TMS is an exciting and promising therapy that can provide real and lasting relief for patients suffering from treatment-resistant depression.
Conducted in an out-patient setting, TMS is a noninvasive procedure that is generally safe and well-tolerated. This provides patients with the flexibility to seek treatment in a way that does not disrupt their daily lives. TMS has an equally promising future, with studies exploring its expanded applications, as well as its use as an ongoing maintenance treatment. Transcranial magnetic stimulation TMS for major depression: a multisite, naturalistic, observational study of acute treatment outcomes in clinical practice.
Depress Anxiety. Baeken C, De Raedt R. Neurobiological mechanisms of repetitive transcranial magnetic stimulation on the underlying neurocircuitry in unipolar depression.
Dialogues Clin Neurosci. Regional cerebral blood flow changes after low-frequency transcranial magnetic stimulation of the right dorsolateral prefrontal cortex in treatment-resistant depression. A functional magnetic resonance imaging study of the effects of low frequency right prefrontal transcranial magnetic stimulation in depression.
J Clin Psychopharmacol. Daily left prefrontal repetitive transcranial magnetic stimulation for acute treatment of medication-resistant depression. Am J Psychiatry.
Neurobiological mechanisms of repetitive transcranial magnetic stimulation of the dorsolateral prefrontal cortex in depression: a systematic review. Psychol Med. Brain Stimul. Schutter DJ. Quantitative review of the efficacy of slow-frequency magnetic brain stimulation in major depressive disorder. Clinically meaningful efficacy and acceptability of low-frequency repetitive transcranial magnetic stimulation rTMS for treating primary major depression: a meta-analysis of randomized, double-blind and sham-controlled trials.
A systematic review and meta-analysis on the efficacy and acceptability of bilateral repetitive transcranial magnetic stimulation rTMS for treating major depression. Transcranial magnetic stimulation in the management of mood disorders. Transcranial magnetic stimulation for the treatment of major depression. Neuropsychiatr Dis Treat. Antidepressant efficacy of high-frequency transcranial magnetic stimulation over the left dorsolateral prefrontal cortex in double-blind sham-controlled designs: a meta-analysis.
Durability of the antidepressant effect of the high-frequency repetitive transcranial magnetic stimulation rTMS in the absence of maintenance treatment in major depression: a systematic review and meta-analysis of 16 double-blind, randomized, sham-controlled trials.
A controlled study of repetitive transcranial magnetic stimulation in medication-resistant major depression. Biol Psychiatry. Repetitive transcranial magnetic stimulation as an augmentative strategy for treatment-resistant depression, a meta-analysis of randomized, double-blind and sham-controlled study.
BMC Psychiatry. Treatment-emergent mania in unipolar and bipolar depression: focus on repetitive transcranial magnetic stimulation. Int J Neuropsychopharmacol. Transcranial magnetic stimulation-induced switch into mania: a report of two cases. Garcia-Toro M.
Acute manic symptomatology during repetitive transcranial magnetic stimulation in a patient with bipolar depression.
Br J Psychiatry. Anti-suicidal efficacy of repetitive transcranial magnetic stimulation in depressive patients: a retrospective analysis of a large sample. Front Psychiatry. Magnetic pulses are then delivered to a specific area of the brain to stimulate the nerve cells there.
These magnetic pulses are the same type and strength as those used in an MRI machine. Treatment sessions last 30 to 40 minutes, and must be done 5 times per week for 4 to 6 weeks. Some patients begin to experience positive mood changes within a few sessions. It is important to note, however, that the best way to ensure optimum benefits is to complete the full treatment process as prescribed by the TMS physician.
Payment upfront. Any unused treatments will be credited. Depression is a complex condition. Cohen says patients typically see improvement within the first three weeks. I've had patients return to activities they love because they feel motivated and joyful again. If patients experience another depressive episode after the first TMS treatment, Cohen says they have an 84 percent chance of responding well to the treatment again.
You can receive maintenance treatments, as well, which are not yet covered by insurance yet. Cohen says the most common side effect is scalp irritation at the sight of the copper coil. According to the Mayo Clinic , some patients can experience headache or lightheadedness after a session.
There is a misconception that TMS is the same as electroshock therapy, but they are different, Cohen says. Electroshock therapy involves putting the patient under sedation and inducing mild seizures with electricity. TMS is non-sedative and uses MRI technology and electromagnetic stimulation, not electricity, to send pulses to the brain.
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