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TRANSCRANIAL MAGNETIC STIMULATION

TMS for Resistant Depression and OCD

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Transcranial Magnetic Stimulation (TMS) is a non-invasive treatment used for cases of severe depression and OCD offered here at CMPS. This revolutionary approach uses magnetic stimulation of the brain to help improve mood. Approved by the U.S. Food and Drug Administration in 2008, TMS has been deemed helpful for those who cannot get significant relief from traditional approaches, such as antidepressant medications, or who have bad side effects from medications. It is also an alternative for those who choose not to take prescription medication to treat their depression.

HOW DOES TMS WORK?

TMS involves using focused magnetic pulses in stimulating the brain within the pre-frontal cortex in a non-invasive manner. This is the region of the brain (in conjunction with areas deeper in the brain) that controls mood regulation. During your treatment, the clinician will place a magnetic coil against one side of your scalp. The magnetic fields can reach approximately one inch into the brain, resulting in brain-cell/nerve activation which releases neuro-transmitters. These neurotransmitters play a critical role in regulating mood. Because depression and OCD originate from an imbalance of chemicals in the brain, TMS can restore that balance and relieve symptoms of depression or OCD. Please note: TMS has recently been cleared for OCD treatment, although it is not yet paid for by insurance companies.

THE BENEFITS OF TMS

No anesthesia or sedation is required with TMS, and patients are awake throughout the 20-minute procedure. Since there are no medications administered, patients do not experience systemic effects or memory loss; and, with no electrical current involved, neurological or cognitive complications are absent. Patients return to regular activity right away.

NEUROSTAR ADVANCED TMS THERAPY

Many people suffering from Major Depressive Disorder have turned to NeuroStar Advanced TMS Therapy to successfully manage their depression. 81% of our patients responded to NeuroStar TMS treatment with 45% remitting from their depression symptoms after NeuroStar TMS treatment!

Specifically, initial pre-treatment PHQ9 Depression scores averaged 20 (severe), with 27 being max. 81% decreased to at least nine (mild) or below (responders). 45% decreased to five or below (remitters).

These results are ABOVE the national average that we see in the United States, which is a testament to our treaters.

TREATMENT

The typical patient will receive about 36 treatments over the course of seven weeks, five days a week. The psychiatrist will take about an hour to make an initial assessment to determine the appropriate dose of the magnetic pulse and the precise area of the brain targeted. All follow-up treatment visits last about 20 minutes. The course of treatment will depend on the patient.

A typical visit has the patient sitting in a comfortable reclining chair with a headset which will apply the magnetic stimulation. Patients are encouraged to wear ear plugs so they are not bothered by the loud clicks of the magnetic pulses. They can even watch TV during treatment. The patient is monitored at all times to make sure the correct positioning is acquired and the desired comfort level is maintained.

WHAT ARE THE RISKS AND SIDE EFFECTS WITH TMS?

There have been tens of thousands of treatments that have been safely performed during clinical trials, with patients reporting no side effects such as those found with antidepressant medication (weight gain, etc.). There has been no significant risk of seizures and no adverse cognitive side effects. Discomfort of the scalp is the most common side effect reported. TMS is not right for patients with implanted metallic devices or other implanted devices such as pacemakers.

IS TMS COVERED BY MY INSURANCE?

TMS for depression is covered by Medicare, Blue Cross Blue Shield, Aetna, Cigna, and United Healthcare. However, there are strict criteria which may apply, with authorization needed before treatment is allowed. While treatment of OCD has been FDA cleared, insurance companies have not yet authorized payment for this diagnosis. Please speak to a TMS clinician at CMPS to learn more.

CMPS COMPREHENSIVE BEHAVIORAL HEALTH PROGRAM

TMS is part of CMPS’ Comprehensive Behavioral Health Program, which is dedicated to improving the quality of life for individuals with a broad range of psychiatric illnesses. Its collaborative team approach is designed to optimize the effectiveness of psychotherapy, psychosocial treatments and medication management with state-of-the-art techniques, technologies and interventions.

OTHER FACILITIES USING TMS

McLean Hospital – Harvard Medical Center
University of Florida
University of South Florida
Mayo Clinic
James A Haley Veterans Hospital
Stanford Hospital
Brown University

cohen-interview
Dr. Rebecca Cohen Interview about TMS with Heidi Godman, Host of Health IQ on WSRQ Radio June 26th, 2013.

Research Articles

NeuroStar TMS Links

Other Related Links

Contact
For further information or a referral for consultation, please call 941-363-0878 or e-mail info@medpsych.net.

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