rTMS in Treatment of Obsessive Compulsive Disorder (OCD)

Inclusion Criteria: * signed patient informed consent; * primary obsessive compulsive disorder; * YBOCS score at least 20; * males/females 18-65yrs; * treated with adequate dose of SSRI at least 8 weeks at some stage of illness; * currently using adequate, stable dose of SSRI at least 4 weeks but not responding. Exclusion Criteria: * schizophrenia, other psychotic disorders, bipolar I, current major depressive disorder (HDRS(17)\>18, substance/alcohol dependence within last 6 months; * severe axis II; * suicidal score\>=6 on MINI; * metallic implant in cranium; * severe/unstable medical conditions; * not responding to ECT or had TMS in last 6 months; * history epilepsy; * neurological disorder leading to increased intracranial pressure; * severe cardiac disorder/intracardiac lines, pacemakers;