After the treatment, patients continue their normal activities of the day with no cognitive or physical changes. They are able to engage in normal sedentary activities such as listening to music. ![]() Patients are semi-inclined through the treatment they remain awake and feel a series of tapping sensations on the frontal area of the skull with a clicking noise. The equipment centers around a comfortable chair, similar looking to a dentist’s chair, with a small magnetic coil held in an overhead arm attached to main control and power unit. We use an FDA approved TMS machine that is proven to be well tolerated and highly effective. CFFP TMS Therapy PracticeĪt the Center for Family Psychiatry, in Saline, MI, TMS treatment is provided by fully trained and qualified practitioners under the supervision of the Medical Director, Dr. TMS Therapy is now being provided at major hospitals and qualified mental health clinics worldwide with most insurance companies covering the treatment. The successes of TMS Therapy in drug resistant MDD and OCD have been noted by health insurance companies and mental health service providers. Most encouragingly, nearly 30% of treated patients may enter remission – it is important to note that patients enrolled in these studies after multiple traditional antidepressant medications had failed to provide adequate relief from active persistent symptoms. Further, 66% reported a reduction in depression score after a 4-week treatment period. Studies show that after the completion of the acute phase of TMS Therapy up to 75% patients report a reduction in depression. ![]() TMS was first used in 1984 by Anthony Barker and has since evolved as a leading frontier in fighting Depression and OCD. Given the high effectiveness and lower risks of TMS Therapy, it is also recommended by the American Psychiatric Association for treating MDD patients who have not had adequate response to two or more trials of adequate dosing and duration of anti-depressants. TMS Therapy for persistent Major Depressive Disorder (MDD) was approved by the FDA in 2008. In such cases, the magnetic waves delivered by TMS Therapy are believed to excite the neuronal connections and bring the dorsomedial region to a balanced normal level, alleviating OCD symptoms. Similarly, studies on Obsessive Compulsive Disorder (OCD) typically show hypoactivity in the dorsomedial regions of the brain. The video below depicts an outline of the TMS treatment process for depression treatment. ![]() Thus, TMS therapy can modulate the areas of the brain to bring normalization of activity levels. Further, clinical hypothesis is that there can be inhibitory effects on some of the hyper-active areas. With TMS Therapy the DLPFC is excited by the magnetic pulses into activation which is believed to propagate further into the deeper target areas of the brain where mood modulation is believed to occur. Studies show that in Depression patients the dorsolateral prefrontal cortex (DLPFC) of the brain can be hypo-active on the left side and can be hyper-active on the right side. TMS Therapy for Persistent Depression and OCD These magnetic pulses are generated by a magnetic coil placed on the scalp by FDA approved equipment, and travel as magnetic field waves through the cranium (without any incision or “invasion”) into a targeted part of the brain for desired therapeutic effects. Transcranial Magnetic Stimulation, or TMS, works by excitation of neurons in identified cortical regions of the brain by highly controlled and precisely delivered magnetic pulses.
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