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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by Hugh on January 11, 2013, at 11:34:32
The TMS currently available in the US only penetrates about 1.5 cm into the brain. This new Deep TMS from Brainsway penetrates much deeper -- 6 or 7 cm, so it can target the brain's reward system directly, instead of indirectly with the old TMS system. Deep TMS has been available in Europe for three years.
Posted by Phillipa on January 11, 2013, at 11:47:26
In reply to FDA approves Deep TMS for depression, posted by Hugh on January 11, 2013, at 11:34:32
I wonder if this is the same FDA approval different article I received. So this is for treatment resistant depression after all else has failed? Phillipa
Posted by SLS on January 11, 2013, at 12:02:39
In reply to FDA approves Deep TMS for depression, posted by Hugh on January 11, 2013, at 11:34:32
> The TMS currently available in the US only penetrates about 1.5 cm into the brain. This new Deep TMS from Brainsway penetrates much deeper -- 6 or 7 cm, so it can target the brain's reward system directly, instead of indirectly with the old TMS system. Deep TMS has been available in Europe for three years.
>
> http://www.brainsway.com
This is great news!Medicare might be impelled to cover it now.
If I hadn't responded to medication, I would have tried TMS a year ago. I still may if I reach a sticking-point. Perhaps TMS would accelerate the healing process.
- Scott
Posted by poser938 on January 11, 2013, at 12:13:13
In reply to Re: FDA approves Deep TMS for depression, posted by SLS on January 11, 2013, at 12:02:39
Cool. Regular rtms worked about as well for me as a woodpecker pecking on my head. Because thts what it felt like.
Posted by Hugh on January 11, 2013, at 13:30:42
In reply to Re: FDA approves Deep TMS for depression » Hugh, posted by Phillipa on January 11, 2013, at 11:47:26
> I wonder if this is the same FDA approval different article I received. So this is for treatment resistant depression after all else has failed? Phillipa
The FDA approved Deep TMS just this week. I don't think a person would have to fail "all else" in order to qualify. When TMS was approved by the FDA in 2008, it was for treatment-resistant depression. This new Deep TMS is also for treatment-resistant depression. Maybe someone can weigh in on just how many antidepressants a person is supposed to fail before trying TMS.
Posted by Beckett on January 11, 2013, at 20:13:39
In reply to Re: FDA approves Deep TMS for depression, posted by Hugh on January 11, 2013, at 13:30:42
It could potentially treat mood regulatory disorders in addition to depression.
Posted by SLS on January 11, 2013, at 23:37:02
In reply to Re: FDA approves Deep TMS for depression, posted by Beckett on January 11, 2013, at 20:13:39
> It could potentially treat mood regulatory disorders in addition to depression.
That would be great!
Have you encountered any literature that would gives evidence to this? It sounds feasible. Can you imagine if BPD were to respond to TMS so as to reduce mood dysregulation and allow for greater a penetration by psychotherapy? BPD people are truly tormented by their mood swings and the endless shifting of self-image.
<yawn>
It's getting to be that time...
- Scott
Posted by Hugh on January 12, 2013, at 11:24:35
In reply to FDA approves Deep TMS for depression, posted by Hugh on January 11, 2013, at 11:34:32
Clinical trials are underway that use Deep TMS to treat autism, ADHD in adults, OCD, bipolar, schizophrenia, stroke, Alzheimer's, Parkinson's, Tourette's, and addictions.
Posted by SLS on January 12, 2013, at 14:37:10
In reply to Re: FDA approves Deep TMS for depression, posted by Hugh on January 12, 2013, at 11:24:35
> Clinical trials are underway that use Deep TMS to treat autism, ADHD in adults, OCD, bipolar, schizophrenia, stroke, Alzheimer's, Parkinson's, Tourette's, and addictions.
Exciting stuff!
- Scott
Posted by In_denial on January 13, 2013, at 14:49:15
In reply to Re: FDA approves Deep TMS for depression, posted by Hugh on January 12, 2013, at 11:24:35
Does anyone know how much this procedure might cost in USD? I see its been used in the UK for 3 or more years with very good results, but do not see any prices.
Posted by Hugh on January 14, 2013, at 11:40:34
In reply to Re: FDA approves Deep TMS for depression, posted by In_denial on January 13, 2013, at 14:49:15
> Does anyone know how much this procedure might cost in USD? I see its been used in the UK for 3 or more years with very good results, but do not see any prices.
Prices I've seen are $200-300 a session. That's for the currently available form of TMS. It might be cheaper than that in some parts of the country.
Posted by In_denial on January 14, 2013, at 19:31:31
In reply to Re: FDA approves Deep TMS for depression, posted by Hugh on January 14, 2013, at 11:40:34
> > Does anyone know how much this procedure might cost in USD? I see its been used in the UK for 3 or more years with very good results, but do not see any prices.
>
> Prices I've seen are $200-300 a session. That's for the currently available form of TMS. It might be cheaper than that in some parts of the country.
>
Thanks. Wow, with the amount of procedures needed, that would get expensive fast! I have an HSA medical account with a high deductible.
Posted by johnLA on January 15, 2013, at 0:24:20
In reply to FDA approves Deep TMS for depression, posted by Hugh on January 11, 2013, at 11:34:32
hi hugh-
thnx for posting this info.
any chance you found a list of docs who are using the new procedure in the us?
i have not heard very good things about the older tms, but this sounds more promising.
thanks again for posting the info.
john
Posted by Hugh on January 15, 2013, at 10:50:21
In reply to Re: FDA approves Deep TMS for depression, posted by johnLA on January 15, 2013, at 0:24:20
> hi hugh-
>
> thnx for posting this info.
>
> any chance you found a list of docs who are using the new procedure in the us?
>
> i have not heard very good things about the older tms, but this sounds more promising.
>
> thanks again for posting the info.
>
> johnHi John,
You're welcome. I'd think it would probably take at least a month and maybe a few months before Deep TMS is up and running in the US. I'll keep an eye out for it and post any news.
Posted by gpznos on January 24, 2013, at 16:08:48
In reply to Re: FDA approves Deep TMS for depression, posted by Hugh on January 12, 2013, at 11:24:35
This report is great reading. It basically says that Deep TMS is as effective as ECT but it will work in 2 weeks time (instead of 4) WITHOUT the cognitive SEs, the need for hospitalization and all the drama involved with ECT.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3280107/pdf/ndt-8-055.pdfI wrote them an e-mail and even though it has been approved here in Europe, the only place to get a treatment is apparently in Israel, dont know when it will be available in the rest of Europe...
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