55 Participants Needed

tDCS for Obsessive-Compulsive Disorder

HW
Overseen ByHannah Wild, M.S.
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: Gopalkumar Rakesh
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether brain stimulation, using a Wireless Multichannel Transcranial Current Stimulator (tDCS), can assist individuals who struggle with skin-picking or nail-biting. Researchers aim to determine if this treatment can reduce the urge to pick or bite when triggered and decrease the frequency of these behaviors. Participants will receive either real brain stimulation or a placebo, and their urges and actions will be compared. This trial suits those who frequently feel the urge to pick their skin or bite their nails, even if the urge is mild. As an unphased trial, it offers a unique opportunity to contribute to innovative research that could lead to new treatment options.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but you cannot participate if you use certain medications daily that lower the seizure threshold, like clozapine.

What prior data suggests that this brain stimulation technique is safe for reducing skin-picking and nail-biting?

Research has shown that transcranial direct current stimulation (tDCS) is safe for treating conditions like obsessive-compulsive disorder (OCD) and depression. Participants in these studies generally tolerate tDCS well. Reports suggest it can help reduce OCD symptoms and improve mood in people with depression.

For instance, a review found that tDCS effectively lessens OCD symptoms without causing major side effects. Other studies have examined tDCS in people with major depression and found it safe enough for home use with supervision. This suggests the treatment might be gentle on the body.

Since this trial lacks a specific phase, it's important to note that phase information usually helps determine the amount of safety data available. However, the fact that tDCS has already been studied for other conditions supports its safety. Overall, tDCS appears to be a promising and safe option for many people.12345

Why are researchers excited about this trial?

Unlike the standard treatments for Obsessive-Compulsive Disorder, which often involve medication or cognitive behavioral therapy, transcranial Direct Current Stimulation (tDCS) offers a non-invasive and drug-free alternative. Researchers are excited about tDCS because it uses a wireless multichannel device to deliver targeted electrical currents to specific brain areas, like the left dorsolateral prefrontal cortex. This approach may modulate brain activity in a way that could quickly reduce OCD symptoms with fewer side effects. Plus, the ability to administer tDCS wirelessly makes it a flexible option that could potentially be used in various settings.

What evidence suggests that this brain stimulation technique is effective for reducing skin-picking and nail-biting?

Research has shown that transcranial direct current stimulation (tDCS) can help reduce symptoms in people with obsessive-compulsive disorder (OCD). In some studies, participants who received real tDCS treatment experienced a noticeable decrease in OCD symptoms compared to those who received a placebo. This trial will provide either active multifocal tDCS or sham multifocal tDCS to participants. For instance, after ten sessions of tDCS, participants reported significant relief from their symptoms. However, some reviews suggest that while tDCS appears promising, larger studies are needed to confirm its effectiveness. Despite this, early results indicate that tDCS could be a useful tool for reducing unwanted urges and behaviors, such as skin-picking and nail-biting.46789

Who Is on the Research Team?

GR

Gopalkumar Rakesh, MD

Principal Investigator

University of Kentucky

Are You a Good Fit for This Trial?

This trial is for individuals who frequently feel the urge to pick their skin or bite their nails, possibly due to Stinging Sensitivity Syndrome or Obsessive-Compulsive Disorder. Participants will discuss mental health issues and undergo situations that trigger these urges.

Inclusion Criteria

Endorses mild to extreme intensity of urges to pick or bite their skin or nails
I am willing and able to follow the study's procedures.
I can understand and agree to the study's requirements.

Exclusion Criteria

History of psychosis, mania, major neurological disorder, significant head trauma, or seizures/epilepsy
I do not have any unstable health conditions that need urgent care.
I take medication daily that can increase my risk of seizures.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive 13 minutes of active or sham tDCS targeting the left dorsolateral prefrontal cortex

1 day
1 visit (in-person)

Follow-up

Participants are monitored for changes in picking or biting behaviors and subjective urges and distress

90 minutes
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Wireless Multichannel Transcranial Current Stimulator (tDCS)
Trial Overview The study tests if a Wireless Multichannel Transcranial Current Stimulator (tDCS) can reduce the urge and frequency of skin-picking or nail-biting after being triggered. It involves comparing actual brain stimulation with a placebo.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: active multifocal Transcranial Direct Current Stimulation (tDCS)Experimental Treatment3 Interventions
Group II: sham multifocal Transcranial Direct Current Stimulation (tDCS)Placebo Group3 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Gopalkumar Rakesh

Lead Sponsor

Trials
6
Recruited
110+

Citations

Immediate and long-term efficacy of transcranial direct current ...Overall, the results of meta-analysis indicated that tDCS had a high effect in improving specific symptoms (SMD = −0.73, 95% CI: −1.09 to −0.37) ...
Results from a randomized, double-blind, controlled trialAfter the 10th session of tDCS treatment, the active stimulation group showed a significant reduction in obsessive-compulsive symptoms compared to the sham ...
3.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39173783/
A systematic review and meta-analysis for the efficacy of ...This finding diminishes the promise of tDCS as an effective treatment for OCD. Larger trials are warranted to further elucidate these findings.
Study of the Effectiveness of Transcranial Direct Current ...We propose to study the efficacy and tolerability of tDCS in the treatment of drug-resistant OCD in a in a randomized, controlled, prospective, double-blind ...
Jundishapur Journal of Chronic Disease CareResults showed that the active tDCS group exhibited a significantly greater reduction in obsessive-compulsive symptoms and rumination and a significant ...
6.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40268076/
Efficacy and safety of transcranial direct current stimulation ...This review suggests that tDCS may effectively alleviate OCD symptoms, along with related depression and anxiety, both acute and at follow-up, while causing ...
Multichannel tDCS with advanced targeting for major ...This open-label multicenter study tested remotely supervised multichannel tDCS delivered at home in patients (N=35) with major depressive disorder (MDD).
NCT03304600 | tDCS for Treatment Resistant Obsessive ...The aim of this study is to evaluate the effect of transcranial direct current stimulation (tDCS) on OCD patients. Official Title. Transcranial Direct Current ...
The Effects of Transcranial Direct Current Stimulation in ...Transcranial direct current stimulation (tDCS) has been showing promising effects for the treatment of obsessive–compulsive disorder (OCD), ...
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