this advanced therapy, here’s what you can expect—from your first session through to potential results.

Understanding OCD and the Need for New Treatments

OCD is more than just being particular or overly tidy. It’s a chronic condition involving unwanted, distressing thoughts and compulsive rituals that individuals feel driven to perform. These behaviors may temporarily relieve anxiety, but they often lead to a cycle that reinforces and worsens symptoms over time. For many patients, SSRIs (selective serotonin reuptake inhibitors) and structured therapy can help. However, up to 40–60% of individuals with OCD do not respond adequately to medication alone. Deep TMS, especially using BrainsWay’s FDA-cleared technology, is emerging as a transformative solution for these individuals.  

What Is Deep TMS and How Does It Work for OCD?

Deep Transcranial Magnetic Stimulation is a non-invasive, brain-based therapy that uses magnetic pulses to directly stimulate deeper neural circuits involved in emotional regulation and compulsive behaviors. The BrainsWay H7-coil—specifically developed for OCD—targets the anterior cingulate cortex and medial prefrontal cortex, regions shown to be hyperactive in OCD patients. By modulating the activity of these brain areas, Deep TMS helps “reset” dysfunctional communication patterns, allowing patients to break free from obsessive thought loops and compulsive behaviors. Unlike medication, Deep TMS works at the neurological level without systemic side effects, and it doesn’t require downtime or sedation.  

The First Step: Comprehensive Evaluation

Before beginning treatment, every patient at Resiliency Mind + Body Medicine undergoes a thorough consultation with Dr. LaFrenierre or a qualified clinical provider. This assessment involves:

• A detailed review of your mental health history 
• Evaluation of previous treatments, including medications and therapy 
• Discussion of your current symptoms and functional impairments 
• Goal setting for what you hope to achieve with TMS 

This collaborative process helps determine whether Deep TMS is appropriate for your unique needs and ensures you feel informed and supported from day one.

What Happens During a Deep TMS Session for OCD?

The Deep TMS process is comfortable, convenient, and designed with patient well-being in mind. Here’s what you can expect during a typical session:

• You’ll be seated in a reclining chair in a quiet, private treatment room. 
• A helmet containing the BrainsWay H7 coil is gently placed over your scalp. 
• The device delivers magnetic pulses in a specific sequence tailored for OCD treatment. 
• Each session lasts about 20–30 minutes. 

Most patients experience mild tapping sensations or scalp discomfort during the initial treatments, which generally fade as sessions progress. You’ll be awake and alert the entire time and can return to your normal daily activities immediately after.

Frequency and Duration of OCD Treatment

Treating OCD with Deep TMS involves a structured, evidence-based protocol. Most patients undergo:

• Five sessions per week (Monday through Friday) 
• Over a course of 6 weeks for a total of 29 sessions 
• Followed by a tapering phase, depending on your progress and response 

The intensity and consistency of this schedule are key to achieving therapeutic outcomes, especially in patients whose OCD has not responded to conventional methods.

When Will You Start to See Results?

OCD treatment with Deep TMS is cumulative. While some patients begin noticing changes after the first 2–3 weeks, others may require more time. Early improvements often include:

• Reduced time spent performing compulsions 
• Fewer intrusive thoughts 
• Greater emotional resilience and ability to resist compulsive urges 

With continued treatment, these improvements tend to deepen and stabilize. Long-term benefits may also include increased capacity for work and relationships, better mood regulation, and a stronger sense of control over daily life.

Why Choose Resiliency Mind + Body Medicine in Orange County?

At Resiliency Mind + Body Medicine, we are committed to combining scientific innovation with compassionate care. Dr. Stefani LaFrenierre and her team bring a wealth of expertise in neuropsychiatric disorders, along with access to the latest BrainsWay Deep TMS technology. What sets our practice apart:

• Precision Diagnosis and Care: Every patient is carefully evaluated and monitored throughout the process. 
• Expertise in OCD: Our team is specially trained in treating OCD using the BrainsWay H7 protocol. 
• Comfort-First Environment: Patients receive care in a supportive and calming setting tailored to mental health recovery. 
• Holistic, Integrative Approach: We can incorporate TMS into a broader treatment plan that may include therapy, nutritional guidance, or other wellness services. 

We don’t just focus on symptom reduction—we help you rebuild resiliency from the inside out.

Frequently Asked Questions

Is Deep TMS for OCD safe?

Yes. Deep TMS is FDA-cleared for treatment-resistant OCD and is considered safe and well-tolerated. Side effects are typically mild, such as temporary scalp discomfort or headache.

How is OCD treatment with TMS different from depression or anxiety treatment?

TMS for OCD uses a specific coil (H7) and stimulation pattern distinct from those used for depression or anxiety. The protocol is more targeted to brain areas involved in obsessive-compulsive behavior.

Will I still need medication after TMS?

It depends. Some patients are able to reduce or eliminate medications, while others continue using a combined approach. Any medication changes should be discussed with your prescribing provider.

Is it covered by insurance?

Many insurance providers do cover Deep TMS for OCD. Our team will help you navigate your benefits and assist with pre-authorization as needed.

Take the First Step Toward OCD Relief in Newport Beach

Living with OCD can be exhausting—but you’re not alone, and you don’t have to stay stuck. Deep TMS at Resiliency Mind + Body Medicine offers a powerful, non-invasive option for patients seeking lasting relief from OCD symptoms that haven’t improved with medication or therapy. Led by Dr. Stefani LaFrenierre, our Orange County team is here to help you move forward with clarity, confidence, and care. Schedule a consultation today to explore whether Deep TMS is the right next step on your healing journey.