rTMS
repetitive transcranial magnetic stimulation
These magnetic fields are the same type and strength as those used in magnetic resonance imaging (MRI) machines. The magnetic pulses generate a weak electrical impulse in the brain that briefly activates neural circuits at the stimulation site. rTMS has been shown to be a safe and well-tolerated procedure that can be an effective treatment for adult patients with depression who have not benefitted from antidepressant treatment.
How Does it Work ?
During an rTMS session, a magnetic coil is placed against over scalp near your forehead. The magnet painlessly delivers a pulse that stimulates nerve cells in the region of your brain involved in mood control and depression. It’s activates the regions of the brain that have decreased activity depression.
rTMS seems to be particularly most effective for:
- Major Depressive Disorder
- Auditory Hallucinations
- Anxiety Disorders
- Pain Disorders.
- In patients with Obsessive Compulsive Disorder, who have been given a full trial of medications, but have not responded well, a trial of rTMS can be given with limited therapeutic benefit or long-term advantage.
How Effective is the rTMS in treating Depression ?
rTMS is used to treat very severe cases of depression, especially those patients who do not adequately respond well to medications, or those in whom high-dose medications are not usually well tolerated.
- In a study of 1383 patients, active treatment with rTMS was concluded to be better than Sham treatment.
- In a pooled sample size of 230 patients, 47% of patients achieved >50% reduction in symptoms when rTMS was added to the existing medication regimen.
- Also, early initiation of rTMS along with medicines seems to be more effective than just prescribing medicines alone.
- An analysis of 213 patients revealed that when rTMS is combined with medicines, early in the illness, patients are “TWICE MORE” likely to achieve complete resolution of their symptoms, then those who are just on medication alone. (odds ratio 2.4, 95% CI 1.3-4.6) 3
How Effective is the rTMS in treating Depression ?
Headache
Heaviness of Head
Tingling numbness of scalp
Dizziness
All these side effects are self-limiting. Some patients need to consume an over the counter analgesic for the resolution of headache (e.g. Ibuprofen) The most serious side effect with rTMS treatment is the possibility of a seizure occurrence. The probability of a seizure is ~0.01% to 0.1%
What make Thriving Minds Therapy Unique ?
Highly Qualified Experts
Our mental health therapist are qualified and trained to deliver quality care and clinically validated treatment interventions for all kinds of mental health concerns.
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Our mental health therapist are qualified and trained to deliver quality care and clinically validated treatment interventions for all kinds of mental health concerns.
Ongoing Monitoring
Our mental health therapist are qualified and trained to deliver quality care and clinically validated treatment interventions for all kinds of mental health concerns.
Thriving Minds experts specialise in treating a variety of conditions
At Thriving Minds, we understand the importance of mental health and well-being. Thus, we believe in empowering our clients to reach their highest potential. Our team of experienced psychiatrist and psychologists are committed to providing the best care.
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At Thriving Minds, we understand the importance of mental health and well-being. Thus, we believe in empowering our clients to reach their highest potential. Our team of experienced psychiatrist and psychologists are committed to providing the best care.
Dr. Smruti Pradhan
“Dr Ankita has helped me to live this life what I m living today. She is an amazing psychiatrist who will treat you without you even realising that you have being treated. I never hesitated to share anything with her during my therapy as I was very comfortable with her. Please feel free to consult her for your problem. I will always be thankful to her for whole of my life.”
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At Thriving Minds, we understand the importance of mental health and well-being. Thus, we believe in empowering our clients to reach their highest potential. Our team of experienced psychiatrist and psychologists are committed to providing the best care.
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Different forms of treatments are used by psychiatrists as per the patient’s needs. It may be talk therapy or psychosocial intervention or medications. Talk therapy or psychotherapy will usually involve the therapist and the patient talking between themselves. The aim is to limit the symptoms for the patient to feel better. The therapy can continue over some time depending on the patient’s symptoms. It can involve either the individual patient or even a group of people. Talk therapy can be in many forms; such as helping the patient with a behavioral change; overcoming the effects of difficult relationships; etc. Psychiatrists diagnose mental disorders and other emotional troubles, use various types of medications to treat the symptoms. The process of it is not fully known but it may alter the brain’s chemical signalling. This will help control the symptoms. Patients undergoing long-term treatment will need to visit at regular intervals to monitor the changes. Psychiatrists also perform various interventional procedures like ECT, rTMS, tDCS, Ketamine Infusion etc. to alleviate symptoms and hasten recovery.
Mental disorder treatments depend upon the severity of the issue; such as the intensity of the problems faced; the pros and cons associated with a treatment; etc. The treatment is done by making a personalized and careful plan for the patient. This includes a collaboration between the patient and the physician. Most treatments include having psychotherapy sessions; medications; etc. Also; a good support system is paramount to the recovery of the person. Changes in lifestyle; such as daily exercise; adequate sleep; proper balanced diet can help the person recover quickly. The individualized treatment plan will involve all these steps to make a quick recovery. Doctors and therapists help out the person and their families in understanding their metal disorder and the ways to battle it out.
According to scientific studies; psychotherapy relieves the person from distress and helps them in living a better life. Approximately 75% of people who have undergone psychotherapy have felt better. It has been associated with influencing positive changes within the body and has shown significant progress in emotional and mental wellness. Psychotherapy also shows that people undergoing it take fewer sick leaves; experience fewer medical problems and report a satisfaction in their life and work. Today; techniques like brain imaging have shown that psychotherapy induces a change in the brain. This altered brain images are similar to changes that happen as a result of medications. It is important to know that to benefit from psychotherapy; one needs to be honest and insistent upon following their treatment plans. Sometimes; practices such as; journal writing may also be of help.
Telepsychiatry is a convenient option for many to seek easier to access and affordable options. It helps the patients by- Making health care accessible in regions where it is not easily provided. Taking the care facility to the patient’s home virtually. Limiting the needs to visit a doctor over long distance. Timely health care options. Continuous improvement in health care with virtual follow ups. Reducing the need to take leave from work or other services. Removing the obstacles to stigma associated with mental health. Allowing privacy and safety to many. Many people are comfortable in virtual set-ups rather than real time meetings. This will allow them to open up more and feel relaxed. Telepsychiatry has been a major way of seeking help; especially during Covid-19 pandemic.
