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But when controlled for confounding variables, only HAM-A scores and CGI effect retained statistical significance. We conclude that intensive OFC cTBS (iOFcTBS) in OCD is well tolerated with clinically significant improvements in anxiety symptoms and global severity. This improvement in anxiety symptoms could be due to modulations of state dependent dysregulation in OCD.Reversal learning deficits following reward and punishment processing are observed across disruptive behaviors (D and attention-deficit/hyperactivity disorder (ADHD), a