TMS Origin
What does TMS stand for?
Transcranial Magnetic Stimulation
When can a patient come back for a second time for TMS if wanted
Within 6 months to a year- can be approved again by insurance
Insurances that cover TMS
All Commercial
Medicare
TriWest & Tricare
Two structures that are targeted for TMS in the brain
Left Dorsolateral Prefrontal Cortex & Anterior Cingulate Cortex
How long does TMS Treatment take?
30- 36 sessions!
Comparable to which medical imaging technology?
MRI
True or False:
TMS increases the risk of stroke
False
Patient type that is approved for TMS
Ages 15 & up with dx of MDD
Who haven't responded adequately to other treatment: therapy & medications
True or False:
TMS is like ECT-painful!
False
When should a patient expect to see results?
Within 2-4 weeks of treatment
Depends on the patient and how they tolerate!
Which 2 TMS machines are used by FCC
Double points if you know the machine here at Central Park!
Magventure
Brainsway
One absolute medical contraindication to TMS
Ferrous metal in/around the head
Amount of anti-depressants needed to have trialed before TMS gets approved
2
Side effects for TMS
Common: headache, fatigue scalp sensation at treatment site
Uncommon: ears ringing
Rare: Seizure
Percentage of patients who saw improvement in depression
Approximately 90% for adults
78% of teens
Who started & Where TMS started here at FCC?
Dr. Charles Weber- Chief Medical Office
Colorado Springs
Conditions needed to be ruled out as a "relative contraindication
Bipolar disorder, Substance abuse, Seizure/other neuro disorder
True or False:
Although TMS is FDA-approved for 3 conditions, here at FCC we also use it for:
MDD Severe dx (w/o psych features)
True
Best 5 strategies to thrive during TMS
Double points if all 5 is answered!
Half points if some answered correctly!
Good sleep, Healthy Diet, Staying Active, Reducing Stress, Keep up with Therapy & Medication appointments
Can TMS cause worsening depression
NO
But can see Increased irritability and emotional divots (up and down) through weeks 2-3 of treatment
Who is the TMS Team here at Central Park?
Dr. Diaz -MD
Tina Walley- PA & TMS Lead
Mandi- TMS Care Coordinator
Alyssa- TMS Tech
Three conditions that TMS is approved to treat in the US
MDD, OCD, smoking cessation
Ways to get patients referred to TMS
1. Direct referral from provider
2. Schedule TMS Consult with Tina
3. Have patient contact Mandi for cost-estimate to see if TMS is an option
How long do TMS Techs hold onto patients' caps after they finish treatment
For at least 6 months or until auth expires, if patient was ever interested in coming back
Reasons that a patient may drop out of treatment or switch to a different TMS Chair
1. Unable to tolerate
2. Unable to continue payments
3. Feels that TMS is not working