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Suggest Treatment For Depression
Question: I suffer from MDD. I have begun rTMS & it's amazing. What is dTMS?
Detail ALL you know about dTMS.
My goal is to obliterate my depression.
Detail ALL you know about dTMS.
My goal is to obliterate my depression.
Brief Answer:
Consultation
Detailed Answer:
Hello, and thanks for your question.
Repetititve TMS is a treatment for depression that involves stimulation of the prefrontal cortex. Clinicians have attempted to directly stimulate brain structures beneath the superficial prefrontal cortex using deep TMS, using magnetic coils (H coils) that can induce a magnetic field with a deeper and wider distribution than standard (figure eight) coils.
Several studies suggest that deep repetitive TMS may be safe and beneficial. A five-week randomized trial that compared different types of deep stimulation coils in 57 patients found that response (reduction of baseline symptoms ≥50 percent) occurred in 37 percent, and adverse events were limited to headache and scalp discomfort.
In addition, another randomized trial suggested that weekly to biweekly maintenance treatment with deep repetitive TMS may reduce relapse over 6 to 12 months. This is still being investigated, with unclear benefits over rTMS, so I would suggest continuing with rTMS if it is working for you for now.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers
Consultation
Detailed Answer:
Hello, and thanks for your question.
Repetititve TMS is a treatment for depression that involves stimulation of the prefrontal cortex. Clinicians have attempted to directly stimulate brain structures beneath the superficial prefrontal cortex using deep TMS, using magnetic coils (H coils) that can induce a magnetic field with a deeper and wider distribution than standard (figure eight) coils.
Several studies suggest that deep repetitive TMS may be safe and beneficial. A five-week randomized trial that compared different types of deep stimulation coils in 57 patients found that response (reduction of baseline symptoms ≥50 percent) occurred in 37 percent, and adverse events were limited to headache and scalp discomfort.
In addition, another randomized trial suggested that weekly to biweekly maintenance treatment with deep repetitive TMS may reduce relapse over 6 to 12 months. This is still being investigated, with unclear benefits over rTMS, so I would suggest continuing with rTMS if it is working for you for now.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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