Theta Burst Stimulation Plus Habit Override Training for Compulsive Behaviors

You may be eligible if

• Participants will:
• 1. Be between the ages of 18 and 60 years
• 2. Endorse problematic compulsive behaviors, per self-report and clinician-administered measures.
• 3. Agree to video taping of structured clinical interview
• 4. Report that they will reside in the Pittsburgh area for at least 5 weeks
• 2. Medical contraindications for Transcranial Magnetic Stimulation (TMS):
• 1. Presence of a neurologic disorder or medication therapy known to alter seizure threshold (e.g., stroke, aneurysm, brain surgery, structural brain lesion, brain injury, frequent/severe headaches)
• 2. Recurrent seizures or epilepsy in participant or family history of hereditary epilepsy
• 3. Pregnancy
• 4. Metallic implants in body or other devices that may be affected by magnetic field
• 5. Significant heart disease or cerebrovascular disease
• 6. Medications with strong seizure threshold lowering potential or which may interfere with the efficacy of TMS (e.g., clozapine, stimulants)
• 3. Acute suicidality or other psychiatric crises requiring treatment escalation
• 4. Changes made to treatment regimen within 4 weeks of baseline assessment
• 5. Reading level \<6th grade as per participant self-report
• 6. Presence of bipolar, psychotic, autism spectrum, or substance use disorder (i.e. current problematic use of mood altering drugs such as cocaine, opiates, amphetamines, and barbiturates)
• 7. Presence of movement disorder or tics affecting manual responses
• 8. Inability to read text from 2 feet away (corrective lenses allowed)