Each of these patients present as qualified TMS candidates:
Julie A is a middle-aged mom, chasing her teenagers and worrying about her elderly parents. She is teaching her 17-year-old son to drive a car and wonders how she ever got to be age 49! She was first diagnosed with MDD in her early thirties along with generalized anxiety. In this recurrent episode, she has tried many medications, but was only able to stay on one for 6 weeks at the right dose. And, after all that work to stay on the medication, it just did not make her feel better. The other medications left her in a fog. Julie is motivated to get well because she wants to remain engaged with her busy family and to be there when her son passes his driver’s test.
George T is a computer programmer for a fast-paced, high-tech company. He loves his job and it makes him feel young at age 52. He has had depression for many years and good success with medications in the past. In this episode however, the drugs are just not working, even after many medication attempts, one of which lasted for 8 weeks. He even tried an augmentation therapy with an atypical antipsychotic in this episode but had to stop due to weight gain and rising blood glucose levels. He has a family history of diabetes. He is highly motivated to pursue new treatment options because he wants to be in the game at the office.
Sarah G was first diagnosed with depression at age 20. This recurrent episode was precipitated by dealing with infertility. She tried an SSRI for 8 weeks, which worked in the past but not in this episode. She has added duloxetine and bupropion, but could not tolerate the side effects and remains symptomatic with difficulty sleeping. She is a school administrator who enjoys her job and loves the benefits of the school calendar. She really wants to get better so that she and her husband can begin the adoption process and start a family.
Counter-Indications of TMS Therapy
NeuroStar TMS Therapy should not be used in patients with implanted metallic devices or non-removable metallic objects in or around the head. This does not include metallic fillings in teeth.
NeuroStar TMS Therapy should not be used in patients with implants controlled by physiological signals. This includes pacemakers, implantable cardioverter defibrillators (ICDs), and vagus nerve stimulators (VNS).