Patients
INCLUSION
Is the subject:
| 1. Male or female aged 18-50 |
| 2. Principal DSM-5 diagnosis of OCD |
| 3. Y-BOCS ≥ 16 |
| 4. No psychotropic meds for the last 6 weeks, with the exception of PRN sleeping meds (e.g., zolpidem or trazodone up to 50 mg) and benzos as long as not within the past week or during study participation |
| 5. No CBT/EXRP focused on OCD within the past 6 weeks |
| 6. Able to tolerate a treatment-free period for 1 week |
| 7. Capable of providing informed consent |
EXCLUSION
Is the subject/does the subject have any of the following?
| 1. Lifetime diagnosis of psychotic disorder |
| 2. Lifetime diagnosis of bipolar disorder |
| 3. Lifetime diagnosis of anorexia nervosa |
| 4. Lifetime diagnosis of autism spectrum disorder with IQ < 80 |
| 5. Lifetime diagnosis of Tourette disorder |
| 6. Current chronic tic disorder (current = in the past 12 months) |
| 7. Current substance-related and addictive disorders, including nicotine (current = in the past 12 months) |
| 8. Current binge-eating disorder or bulimia (current = in the past 12 months) |
| 9. Acute risk of suicide |
| 10. Female who is pregnant |
| 11. Major medical or neurological problems (including head injury with loss of consciousness) |
| 12. Presence of metallic devices or dental braces |
| 13. IQ < 80 |
| 14. Cigarette use: more than 5 per day |
| 15. Alcohol use: more than 2 drinks per day for women and more than 3 drinks per day for men |
| 16: Marijuana use: more than once per week |