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Related Concept Videos

Long-term Potentiation01:25

Long-term Potentiation

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Long-term potentiation, or LTP, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTP is the process of synaptic strengthening that occurs over time between pre and postsynaptic neuronal connections. The synaptic strengthening of LTP works in opposition to the synaptic weakening of long-term depression (LTD) and together are the main mechanisms that underlie learning and memory.
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Related Experiment Video

Updated: May 2, 2026

Online Repetitive Transcranial Magnetic Stimulation of Dorsomedial and Dorsolateral Prefrontal Cortex in Cognition Decision Making, and Cognitive Dissonance
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Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive

Nelson Descalco1, Gonçalo Cotovio2, Ana Maia3

  • 1Champalimaud Research and Clinical Centre, Champalimaud Foundation; NOVA Medical School, Faculdade de Ciências Médicas, NMS, FCM, Universidade NOVA de Lisboa; Department of Psychiatry and Mental Health, Unidade Local de Saúde Almada-Seixal; nelson.descalco@research.fchampalimaud.org.

Journal of Visualized Experiments : Jove
|December 15, 2025
PubMed
Summary

This study details a specific transcranial magnetic stimulation (TMS) protocol for treating obsessive-compulsive disorder (OCD). The protocol involves targeted brain stimulation and symptom provocation, offering a framework for clinicians and researchers.

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Last Updated: May 2, 2026

Online Repetitive Transcranial Magnetic Stimulation of Dorsomedial and Dorsolateral Prefrontal Cortex in Cognition Decision Making, and Cognitive Dissonance
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Conventional Repetitive Transcranial Magnetic Stimulation for Depression: A Step-by-Step Protocol
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Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder
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Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder

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Area of Science:

  • Neuroscience
  • Psychiatry

Background:

  • Obsessive-compulsive disorder (OCD) is a chronic condition with limited treatment efficacy.
  • Transcranial magnetic stimulation (TMS) is an emerging neuromodulation technique for OCD.

Purpose of the Study:

  • To provide a detailed, step-by-step TMS protocol for OCD aligned with FDA clearance.
  • To guide clinicians and researchers in implementing TMS for OCD treatment.

Main Methods:

  • High-frequency (20 Hz) TMS applied to the anterior cingulate cortex/dorsomedial prefrontal cortex (ACC/dmPFC).
  • Protocol includes 30 sessions over 6 weeks, 2000 pulses per session, with individualized symptom provocation.
  • Coil targeting, stimulation parameters, and patient preparation are outlined.

Main Results:

  • The article presents a structured framework for TMS application in OCD.
  • Guidance on patient preparation, coil targeting, stimulation settings, and symptom provocation is provided.

Conclusions:

  • This detailed protocol facilitates the clinical implementation of TMS for OCD.
  • It offers a standardized approach to neuromodulation for treatment-resistant OCD.