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What do you think of this video?
Doesn't look like there is much research to support this.
Doesn't look like there is much research to support this.
TMS
- Thread starter Caldwell-Luc
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The video is clearly intended for laypeople. You'd get much more useful information by doing a quick literature search.
Not sure where you got that impression. There's enough research so that it's now FDA-approved. One of the limitations with TMS research is that it's generally focused on the treatment-resistant population, so you can expect that the response will be modest. Despite that, it has been repeatedly demonstrated to be useful for this population. I think the main reason why it's not more popular is because it's not yet covered by most insurance companies and because it's not as effective as ECT (i.e. it's effective, but not as effective as many people had hoped it would be). But once it's covered by insurance, it might be a useful tool because it's less invasive than ECT and yet provides an additional therapeutic modality that's not already covered by psychotherapy and psychopharmacology.
Down the road, I think that we'll treat depression much like we treat stroke rehab. Stroke patients have several useful clinical features that can help us determine the extent of physical therapy required, the dosing and choice of medications (i.e. aspirin + statin alone vs. use of warfarin for somebody with AFib, etc.), and potential need for interventional procedures (i.e. carotid endarterectomy, stent, etc.). The clinical distinction is much more subtle for depression, but things like TMS/ECT/tDCS/VNS may be found to be beneficial for certain patient populations in the future.
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Did a literature search. You are correct that there is a lot of research to support treatment resistant depression.
There is a good chance that less people would be going for ECT because the techniques of TMS would improve, and would eventually be covered by more insurance companies.
It looks like it is only a matter of time.
There is a good chance that less people would be going for ECT because the techniques of TMS would improve, and would eventually be covered by more insurance companies.
It looks like it is only a matter of time.
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