protocolSection identificationModule nctId: NCT06355284, orgStudyIdInfo id: D5150-P, briefTitle: Overcontrol and Suicide in PTSD, acronym: OSP, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-07-01, primaryCompletionDateStruct date: 2026-02-27, completionDateStruct date: 2026-04-30, studyFirstPostDateStruct date: 2024-04-09, lastUpdatePostDateStruct date: 2024-04-09, sponsorCollaboratorsModule leadSponsor name: VA Office of Research and Development, class: FED, descriptionModule briefSummary: High standards and self-discipline are prized in military culture, but drawbacks of overcontrol are often ignored. Overcontrol is characterized by over-regulated behavior and cognitive rigidity, driven by an intense need for perfection and control. It is frequently observed in people with obsessive-compulsive (OC) spectrum disorders, especially OC Personality Disorder (OCPD). Their inclination to set high expectations for others can strain social bonds. When grappling with mental health challenges, overcontrolled individuals often do so with limited social support, and as a result, tend to be at greater risk of developing more severe mental health symptoms, or suicidal thoughts and behaviors, over time.New treatments are needed to improve social functioning in these vulnerable Veterans. Adding brain stimulation to psychotherapy is one method that might speed learning of social skills discussed in therapy. However, before this technology can be developed and tested more broadly, the investigators must make sure that the methods used to measure social functioning and related brain circuits are acceptable to most potential patients and can be used consistently.In this pilot project, the investigators aim to recruit trauma-exposed Veterans with overcontrolled traits and study the feasibility and acceptability of:1. Our recruitment strategy and social functioning and mental health symptom assessments2. A three-session, weekly fMRI protocol.3. A three-week online protocol for remote monitoring of social and emotional functioning., conditionsModule conditions: Compulsive Personality Disorder, conditions: Stress Disorders, Post-Traumatic, designModule studyType: OBSERVATIONAL, designInfo observationalModel: CASE_ONLY, timePerspective: OTHER, enrollmentInfo count: 74, type: ESTIMATED, armsInterventionsModule interventions name: Functional MRI, outcomesModule primaryOutcomes measure: Number of potential participants screened per month meeting the overcontrol criterion., primaryOutcomes measure: Percentage of sessions completed by participants receiving MRI., primaryOutcomes measure: Percentage of remote questionnaires completed., eligibilityModule sex: ALL, minimumAge: 18 Years, maximumAge: 65 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Providence VA Medical Center, Providence, RI, city: Providence, state: Rhode Island, zip: 02908-4734, country: United States, contacts name: Jennifer L Barredo, role: CONTACT, phone: 401-273-7100, phoneExt: 6290, email: Jennifer.Barredo@va.gov, contacts name: Jennifer L Barredo, role: PRINCIPAL_INVESTIGATOR, geoPoint lat: 41.82399, lon: -71.41283, hasResults: False