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OCD Treatment · Ann Arbor & Ypsilanti

OCD treatment in Ann Arbor & Ypsilanti. Including when medication and therapy haven't been enough.

Psychiatric evaluation and medication management for obsessive-compulsive disorder, plus TMS therapy for adults whose OCD hasn't responded to standard treatment. All under one psychiatrist, not a rotating staff.

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We accept most major insurance plans.

Coverage details confirmed during your screening call.

Why it matters

OCD is treatable. But first-line treatment doesn't work for everyone.

1 in 40

Adults with OCD in their lifetime

About 2 to 3% of US adults have OCD at some point. Many wait years before getting the right diagnosis.

Up to 50%

Partial response

People with OCD who don't get enough relief from their first medication, even at a full dose.

2+

Failed antidepressant trials

The point where we look beyond standard medication, including TMS therapy for OCD.

Source: NIMH; National Comorbidity Survey Replication; published OCD treatment research. Individual results vary.

Is advanced treatment right for you?

Most OCD starts with ERP therapy and medication. Some needs more.

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TMS may be a fit if you

  • — Are an adult with OCD diagnosed by a clinician
  • — Have tried two or more medications without enough relief
  • — Have tried ERP therapy and still struggle with obsessions or compulsions
  • — Couldn't tolerate the higher medication doses OCD often needs
  • — Can come in for daily sessions over about 6 weeks
  • — Have no metal implants in your head and no history of seizures
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Start with a standard OCD consultation if you

  • — Haven't tried ERP therapy or an SSRI yet
  • — Are newly diagnosed or looking for a first evaluation
  • — Aren't sure if it's OCD, anxiety or something else
  • — Have OCD symptoms during pregnancy or after having a baby
  • — Mainly struggle with depression rather than OCD
  • — Are in crisis right now (call or text 988)
Final eligibility is determined during your screening call. Take the 1-minute self-assessment →

What to expect

What your first OCD visit actually looks like.

No surprises. Here's how it works, from your first call to your treatment plan.

Step 1 · Screening call

We learn your history

A clinician calls within 24 business hours. Have a list of every medication you've tried for OCD, the dose and how long you took it, plus any ERP therapy you've done.

Step 2 · Evaluation

A full psychiatric evaluation

We review your obsessions and compulsions and how much of your day they take, and screen for conditions that often come with OCD, such as depression, anxiety or tics.

Step 3 · Baseline

Measured, not guessed.

You complete the Y-BOCS, the standard OCD severity scale, so we can track your progress at every visit.

Step 4 · Your plan

You leave with a clear next step

That may be starting or adjusting medication, an ERP therapy referral, or, if you qualify, TMS therapy.

Your Treatment Path

How OCD care works, step by step.

Step 1 · Standard care

ERP therapy + medication
Most patients start here. Exposure and response prevention (ERP) therapy, often with an SSRI. OCD usually needs higher doses and 8 to 12 weeks to judge whether a medication is working.

Step 2 · Adjust

Switch, add or optimize
If the first medication doesn't help enough, we adjust the dose, try a different medication such as another SSRI or clomipramine, or add one.

Step 3 · Advanced care

TMS therapy for OCD
If two or more medications haven't worked, you may qualify for TMS therapy, which is FDA-cleared for OCD. It's added to your current treatment, not used instead of it.

Why it matters where you go

OCD care under one psychiatrist, not a patchwork.

Medication and TMS, one team.

Medication management and TMS under one roof, coordinated with your ERP therapist. If one approach isn't working, you don't start over somewhere new.

Continuity beats convenience.

Dr. Zubairi or your assigned NP follows your care from first evaluation through every treatment change, with the full picture of your history.

Get started

Request an OCD consultation.

Take a 1-minute self-assessment to see if TMS or SPRAVATO could be right for you. You'll see your result right away, and you can request a callback if you'd like to talk it through.

What happens next: A clinician not an admin will call you, review what you've already tried, and confirm the right next step.

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We accept most major insurance plans.

Coverage details confirmed during your screening call.

1-minute self-assessment

Could TMS or SPRAVATO be right for you?

Answer 7 quick questions and see your result right away.

  • No names or medical details needed to see your result
  • Your individual answers are not sent to the clinic
  • A clinician always makes the final decision
Not for medical emergencies. If you're in crisis in the US, call or text 988.

TMS or SPRAVATO?

Standard OCD care or TMS? Which is right for you?

ERP + medication
TMS for OCD
What it is
Exposure therapy plus an SSRI or similar medication
Magnetic stimulation of brain circuits linked to OCD
Who it's for
Most people with OCD, as a first step
Adults who haven't responded to 2+ medications
Time commitment
Weekly therapy plus regular medication visits
Daily sessions, 5 days a week, for about 6 weeks
Medication side effects?
Possible (nausea, sleep or sexual side effects)
None; mild headache or scalp discomfort is possible
Drive yourself home?
Yes
Yes, immediately

Common questions

OCD FAQs.

OCD involves unwanted, intrusive thoughts (obsessions) and repeated behaviors or mental rituals (compulsions) you feel driven to do to ease the distress. They take up a lot of time, often more than an hour a day, and get in the way of daily life. Everyday worry doesn't usually come with rituals.

For most people, it's exposure and response prevention (ERP) therapy, an SSRI medication, or both. These first-line treatments help many patients. TMS is an option when they haven't worked well enough.

OCD medications usually take 8 to 12 weeks at an effective dose to show their full effect, and OCD often needs higher doses than depression. That's why it's important not to give up on a medication too early.

Don't stop it on your own. Talk to your prescriber about the dose, the timing or a switch, and whether you've had enough ERP therapy. If two or more medications haven't helped enough, you may qualify for TMS.

Yes. Specific TMS systems are FDA-cleared for adults with OCD, used alongside standard treatment. It's not a first treatment. It's for people whose OCD hasn't responded well enough to medication and therapy.

No. SPRAVATO is approved for depression, not OCD. If you have OCD along with depression that hasn't responded to antidepressants, SPRAVATO may be an option for the depression.

Yes. ERP works best when it continues alongside psychiatric care. We manage the medication and TMS side, and with your permission we coordinate with your therapist. If you don't have one, we can help you find an ERP-trained therapist.

We accept most major insurance plans, and coverage is confirmed on your screening call. Coverage for TMS for OCD varies by plan and usually requires documented past treatment, which we help you gather.

Yes. OCD that starts or gets worse during pregnancy or after delivery is common and treatable. We offer perinatal psychiatric consultations, including a careful review of medication options during pregnancy and breastfeeding.

We treat OCD at our Ypsilanti office, easily accessible from Ann Arbor, Plymouth, Canton, Brighton, Chelsea and Jackson, as well as surrounding areas in Washtenaw, Wayne, Livingston and Jackson counties.

Find the right next step for your OCD.

Submit a request and a clinician will call within 24 business hours.

Request Psychiatric Consultation

For physicians and therapist only