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Simon Kung, M.D. Associate Professor of Psychiatry Mayo Clinic rTMS Summary Simon Kung, M.D. Associate Professor of Psychiatry Mayo Clinic

rTMS is a noninvasive, brain-stimulation outpatient treatment for moderate-to-severe depression. 56% The response rate is about 56% in open label trials. The results are comparable to antidepressants. There are very few side effects of TMS, mostly pain where the magnet is stimulating. Side effects are tolerable. 

More insurance companies in the United States are covering TMS.  A lot of research regarding TMS is continuing.

Bermudes, RA. et al. (2018). Transcranial Magnetic Stimulation: Clinical Applications for Psychiatric Practice.  American Psychiatric Association Publishing. General overview and reference about TMS McClintock, S. M. et al. (2018). Consensus recommendations for the clinical application of repetitive transcranial magnetic stimulation (rTMS) in the treatment of depression. The Journal of Clinical Psychiatry, 79(1). Consensus recommendations for using TMS for depression Literature review  Expert opinion Image of 2018 book: https://www.appi.org/Transcranial_Magnetic_Stimulation Second image http://www.psychiatrist.com/JCP/article/Pages/2018/v79n01/16cs10905.aspx

Perera, T. et al. (2016). The clinical TMS society consensus review and treatment recommendations for TMS therapy for major depressive disorder. Brain Stimulation, 9(3), 336-346. Consensus and treatment recommendations for major depression Literature review Member survey Lefaucheur, J. P. et al. (2014). Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS). Clinical Neurophysiology, 125(11), 2150-2206. Evidence-based guidelines Neurologic and psychiatric conditions https://www.sciencedirect.com/science/article/pii/S1935861X16300389