Patients typically notice improvements from ERP therapy within four to eight weeks. Medications generally require eight to 12 weeks to demonstrate full effects, while TMS courses last four to six weeks with daily sessions.
The Midtown office provides multiple treatment modalities to address persistent OCD symptoms. Each approach targets different aspects of the disorder.
The clinicians at Principium utilize cognitive behavioral therapy with Exposure and Response Prevention (ERP), the gold standard psychological treatment for obsessive-compulsive symptoms. ERP gradually exposes you to anxiety-triggering situations while helping you resist performing compulsions. This approach proves effective for contamination fears, checking behaviors, intrusive thoughts and symmetry obsessions.
Treatment providers prescribe medications that regulate serotonin and other neurotransmitters involved in OCD symptoms, including selective serotonin reuptake inhibitors (SSRIs) at therapeutic doses. Medication management includes monitoring with dose adjustments based on symptom reduction.
For patients experiencing treatment-resistant OCD, providers can offer Transcranial Magnetic Stimulation (TMS), an FDA-cleared intervention using magnetic pulses to stimulate underactive brain regions. This noninvasive approach involves brief daily sessions over several weeks. Research demonstrates TMS effectiveness for reducing obsession frequency and compulsion urgency.
Dr. Cohen and the team also offer SPRAVATO™ (esketamine) for qualified patients with OCD accompanied by severe depression or when conventional treatments haven’t provided improvement. This nasal spray medication works through different brain pathways than traditional antidepressants.
Located at 110 East 42nd Street near Grand Central Terminal, the office provides convenient access for patients throughout Manhattan, Queens and the Bronx. We offer flexible scheduling with early morning and evening appointments, plus telehealth options. The central location makes attending regular OCD treatment sessions manageable.
Here are some common questions to help you understand what to expect when you visit a psychiatrist or OCD therapist in Midtown for comprehensive OCD care.
Patients typically notice improvements from ERP therapy within four to eight weeks. Medications generally require eight to 12 weeks to demonstrate full effects, while TMS courses last four to six weeks with daily sessions.
The practice accepts insurance for TMS therapy but not for ketamine-based treatments. The team can verify your coverage for psychotherapy and medication management.
Most patients maintain professional responsibilities throughout treatment. Therapy sessions last 45-60 minutes, and TMS sessions last only 20-30 minutes
Dr. Cohen and the team at Principium Psychiatry offer specialized expertise and advanced OCD treatment options. Contact our office today at (318) 724-5798 or schedule your initial psychiatric evaluation online.