Download TMS Therapy for the Treatment of Depression

Medical Professionals
TMS Therapy for the
Treatment of Depression
only TMS device cleared by the FDA for the treatment of major depression. TMS Therapy is available upon the prescription of a psychiatrist. How does TMS
Therapy work?
D
uring TMS Therapy, WKHWUHDWLQJFOLQL
by Paul K. Gross, MD
cian positions the treatment coil over the left ranscranial magnetic prefrontal cortex, the part stimulation (TMS) of the brain thought to be involves the use of LQYROYHGZLWKPRRGUHJXOD
very short pulsed magnetic tion. Through the treatment ¿HOGVWRVWLPXODWHQHUYHFHOOV coil, the NeuroStar TMS in the brain. Since the 1980s, Therapy system generates a TMS has been used to study highly concentrated magnetic WKHQHUYH¿EHUVWKDWFDUU\LQ ¿HOGWKDWWXUQVRQDQGRII
formation about movements UDSLGO\7KHPDJQHWLF¿HOGLV
from the brain to the spinal the same type and strength as cord and muscles. In the late that produced by a magnetic 1990s, physicians began to resonance imaging (MRI) H[SORUHWKHWKHUDSHXWLFSR
PDFKLQH7KHPDJQHWLF¿HOG
WHQWLDORI706IRUWKHWUHDW
passes through the hair, ment of a variety of diseases, scalp, and skull and into the with depression being the prefrontal cortex unimpeded. most thoroughly studied to This method allows for a date. Since then, more than precise type of stimulation, 30 randomized, controlled minimizing the stimulation trials studying TMS as a of brain tissue not involved treatment for depression have in mood.
EHHQSXEOLVKHGE\LQYHVWLJD
Inside the brain, the tors throughout the world.
dynamic nature of the pulsed PDJQHWLF¿HOGLQGXFHVHOHF
How is it used for
WULFDOFKDUJHVWRÀRZ7KH
depression?
amount of electricity created 7067KHUDS\IRUWKHWUHDW
in the brain is very small, but ment of depression is a short these small electric charges outpatient procedure that FDXVHWKHQHXURQVWR¿UHRU
XVHVSXOVHGPDJQHWLF¿HOGV
EHFRPHDFWLYH7KHWUHDW
to stimulate nerve cells ment goal is to stimulate (or within the area of the brain DFWLYDWHEUDLQFHOOVQRQ
thought to control mood. invasively without anesthesia TMS Therapy is performed or sedation. LQDSV\FKLDWULVW¶VRI¿FH
The most common side under their supervision while effects associated with TMS the patient remains awake Therapy are scalp pain or and alert. discomfort at the site of A typical TMS treatment application. Patients remain FRXUVHFRQVLVWVRI¿YHWUHDW
awake and alert throughout PHQWVSHUZHHNRYHUD
the TMS Therapy session, week period. Each treatment able to resume normal life session lasts approximately DFWLYLWLHVLPPHGLDWHO\IRO
40 minutes. The NeuroStar lowing treatment.
TMS Therapy system is the T
Lehigh Valley Woman
TMS Case Study of a 30 Year-Old Single Woman
Patient Description
‡\HDUROGVLQJOHZRPDQ
‡ Masters degree in journalism, currently unemployed
‡ Suffers from Major Depressive Disorder and recurrent substance abuse
‡ Symptoms include: no energy, no motivation, excessive tiredness, trouble sleeping, QRWHDWLQJIHHOLQJRIKRSHOHVVQHVVDQGORZVHOIHVWHHP
Depression Treatment History
“TMS transformed
‡ Five prior depressive episodes
me from someone
‡ Treatment with multiple medications: Cymbalta, Lexapro, Abilify, Wellbutrin and Effexor who had no hope to
‡ Patient has tried psychotherapy, partial hospitalizations, rehabilitation treatment programs and outpatient programs
a person who has
Treatment in Current Episode
everything to look
‡ Patient was on Effexor 300mg
forward to in life. It is
‡ Patient is also currently in psychotherapy
the closest thing to a
TMS Therapy Treatment Course
and Results
‡ Treated acutely with 34 TMS treatments
‡4,'65VFDOHGHFUHDVHGIURPWR
‡ Patient able to decrease Effexor to 150mg ‡ Patient in total remission
cure for depression
that exists. It saved
my life!“
~ Patient Quote
The TMS team: Cortney Gillen, Alisson Stauffer, and Dr. Paul K. Gross.
610.820.0700
401 North 17th Street z Suite 304
Allentown, PA 18104
www.tmslv.com
6
April/May 2012