Transcranial Magnetic Stimulation: A New Treatment Approach for Psychiatric Disorders
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- Опубликовано: 11 июн 2024
- This presentation by Tracy Barbour, MD, was part of the patient education program “Outside the Box in Psychosis Treatment: Towards Stage-based and Symptom-targeted Interventions” featuring specialists from Mass General’s Schizophrenia Program. The Department of Psychiatry provides free educational programs for patients and families facing a variety of mental health challenges. Learn more about these programs: www.massgeneral.org/psychiatry...
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Increase to 1.25× Playback speed - you're welcome
2x if ur cool
i stopped listening after she said "ummmm er umm" for the 80th time. I couldn't handle it
TY!
1.50, perfect
Oh my God, you're a saint
It seems crazy they don't follow up after more than a year. That would be imperative information to know. Jeeeeeesh
Exactly....
TMS is a highly successful treatment with people with treatment-resistant depression.
She did a great job speaking in front of so many people. Thank you for this great information.
How do you know how many people were there? It didn't sound like a typical lecture amount by more like less than a classroom. I will say that she handled then just rudely interrupting her with questions.
@@katiekat4457 I'm just going to wish you HAPPY holidays! ❤
Um was almost every 3 or 4 words. Very hard to listen to.
Um and um and um .....
Not really
Great presentation. Very clear and informative.
Getting my 1st treatment the 27 of May. I'm quite hopeful.
How did it go?
I’m on session 26 out of 36, and I absolutely feel as if my capacity for life has increased..I can keep my head above water with less effort.it was so uncomfortable to me at first but not any more. It really gets easy and I think is very much worth trying it if you can.
How did you get into a trial? What state/city?
@@someguy1169 following
How are you doing now??
@@D.Martyr following
I'm on my 7th now, when did you start to feel it?
I had this treatment and it didn't do anything for me, i never felt a change, i guess it works only for some people, but they should also make studies about for who this treatment is useful, because it is really sad when you spend money for something that just doesn't work for you. I hope that those who will be taking this treatment find it useful and help them.
do grounding and see how it works for you
If you're interested in this treatment only being effective for certain people, I highly recommend this paper: Drysdale et al. 2017. Resting-state connectivity biomarkers define neurophysiological subtypes of depression. It outlines how treatment-resistant depression can be subclassified, and how some of these groups will find rTMS to be more effective.
Good news, researchers (myself included) are working hard to figure out why TMS doesn't work to help depression in everyone, and to make it more accurate. The lack of effect is in large part due to trouble targeting the correct brain region. There are very general rules that physicians follow to find the area of the skull/brain to target, so it could be that your physician wasn't hitting the right spot. I hope that you find relief in whatever is ailing you, and hope that someday you'll be able to get highly effective TMS! :)
YES ! This system really works.
and no harmful side effects effects effects effects effects effects effects effects effects effects
The research actually does show that it's not really more effective than placebo.
You know one time I had an mri and I swear that helped my depression and anxiety for a few months. Realizing an mri uses magnetic fields I think that is what helped me. I will look into this treatment.
Wow, that's really interesting about the MRI. Thanks for sharing!
Did u look into it?
@@D.Martyr I don't know for sure but there are treatments that use magnetic stimulation to parts of the brain that cause these disorders.
I'm 4 sessions in to my 30. Hasn't done anything for me yet but I realise it's still early days. Remaining hopeful.
How's the treatments going? Has it helped you yet?
@@neil9383 Nope i got nothing from TMS unfortunately.
@@liamc7097 Sorry to hear that.
@@liamc7097 Watch Dr. Shallenberger's video on depression.
Seems getting out 5 times a week for 6 weeks would do a lot of good alone. Has this been studied against someone going TO the patient or someone just going out 5 times a week for 6 weeks?
I start TMS therapy on Friday. Whoever reads this, please wish me luck. This is my last best hope.
How did it go? Or how it is going with the TMS? I am looking into getting this also.
Good luck !!! I am also on the process to start TMS treatment as well. I hope this treatment brings out positive results for me, helps my OCD
Good luck hope you get better
@@hectorhernandez7299 Thanks so much !!!
How do you ask for people to wish you luck but don't come back to this comment to let us all know how you are doing. We are all on our last effort so to speak. Well, I hope all of you are doing well.
Hi how are you?? I have been depressed my whole life and have been diagnosed with all disorders of psychiatric disorders and different meds too for throughout the day which are 4 a day. Before it was only two a day but now it’s four per day and to top it all off I have all kinds of things going on in the whole body with migraines throughout the head and face, and also all kinds health issues in the body and on meds for all kinds of issues in the body so question is will this work for me?? I am really really traumatized and can’t focus nor sleep at night. Again have to take three meds just to sleep.
My son has autism spectrum from troubled birth. At 15yrs he was headed to be institutionalized. We did TMS. It was applied to both left and right sides. For 10 weeks. 20 min sessions . No more crazy meds. He's now 26 married and a plus for society. It work's
I’m miserable with fibromyalgia, depression, anxiety and other weird symptoms like memory loss and brain fog. I’ll be trying TMS soon. Can they start out with a low dose?
Any update on your progress?
We place too much emphasis on pharmaceuticals.
I absolutely agree. The reason is because medications for mental illnesses are not cures, they’re typically if not always suppressants for symptoms.
Investing in technology like this, and Deep Brain Stimulation, and plenty of other technological solutions are ultimately more cost effective for patients and have a much more significant affect on their prognosis as well.
@@Casualbystander not only that but pharmaceuticals have a permanent impact on a persons mind and overall well being, with tms you could one day reverse fire to undo the damage that firing one way may of had resetting the brain to a healthy unchanged state and its alot easier then comming up with a whole new medicine
Elder 987419 you have no idea wtf you are taking about
I am not a doctor, but an electrical engineer with strong interest in Electromagnetic fields and waves. I found this to be the perfect introduction to EM fields as applied to TMS purposes. I always wondered how EM fields effected the nerves and brain. One question I have is how do the electric fields that always accompany changing magnetic fields effect the brain if at all. It also leads to the question: how do very strong pulses of electrostatic waves, like lightening, effect the nervous system if at all. Thanks!
Becuase all matter is electrical and magnetical and a more powerful magnet over powers a weaker one
Do you think TMS can be dangerous?
this is a fascinating question -- are human brains susceptible to EMP attacks? thats pretty much a Taser right? it seems almost certain the nervous system must in some way be influenced by external EMF fields but perhaps we are physiologically constructed with redundant systems and mitigate the effects to some degree
either way though this system really works.
and no harmful side effects effects effects effects effects effects effects effects effects effects
@@millstreetteut7835Some people say they feel burning sensation. I did several sessions and felt nothing.
what's the success rate for schizophrenia using TMS? My sister has severe psychotic episodes that medicines can't alleviate.
thank you for a good presentation. I will be working as a TMS nurse soon.
Good presentation?
How is your expercience working as TMS nurse.. What is the patients feedback.
how much more benefit does this have over resonant breathing
İt can be used aphasia and stroke rehabilitation??
Yeah yeah yeah but what r the down sides?? Negative side affects.
whats the diff between this and direct transcranial stimulation?
tDCS isn't shown to help disorders. tDCS likely only helps stimulate blood flow.
I have my first TMS session for depression on Wednesday, Nov 4th!!
How's it going so far?
@@anna90473 good luck
How did it go?
Did TMS work for you?
how did it go??
Yes this treatment works for many, but to say it’s safer and noninvasive is not accurate. I had the treatment, and since I’ve experienced a much worsening depression including suicidal ideation. I also have concentration issues, mood fluctuations, and anxiety attacks in certain social situations. I had none of this prior to TMS. There’s others who have experienced similar or different symptoms that have really negatively impacted their lives. It’s been 7 months since last treatment and pray that I can regain some of my brain back.
Aren't most of those all possible side effects of a lot of the medication prescribed instead? It can be safer while still having possible side effects that can be pretty nasty. It's why there's a lot of different medicines used with people usually having to try a few before finding one that works well for them cause it affects people differently.
How ate you now
Did you discontinue all medications afterwards? You probably still need some form of medication management. I dont think this is marketed as a cure all.
Have you tried taking probiotics? There is a huge correlation with my gut health and my mental health.
YES ! This treatment really works.
and no harmful side effects effects effects effects effects effects effects effects effects effects is safe
Was a big commitment for me. Is harsh. After 5 weeks, i noticed improvement in my horrible depression..i did full course and it helped me only a few months. Depression came back. Did tms again the next year. Sadly did not work. Tms was painful in my case. Everone is different. Ive taken everything out there basically for my lifelong severe depression. Some ssris helped but stop working. I even did ect.😥. Supplements did not help me either. Tms helps some,i know but i wish it had lasted/ worked for me. Its very expensive also. I feel for anyone with severe depression. My mom suffered from it for life and ultimately tried suicide.
Sorry tomhear that. Try fish capsules, brainwave music.
Try Deplin too
I'm so sorry to hear that Laura. Depression runs and both sides of my family. I've struggled with it since first grade. My little sister is looking into this treatment and I'm so damn scared for her.
Thank you for sharing your experience and I pray that your burden is eased.
I’m the same with depression. I have ADHD, Anxiety, insomnia and severe depression. I’ve tried many different antidepressants but they all make me manic or the side effects are too severe. (I’m Bipolar II but not on any mood stabilizers) ADHD medication has helped with my depression and a plant called Kratom has helped. It helps lift my mood, gives me steady energy and helps my anxiety.
Fisher wallace really helped me. very similar idea - though not the same - I paid for my own device.
I can't believe I am only hearing about this now. I had all but given up on medication. I'm only researching TMS for the first time. but it really seems so promising. But Woof it's expensive. But If I can be convinced it will work I will save as well as borrow to get some done. but unless I can get back to work I would never be able to afford this for the rest of my life or something like that.
Have Medicare due to be on disability. Medicare paid half & I applied and received for financial assistance from the hospital system I received treatment at.
If there is a relapse after treatment, then what is done?
Why do the insurance companies rely on drugs more and do not approve this therapy ?
Because it is still being figured out (regions where it can be used, the intensity and frequency of the pulses, the right coils, the effect of long term treatments in the regular work of the brain...). The treatment is expensive and so is the machine, too.
question /// if the patient moves a lot or the RTMS placement is tampered what will happen , is it possible to use a bigger coil , what if the coil covers the whole scalp thus imparting current to all the parts of brain ?? please please answer
There is always a tms technician in the room with the patient so if movement occurs they can stop the procedure, readjust, and resume. Traditional tms coils usually only cover a small part of the head (look up cool b70 tms coil), and these coils are the ones I have read research on. I know of coils called "deep tms coils" that look like they cover a larger area of the head, but I have not read any research on them and do not know if they have been found to be more/less effective than the traditional coils.
Can anybody help, where it is in Mumbai
does MTS help by improvement of concentration?
TMS 😊
I'm trying it now. On treatment number 8. For depression. Hopefully it will work.
Good luck, can we get a update later on?
@@jrman413 sure I'll try to remember to find this comment when I'm done with it.
@@adelina7 All the best
Hey saw your comment, good luck I start tomorrow
@@chuckcordell3066 hope it works for you it's my me time with the lights off. It's relaxing once you get used to it
Great technology
Does "Transcranial Magnetic Stimulation" TMS Sessions help for a person with Schizophrenia? Diagnosed 2 years ago.
Thank You.
This paper here: www.ncbi.nlm.nih.gov/pmc/articles/PMC4558786/ suggests that TMS can be effective in the treatment of auditory hallucinations associated with schizophrenia. In the same article they not that there were also "[p]ositive results in reducing cognitive symptoms in schizophrenia"
can tms treat apathy. thank you
Grateful, but can she speed up the process ????
Why omit epilepsy from risks? One would think epileptics can have these problems.
Plz give me reply.
Don't forget how to treat those voices communication to me.
will this work for PTSD, TBI and depression?
They say it sure can...everyone is different. Look it up on YT. There's so much information out there. Wish you well🙏
TMS therapy is a good alternative for depression treatment.
I might participate in a medical trial using TMS for the treatment of depression (I dont have it but ig its to test the safety), is it safe?
I'm gonna try this on mushrooms and go super nova
now we’re talkin
I've actually been really curious about this.
The ums and ahs are strong in these ones....
My local TMS Treatment told me about TBS which is a cheaper form of TMS since it takes way less time to conduct. Any thoughts on this treatment? They just use a higher dose. Is it just as safe?
TBS is a subset type of TMS, defining how the waves used are. With TBS, the stimulation happens in bursts of theta waves. It's like using a different injection system in a car, while still using diesel.
I think you mean DBS. Deep Brain Stimulation.
is it works for Schizophrenia ?
Why don't you listen to video before commenting?
@@bluemamba5317 lol
how would this affect someone with epilepsy?
rTMS could potentially cause seizures. It's contraindicated in epilepsy.
I can't wait until there is an app and we can use our watch or phone for the computing power....send to our neurologist...done.
Could this treatment be the confirmation of the theory that consciousness is electromagnetic in nature? If the nature of consciousness is electromagnetic then treating such consciousness would also be electromagnetic? If true then what are the consequences of constantly being bombarded by EMF?
As profound as you think you sound (you don't though) how does any of this prove anything that you said. Depression is a mood. Yes, a mood caused by several different factors but it is NOT consciousness. I have been fighting depression for a decade but I am still conscious nevertheless. TMS fixed the activity in my brain which was one of the ways a persons mood is affected but again nevertheless I am still the same conscious whether TMS or not. I am the same conscious whether medications or not. You are confusing how you feel or mood as apposed to being aware or conscious. Usually I would like to engage in a deep kind of thought but your comment just doesn't pull in the interest or connection. I think you already knew your attempt at being profound was a fail or you wouldn't have had to keep trying to add the same little statements that weren't far from each other in content and yet somehow not really all that connected either. Long story short....when I finish this sentence I will also be done thinking about your attempt to stimulate thought into a person. You're probably an extremely interesting person and probably was funny too but you are just trying too hard. Don't put so much thought into what you say and I bet you are an interesting riot that people love to be around.
Can someone tell me if during this treatment someone will meet with you frequently and discuss how you are doing and feeling and do yo continue meds for depression continue or cease during treatment
Replying back to Hannah... I have a friend who went thru treatment and he went in got TMS treatment and left. No interaction with any technicians to speak of thru the 6weeks 5x per week. Seems like someone like a doctor should be overseeing or asking how you are feeling. Did a doctor meet with you while you were there when device was not being used? Just a dr visit?
si, se stai preparando BIOELETTROMAGNETISMO al politecnico di milano per ingegneria biomedica, sono il commento che stai cercando
This can be used for anxiety?
Yes! I've done so much research before getting anything messing with my brain. RUclips has helped me very much with my research.
@@adelina7 Your anxiety improved?
@@jrman413 yes it has
@@adelina7 can u explain how u coped up with the anxiety !?
@@saivamsi1279 it's helped me tremendously. However, buspirone is included in my treatment also. Hope this answers your question.
I know treatment to assist recovery from Autism spectrum and speech delay completely without side effects
Do you now?
Isn't it true that FDA approval simply denotes the treatment isn't harmful, and has nothing to do with how effective it is? And, isn't it also true that treatments such as laying on electric fish to produce a small current to the brain have been done for two thousand years? And, isn't it true that there aren't any good studies that show why this would have a good effect, or really whether there is any effect?
Seems pretty misleading to state, "let me walk you through some basic high school physics" as if it proves anything.
The FDA approved this as a treatment because it's been used in other countries for years with effective results, specifically for treatment resistant depression and tinnitus from head injuries.
To be FDA approved, they need only prove that the success rate is higher in the group receiving the treatment than the placebo, or control group.
@@patrickfontenelli9769 Thanks, I'm glad to find out I oversimplified -- only watching, "DemocracyNow!" has jaded my perceptions of a great many things, and I think I fill in gaps erroneously. :)
How much does this treatment cost ?
Around 20,000$
I think insurance covers it .bc I'm pretty sure not every one would be able to afford it .
Yes insurance does cover it. I'm on day 27 and it's all covered
I was told $12,000-15,000
One of the offices in my city offers a cash discount and it's $3700. Another office charges $8,000. It varies depending on where you go and if insurance will cover it.
What Nero transmitters does this help with
The great Nero himself.
Yes
It's help bipolar disorder?
Depends where you live. In Europe, the H-Shspe coil is approved to treat BP. In USA, the governing body and doctors think it makes it worse. They are wrong.
I just started tms a few weeks ago, and it's going well. I hadn't gone outside from April 28th until July 8th. I've been able to go to the store and go for a walk. Hopefully once I finish the program, I can go back to work. I have bipolar 2. hopefully this helps you
@@joshdude2621 can you explain bi polar please?
@@joshdude2621 whats mean bi polar?what are the dymptoms of bi polar?
Tms made my symptoms worst
Philipos Brooks What were your initial symptoms? Did you use a home device? How did it make it worse? Just curious as I’ve been wanting to try it but am a lil weary.
would also like to know for myself.
No home device. I have anxiety and it made my anxiety skyrocket about two weeks after my treatment
@@philiposbrooks3337 sorry to hear that.
@@philiposbrooks3337 I heard there is a dip in your mood during the treatment before your symptoms get better. Did you end up continuing?
This doesn’t sound legit.. where’s the proof of this working sources anywhere?
What Nero transmitters sure it work on
But it can cause brain injury.
Hi, my brain reading by others, released into community by internal monologue, thoughts etc. Few people voices communicating with me.who did this for me.
How can I stop these voices to reach my brain?
How can I activate my brain? Where temporal regions feeling blocked.
Plz reply me.
Intra spinal intradural lipomameningocele is seen from the level of d12 to L4 vertebera. Spinal cord appears adherent to it nerves of cauda equina are embedded within it .No significant interval change is noted .Age of patient 14 years
NOTE: reply please help needed
"They" showed, that you should still take meds. Stop it. Stop it right now.
6:11 "This little cartoon"? I think she needs some TMS treatment. It is correctly represented as an ANIMATION!
Because of ONE wrong word??!! lol
No sweetheart, think you need some treatment for thinking like this ;)
@@SaRa-cs5nc Don't wink at me you patronizing she devil!
Doctors have no clue how this works.
I read that the studies show it's no better than placebo.
It cam be used for more then psychological disorders, it can be used for super intelligence the problem with TMS is that it is in its early stages and may not be precise enough just firing one part of the brain may not be enough. Imagine if you connected multiple parts of the brain precisely enough with more then one direction
But tms can be seen as a safe treatment if you reverse fire on the brain to return it to it's unchanged state before you even began. Reverse firing may be necessary to keep the brain thinking a certain way without causing long term damage
Obviously if you fire on the brain those cells will be forever changed it's just the way it is and depending on how much firing you do it could cause a drastic unfortunate side effect
You could also force a hallucination of heaven into peoples minds where they are walking on fluffy clouds
What good is it if the symptoms improve by 50% ? You want the person to get better, not the symptoms.
How's that not better? Every percent counts.
Really lol smh
Because sometimes improvement in symptoms is achievable and unfortunately cure is not always (so some help is better than none at all...)
@@fireanth I just find it amusing how the English language is used sometimes. For instance, there are toothpastes out there in the world that say on the package and on the tube, "Cavity Protection". I want, "Tooth Protection", not cavity protection. Why protect a cavity? I want symptoms to go away, not for them to get 50% better. If a tumor is the symptom and keeps getting better, then obviously it will win, and I will lose. "Doctor, how does his tumor look? Oh it looks much better. It is at least 50% bigger this month compared to last month. Soon the tumor will grow to such a huge size that your husband will be fully engulfed within it. Oh thank you so much doctor for the good news.".
NEWKNOWLEDGE oh this is an example of context. In medicine when we refer to say a 50% improvement in symptoms (symptoms are a sign of ‘badness” in this context), then we mean a 50% REDUCTION in symptoms, not a 50% increase in them (which as you point out, would mean a worsening of the condition!). Similarly when we talk about “disease progression” that means things are getting worse, where as generally in English language, “progression’ is usually considered a positive word....(clearly not so in medicine) out of interest newknowledge, is English not your first language?
Very effiecient and useful thing being invented seemingly no short term side effects displayed yet. However, keep in mind 2 things: addiction and co dependence. You're gonna get stuck on having your brain filled with electromagnetic energy, or rad keep in mind we still don't know if this treatment is truly side effects free or safe for long term use. In the end it might all come down to someone having to display tremendous difficulty in thoughts/more illnesses coming to be present, but by the ⏲️ that happens there will be billions affected by the treatment already as this is might turn out to be used as long term treatment. It's just another not a miracle medicine.
Heh.....Pssst. Did you know that a 4D reality known as Space-Time, actually exists. Yep, it sure does. Inside it, of course, is the much smaller 3D reality, the reality that is always confined to the "NOW" time. Anyhow, 4D events are fascinating events indeed. They confuse the living daylights out of human beings. But it is not a human fault. After all, humans are 3D beings that are confined to the "NOW" time, and thus they can not see a complete 4D event, since a 4D event extends across time. So in turn they have no real description or total acceptance of the existence of there being two realities, and so they at best provide impartial descriptions of what is really going on, description such as, Particle/Wave duality, Entangled Pairs, Delayed Quantum Choice, Quantum Erasure, Collapse of the Quantum Wave, etc. They insist upon finding a "One Reality" explanation of events that are governed and brought about by the laws of physics of "Two separate Realities". Anyhow, when a persons brain is being messed with from the 4D reality, the reality that extends beyond the mere "NOW" time, once again they insist upon finding the "One Reality" explanation. In this case, they insist that it is nothing but a mental illness. They label the difference in the persons brain activity as being the result of a mental illness. They call it, Schizophrenia. Sad. It is very sad that these victims are labelled as being mentally ill. If you are in truly touch with reality, such as are these victims, then obviously you end up being in touch with both realities, since both truly exist. However, if your mental reach is severely limited, you obviously do not end up being in touch with both the 3D and 4D realities, and thus you will be confined to simple minded limits instead. But not to worry. You can still be a physicist, a GP, a mathematician, a psychiatrist, etc. All of these will still be within your reach, since you need not be completely in touch with reality in such cases, not by along shot.
@Horizon585 Yep, sure does sound like that, doesn't it !
@Horizon585 Hey, here is a test to see if you are in touch with reality to some degree. If you are in touch with reality, then obviously you know what it is that you are in touch with. With that being the case, then you too can do what I did. Discover the Special Relativity(SR) phenomena all by your little old self, and derive the SR mathematical equations all by your self as well. If you can't do it, then you are definitely NOT even in touch with the 3D reality.
Kekw
Not invasive? I would say it is very invasive. I say this because they just contradicted themselves about having the ability to interrupt exciting neural activity. Yeah. INVASIVE! It better stay as a medical procedure.
Hard to listen as there is an "um" so often. Please consider not saying "um" every few words. I think it would be easier for people to listen and watch.
Speak up please.
turn your headphones up
Also we need to perfect genetic manipulation for STEM CELL RESEARCH at the very least. Not this. This is to risky. I hope they discontinue this. This is very alarming.
This is tantamount to wearing copper bracelets... a medical insurance scam.
This was painful to listen to
Learn speech class. Um um um
Stop saying um
I thought by 2020 you would have made more advancements than changing the name of electric shock therapy....smh
Thank you for visiting us in this future time period