Definitions
What does TMS stand for?
Transcranial Magnetic Stimulation
T/F a patient needs previous or current therapy to be a candidate for TMS therapy
True
What do we use to track remission and response rates?
PHQ9 and GAD scores
What is Dr. Kazi's go-to lunch?
Cottage cheese
How do we measure a response to TMS?
Measured by a decrease in a patient's PHQ9 score by 50% or more.
TMS is FDA approved after how many failed antidepressant medication trials?
One
T/F last year, Salience TMS had 1,000 patients reach full remission
True
How many treatment chairs are located at MCP?
How do we measure remission rates?
Remission is classified as a PHQ9 of 4 more less.
What PHQ9 score is a good clinical indicator that TMS may be needed?
10 or above
What is the average positive response rate for TMS Therapy?
80%
12 (9 in DFW, 3 in Houston)
What is the STAR*D study?
The largest and longest study ever conducted on antidepressant medication. Showed that at a patient's 1st antidepressant trial, their likelihood of reaching remission is 27%. At their 4th trial, the remission rate drops to below 7%.
What is TMS Therapy FDA approved for?
MDD and OCD
What is the average remission rate for TMS Therapy?
60%
What else does TMS Therapy help with other than depression? (minimum: list 4 things)
Anxiety, OCD, Bipolar disorder, eating disorders, ADHD, sleep, Borderline Personality Disorder
Define the word Salience.
Prominent; deserving of our attention; opposite of depression.
What are the contraindications to TMS Therapy? (list at least 2)
1. Metal located in the neck or above that cannot go through an MRI machine
2. Active psychosis or AVH
3. Uncontrolled seizures
How many patients do we currently have treating at MCP? (must be within 3)
33
How many different TMS devices are there? Bonus 100 points if you can name the device we use.
8 different devices -- we use the MagVenture device.