Obsessive Compulsive Disorder

Expert OCD Treatment and Medication Management in Hilton Head

Obsessive-Compulsive Disorder is a debilitating neurobiological condition characterized by intrusive, unwanted thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) that significantly impair daily functioning and quality of life. Far more than simply being “neat” or “organized,” OCD involves distressing thoughts and time-consuming rituals that individuals cannot easily control despite recognizing they’re excessive or irrational. Dr. Gabriella Farkas provides comprehensive evaluation, accurate diagnosis, and evidence-based OCD treatment through sophisticated medication management for adults throughout the Lowcountry. Her dual MD/PhD credentials in neuroscience enable her to provide specialized OCD help that addresses the neurobiological roots of this challenging condition.

Understanding Obsessive-Compulsive Disorder

OCD affects approximately 2-3% of the population, causing significant suffering and functional impairment. The condition involves two core components—obsessions and compulsions—that create a devastating cycle consuming hours daily and preventing individuals from living fully. According to the National Institute of Mental Health, this is a serious but treatable condition requiring specialized psychiatric care, often combining medication with specific behavioral therapy approaches.

Dr. Farkas’s neuroscience background provides deep understanding of the neurobiological mechanisms underlying these conditions—how dysregulation in cortico-striato-thalamo-cortical circuits connecting the orbitofrontal cortex, basal ganglia, and thalamus, combined with serotonin system abnormalities, creates the repetitive thought patterns and compulsive behaviors characteristic of Obsessive-Compulsive Disorder. This scientific foundation enables precise medication selection, addressing root neurobiological causes rather than simply managing symptoms superficially.

The Neuroscience of OCD

OCD results from dysfunction in specific brain circuits controlling error detection, threat assessment, and behavioral inhibition. Neuroimaging studies show hyperactivity in the orbitofrontal cortex (involved in worry and threat detection), anterior cingulate cortex (detecting errors and conflicts), and caudate nucleus (part of basal ganglia controlling movement initiation and inhibition). These overactive circuits create a neurobiological “broken record” where the brain signals that something is wrong, dangerous, or incomplete even when it isn’t, driving repetitive checking, washing, or other compulsive responses.

Serotonin dysregulation plays a central role—OCD responds specifically to medications affecting serotonin systems. Genetic factors contribute significantly, with the condition clustering in families. These aren’t character flaws, poor self-control, or “quirks”—they’re medical abnormalities in brain function requiring professional OCD treatment from an experienced OCD psychiatrist.

Obsessions: Intrusive, Unwanted Thoughts

Obsessions are recurrent, persistent thoughts, urges, or images experienced as intrusive, unwanted, and causing significant anxiety or distress. Key characteristics include:

• Intrusive Nature: Thoughts appear unbidden, interrupting normal thinking despite efforts to ignore or suppress them
• Ego-Dystonic: The thoughts feel alien to the person—inconsistent with their values, desires, or sense of self, unlike psychotic delusions
• Distressing: Obsessions cause significant anxiety, disgust, or emotional pain rather than pleasure
• Time-Consuming: Obsessions occupy substantial time daily—sometimes hours—interfering with normal activities
• Recognized as Excessive: Unlike delusions, individuals with OCD usually recognize (at least at some level) that their obsessions are unreasonable, though insight can vary

Compulsions: Repetitive Behaviors or Mental Rituals

Compulsions are repetitive behaviors or mental acts performed in response to obsessions, aimed at reducing anxiety or preventing feared outcomes. Characteristics include:

• Driven by Obsessions: Compulsions are performed to neutralize anxiety from obsessions or prevent feared consequences
• Rigid Rules: Must be performed in specific ways, specific numbers of times, or in specific sequences
• Temporary Relief: Performing compulsions briefly reduces anxiety but reinforces the cycle—the relief is temporary and obsessions return
• Excessive or Unrealistic: Compulsions are clearly excessive (washing hands 50 times) or not realistically connected to preventing feared outcomes
• Time-Consuming: Compulsions can consume hours daily, significantly impairing functioning and requiring OCD help

Common OCD Symptom Presentations

Obsessive-Compulsive Disorder manifests in various content themes, though the underlying mechanism—obsessions driving compulsions—remains consistent across presentations:

Contamination OCD

Obsessions: Fear of germs, dirt, bodily fluids, chemicals, or illness contamination; worry about contaminating others; disgust at “dirty” objects or situations.

Compulsions: Excessive hand-washing or showering (sometimes for hours); avoidance of “contaminated” objects, places, or people; elaborate cleaning rituals; using barriers (gloves, paper towels) to avoid touching things; excessive use of sanitizers or cleaning products.

Harm OCD

Obsessions: Intrusive thoughts about harming oneself or others (often disturbing violent or sexual images); fear of acting on harmful impulses despite having no desire to do so; fear of being responsible for accidents or disasters.

Compulsions: Mental reviewing of past actions to ensure no harm occurred; seeking reassurance from others; avoiding knives, driving, or situations where harm might occur; checking locks, stoves, or other potential dangers repeatedly.

Checking OCD

Obsessions: Fear of having made mistakes or forgotten something important; worry about fires, burglaries, or accidents resulting from one’s negligence; doubt about whether tasks were completed properly.

Compulsions: Repeatedly checking locks, stoves, light switches, or appliances; returning home multiple times to verify doors are locked; checking written work excessively for errors; seeking reassurance that tasks were completed correctly.

Symmetry and Ordering

Obsessions: Intense discomfort when things aren’t “just right,” symmetrical, or in perfect order; fear that imperfection will cause something bad to happen; magical thinking connecting arrangement to preventing harm.

Compulsions: Arranging objects repeatedly until they feel “right”; performing actions in specific sequences or specific numbers of times; touching or tapping objects symmetrically; redoing actions until they feel perfect.

Intrusive Sexual or Religious Obsessions

Obsessions: Unwanted sexual thoughts, images, or impulses (often taboo or contrary to values); blasphemous religious thoughts; fear of being a pedophile, despite having no sexual attraction to children; doubts about sexual orientation despite knowing one’s orientation.

Compulsions: Often primarily mental—reviewing thoughts, analyzing whether thoughts mean something about oneself, seeking reassurance, praying repetitively, mentally “neutralizing” bad thoughts with good thoughts, avoiding triggers.

Relationship OCD (ROCD)

Obsessions: Constant doubt about whether partner is “the one”; analyzing feelings for partner; comparing partner to others; fear of being in wrong relationship; intrusive thoughts about partner’s flaws.

Compulsions: Constantly seeking reassurance about relationship; comparing partner to exes or others; analyzing feelings repeatedly; checking feelings by imagining life without partner.

Health Anxiety OCD

Obsessions: Preoccupation with having or developing serious illness; misinterpreting normal body sensations as signs of disease; fear of doctors missing serious conditions.

Compulsions: Excessive body checking; repeatedly seeking medical appointments or tests; researching diseases online compulsively; seeking reassurance from doctors or loved ones.

When to Seek Help from an OCD Psychiatrist

Many individuals with Obsessive-Compulsive Disorder suffer for years before seeking professional OCD help, feeling ashamed of their thoughts or believing they should be able to control symptoms through willpower. Consider consulting an OCD psychiatrist if you experience:

• Time-Consuming Symptoms: Obsessions or compulsions consume more than one hour daily (diagnostic threshold), though many individuals spend 3-8+ hours daily on rituals, severely impairing functioning
• Significant Distress: Obsessions cause intense anxiety, disgust, or emotional pain. The content of intrusive thoughts may be disturbing, violent, or completely contrary to your values
• Functional Impairment: Symptoms interfere with work, relationships, self-care, or other important life domains requiring professional OCD treatment
• Avoidance Behaviors: You avoid situations, places, objects, or people that trigger obsessions—limiting your life significantly
• Family Accommodation: Loved ones participate in your rituals or provide excessive reassurance—a pattern indicating significant severity
• Recognition Something Is Wrong: You realize your thoughts are excessive or behaviors unreasonable but can’t stop them despite trying
• Previous Treatment Hasn’t Worked: You’ve tried standard therapy or medications without adequate relief. OCD requires specific treatments that differ from approaches for other anxiety disorders
• Physical Consequences: Compulsions cause physical harm—raw, bleeding hands from washing; skin picking damage; sleep deprivation from nighttime rituals
• Life Decisions Driven by Symptoms: You’ve made major life decisions to accommodate symptoms—quitting jobs, ending relationships, restricting living situations

Diagnostic Process for Obsessive-Compulsive Disorder

Accurate diagnosis of OCD requires comprehensive psychiatric evaluation by an experienced OCD psychiatrist who understands how the condition presents and differs from other disorders. Dr. Farkas’s diagnostic process ensures precision:

Comprehensive Clinical Interview

Your initial 30-60 minute evaluation includes detailed exploration of obsessions—their content, frequency, triggers, and distress level; compulsions—their nature, frequency, time consumption, and function (what you fear will happen if you don’t perform them); onset and course of symptoms; impact on work, relationships, and daily functioning; previous OCD treatment attempts and responses; family psychiatric history (OCD often runs in families); comorbid conditions; and medical history. This thorough assessment enables accurate diagnosis and individualized treatment planning for effective OCD help.

Validated Assessment Instruments

Dr. Farkas uses standardized rating scales like the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), considered the gold standard for measuring symptom severity. These objective tools quantify obsession and compulsion severity separately, assess time consumption and functional impairment, establish baseline metrics for tracking treatment response, and enable data-driven treatment decisions. This measurement-based approach increases diagnostic accuracy and OCD treatment effectiveness.

Differential Diagnosis

Several conditions can mimic Obsessive-Compulsive Disorder or coexist with it, requiring careful diagnostic evaluation. Dr. Farkas distinguishes OCD from generalized anxiety disorder (GAD involves realistic worries about actual life circumstances, while OCD obsessions are unrealistic and intrusive), body dysmorphic disorder, illness anxiety disorder, hoarding disorder, autism spectrum traits, psychotic disorders (OCD thoughts are ego-dystonic and recognized as one’s own thoughts, unlike delusions), and obsessive-compulsive personality disorder (OCPD)—completely different from OCD despite similar name. Her research center training and diagnostic expertise enable accurate differentiation crucial for appropriate OCD help.

Comorbidity Assessment

OCD frequently coexists with depression (60-70% lifetime prevalence), other anxiety disorders, ADHD, eating disorders, body dysmorphic disorder, or tic disorders. Identifying all relevant diagnoses ensures comprehensive OCD treatment addressing all factors affecting mental health and functioning.

Evidence-Based OCD Treatment Through Medication Management

Effective OCD treatment typically requires a combination of specialized therapy and medication. Research consistently shows that Exposure and Response Prevention (ERP)—a specific type of cognitive-behavioral therapy—is the most effective psychotherapy. However, Dr. Farkas specializes in medication management, not psychotherapy. She does not provide ERP or other therapy but focuses on the pharmacological component of OCD treatment, which is crucial for many individuals.

The Role of Medication in Treatment

Medications for OCD work by affecting serotonin systems in the brain circuits underlying obsessive-compulsive symptoms. While medication alone rarely “cures” the condition, it can significantly reduce symptom severity, making obsessions less intrusive and compulsions easier to resist. For many individuals, medication provides the neurobiological foundation enabling them to engage effectively in ERP therapy. For moderate to severe Obsessive-Compulsive Disorder, particularly when symptoms are so severe they prevent engagement in therapy, medication is often essential.

The most effective approach for many individuals combines medication management from an OCD psychiatrist (like Dr. Farkas) with ERP therapy from a specialized therapist. Dr. Farkas can recommend qualified ERP therapists when appropriate, ensuring comprehensive OCD help.

First-Line Medications: SSRIs at Higher Doses

Selective Serotonin Reuptake Inhibitors (SSRIs) are first-line pharmacological OCD treatment, but with a critical difference from their use in depression or other anxiety disorders: OCD requires higher doses and longer trials.

Higher Doses Required

Effective treatment typically requires SSRI doses at the higher end of—or even above—the usual dosing range for depression. For example, fluoxetine doses may reach 60-80mg daily (versus 20-40mg for depression). This higher dosing reflects the unique neurobiology requiring more robust serotonin system modulation. As an OCD psychiatrist with pharmaceutical research experience, Dr. Farkas understands optimal dosing strategies that many general practitioners may not employ.

Longer Time to Response

While depression may improve after 4-6 weeks of SSRI treatment, OCD typically requires 10-12 weeks at therapeutic doses before meaningful improvement appears. Patients need realistic expectations about this timeline to avoid prematurely discontinuing OCD treatment.

Partial Response Common

Even with optimal medication treatment, symptom reduction typically ranges from 30-60% rather than complete resolution. Medications make symptoms more manageable but rarely eliminate them entirely, which is why combining medication with ERP therapy produces the best outcomes for Obsessive-Compulsive Disorder.

FDA-approved SSRIs include fluoxetine, sertraline, paroxetine, and fluvoxamine. Dr. Farkas’s neuroscience expertise and pharmacology knowledge enable informed selection among these options based on individual patient factors, side effect profiles, and previous responses.

Clomipramine: Highly Effective for Treatment-Resistant Cases

Clomipramine, a tricyclic antidepressant, is the oldest medication proven effective for OCD and remains one of the most effective options. Studies suggest clomipramine may be slightly more effective than SSRIs. However, it causes more side effects—anticholinergic effects (dry mouth, constipation, blurred vision), sedation, weight gain, sexual dysfunction, and cardiac effects requiring monitoring.

Dr. Farkas typically reserves clomipramine for treatment-resistant cases that haven’t responded to SSRIs, though for severe presentations, she may consider it earlier. Her medical training and careful monitoring protocols ensure safe clomipramine management when this highly effective medication is appropriate despite its side effect profile, providing OCD help for difficult cases.

Augmentation Strategies for Treatment-Resistant OCD

When SSRIs at adequate doses for sufficient duration provide partial but inadequate response, augmentation—adding a second medication to enhance the SSRI’s effectiveness—can improve outcomes. Dr. Farkas’s pharmaceutical research experience and advanced training enable sophisticated augmentation strategies for OCD treatment:

Atypical Antipsychotics

Low doses of certain antipsychotics (particularly aripiprazole, risperidone, or quetiapine) can augment SSRIs in treatment-resistant OCD. Research shows approximately 30-40% of SSRI partial responders improve with antipsychotic augmentation. This approach is particularly effective when symptoms include poor insight, tic disorders, or significant anxiety.

Other Augmentation Approaches

Various other augmentation approaches exist for truly treatment-resistant cases, including clomipramine augmentation (adding low-dose clomipramine to an SSRI), memantine (an NMDA receptor antagonist showing promise in research), and other medications. Dr. Farkas’s expertise in treatment-resistant cases helps patients who haven’t improved with standard approaches find effective OCD help.

Dr. Farkas’s Approach as an OCD Psychiatrist

Managing medications for Obsessive-Compulsive Disorder requires specialized expertise—this condition responds differently than other anxiety disorders and requires specific approaches. Dr. Farkas’s management ensures optimal outcomes:

Appropriate Dosing and Trial Duration

Many psychiatrists under-dose or under-treat OCD, using SSRI doses appropriate for depression but insufficient for obsessive-compulsive symptoms, or discontinuing trials after 4-6 weeks before adequate time for response. Dr. Farkas understands that effective OCD treatment requires doses at the higher end of therapeutic ranges, trials lasting 10-12 weeks minimum at therapeutic doses, and willingness to push doses higher when tolerated and needed. Her expertise prevents the common error of concluding medications “don’t work” when they simply haven’t been tried at adequate doses for sufficient duration.

Realistic Expectation Setting

Dr. Farkas educates patients that medication typically reduces symptom severity by 30-60% rather than eliminating symptoms completely, improvement takes longer (10-12 weeks versus 4-6 weeks for other conditions), combining medication with ERP therapy produces better outcomes than either alone, and medication often makes obsessions less distressing and compulsions easier to resist, enabling more effective engagement in behavioral therapy. This realistic education prevents disappointment and premature treatment discontinuation.

Systematic Approach to Treatment-Resistant Cases

When first-line treatments don’t provide adequate response, Dr. Farkas follows systematic strategies including confirming adequate SSRI dose and duration before concluding non-response, trying multiple different SSRIs (response varies among individuals), considering clomipramine for truly resistant cases, implementing evidence-based augmentation strategies, evaluating whether comorbid conditions are undermining OCD treatment, assessing whether the patient would benefit from specialized ERP therapy, and ruling out medical conditions or medications interfering with treatment. Her treatment-resistant expertise, gained at an NIH research center, provides hope for patients who haven’t improved with conventional approaches to OCD help.

Side Effect Management

High-dose SSRIs and augmentation strategies can cause side effects affecting tolerability. Dr. Farkas proactively manages common issues including sexual dysfunction, gastrointestinal upset, weight changes, activation or sedation, sleep disturbances, or antipsychotic side effects when used for augmentation. Her approach includes dose adjustments, timing modifications, switching medications when appropriate, adding medications to counteract specific side effects, and lifestyle interventions. However, her “no harm” philosophy is balanced with the reality that effectively treating severe OCD sometimes requires tolerating manageable side effects, as inadequately treated symptoms cause profound suffering exceeding medication side effects.

Long-Term Management

Obsessive-Compulsive Disorder is typically a chronic condition requiring long-term medication management. Research shows high relapse rates when medications are discontinued, even after years of stability. Dr. Farkas provides continued medication management with regular monitoring, dose adjustments as needed, management of breakthrough symptoms, and careful evaluation of risks versus benefits if medication discontinuation is ever considered. Most individuals with moderate to severe symptoms require indefinite medication continuation.

The Importance of ERP Therapy: Comprehensive OCD Help

While Dr. Farkas provides expert medication management, it’s crucial to understand what she does not offer. She does not provide Exposure and Response Prevention (ERP) therapy or any form of psychotherapy. ERP is a specific type of cognitive-behavioral therapy and represents the gold-standard psychological treatment for OCD.

What Is ERP?

Exposure and Response Prevention involves gradually, systematically exposing yourself to situations triggering obsessions while resisting the urge to perform compulsions. Through repeated exposure without performing rituals, anxiety decreases, you learn that feared consequences don’t occur without compulsions, and obsessions lose their power. ERP is highly effective but requires specialized training to implement properly.

Combining Medication and ERP

Research consistently shows that combining medication and ERP produces better outcomes than either alone, particularly for moderate to severe Obsessive-Compulsive Disorder. Medication reduces baseline anxiety and makes exposures less overwhelming, enabling more effective engagement in ERP. Dr. Farkas strongly encourages patients to work with specialized therapists trained in ERP while she manages medications, creating a comprehensive OCD treatment approach addressing both neurobiological and behavioral components. She can provide referrals to qualified ERP therapists when appropriate.

OCD and Coexisting Conditions

OCD frequently coexists with other psychiatric conditions complicating diagnosis and treatment:

OCD and Depression

Major depression occurs in 60-70% of individuals with OCD at some point. Living with chronic, intrusive thoughts and time-consuming rituals causes demoralization, hopelessness, and exhaustion. Sometimes treating the condition effectively improves depression; other times, both require simultaneous treatment. Fortunately, SSRIs treat both disorders, simplifying medication management as an OCD psychiatrist.

OCD and Other Anxiety Disorders

Generalized anxiety disorder, panic disorder, and social anxiety commonly co-occur with Obsessive-Compulsive Disorder. While some symptoms overlap, treatment approaches differ, requiring accurate identification of each condition. Dr. Farkas’s diagnostic expertise ensures all relevant anxiety conditions are recognized and addressed in comprehensive OCD treatment.

OCD and ADHD

ADHD can complicate treatment—intrusive thoughts are harder to manage when attention is impaired, and both conditions involve difficulty with cognitive control. However, stimulant medications for ADHD can sometimes worsen anxiety. Dr. Farkas carefully manages both conditions when they coexist, typically stabilizing symptoms before introducing stimulants to provide effective OCD help.

OCD and Tic Disorders

Tourette syndrome and other tic disorders frequently co-occur with OCD, suggesting shared neurobiology. When tics and obsessive-compulsive symptoms coexist, augmentation with antipsychotics may be particularly effective, as these medications treat both conditions.

Special Populations and Considerations

Postpartum OCD

Many new mothers experience intrusive thoughts about harming their babies—images of dropping, drowning, or otherwise hurting the infant. These thoughts are terrifying and shameful but are a form of Obsessive-Compulsive Disorder, not indications the mother wants to harm her child. Dr. Farkas’s perinatal psychiatry training enables her to distinguish between these conditions and provide appropriate OCD treatment, including careful medication decisions considering breastfeeding.

OCD with Poor Insight

Some individuals have poor or absent insight—they believe their obsessional fears are realistic and their compulsions are necessary, not excessive. This presentation can appear similar to psychotic disorders but represents severe symptoms. Treatment typically requires higher medication doses and often benefits from antipsychotic augmentation. Dr. Farkas’s experience with severe mental illness enables appropriate management of these challenging cases requiring specialized OCD help.

Older Adults with OCD

While OCD typically begins in adolescence or early adulthood, some individuals develop symptoms later in life or have chronic conditions reaching older adulthood. Treatment requires careful medication selection accounting for medical comorbidities, drug interactions, and age-related medication sensitivities. Dr. Farkas’s geriatric psychiatry expertise ensures age-appropriate OCD treatment.

Why Choose Dr. Farkas as Your OCD Psychiatrist

Adults throughout Hilton Head, Bluffton, Beaufort County, and the Lowcountry seeking expert OCD help choose Dr. Farkas because her qualifications uniquely position her to manage this challenging condition:

• Understanding of OCD-Specific Requirements: Expertise in the higher doses and longer trial durations required, distinguishing OCD treatment from approaches for other anxiety disorders
• Neuroscience Expertise: Her PhD in neuroscience provides deep understanding of the specific brain circuits underlying symptoms and how medications affect these systems at the molecular level
• Pharmaceutical Research Background: Direct experience developing psychiatric medications provides insider knowledge of medication mechanisms, optimal dosing, and sophisticated augmentation strategies
• Treatment-Resistant Expertise: Elite training at an NIH research center provides experience with complex, severe, and treatment-resistant cases, including advanced augmentation approaches and clomipramine management
• Measurement-Based Approach: Using validated rating scales (Y-BOCS) rather than subjective impressions enables objective tracking of treatment response and timely adjustments
• Comprehensive Diagnostic Skills: Accurately distinguishing Obsessive-Compulsive Disorder from conditions that mimic it and identifying comorbid disorders ensures appropriate, comprehensive care
• Telehealth Convenience: Receive expert medication management from home without travel time—particularly valuable when contamination fears or checking rituals make leaving home challenging
• No Judgment: Dr. Farkas understands intrusive thoughts—no matter how disturbing—are symptoms of a medical condition, not reflections of character

Getting Started with OCD Treatment

Taking the first step toward professional OCD help requires courage, as shame about intrusive thoughts often prevents individuals from seeking treatment. The process is straightforward:

1. Contact the Practice: Call or submit an online appointment request. The practice coordinator answers questions about the evaluation process and verifies insurance coverage (Aetna and Cigna in-network; superbills for out-of-network)
2. Complete Intake Forms: Electronic paperwork gathers information about your symptoms, obsession themes, compulsion types, and previous treatments before your appointment
3. Comprehensive Evaluation: Your 30-60 minute video assessment with Dr. Farkas includes detailed clinical interview, Yale-Brown Obsessive Compulsive Scale (Y-BOCS), differential diagnosis, and treatment planning
4. Treatment Planning: Dr. Farkas explains OCD, discusses medication options including realistic expectations about dosing and timelines, addresses your concerns, and strongly recommends combining medication with ERP therapy from a specialized therapist for optimal outcomes
5. Begin Medication Management: Start SSRI treatment with education about the higher doses and longer timelines required, careful titration to therapeutic levels, regular monitoring using Y-BOCS, and optimization to achieve maximum symptom reduction with tolerable side effects
6. Ongoing Support: Continue with regular follow-up appointments, between-session communication for urgent concerns, systematic adjustments based on objective measures, and long-term management as this is typically a chronic condition

Hope for Recovery from Obsessive-Compulsive Disorder

Living with OCD can feel isolating and overwhelming, but effective treatment exists. Dr. Farkas combines rare MD/PhD neuroscience credentials with over 10 years of clinical experience treating thousands of patients. Her pharmaceutical research background and training at Zucker Hillside Hospital, an NIH research center, provide sophisticated expertise in OCD treatment that sets her apart from general practitioners.

As an experienced OCD psychiatrist, Dr. Farkas understands both the neurobiology of obsessive-compulsive symptoms and the human suffering this condition causes. Through comprehensive evaluation, evidence-based medication management at appropriate doses, measurement-based care, and coordination with ERP therapists when appropriate, she provides expert OCD help that can finally bring relief when other approaches haven’t been successful.

Recovery from Obsessive-Compulsive Disorder is possible. Contact Dr. Farkas’s practice today to schedule a comprehensive evaluation and begin accessing the specialized OCD treatment you deserve from an expert who truly understands this challenging condition.

If you are in crisis or need immediate help, please visit 988lifeline.org or call or text 988 to reach the Suicide and Crisis Lifeline.