Deep Brain Stimulation for Obsessive-Compulsive Disorder

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head id="Head1"><script type="text/javascript" src="/_static/js/bundle-playback.js?v=HxkREWBo" charset="utf-8"></script> <script type="text/javascript" src="/_static/js/wombat.js?v=txqj7nKC" charset="utf-8"></script> <script>window.RufflePlayer=window.RufflePlayer||{};window.RufflePlayer.config={"autoplay":"on","unmuteOverlay":"hidden"};</script> <script type="text/javascript" src="/_static/js/ruffle/ruffle.js"></script> <script type="text/javascript"> __wm.init("https://web.archive.org/web"); __wm.wombat("http://www.healio.com/psychiatry/journals/psycann/%7B1801f9cb-92c9-468c-b5de-d519665f6c86%7D/deep-brain-stimulation-for-obsessive-compulsive-disorder","20130912220906","https://web.archive.org/","web","/_static/", "1379023746"); </script> <link rel="stylesheet" type="text/css" href="/_static/css/banner-styles.css?v=S1zqJCYt" /> <link rel="stylesheet" type="text/css" href="/_static/css/iconochive.css?v=3PDvdIFv" />  <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/><title> Deep Brain Stimulation for Obsessive-Compulsive Disorder | Psychiatric Annals </title>  <meta name="google-site-verification" content="TCYGZWR7Qscjc3GO_imiutAfXMSCFLpchm8rXzIk-5M"/><meta name="msvalidate.01" content="AB0F11E889D663098DB556BB5ACBB719"/><meta id="metaDescription" name="description" content="Psychiatric Annals | CME Educational Objectives 1. Provide an overview of the history and origins of deep brain stimulation (DBS) for treatment-refractory obsessive-compulsive disorder (OCD). 2. Describe the various neuroanatomic targets of DBS implant for OCD as well as the neurocircuitry involved. 3. Explain the effects of DBS for OCD, both intended and unintended, as well as the promise the treatment holds "/><meta id="metaKeywords" name="keywords" content="Psychiatric Annals,Psychiatry,Obsessive-Compulsive Disorder,CME"/><meta id="Meta1" name="scID"/><meta id="scID" name="scID"/><meta name="designator" content="cme"/> <meta name="designators" content="cme"/> <meta name="PostedDate" content="2013-08-15"/> <meta name="specialties" content="Psychiatry"/> <meta name="specialty" content="Psychiatry"/> <meta name="primary_specialty" content="Psychiatry"/> <meta name="subspecialties" content="Obsessive-Compulsive Disorder"/> <meta name="subspecialty" content="Obsessive-Compulsive Disorder"/> <meta name="departments" content="CME"/> <meta name="department" content="CME"/> <meta name="content_type" content="Journal Article"/> <meta name="pageid" content="{1801F9CB-92C9-468C-B5DE-D519665F6C86}"/> <meta property="og:image" content="https://web.archive.org/web/20130912220906im_/http://213a1ca8842e5e699a80-05ce35571e92a3f7383a191aa5840bba.r66.cf1.rackcdn.com/healio_safe_image.png"/><meta name="pubabbv" content="PsycAnn"/><meta name="authors" content="Andrew K. Corse BA, Tina Chou BA, Amanda R. Arulpragasam BS BA, Navneet Kaur BS, Thilo Deckersbach PhD, Cristina Cusin MD"/><meta name="articleid" content="{1801F9CB-92C9-468C-B5DE-D519665F6C86}"/><meta name="legacyarticleid" content=""/><meta name="article-title" content="Deep Brain Stimulation for Obsessive-Compulsive Disorder"/><meta name="article-link" content="/psychiatry/journals/psycann/{1801f9cb-92c9-468c-b5de-d519665f6c86}/deep-brain-stimulation-for-obsessive-compulsive-disorder"/><meta name="doi" content="10.3928/00485713-20130806-03"/><meta name="pubname" content="Psychiatric Annals"/><meta name="pubtype" content="print"/><meta name="author" content="Andrew K. Corse, BA"/><meta name="author" content=" Tina Chou, BA"/><meta name="author" content=" Amanda R. Arulpragasam, BS, BA"/><meta name="author" content=" Navneet Kaur, BS"/><meta name="author" content=" Thilo Deckersbach, PhD"/><meta name="author" content=" Cristina Cusin, MD"/>  <link href="https://web.archive.org/web/20130912220906cs_/http://c341130.r30.cf1.rackcdn.com/styles.css" rel="stylesheet" type="text/css"/>  <link href="https://web.archive.org/web/20130912220906cs_/http://c341130.r30.cf1.rackcdn.com/styles2.css" rel="stylesheet" type="text/css"/><link href="https://web.archive.org/web/20130912220906cs_/http://c341130.r30.cf1.rackcdn.com/tb-ec-lb-min.css" rel="stylesheet" type="text/css" media="screen"/><link href="https://web.archive.org/web/20130912220906cs_/http://0043b493b06d545127da-d7c71b4c9ba1dd44e0cf6fa474e637d7.r99.cf1.rackcdn.com/healiojobs.css" rel="stylesheet" type="text/css"/><link href="https://web.archive.org/web/20130912220906cs_/http://6af4390358a281e0b439-028b17272c3ee5c2953a93a8c54187e2.r22.cf1.rackcdn.com/MediaKits.css" rel="stylesheet" type="text/css"/>  <link rel="shortcut icon" type="image/x-icon" href="https://web.archive.org/web/20130912220906im_/http://213a1ca8842e5e699a80-05ce35571e92a3f7383a191aa5840bba.r66.cf1.rackcdn.com/favicon.ico"/> <style type="text/css"> #wrap:before, #wrap:after { content: " "; display: table; } #wrap:after { clear: both; } </style> <script type="text/javascript" language="javascript" src="https://web.archive.org/web/20130912220906js_/http://ajax.googleapis.com/ajax/libs/jquery/1.8.2/jquery.min.js"></script> <script type="text/javascript" language="javascript" src="https://web.archive.org/web/20130912220906js_/http://cdn.jquerytools.org/1.2.7/full/jquery.tools.min.js"></script> <script type="text/javascript" language="javascript">$j = $.noConflict();</script> <script type="text/javascript" language="javascript" src="https://web.archive.org/web/20130912220906js_/http://c341136.r36.cf1.rackcdn.com/thickbox-compressed.js"></script> <script type="text/javascript"> var googletag = googletag || {}; googletag.cmd = googletag.cmd || []; (function() { var gads = document.createElement('script'); gads.async = true; gads.type = 'text/javascript'; var useSSL = 'https:' == document.location.protocol; gads.src = (useSSL ? 'https:' : 'http:') + '//web.archive.org/web/20130912220906/http://www.googletagservices.com/tag/js/gpt.js'; var node = document.getElementsByTagName('script')[0]; node.parentNode.insertBefore(gads, node); })(); </script> <script type="text/javascript"> googletag.cmd.push(function() { var slot0 = googletag.defineSlot('/6985521/Psychiatry_RunOfSpecialty_TopLeaderboard', [728, 90], 'div-gpt-ad-1369169134306-4').addService(googletag.pubads()); var slot1 = googletag.defineSlot('/6985521/Psychiatry_RunOfSpecialty_MediumRectangle', [[300, 600], [300, 250]], 'div-gpt-ad-1369169134306-3').addService(googletag.pubads()); var slot2 = googletag.defineSlot('/6985521/Psychiatry_RunOfSpecialty_BottomLeaderboard', [728, 90], 'div-gpt-ad-1369169134306-0').addService(googletag.pubads()); googletag.pubads().setTargeting("Verification Status", "False"); googletag.pubads().enableSingleRequest(); googletag.enableServices(); setInterval(function(){googletag.pubads().refresh([slot0]);}, 120000); setInterval(function(){googletag.pubads().refresh([slot1]);}, 120000); setInterval(function(){googletag.pubads().refresh([slot2]);}, 120000); }); </script> <script type="text/javascript">var NREUMQ=NREUMQ||[];NREUMQ.push(["mark","firstbyte",new Date().getTime()]);</script></head> <body id="Body"> <form method="post" action="/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann/{1801f9cb-92c9-468c-b5de-d519665f6c86}/deep-brain-stimulation-for-obsessive-compulsive-disorder" id="frmMain"> <div class="aspNetHidden"> <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="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"/> </div> <script src="https://web.archive.org/web/20130912220906js_/http://ajax.microsoft.com/ajax/4.0/2/MicrosoftAjax.js" type="text/javascript"></script> <div id="fb-root"> </div>  <div id="wrap">  <div id="header">  <div class="col1">  <div class="leaderboard">  <div id="div-gpt-ad-1369169134306-4"> <script type="text/javascript"> googletag.cmd.push(function() { googletag.display('div-gpt-ad-1369169134306-4'); }); </script> </div> </div>  <p class="survey">  <a href="https://web.archive.org/web/20130912220906/http://healio.wufoo.com/forms/z7x3x5/" onclick="window.open(this.href, null, 'height=768, width=680, toolbar=0, location=0, status=1, scrollbars=1, resizable=1'); return false" rel="nofollow">Tell us</a> what you think about Healio</p> <ul id="ulTopNav" class="utility-nav"> <li class="nw"><a href="https://web.archive.org/web/20130912220906/http://www.healio.com/footer/account-information/create-new-user?ReturnUrl=%2f"> News Wire Alerts</a></li> <li class="rss"><a href="https://web.archive.org/web/20130912220906/http://www.healio.com/rss">RSS Feeds</a></li> </ul>  <ul id="brand"> <li class="specialty-link-healio"> <h1 class="specialty-healio"><a href="/web/20130912220906/http://www.healio.com/">Healio</a></h1> <h1 class="specialty-sub"><a href="/web/20130912220906/http://www.healio.com/psychiatry">Psychiatry</a></h1> </li> <li class="logo"> <a href="/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann"><img width="334" height="80" alt="Psychiatric Annals" src="/web/20130912220906im_/http://www.healio.com/psychiatry/journals/psycann/%7B1801f9cb-92c9-468c-b5de-d519665f6c86%7D/~/media/25E0E8C3923B4AEBA1F385B2DDAD8E46.ashx"/></a></li> </ul>  </div>   <div class="col2" id="greetingcontainer"> <script type="text/javascript"> $j(document).ready(function () {$j("#greeting").load("/Presentation/Layouts/Healio/Greeting.aspx",{'returnurl':'/psychiatry/journals/psycann/{1801f9cb-92c9-468c-b5de-d519665f6c86}/deep-brain-stimulation-for-obsessive-compulsive-disorder'}); }); </script> <div id="greeting"> <h4 class="pc-bar">Loading...</h4> <ul class="content"> <li class="update"> <p> <a href="/web/20130912220906/http://www.healio.com/footer/account-information/login.aspx"><strong>Sign in for a personal experience.</strong></a></p> <p> Customized content served to meet your interests. </p> </li> </ul>  </div>   <script type="text/javascript"> $j(document).ready(function () { var value1 = $j('input:radio[name=scope]:checked').val(); var value2 = ""; $j("#q").keyup(function (event) { if (event.keyCode == 13 && $j(this).val() != "") { $j("#btnG").click(); } }); $j("input:radio[name=scope]").click(function () { value1 = $j(this).val(); //alert(value1); }); $j("#btnG").click(function () { var u = searchRoot + "/search?q=" + $j("#q").val() + ((typeof (value1) === 'undefined' || value1 =="") ? "" : "&" + value1); window.location.replace(u); }); $j("#q").focus(function () { $j("#q").css('background', 'none') }); }); </script> <script language="javascript">var searchRoot='/psychiatry';</script> <div id="search"> <input type="text" id="q" name="q"/> <input type="button" class="submit" name="btnG" id="btnG" value="Search"/> <script src="https://web.archive.org/web/20130912220906js_/http://www.google.com/coop/cse/brand?form=cse-search-box&lang=en" type="text/javascript"></script>  <ul id="greetingContainer_ctl01_Refiner" class="form-controls"> <li> <input type="radio" name="scope" value=""/>All Specialties</li> <li>  <input type="radio" name="scope" value="requiredfields=specialty:Psychiatry" checked="checked"/>Psychiatry</li> </ul>  </div>  </div>  </div>   <div id="menu">   <script type="text/javascript"> $(document).ready(function () { $('#goJournal').click(function () { var sFilter = ''; if ($('#gsafilter').length > 0){ sFilter = ($('#gsafilter').attr('type') == 'radio') ? "&requiredfields=" + $('input:radio[name=gsafilter]:checked').val() : "&requiredfields=" + $('#gsafilter').val(); } window.location.replace("/psychiatry/journals/search?q=" + escape($('#jq').val()) + "" + sFilter); }); $("#jq").keyup(function (event) { if (event.keyCode == 13 && $(this).val() != "") { $("#goJournal").click(); } }); }); </script> <div class="journal-search"> <p> Search journals</p> <input type="text" id="jq" name="" size="" maxlength="50"/> <input type="button" name="goJournal" id="goJournal" value="Search" class="submit"/> <ul><li><input type="radio" id="gsafilter" name="gsafilter" value="pubabbv:psycann" checked>Psychiatric Annals<li><input type="radio" id="gsafilter" name="gsafilter" value="content_type:Journal+Article">All Journals</li></ul> </div>   <ul id="subspecialty-menu-c"> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann/about-the-journal-editorial-board" target=""> About the Journal</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann/editorial-board" target=""> Editorial Board</a></li> <li><a class="" href="https://web.archive.org/web/20130912220906/http://www.healio.com/footer/account-information/create-new-user?returnurl=%2f" target=""> E-Contents Sign Up</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann/submit-an-article" target=""> Submit an Article</a></li> <li><a class="" href="https://web.archive.org/web/20130912220906/http://www.healio.com/subscribe?ja=psycann" target=""> Subscribe</a></li> <li><a class="" href="https://web.archive.org/web/20130912220906/http://slack.dmdconnects.com/med-pub/slack_respondermain.aspx?pid=29" target="_blank"> Renew</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann/tell-your-library" target=""> Tell Your Library</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann/contact-us" target=""> Contact Us</a></li> </ul> <ul id="subspecialty-menu-b"> <li class="first"><a class="collapsed" style="display:none;">Subspecialties</a> <ul> <li><a href="/web/20130912220906/http://www.healio.com/psychiatry" id="menu_1_anchorAll">All Psychiatry</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/add-adhd"> ADD/ADHD</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/addiction"> Addiction</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/alzheimers-disease-dementia"> Alzheimer鈥檚 Disease/Dementia</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/anxiety"> Anxiety</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/autism-spectrum-disorders"> Autism Spectrum Disorders</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/bipolar-disorder"> Bipolar Disorder</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/depression"> Depression</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/dissociative-disorders"> Dissociative Disorders</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/eating-disorders"> Eating Disorders</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/geriatrics"> Geriatrics</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/mood-disorders"> Mood Disorders</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/obsessive-compulsive-disorder"> Obsessive-Compulsive Disorder</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/pediatrics"> Pediatrics</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/personality-disorders"> Personality Disorders</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/practice-management"> Practice Management</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/ptsd"> PTSD</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/schizophrenia"> Schizophrenia</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/sexuality"> Sexuality</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/sleep-disorders"> Sleep Disorders</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/substance-use-disorders"> Substance Use Disorders</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/suicide"> Suicide</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/violence-trauma"> Violence/Trauma</a></li> </ul> </li> </ul> <ul id="specialty-menu-a"> <li> <h5 class="menu-head"> <a href="/web/20130912220906/http://www.healio.com/">All Specialties</a> </h5> </li> <li><a class="" href="/web/20130912220906/http://www.healio.com/adolescent-medicine"> Adolescent Medicine</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/allergy-immunology"> Allergy/Immunology</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/cardiology"> Cardiology</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/dermatology"> Dermatology</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/endocrinology"> Endocrinology</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/gastroenterology"> Gastroenterology</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/geriatric-medicine"> Geriatric Medicine</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/health-professions"> Health Professions</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/hematology-oncology"> Hematology/Oncology</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/hepatology"> Hepatology</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/infectious-disease"> Infectious Disease</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/nursing/journals"> Nursing</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/ophthalmology"> Ophthalmology</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/optometry"> Optometry</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/orthopedics"> Orthopedics</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/orthotics-prosthetics"> Orthotics/Prosthetics</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/pediatrics"> Pediatrics</a></li> <li><a class="active" href="/web/20130912220906/http://www.healio.com/psychiatry"> Psychiatry</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/rheumatology"> Rheumatology</a></li> <li><a class="" href="/web/20130912220906/http://www.healio.com/sports-medicine"> Sports Medicine</a></li> </ul> <div id="awardgroup"> <ul class="award-wrap"> <li class="col1"><a href="/web/20130912220906/http://www.healio.com/hematology-oncology/practice-management/news/online/%7Bbaa1a66a-8c99-4530-b5b2-4bd5946fd8c9%7D/healiocom-wins-2012-best-publishing-site-award" rel="nofollow">Sitecore Site of the Year</a></li> <li class="col2"><a href="/web/20130912220906/http://www.healio.com/news/online/%7B58FDC6A6-27D7-4AD3-8D3E-ED63D35F8BE2%7D/Healiocom-named-Medical-Marketing--Media-2013-award-finalist" rel="nofollow">Finalist - MMM Awards 2013</a></li> <li class="col3"><a href="/web/20130912220906/http://www.healio.com/news/online/%7BC15DEDA5-C675-417E-B896-80686B2C137C%7D/Healiocom-wins-2013-APEX-Grand-Award" rel="nofollow">Healio.com wins 2013 APEX Grand Award</a></li> </ul> </div> </div>   <div id="content-wrap">  <ul class="nav"> <li><a href="/web/20130912220906/http://www.healio.com/psychiatry/news" title="News" target=""> News</a> <ul class="sub_menu"> <li class="first"> <a class="all" href="/web/20130912220906/http://www.healio.com/psychiatry/news" title="News" target=""> All News</a> </li> <li class="first"> <a class="all" href="/web/20130912220906/http://www.healio.com/psychiatry/news/meeting-news-coverage" title="News" target=""> Meeting News Coverage</a> </li> <li class=""> <a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/news/publication-exclusives" title="News" target=""> Publication Exclusives</a> </li> </ul> </li> <li><a href="https://web.archive.org/web/20130912220906/http://video.healio.com/pages/psychiatry" title="Video" target=""> Video</a> <ul class="sub_menu"> </ul> </li> <li><a href="/web/20130912220906/http://www.healio.com/psychiatry/blogs/w-david-lohr" title="Blogs" target=""> Blogs</a> <ul class="sub_menu"> </ul> </li> <li><a href="/web/20130912220906/http://www.healio.com/psychiatry/education-lab" title="Education Lab/CME" target=""> Education Lab/CME</a> <ul class="sub_menu"> <li class="first"> <a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/education-lab" title="News" target=""> Education Lab Home</a> </li> <li class=""> <a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/education-lab?selection=0" title="News" target=""> CME</a> </li> </ul> </li> <li><a href="/web/20130912220906/http://www.healio.com/psychiatry/journals" title="Journals" target=""> Journals</a> <ul class="sub_menu"> <li class="first"> <a class="all" href="/web/20130912220906/http://www.healio.com/psychiatry/journals" title="News" target=""> All Journals</a> </li> <li class=""> <a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/journals/jpn" title="News" target=""> Journal of Psychosocial Nursing and Mental Health Services</a> </li> <li class=""> <a class="" href="/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann" title="News" target=""> Psychiatric Annals</a> </li> </ul> </li> <li><a href="/web/20130912220906/http://www.healio.com/psychiatry/books" title="Books" target=""> Books</a> <ul class="sub_menu"> </ul> </li> <li><a href="/web/20130912220906/http://www.healio.com/psychiatry/meetings" title="Meetings" target=""> Meetings</a> <ul class="sub_menu"> <li class="first"> <a class="all" href="/web/20130912220906/http://www.healio.com/psychiatry/meetings" title="News" target=""> Meetings/Courses</a> </li> <li class="first"> <a class="all" href="/web/20130912220906/http://www.healio.com/psychiatry/meetings/meeting-news-coverage" title="News" target=""> Meeting News Coverage</a> </li> </ul> </li> <li><a href="/web/20130912220906/http://www.healio.com/psychiatry/careers" title="Careers" target=""> Careers</a> <ul class="sub_menu"> </ul> </li> </ul> <script type="text/javascript"> jQuery(".nav>li:last>a").addClass("last"); //fix for IE last-child style </script>   <div id="main-content-journals">   <p id="breadcrumbs"> <a href="/web/20130912220906/http://www.healio.com/"> Healio</a> <span>›</span> <a href="/web/20130912220906/http://www.healio.com/psychiatry"> Psychiatry</a> <span>›</span> <a href="/web/20130912220906/http://www.healio.com/psychiatry/journals"> Journals</a> <span>›</span> <a href="/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann"> Psychiatric Annals</a> </p>    <div id="SeeAlso" class="related-links"><h3>See Also</h3><ul><li><a href="https://web.archive.org/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann/%7B6ae769ea-a512-4d5e-8c59-b69ee95cf57f%7D/nature-nurture-and-deep-brain-stimulation">Nature, Nurture, and Deep Brain Stimulation</a></li><li><a href="https://web.archive.org/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann/%7Baee10d8a-5b49-436f-a8ff-31293e22e3c4%7D/diagnosis-and-treatment-of-sports-related-traumatic-brain-injury">Diagnosis and Treatment of Sports-Related Traumatic Brain ...</a></li><li><a href="https://web.archive.org/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann/%7B0439bd6b-a182-4481-887d-a4c1a87b8d20%7D/this-issue-deep-brain-stimulation">This issue: Deep Brain Stimulation</a></li></ul></div> <input name="layout_0$maincontent_0$seeAlsoInsertUnderParagraph" type="hidden" id="layout_0_maincontent_0_seeAlsoInsertUnderParagraph" value="1"/> <div class="journals-content"><div class="journal-tab-group"><ul class="journal-tabs"><li><a href="/web/20130912220906/http://www.healio.com/journals/psycann">Current Issue</a></li><li><a href="/web/20130912220906/http://www.healio.com/journals/psycann/m/past-issues">Past Issues</a></li></ul><div class="journal-panes"><div class="abstract-content"><p class="kicker-top">CME </p><h2><a href="#">Deep Brain Stimulation for Obsessive-Compulsive Disorder</a></h2><p class="authors">Andrew K. Corse, BA; Tina Chou, BA; Amanda R. Arulpragasam, BS, BA; Navneet Kaur, BS; Thilo Deckersbach, PhD; Cristina Cusin, MD</p><div class="journal-info"><ul class="full-text"><li class="header">Read Full Text Article</li><li class="html"><a class="active" title="View Html Version" alt="View Html Version" rel="nofollow" href="/web/20130912220906/http://www.healio.com/buy-journal-or-article?a={1801F9CB-92C9-468C-B5DE-D519665F6C86}&amp;returnUrl=%2fpsychiatry%2fjournals%2fpsycann%2f%7b1801f9cb-92c9-468c-b5de-d519665f6c86%7d%2fdeep-brain-stimulation-for-obsessive-compulsive-disorder&amp;jrnl=J0213">Html Icon</a></li><li class="pdf"><a id="pdf" href="/web/20130912220906/http://www.healio.com/buy-journal-or-article?a={1801F9CB-92C9-468C-B5DE-D519665F6C86}&amp;returnUrl=%2fpsychiatry%2fjournals%2fpsycann%2f%7b1801f9cb-92c9-468c-b5de-d519665f6c86%7d%2fdeep-brain-stimulation-for-obsessive-compulsive-disorder'%3Fpdf%3D1'&amp;jrnl=J0213" class="active" title="View Pdf Version" alt="View Pdf Version" rel="nofollow">Pdf Icon</a></li></ul><ul class="article-citation"><li>Psychiatric Annals</li><li>August 2013 - Volume 43 · Issue 8: 351-357</li><li class="doi">DOI: 10.3928/00485713-20130806-03</li></ul></div><div class="copyrights" style="float:right;"><a onclick="RightsLinkPopUpV2();" href="#"><img alt="Rights and Permissions" title="Rights and Permissions" border="0" src="https://web.archive.org/web/20130912220906im_/http://213a1ca8842e5e699a80-05ce35571e92a3f7383a191aa5840bba.r66.cf1.rackcdn.com/request-permissions.gif"></img></a><script type="text/javascript" language="javascript">function RightsLinkPopUpV2() { var location="https://web.archive.org/web/20130912220906/https://s100.copyright.com/AppDispatchServlet?publisherName=slack&publication=0048-5713&contentID=10.3928/00485713-20130806-03&publicationDate=2013&copyright=Copyright%20%26copy%3B%202013%2C%20Slack%20Inc.&title=Deep%20Brain%20Stimulation%20for%20Obsessive-Compulsive%20Disorder&volumeNum=43&issueNum=8&author=Andrew%20K.%20Corse%2C%20BA%3B%20Tina%20Chou%2C%20BA%3B%20Amanda%20R.%20Arulpragasam%2C%20BS%2C%20BA%3B%20Navneet%20Kaur%2C%20BS%3B%20Thilo%20Deckersbach%2C%20PhD%3B%20Cristina%20Cusin%2C%20MD%26orderBeanReset%3DTRUE"; window.open(location,'RightsLink','location=no,toolbar=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=yes,width=650,height=550'); } </script></div><div class="article-tab-group"><ul class="article-tabs"><li><a id="anchor-tab-abstract" href="#">Abstract</a></li><li><a id="anchor-tab-article" href="/web/20130912220906/http://www.healio.com/buy-journal-or-article?a={1801F9CB-92C9-468C-B5DE-D519665F6C86}&amp;returnUrl=%2fpsychiatry%2fjournals%2fpsycann%2f%7b1801f9cb-92c9-468c-b5de-d519665f6c86%7d%2fdeep-brain-stimulation-for-obsessive-compulsive-disorder'%3Ffulltext%3D1'&amp;jrnl=J0213">Article</a></li><li><a id="anchor-tab-figures" href="/web/20130912220906/http://www.healio.com/buy-journal-or-article?a={1801F9CB-92C9-468C-B5DE-D519665F6C86}&amp;returnUrl=%2fpsychiatry%2fjournals%2fpsycann%2f%7b1801f9cb-92c9-468c-b5de-d519665f6c86%7d%2fdeep-brain-stimulation-for-obsessive-compulsive-disorder'%3Ffulltext%3D1'&amp;jrnl=J0213">Figures/Tables</a></li><li class="last"><a id="anchor-tab-refs" href="/web/20130912220906/http://www.healio.com/buy-journal-or-article?a={1801F9CB-92C9-468C-B5DE-D519665F6C86}&amp;returnUrl=%2fpsychiatry%2fjournals%2fpsycann%2f%7b1801f9cb-92c9-468c-b5de-d519665f6c86%7d%2fdeep-brain-stimulation-for-obsessive-compulsive-disorder'%3Ffulltext%3D1'&amp;jrnl=J0213">References</a></li><li class="cite-link"><a href="#" onclick="showCitation();">Get Citation</a><script type="text/javascript">function showCitation() {var w = window.open('', '', 'width=400,height=400,resizeable,scrollbars');w.document.write('Corse A, Chou T, Arulpragasam A, Kaur N, Deckersbach T, Cusin C. Deep Brain Stimulation for Obsessive-Compulsive Disorder. <i>Psychiatr Ann.</i> 2013; 43: 351-357. doi: 10.3928/00485713-20130806-03 <a href="https://web.archive.org/web/20130912220906/http://www.healio.com/psychiatry/journals/psycann/{1801f9cb-92c9-468c-b5de-d519665f6c86}/deep-brain-stimulation-for-obsessive-compulsive-disorder">[link]</a>');w.document.close(); }</script></li></ul></div><div id="abstractPortion"><h4>Abstract</h4><div class="ftSection"> <strong> <span class="ftInlineSubsectionTitle">CME Educational Objectives</span> </strong> <label></label> <p>1. Provide an overview of the history and origins of deep brain stimulation (DBS) for treatment-refractory obsessive-compulsive disorder (OCD).</p> <label>2.</label> Describe the various neuroanatomic targets of DBS implant for OCD as well as the neurocircuitry involved.</p> <label></label> <p>3. Explain the effects of DBS for OCD, both intended and unintended, as well as the promise the treatment holds for select treatment-resistant OCD patients.</p> </div> <p class="ftSection"> </p> <p>Obsessive-compulsive disorder (OCD) is a chronic anxiety disorder that affects approximately 2% to 3% of the population. OCD is characterized by persistent, intrusive, and distressing thoughts (obsessions) and ritualistic behaviors (compulsions), such as counting, organizing, or cleaning, which are used to lessen anxiety caused by the obsessive thoughts. The symptoms of OCD generally manifest in childhood or adolescence and may result in significant impairment in everyday functioning. The etiology of OCD is hypothesized to involve a combination of genetic and environmental factors.</p></div><h5>Authors</h5><p>Andrew K. Corse, BA, is Clinical Research Coordinator, Division of Neurotherapeutics, Department of Psychiatry, Massachusetts General Hospital. Tina Chou, BA, is a graduate student within the Division of Neurotherapeutics, Department of Psychiatry, Massachusetts General Hospital, and Department of Psychology, Harvard University. Amanda R. Arulpragasam, BS, BA, is Clinical Research Coordinator, Division of Neurotherapeutics, Department of Psychiatry, Massachusetts General Hospital. Navneet Kaur, BS, is Clinical Research Coordinator, Division of Neurotherapeutics, Department of Psychiatry, Massachusetts General Hospital. Thilo Deckersbach, PhD, is Director of Research, Division of Neurotherapeutics, Department of Psychiatry, Massachusetts General Hospital, Associate Professor, Harvard Medical School. Cristina Cusin, MD, is Instructor, Division of Neurotherapeutics, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School and Depression Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School.</p> <p>Address correspondence to: Cristina Cusin, MD, Depression Clinical and Research Program, Massachusetts General Hospital, One Bowdoin Square, Suite 634, Boston, MA 02114; email: ccusin@partners.org.</p> <p>Disclosure: The authors have no relevant financial relationships to disclose.</p><p>10.3928/00485713-20130806-03</p></div></div></div></div> <div class="social-links"> <div class="fb-like" data-send="false" data-width="300" data-show-faces="true" data-action="recommend"></div> <ul class="share"> <li><a href="javascript:void(0)" id="twitter" class="twitter-link" target="_new">Tweet</a></li> <li><a href="javascript:void(0)" id="facebook" class="facebook-link" target="_new">Share</a></li> <li class="linkedin"><a href="javascript:void(0)" id="linkedin" class="linkedin-link">Link</a></li> <li><span class="db-wrapper"><span class="g-plusone" data-size="tall" data-annotation="none"></span></span></li> <li><a href="javascript:void(0)" id="email">Email</a></li> <li class="last"><a href="javascript:void(0)" id="print">Print</a></li> </ul> <input name="layout_0$maincontent_1$SocialMedia$articleItemForTweet" type="hidden" id="layout_0_maincontent_1_SocialMedia_articleItemForTweet" value="{1801F9CB-92C9-468C-B5DE-D519665F6C86}"/> </div>  <div id="respond"> <h4> Comments</h4> <script language="javascript" type="text/javascript"> var idcomments_acct = 'aa6ff53f9870e40f92f83e1b5df3cddf'; var idcomments_post_id = 'ac60939f-ce47-4a26-8926-b0df2ad05a09'; var idcomments_post_url; </script> <span id="IDCommentsPostTitle" style="display: none"></span> <script type="text/javascript" src="https://web.archive.org/web/20130912220906js_/http://www.intensedebate.com/js/genericCommentWrapperV2.js"></script> <p class="comment-notes"> Healio is intended for health care provider use and all comments will be posted at the discretion of the editors. We reserve the right not to post any comments with unsolicited information about medical devices or other products. At no time will Healio be used for medical advice to patients. </p> </div>  <script type="text/javascript" language="javascript"> var $artContent = $('.ftArticle').html(); </script> </div>    <div id="sidebar">  <div id="featured-most-popular" class="featured-tabs"> <div class="featured-tab-group"> <ul class="tabs"> <li><a class="active" href="#featured">Featured</a> </li> <li><a href="#mostpopular">Most Popular</a> </li> </ul>  <div class="panes">  <div id="featured"> <ul class=""> <li class="kicker"> <span class="dept">In the Journals</span> </li> <li> <h4> <a href="/web/20130912220906/http://www.healio.com/psychiatry/schizophrenia/news/online/{73a2df32-3a6a-4a01-a5cc-5331ffab4bfd}/functional-disability-risks-identified-in-adolescents-with-emerging-psychosis"> Functional disability risks identified in adolescents with emerging psychosis</a></h4> </li> <li class="meta-info"> September 12, 2013</li> </ul> <ul class=""> <li class="kicker"> <span class="video-flag">Video</span> </li> <li> <h4> <a href="https://web.archive.org/web/20130912220906/http://video.healio.com/video/developing-a-blood-test-to-help"> Blood test may predict suicide risk</a></h4> </li> <li class="meta-info"> August 21, 2013</li> </ul> <ul class=""> <li class="kicker"> <span class="books-flag">Books</span> </li> <li> <h4> <a href="/web/20130912220906/http://www.healio.com/books/health-professions/athletic-training/{a9a2a5b5-4e55-4a6e-9533-971bf291bffa}/athletic-trainers-guide-to-psychosocial-intervention-and-referral"> Athletic Trainer's Guide to Psychosocial Intervention and Referral</a></h4> </li> <li class="meta-info"> James M. Mensch, PhD, ATC; Gary M. Miller, PhD, NCC<br/>2007; ISBN 1-55642-733-6</li> </ul> </div>  <div id="mostpopular"> <ul class=""> <li class="kicker"> <span class="perspective-flag">Perspective</span> </li> <li> <h4> <a href="/web/20130912220906/http://www.healio.com/psychiatry/depression/news/online/{9392a9df-a861-46c1-a5b3-c4a30d8a14c5}/mental-illness-substance-use-leading-causes-of-illness-globally"> Mental illness, substance use leading causes of nonfatal illness globally</a></h4> </li> <li class="meta-info"> September 4, 2013</li> </ul> <ul class=""> <li class="kicker"> </li> <li> <h4> <a href="/web/20130912220906/http://www.healio.com/orthopedics/business-of-orthopedics/news/online/{4c44500a-c64b-4cd0-90c1-201e66dc1fe8}/study-aco-impacted-savings-for-medicare-beneficiaries-but-did-not-improve-quality-of-care"> Study: ACO impacted savings for Medicare beneficiaries, but did not improve quality of care</a></h4> </li> <li class="meta-info"> August 27, 2013</li> </ul> <ul class=""> <li class="kicker"> </li> <li> <h4> <a href="/web/20130912220906/http://www.healio.com/orthopedics/business-of-orthopedics/news/online/{98550630-8a47-4f03-a36f-654f9b6a932d}/study-most-new-medicaid-eligible-adults-will-be-in-good-health-but-smokers"> Study: Most new Medicaid-eligible adults will be in good health, but smokers</a></h4> </li> <li class="meta-info"> September 11, 2013</li> </ul> </div> </div> </div> </div>  <div class="sidebar-ad-box">  <div id="div-gpt-ad-1369169134306-3"> <script type="text/javascript"> googletag.cmd.push(function() { googletag.display('div-gpt-ad-1369169134306-3'); }); </script> </div> </div> <div id="personalized-content"> <div class="sidebar-box" id="personalized"> <h4 class="pc-bar"> Personalize your page!</h4> <p> Register for Healio to get content tailored to your specialty and areas of interest. It鈥檚 FREE and only takes one minute. <a id="layout_0_sidebarbelowad_0_RegisterNow" rel="nofollow" href="/web/20130912220906/http://www.healio.com/footer/account-information/login">Register now!</a></p> </div> </div> </div>   <input type="hidden" id="sessionidid" value="disl1dxlryjisgwgdpbfbcsf"/> <input type="hidden" id="subid" value="{0}"/> <input type="hidden" id="errormsg" value="This subscription is currently in session. Multiple users are not allowed access."/> </div>  </div>   <div id="footer"> <div class="btm-leaderboard">  <div id="div-gpt-ad-1369169134306-0"> <script type="text/javascript"> googletag.cmd.push(function() { googletag.display('div-gpt-ad-1369169134306-0'); }); </script> </div> </div> <div id="footer-link-group"> <div class="footer-link-group-1"> <h5> Account Information</h5> <ul class="col1"> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/account-information/create-new-user?ReturnUrl=%2fpsychiatry%2fjournals%2fpsycann%2f%7b1801f9cb-92c9-468c-b5de-d519665f6c86%7d%2fdeep-brain-stimulation-for-obsessive-compulsive-disorder" target="_self"> Create New User</a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/account-information/expired-promotion" target="_self"> </a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/account-information/login?ReturnUrl=%2fpsychiatry%2fjournals%2fpsycann%2f%7b1801f9cb-92c9-468c-b5de-d519665f6c86%7d%2fdeep-brain-stimulation-for-obsessive-compulsive-disorder" target="_self" rel="nofollow"> Login</a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/account-information/update-publication-mailing-address" target="_self"> Update Publication Mailing Address</a></li> </ul> <ul class="col2"> <li class=""><a href="/web/20130912220906/http://www.healio.com/subscribe" target="_self"> Subscribe Or Buy</a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/account-information/help" target="_self"> Help</a></li> </ul> </div> <div class="footer-link-group-2"> <h5> Healio.com</h5> <ul class="col1"> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/healio-dot-com/about-healio" target="_self"> About Healio</a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/healio-dot-com/publications" target="_self"> Publications</a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/healio-dot-com/editorial-board" target="_self"> Editorial Board</a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/healio-dot-com/contact-the-news-desk" target="_self"> Contact the News Desk</a></li> </ul> <ul class="col2"> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/healio-dot-com/contact-us" target="_self"> Contact Us</a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/healio-dot-com/about-the-wyanoke-group" target="_self"> About the Wyanoke Group</a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/healio-dot-com/advertising-information" target="_self"> Advertising Information</a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/healio-dot-com/reprints" target="_self"> Reprints</a></li> </ul> <ul class="col3"> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/healio-dot-com/sitemap" target="_self"> Sitemap</a></li> </ul> </div> <div class="footer-link-group-3"> <h5> Legal</h5> <ul class="col1"> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/legal/medical-disclaimer" target="_self"> Medical Disclaimer</a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/legal/privacy-policy" target="_self"> Privacy Policy</a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/legal/editorial-policy-and-philosophy" target="_self"> Editorial Policy and Philosophy</a></li> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/legal/terms-and-conditions" target="_self"> Terms and Conditions</a></li> </ul> <ul class="col2"> <li class=""><a href="/web/20130912220906/http://www.healio.com/footer/legal/permissions" target="_self"> Permissions</a></li> </ul> </div> <div class="footer-link-group-4"> <h5> Connect with Healio</h5> <ul class=""> <li class="twitter"><a href="https://web.archive.org/web/20130912220906/https://twitter.com/#!/GoHealio" target="_blank"> Twitter</a></li> <li class="fb"><a href="https://web.archive.org/web/20130912220906/http://www.facebook.com/pages/Healio/304788272902541" target="_blank"> Facebook</a></li> <li class="rss"><a href="/web/20130912220906/http://www.healio.com/rss" target="_self"> RSS Feeds</a></li> </ul> </div> </div> <p class="copyright">©2013 All Rights Reserved.</p> <div style="position: absolute; top: -250px; left: -250px;"><a href="https://web.archive.org/web/20130912220906/http://www.healio.com/pearlescentcabinet.aspx">position</a></div> </div>  </form>  <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://c341136.r36.cf1.rackcdn.com/easySlider-min.js"></script> <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://c341136.r36.cf1.rackcdn.com/jquery.pager.js"></script> <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://c341136.r36.cf1.rackcdn.com/jquery.jqprint-0.3.js"></script> <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://c341136.r36.cf1.rackcdn.com/jquery.lightbox-0.5.min.js"></script> <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://c341136.r36.cf1.rackcdn.com/ecommerce-min.js"></script> <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://c341136.r36.cf1.rackcdn.com/functions-min.js"></script> <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://c341136.r36.cf1.rackcdn.com/checkout-min.js"></script> <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://c341136.r36.cf1.rackcdn.com/jquery.url.min.js"></script> <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://50f7680153f6cba9e65f-a4a4842ad50f9edc1b98e79695b0495a.r26.cf1.rackcdn.com/WaterMark.min.js"></script> <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://50f7680153f6cba9e65f-a4a4842ad50f9edc1b98e79695b0495a.r26.cf1.rackcdn.com/registration.js"></script> <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://50f7680153f6cba9e65f-a4a4842ad50f9edc1b98e79695b0495a.r26.cf1.rackcdn.com/dfpexpand.js"></script> <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://50f7680153f6cba9e65f-a4a4842ad50f9edc1b98e79695b0495a.r26.cf1.rackcdn.com/moduleTracking.js"></script> <script type="text/javascript" language="javascript" defer="defer" src="https://web.archive.org/web/20130912220906js_/http://c341136.r36.cf1.rackcdn.com/healiojs-min20130821.js"></script>  <script type="text/javascript"> if(!Array.prototype.indexOf){ Array.prototype.indexOf = function(obj, start) { for (var i = (start || 0), j = this.length; i < j; i++) { if (this[i] === obj) { return i; } } return -1; } } var _gaq = _gaq || []; var pluginUrl = 'https://web.archive.org/web/20130912220906/http://www.google-analytics.com/plugins/ga/inpage_linkid.js'; _gaq.push(['_require', 'inpage_linkid', pluginUrl]); _gaq.push(['_setAccount', 'UA-671605-73']); _gaq.push(['_setSiteSpeedSampleRate', 10]); _gaq.push(['_trackPageview']); _gaq.push(['_setCustomVar',1,'Profession','',1]); _gaq.push(['_setCustomVar',2,'Specialty','|',1]); _gaq.push(['_setCustomVar',3,'Verification Status','False',1]); _gaq.push(['_setCustomVar',5,'UserID','',1]); _gaq.push(['_setCustomVar',4,'Section','Psychiatry||Journals',3]); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://web.archive.org/web/20130912220906/https://ssl' : 'https://web.archive.org/web/20130912220906/http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); function trackClick(link,category,action, label, isExternal) { if(isExternal == null) isExternal = 0; if(label == null) label = link; if(isExternal == 0){ label = 'Internal - ' + label; } else{ label = 'External - ' + label; } _gaq.push(['_setAccount', 'UA-671605-73']); _gaq.push(['_trackEvent', category, action, label]); if(isExternal == 0) { setTimeout('window.location=\'' + link + '\'', 100); } return true; } function gInitLightbox() { var anchors = document.getElementsByTagName('a'); var imgTypes = new Array("jpg", "gif", "png"); var tgtTypes = new Array("blank", "new"); var ignoreIDs = new Array("pdf"); var ignoreClass = new Array("nlb"); var fileExt; var hostname = window.location.hostname; var arrhostname = hostname.split("."); var domain = arrhostname[(arrhostname.length -2)] + "." + arrhostname[(arrhostname.length -1)] for (var x = 0; x < anchors.length; x++) { var h = anchors[x].href.toString(); var t = anchors[x].target.toLowerCase().replace("_", ""); var i = anchors[x].id.toLowerCase(); var c = anchors[x].className.toLowerCase(); var hostsubstridx = h.indexOf(domain+"/"); if(hostsubstridx > -1){ hostsubstridx += (domain+"/").length; h = h.substr(hostsubstridx,(h.length - hostsubstridx)); } var tmp = h.split("."); fileExt = tmp[(tmp.length - 1)]; if(ignoreIDs.indexOf(i) == -1 && ignoreClass.indexOf(c) == -1){ if (imgTypes.indexOf(fileExt) > -1 || (h.indexOf("~/media/") > -1 && fileExt == 'ashx')) { anchors[x].rel = 'lightbox'; anchors[x].target = ''; } } } $j('a[rel*=lightbox]').lightBox({ imageLoading:'/presentation/images/lightbox-ico-loading.gif', imageBtnClose:'/presentation/images/lightbox-btn-close.gif', imageBtnPrev:'/presentation/images/lightbox-btn-prev.gif', imageBtnNext:'/presentation/images/lightbox-btn-next.gif', imageBlank:'/presentation/images/lightbox-blank.gif' }); } $j(document).ready(function() { gInitLightbox(); $j("ul#subspecialty-menu-b li a[href$='/cardiology/acute-coronary-syndrome-resource-center'][class$='resource']").click(function () { _gaq.push(['_setAccount', 'UA-671605-73']); _gaq.push(['_trackEvent', 'AstraZeneca Resource Center', 'Access Link', 'Subspecialty Menu B']); }); }); </script>  <script type="text/javascript"> __compete_code = '16e6ba5f18f1b237ad91753264c4dc2c'; /* Set control variables below this line. */ </script> <script type="text/javascript" src="//web.archive.org/web/20130912220906js_/http://c.compete.com/bootstrap/s/16e6ba5f18f1b237ad91753264c4dc2c/healio-com/bootstrap.js"></script> <noscript> <img width="1" height="1" src="https://web.archive.org/web/20130912220906im_/https://ssl-healio-com-16e6ba.c-col.com/"/> </noscript> <script id="piescript" type="text/javascript"> $j(function () { if (window.PIE) { $j('#main-content.mtg').each(function () { PIE.attach(this); }); } }); </script> <span id="dbg"></span> <input name="api_info_target" type="hidden" id="api_info_target"/> <div id="dmdjscript"> <script type="text/javascript"> window.A8AJQ = jQuery.noConflict();</script> <script src="https://web.archive.org/web/20130912220906js_/http://50f7680153f6cba9e65f-a4a4842ad50f9edc1b98e79695b0495a.r26.cf1.rackcdn.com/dmd_api.js" type="text/javascript"></script> <script language="javascript" type="text/javascript"> window.A8AJQ(document).ready(function () { window._A8A.check_for_cookie(true); }); </script> </div> <script type="text/javascript"> if (!NREUMQ.f) {NREUMQ.f=function() {NREUMQ.push(["load",new Date().getTime()]);var e=document.createElement("script"); e.type="text/javascript"; e.src=(("http:"===document.location.protocol)?"http:":"https:") + "//" + "js-agent.newrelic.com/nr-100.js"; document.body.appendChild(e);if(NREUMQ.a)NREUMQ.a();};NREUMQ.a=window.onload;window.onload=NREUMQ.f;};NREUMQ.push(["nrfj","beacon-2.newrelic.com","d03feeacda","1851818","YAEAbEZTCkZZAExeWVlLI2tkHRRHXRBdWUJWEAtXWh0IVEEMTUNFGAwHWVhbCxpVBlxeVVYIQlVVRhZcQENPUlQXCANBW0cQG1kQSE8=",37,1394,new Date().getTime(),"59540F7E03E407CA","","","",""]);</script></body> </html>

CINXE.COM

Deep Brain Stimulation for Obsessive-Compulsive Disorder | Psychiatric Annals