tms Archives - Gateway Psychiatric Excellent Psychiatric Care Fri, 24 Nov 2023 16:41:40 +0000 en-US hourly 1 https://wordpress.org/?v=6.9.4 https://i0.wp.com/www.gatewaypsychiatric.com/wp-content/uploads/2013/06/favicon2.png?fit=32%2C32&ssl=1 tms Archives - Gateway Psychiatric 32 32 70562394 How Long Does It Take to Get Well with TMS https://www.gatewaypsychiatric.com/how-long-does-it-take-to-get-well-with-tms/ https://www.gatewaypsychiatric.com/how-long-does-it-take-to-get-well-with-tms/#respond Sat, 20 Jul 2019 13:56:37 +0000 https://www.gatewaypsychiatric.com/?p=15753 The most common question that people ask when they start TMS is how long it will take to get well with TMS. A recent article published in the American Journal of Psychiatry looked at the results from a six week study designed to compare theta burst and regular TMS in order to assess patterns of response over time. The authors ...

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]]> https://www.gatewaypsychiatric.com/how-long-does-it-take-to-get-well-with-tms/feed/ 0 15753 TMS Predictors of Outcome in Bipolar Depression and Unipolar Major Depression https://www.gatewaypsychiatric.com/tms-predictors-of-outcome-in-bipolar-depression-and-unipolar-major-depression/ https://www.gatewaypsychiatric.com/tms-predictors-of-outcome-in-bipolar-depression-and-unipolar-major-depression/#respond Thu, 22 Mar 2018 21:55:12 +0000 https://www.gatewaypsychiatric.com/?p=15037 What TMS predictors of outcome in bipolar depression and unipolar major depression can we use to identify those who are likely to respond to treatment? An article in 2017 in the journal Clinical Neurophysiology reports data from a very large series of patients with both types of depression who were treated with TMS. The study looked at records from 105 ...

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]]> https://www.gatewaypsychiatric.com/tms-predictors-of-outcome-in-bipolar-depression-and-unipolar-major-depression/feed/ 0 15037 Maintenance TMS https://www.gatewaypsychiatric.com/maintenance-tms/ https://www.gatewaypsychiatric.com/maintenance-tms/#respond Sat, 02 Dec 2017 15:01:55 +0000 https://www.gatewaypsychiatric.com/?p=14882 A patient with treatment resistant depression and an excellent initial response to TMS asked me about the value of maintenance TMS. The question is a reasonable one given what we know generally about the treatment of chronic and/or treatment resistant depression. Almost all of the effective treatments (psychotherapy, medications, ECT, etcetera) have acute and maintenance treatment components. And for all ...

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]]> https://www.gatewaypsychiatric.com/maintenance-tms/feed/ 0 14882 Default Mode Network and Depression Treatment – Ketamine and TMS https://www.gatewaypsychiatric.com/default-mode-network-and-depression/ https://www.gatewaypsychiatric.com/default-mode-network-and-depression/#respond Tue, 02 May 2017 20:50:45 +0000 https://www.gatewaypsychiatric.com/?p=13186 Interaction between the default mode network and parts of the pre-frontal cortex may explain some depression phenomena and also links to why TMS and ketamine work

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]]> https://www.gatewaypsychiatric.com/default-mode-network-and-depression/feed/ 0 13186 TMS Effectiveness Updated https://www.gatewaypsychiatric.com/tms-effectiveness-updated/ Mon, 13 Feb 2017 03:22:26 +0000 https://www.gatewaypsychiatric.com/?p=12354 TMS effectiveness for depression is clear. But now there are more machines for providing TMS and more protocols. Is deep TMS better than regular TMS?  Or is deep TMS just a marketing phrase? A major review article in JAMA Psychiatry updated our understanding of alternatives to the initial protocol for TMS. JAMA Psychiatry is the most prestigious journal in psychiatry, ...

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]]> 12354 TMS for Anxiety https://www.gatewaypsychiatric.com/tms-for-anxiety/ Sun, 05 Feb 2017 20:05:25 +0000 https://www.gatewaypsychiatric.com/?p=12296 “How effective is TMS for anxiety?” The young woman with a remarkable history of serious adverse effects from multiple trials of psychiatric medications for anxiety recently asked me this question. This post summarizes the results of a thoughtful literature search using the UCSF medical library, data from the Medical Affairs departments for two of the TMS manufacturers, and clinical experience ...

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]]> 12296 TMS for Depression – Repeat Treatment https://www.gatewaypsychiatric.com/tms-for-depression-repeat-treatment/ Sat, 10 Dec 2016 18:46:09 +0000 https://www.gatewaypsychiatric.com/?p=12133 TMS is an expensive, time-consuming, but effective treatment for depression, but how should it be used for treating patients with chronic depression? And for those who have an initial positive response when should we consider another course of TMS (known as reintroduction therapy)? These are all questions which have not been adequately addressed in the research literature. A study published in ...

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]]> 12133 TMS Guidelines https://www.gatewaypsychiatric.com/tms-guidelines/ Sun, 26 Jun 2016 17:33:37 +0000 https://www.gatewaypsychiatric.com/?p=11101 In the April edition of Brain Stimulation, the Clinical TMS Society published expert consensus guidelines on the use of TMS. This definitive review of the literature identifies both what is known as well as significant areas of uncertainty about the use of TMS in the treatment of depression. The process of developing the guideline is described in the introduction to the ...

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]]> 11101 TMS Stimulates Brain Growth https://www.gatewaypsychiatric.com/tms-stimulates-brain-growth/ Thu, 24 Dec 2015 17:13:58 +0000 https://www.gatewaypsychiatric.com/?p=9584 In a recent poster presented at the 2015 Society of Biological Psychiatry meeting Martin Lan and colleagues presented data from the first study of structural changes in the brain following TMS. In the study, 27 patients in an episode of major depression underwent MRIs before and after receiving TMS treatment. Several cortical regions related to cognitive appraisal, the subjective experience of ...

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]]> 9584 TMS Cost Effectiveness https://www.gatewaypsychiatric.com/tms-cost-effectiveness/ Wed, 11 Nov 2015 16:53:27 +0000 https://www.gatewaypsychiatric.com/?p=9385 “Is TMS Cost-Effective?” His provocative title of an article just published in psychiatric times which summarizes an Australian pharmaco-economic study. In case you don’t want to read through the rest of this article, here is the summary: “Australian researchers compared the cost-effectiveness of rTMS with pharmacotherapy in treatment-resistant patients with MDD (ie, those who have failed at least 2 courses ...

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