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TRANSCRANIAL MAGNETIC STIMULATION

TMS for Resistant Depression

(Click here for details)

Transcranial Magnetic Stimulation (TMS) is a non-invasive treatment used for cases of severe depression 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 utilizes focused magnetic pulses to stimulate the brain in the prefrontal cortex non-invasively. 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 penetrate about 1 inch into the brain to result in brain-cell/nerve activation thereby releasing neurotransmitters. These neurotransmitters play a critical role in regulating mood. Because depression originates from an imbalance of chemicals in the brain, TMS can restore that balance and relieve symptoms of depression.

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.

TREATMENT

The typical patient typically will receive between 30 and 36 treatments over the course of six  to seven weeks, five days  a week. Each treatment lasts about 20 minutes. The course of treatment will depend on the patient.. 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.

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 about 10,000 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 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. 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 aimed at maximizing the effectiveness of psychotherapy, medication management and psychosocial treatments with emerging 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. (Click here to play interview).

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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