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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