- 21297 Foothill Blvd, Ste 203 Hayward, CA 94541 (by appointment only)
- (415) 636-9700
- hello@exxceedwellness.com
Obsessive-compulsive disorder (OCD) is a chronic but highly treatable condition. At Exxceed Wellness in Hayward, California, we treat OCD with expert psychiatric medication management, exposure and response prevention (ERP) therapy delivered by our clinicians via California telehealth — the combination guidelines recommend as first-line care — and, for OCD that hasn’t responded adequately to those, FDA-cleared TMS on our Magstim Horizon 3.0 — for adults, in person or by California telehealth.
OCD is defined by two interconnected features: obsessions and compulsions. Obsessions are recurrent, intrusive, unwanted thoughts, urges, or images that cause significant distress. Compulsions are repetitive behaviors or mental acts performed in response to obsessions, often to neutralize them or prevent a feared outcome. OCD affects an estimated 2–3% of adults. It is chronic for most people who have it, but with the right treatment the great majority experience meaningful symptom reduction and a return to everyday function.
OCD diagnosis is clinical, based on a structured interview and a careful symptom history using DSM-5 criteria. There is no laboratory or imaging test for OCD. Severity is often measured with a validated tool such as the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), which we may use during your evaluation and re-assess over time to track progress.
OCD responds best to a specific combination: ERP therapy plus appropriately dosed medication. Most practices can offer one half of that combination. We provide both — under one treatment plan, with one team.
Clinical guidelines are unambiguous: first-line OCD care is ERP plus an SSRI, together. In practice, most people get half. Medication-only practices can’t deliver ERP; therapists trained in ERP are scarce enough that patients routinely wait months or travel to find one, and most can’t prescribe. TMS for treatment-resistant OCD is rarer still. Very few East Bay practices offer all three under one roof. That is why our ERP is provided alongside medication management rather than as a stand-alone service — it isn’t a restriction, it is the treatment model the evidence supports.
If ERP and adequately-dosed SSRIs haven’t produced enough relief, options include optimizing medication (higher OCD-range dosing, augmentation, or switching to clomipramine) and confirming ERP was delivered adequately. For OCD that hasn’t responded to adequately-dosed SSRIs and ERP, TMS is an FDA-cleared adjunctive option — and we offer it in-house. We deliver focal TMS for OCD on our Magstim Horizon 3.0, independently FDA-cleared as an adjunct for adults with OCD. This is a different, focal technology than BrainsWay’s Deep TMS (H-coil), which we don’t use.
OCD treatment at Exxceed Wellness is led by Nefretiri Abat, J.D., PMHNP-BC. Our typical path: comprehensive evaluation with Y-BOCS severity measurement, medication optimization, and ERP therapy by telehealth — with honest guidance about advanced options if treatment resistance is established. Telehealth medication management is available statewide across California.
Is OCD curable? OCD is generally chronic but highly treatable. Most people who receive evidence-based treatment (ERP and/or appropriate medication) experience meaningful, durable improvement in daily function.
Do you offer ERP therapy? Yes. We provide exposure and response prevention through secure California telehealth, paired with medication management at our practice — the combination clinical guidelines recommend as first-line care for OCD.
Why is ERP paired with medication management? Because that is the evidence-based standard for OCD: guidelines recommend an SSRI and ERP together as first-line treatment, and coordinating both inside one practice keeps dosing and exposure work aligned. If you are looking for stand-alone talk therapy without psychiatric care, a therapy-only practice may be a better fit — and we are glad to point you in the right direction.
Do you offer TMS for OCD? Yes. We offer focal TMS for OCD on our Magstim Horizon 3.0, FDA-cleared as an adjunct for adults whose OCD hasn’t responded adequately to SSRIs and ERP. This is not BrainsWay’s Deep TMS (H-coil) — a different device we don’t use. Several TMS systems, including our focal Magstim, are FDA-cleared for OCD.
Do you treat children and teens with OCD? Yes — evaluation, medication management, and ERP by telehealth are available for children, adolescents, and adults. TMS for OCD is adults-only under its FDA clearance.
Do I need a referral to start? No. You can schedule a consultation with our practice directly, and we’ll request your treatment history at intake.
If your OCD hasn’t responded to ERP or SSRIs alone, the next conversation is with a psychiatric provider who treats OCD. We see patients in person at our Hayward, CA clinic and via telehealth across California. Schedule with Nefretiri Abat, J.D., PMHNP-BC, or call (415) 636-9700.
Educational only; not medical advice. Care depends on your specific situation.
In person in Hayward or by telehealth across California. We verify your insurance benefits before your first visit.
Exxceed Wellness · 21297 Foothill Blvd #203, Hayward, CA 94541 · Serving Hayward, Castro Valley, San Lorenzo, San Leandro, Union City, Newark & Fremont.
Medically reviewed by Nefretiri Abat, J.D., PMHNP-BC — board-certified Psychiatric-Mental Health Nurse Practitioner.
