TMS for OCD in San Diego

OCD Treatment That Doesn't Stop at "Try More Exposure"

OCD is one of the few conditions with its own FDA-cleared TMS indication. When therapy and medication haven't been enough, TMS is a legitimate next step, evaluated and planned personally by Dr. Mario Salguero, MD, PhD.

OCD is an FDA-cleared TMS indication Works alongside therapy and medication Planned by an MD-PhD psychiatrist No drugs added, no downtime
Led by a board-certified, MD-PhD psychiatrist and former UC San Diego chief resident. Your TMS is planned and overseen by a physician, start to finish.

Why Patients Choose Us

OCD Deserves More Than a Checklist

OCD gets recognized here

Not all OCD looks like handwashing. Intrusive thoughts, mental rituals, checking, moral scrupulosity, Dr. Salguero knows the quieter presentations that get missed for years.

An FDA-cleared indication, taken seriously

OCD has its own TMS clearance, a different protocol targeting different brain circuits than depression treatment. This isn't off-label improvisation.

Built to work with your therapy

TMS doesn't replace exposure therapy, it can make the work more possible. We coordinate with your therapist rather than competing with them.

Medication reviewed by a specialist

High-dose SSRIs are standard for OCD, and getting them right takes experience. A full psychiatric practice means that expertise is in the room.

Is This You?

The OCD We Help With

Our Approach

How We Treat OCD

Dr. Mario Salguero, MD, PhD

Meet Your Psychiatrist

Dr. Mario Salguero, MD, PhD

A board-certified psychiatrist and former chief resident at UC San Diego, Dr. Salguero holds an MD-PhD and plans and delivers your TMS himself. OCD care rewards that depth: the physician who understands your obsessional pattern is the same one designing the protocol meant to quiet it.

Board-Certified PsychiatristMD-PhDChief Resident, UC San Diego

How to Get Started

Three Steps to Real Answers

1

Reach out

Call, text, or send the form. We respond quickly and answer your questions directly.

2

A full evaluation

Dr. Salguero confirms the diagnosis and whether TMS belongs in your OCD treatment plan.

3

Begin treatment

Start an OCD-specific protocol overseen by your physician from first session to last.

Frequently Asked Questions

Common Questions

Is TMS really FDA-cleared for OCD?

Yes, OCD has its own FDA-cleared TMS indication, established on deep TMS systems, using a protocol distinct from depression treatment. Your evaluation will determine whether TMS is appropriate for your OCD and how it should be delivered in your case.

Does TMS replace exposure therapy (ERP)?

No, and be wary of anyone who says it does. ERP remains the gold-standard therapy for OCD. TMS is an additional tool, often for people whose symptoms are too severe to engage with ERP, or who've plateaued despite doing the work.

I was told my OCD is "just anxiety." How do I know?

That's common, OCD is frequently misdiagnosed. A proper evaluation looks specifically for the obsession-compulsion cycle, including the purely mental forms. Dr. Salguero establishes the diagnosis before any treatment is discussed.

Do I stop my medication during TMS?

Usually not. TMS is typically delivered alongside existing medication, and any adjustments are made deliberately with Dr. Salguero, not as a precondition.

How do I start?

Call or text 858-461-8614, or send the form. We respond quickly and will schedule your evaluation.

A Cleared Indication, Not an Experiment

If you're researching TMS for OCD in San Diego, here's the fact that matters: OCD is one of the few psychiatric conditions with its own FDA-cleared TMS indication, earned in clinical trials on deep TMS systems with protocols built specifically for OCD's brain circuitry. This is not depression treatment repurposed and hoped for.

At Brain Strength for Life, that seriousness carries through the whole course. Dr. Mario Salguero, MD, PhD, a physician-scientist and former UC San Diego chief resident, establishes the diagnosis, maps what you've already tried, and determines whether an OCD-specific TMS protocol is the right next step for you.

OCD treatment has a well-established ladder: exposure and response prevention, properly dosed SSRIs, and then, for the many people who need more, neuromodulation. What patients rarely get is someone qualified to run the whole ladder honestly. Because this is a full psychiatric practice, ERP referrals, medication optimization, and TMS all live in the same treatment plan, weighed by the same physician.

We see patients from across San Diego, La Jolla, Del Mar, and Carmel Valley who have spent years being told to try harder at therapy. Sometimes the honest answer is that their brain needs a different kind of help engaging with it.

Every Rung of the Treatment Ladder

Tired of Negotiating With Your OCD?

Find Out If TMS Is Your Next Step

Dr. Salguero will confirm the diagnosis, review what you've tried, and tell you honestly whether an OCD-specific TMS protocol, medication changes, therapy, or a combination is the right move. No pressure, no obligation.