PACT ATLANTA LLC uses deep Transcranial magnetic stimulation (Deep TMS) in clients with Major Depressive Disorder who have failed to benefit from previous trials of antidepressant medications.  Other psychiatric indications are being investigated and may be open to treatment in the future.  Any patient resistant to traditional antidepressant medications or those who are unable to tolerate psychopharmacologic agents with distinct side effects are currently good candidates.  We thoroughly screen, and evaluate these individuals for their eligibility for Deep TMS.

Transcranial magnetic stimulation (TMS) was cleared in 2008 by the FDA for use as an alternative therapy for cases of Major Depressive Disorder that did not respond adequately to antidepressants or other treatment options, known as treatment resistant depression. It is a noninvasive alternative therapy that induces depolarization or hyperpolarization of the brain’s neurons. TMS uses electromagnetic induction to induce weak electric currents using a rapidly changing magnetic field; this can cause activity in specific or general parts of the brain with little discomfort, allowing for study of the brain’s functioning and interconnections. The electrical currents used to activate specific parts of the brain are generated by using a magnet, similar to that of an MRI. According to the United States National Institute of Mental Health, TMS “uses a magnet instead of an electrical current to activate the brain. An electromagnetic coil is held against the forehead and short electromagnetic pulses are administered through the coil. The magnetic pulse easily passes through the skull, and causes small electrical currents that stimulate nerve cells in the targeted brain region. Because this type of pulse generally does not reach further than two inches into the brain, scientists can select which parts of the brain will be affected and which will not be. The magnetic field is about the same strength as that of a magnetic resonance imaging (MRI) scan.”[1]

Deep TMS Efficacy

Studies have shown that Deep TMS provides statistically significant improvements in signs and symptoms for depressed patients who have completed 4-6 weeks of treatment. Follow-up studies have shown that patients did not exhibit any recurrences of depressive signs and symptoms 16 weeks after the procedure. The deep transcranial magnetic stimulation (Deep TMS) treatment is a unique and innovative alternative to managing treatment-resistant depression. Studies have shown Deep TMS to be relatively safe and easy for majority of patients. The procedure requires very little preparation and has potential of bring much relief to prospective patients.

Deep TMS is a unique, innovative therapy  for treatment resistant depression.  It is a cutting edge, medication alternative therapy in our very specialized, patient oriented psychiatric and mental health practice.

Deep TMS vs Other Depression Treatments

Trancranial magnetic stimulation differs from electroconvulsive therapy (ECT) because the patient is fully awake during the procedure. TMS does not require any sedation or restraints during the treatment. Also, there is no anterograde amnesia associated with Deep TMS.

Unlike surface TMS, Deep TMS utilizes high energy waves to penetrate into the deeper layers of the cerebral cortex. Deeper penetration into the brain yields fast and significant results. With Deep TMS, a patient’s treatment regimen can last up to 5 weeks; while treatment with surface TMS can take twice as long. Furthermore, Deep TMS achieves an impressive remission rate of 34% after 4 weeks of treatment.

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