Transcranial Magnetic Stimulation
Clinical Applications for Psychiatric Practice
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Edited by clinicians who were involved with transcranial magnetic stimulation (TMS) from the beginning, Transcranial Magnetic Stimulation: Clinical Applications for Psychiatric Practice offers everything the mental health practitioner needs to know about this innovative and well-established treatment. It is increasingly clear that different combinations of biological, neurobehavioral, and symptomatic factors contribute to the problem of treatment resistance in psychiatric disorders. Fortunately, a number of neuromodulation approaches, including TMS, are providing more options for clinicians to combat psychiatric problems. However, guidance about how to identify patients who are good candidates for TMS and how to comanage them during treatment is scarce because instruction on this modality has yet to be integrated into most psychiatry residencies. Thus, this text fills a great need, providing clinicians with an evidence-based foundation for the efficacy and safety of TMS.
Despite the rapid growth of this innovative option, many practitioners are unclear about how best to utilize TMS. The book addresses these clinical concerns systematically and thoroughly:
- Clinical vignettes illustrate how to identify appropriate patients for referral to a TMS clinician.
- Discussions of treatment resistance, psychiatric and medical comorbidities, and preparation of the patient for TMS are included.
- Because TMS is likely to be used concurrently with other treatments, the book explains how to best integrate this modality with psychotherapy, pharmacotherapy, and other forms of neuromodulation to improve outcomes.
- In-depth coverage is provided on how to coordinate efforts between the primary treatment and TMS teams to assure the best outcomes during acute, continuation, and maintenance treatment.
- Chapters provide a review of topic-specific literature, as well as clinical vignettes that highlight how to integrate TMS into patient care.
- Key clinical points summarize the optimal clinical application of TMS for the general mental health provider.
- The evolving nature of TMS research, such as the ongoing development of this and related technologies, as well as its expanding use as a potential treatment for other clinical neuropsychiatric conditions, is also addressed.
Transcranial Magnetic Stimulation: Clinical Applications for Psychiatric Practice guides the general psychiatrist and mental health clinician on how to integrate this treatment modality into their practice by presenting an update on the current clinical role of TMS and a road map to its potential future.
- Chapter 1. Transcranial Magnetic Stimulation Therapy for Treatment-Resistant Depression
- Chapter 2. Clinical Applications and Patient Selection: Who Should Be Referred for Transcranial Magnetic Stimulation Therapy?
- Chapter 3. Risk Management Issues in Transcranial Magnetic Stimulation for Treatment of Major Depression
- Chapter 4. Combining Pharmacotherapy With Transcranial Magnetic Stimulation in the Treatment of Major Depression
- Chapter 5. Transcranial Magnetic Stimulation and Psychotherapy
- Chapter 6. Managing Patients After Transcranial Magnetic Stimulation: How to Best Maintain Response and Remission
- Chapter 7. Transcranial Magnetic Stimulation and Other Neuromodulation Therapies
- Chapter 8. Transcranial Magnetic Stimulation for the Treatment of Other Mood Disorders
- Chapter 9. Transcranial Magnetic Stimulation for Disorders Other Than Depression
- Chapter 10. Current FDA-Cleared TMS Systems and Future Innovations in TMS Therapy
- Appendix: Transcranial Magnetic Stimulation Training Courses
- Scott T. Aaronson, M.D.
Sasha Bergeron, M.S.N., PMHNP-BC
Richard A. Bermudes, M.D.
Ian A. Cook, M.D.
Paul E. Croarkin, D.O., M.S.
Danielle D. DeSouza, Ph.D.
Mehmet E. Dokucu, M.D., Ph.D.
David L. Dunner, M.D., FACPsych
Philip G. Janicak, M.D.
Karl I. Lanocha, M.D.
Jaspreet Pannu, B.Sc. Medical Student
Kristin S. Raj, M.D.
Zoe Samara, Ph.D.
Nolan R. Williams, M.D.
About the Authors
Richard A. Bermudes, M.D., is the Chief Medical Officer at TMS Health Solutions and is an Assistant Clinical Professor-Volunteer in the Department of Psychiatry at the University of California, San Francisco in San Francisco, California.
Karl I. Lanocha, M.D., is the Director of Education at TMS Health Solutions in San Francisco, California.
Philip G. Janicak, M.D., is an Adjunct Professor in the Department of Psychiatry and Behavioral Sciences at Northwestern University, Feinberg School of Medicine and Director of the Transcranial Magnetic Stimulation Center at Edward/Elmhurst Healthcare in Naperville, Illinois.
The study of brain networks to understand neurological and psychiatric disorders is going on at a rapid pace. The non-invasive brain stimulation – rTMS has been first of its kind now available for our therapeutic armamentarium. This book, with all up-to-date data reviewed, provides a better understanding on how brain stimulation works and attempts to help improve therapy by identifying the best areas and networks to stimulate in the brain.—Murali Rao, M.D., FAPM, DLFAPA, Professor and Chair, Department of Psychiatry and Behavioral Sciences Stritch School of Medicine, Loyola University Chicago
Transcranial Magnetic Stimulation: Clinical Applications for Psychiatric Practice will surely be an important resource for mental health clinicians to understand the standard of care for delivery of TMS therapy and/or implement it in their clinical practice. The essentials of TMS therapy - including basic physiologic principles, evidence for efficacy treating depression, selection of stimulation parameters, and biological mechanism of action - are all clearly and concisely described in a fashion that clinicians will find accessible. The book also includes a number of valuable tables and figures which effectively distill key research findings relevant to TMS therapy in modern psychiatric practice settings.—Linda Carpenter, M.D., Butler Hospital TMS Clinic Director and Professor, Brown Department of Psychiatry and Human Behavior
This is a comprehensive, informative, concise overview of TMS. It meets the objective of providing clinicians insights into how TMS works, its benefits and few risks, who it works for, what a course of treatment consists of, and what to expect if your patients are undergoing a course of TMS. Hopefully, it will result in clinicians becoming more aware of patients in their practice who could benefit from this treatment or interested in providing this treatment themselves.—Michael Easton, M.D., Doody's Book Review
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