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* Home * Our Team * Dr Shanek Wick * Meet Our Team * Our Vision * Partner With Us * About TMS * About TMS * TMS FAQs * TMS Cost * Conditions * Treatments for Depression * Treatments for PTSD * Treatments for OCD * Treatments for Pain * Treatments for Parkinson’s Disease * TMS Research Papers * Services * Neuralia Clinic * TMS * tDCS * Sleep Actigraphy * Pharmacogenetic Testing * Referrals * Education * Media * Educational Videos * TMS * tDCS * Psychadelics * Medication * Depression * Anxiety * ADHD * Sleep * Contact * Locations Menu OVERCOME DEPRESSION DRUG FREE NON-INVASIVE MEDICARE COVERED NO OUT-OF-POCKET COSTS Next Day Consults It’s understandable that you may have some questions, so why not schedule a no-cost and introductory appointment with one of our TMS practitioners. Contact Us Now Book an Initial Consult OVERCOME DEPRESSION DRUG-FREE NON-INVASIVE EVIDENCE-BASED MEDICARE-COVERED NO OUT-OF-POCKET COSTS NEXT DAY CONSULTS It’s understandable to have questions, so why not schedule a no-cost, introductory appointment with one of our TMS practitioners. Contact Us Now Book a Consult TREAT DEPRESSION RIGHT AT THE SOURCE TMS stands for Transcranial Magnetic Stimulation. It is a breakthrough treatment that uses high strength magnetic fields to promote neuroplasticity. Neuroplasticity allows for an increase in neural connections in regions of the brain that were previously underactive. TMS is fast and can fit into your daily routine without the need for recovery time or hospital admissions. How to be referred Take the TMS Quiz 2:22 Click for sound 0:00 Neuralia TMS 5.0 Based on 16 reviews review us on Neuralia TMS 5.0 Based on 16 reviews review us on TREAT DEPRESSION RIGHT AT THE SOURCE How to be referred Take the TMS Quiz TMS IS AN EFFECTIVE & NON-INVASIVE TREATMENT FOR DEPRESSION, OCD, PTSD & CHRONIC PAIN TMS stands for Transcranial Magnetic Stimulation. It is a breakthrough treatment that uses high strength magnetic fields to promote neuroplasticity. Neuroplasticity allows for an increase in neural connections in regions of the brain that were previously underactive. TMS is fast and can fit into your daily routine without the need for recovery time or hospital admissions. PIONEERING TMS IN PERTH EXPERIENCE A PATIENT-FIRST & COMPASSIONATE SERVICE At Neuralia TMS we are a team of physicians, doctors and clinical nurses dedicated to providing the best care possible to our patients as they take their first steps on the path to recovery. Neuralia provides Transcranial Magnetic Stimulation (TMS) treatments for Depression, PTSD, OCD and Chronic Pain (including Fibromyalgia)) in multiple Perth and Regional WA locations. TMS is a non-invasive treatment that is now covered under Medicare for treatment-resistant Depression. TMS is fast and can fit into your daily routine without the need for recovery time or hospital admissions. HOW CAN TMS HELP ME? How to be referred Take the TMS Quiz Neuralia TMS 5.0 Based on 16 reviews review us on PATIENT-FIRST AND COMPASSIONATE TMS CARE TMS stands for Transcranial Magnetic Stimulation. It is a breakthrough treatment that uses high strength magnetic fields to promote neuroplasticity. Neuroplasticity allows for an increase in neural connections in regions of the brain that were previously underactive. TMS is fast and can fit into your daily routine without the need for recovery time or hospital admissions. Neuralia TMS provides Transcranial Magnetic Stimulation treatments for Depression, PTSD, OCD & Chronic Pain (including Fibromyalgia) in multiple Perth and Regional WA locations. HOW CAN TMS HELP ME? How to be referred Take the TMS Quiz TMS CAN FREE PATIENTS FROM A LIFETIME OF DRUG TREATMENT & SIDE EFFECTS TMS is able to accurately target underactive regions of the brain to produce sustained results. It is evidence-based and backed by over 35 years of research. It was first developed in 1985 and became FDA approved for Depression in 2008. In November 2021, TMS was listed under Medicare for Treatment Resistant Depression. TMS Cost FAQ TMS CAN FREE PATIENTS FROM A LIFETIME OF DRUG TREATMENT & SIDE EFFECTS TMS is able to accurately target underactive regions of the brain to produce sustained results. It is evidence-based and backed by over 35 years of research. It was first developed in 1985 and became FDA approved for Depression in 2008. In November 2021, TMS was listed under Medicare for Treatment Resistant Depression. TMS Cost FAQ HOW DOES TMS WORK? TMS stimulates neural activity in brain regions that are underactive. This underactivity is often seen in regions associated with mental illness and chronic pain. The most common region we target is called the prefrontal cortex. The prefrontal cortex is strongly involved in the regulation of mood. When these nerves are activated repeatedly, lasting change in brain circuity can occur through the process of neuroplasticity. HOW DOES TMS WORK? TMS stimulates neural activity in brain regions that are underactive. This underactivity is often seen in regions associated with mental illness and chronic pain. For example, in individuals with depression or anxiety, decreased activity in a region of the brain called the “prefrontal cortex” will typically be seen. This is represented in the image below which shows a PET (Positron Emission Tomography) scan of a person’s brain with depression and without depression . The prefrontal cortex plays an important role in mood regulation. When these nerves are activated repeatedly, lasting change in brain circuity can occur through the process of neuroplasticity. BENEFITS OF TMS OVERALL EFFECTIVENESS In a study by Hansen et al, which included 197 depressed patients who had previously failed at least 2 rounds of antidepressants, the response rate to TMS+therapy was found to be 66%. This study stands in stark contrast to the results of the well-known STAR*D trial, where the response rate to antidepressants after 2 failed rounds of medication was only 16.8%. REDUCING OR ELIMINATING MEDICATION A key goal for treatment is to reduce one’s need for antidepressant medication. As such, often antidepressants (and their side effects) can be eliminated after a course of TMS. LASTING BENEFITS The benefits of TMS typically have long-lasting results. This is because, unlike medication which focuses on changing the amount of chemicals in the brains, TMS induces neuroplastic changes and facilitates the regrowth of neural connections. NON-INVASIVE There is no downtime with TMS. You can work, drive or exercise immediately after treatment. TMS allows one to quickly resume their daily activities and get on with living their life. BENEFITS OF TMS OVERALL EFFECTIVENESS In a study by Hansen et al, which included 197 depressed patients who had previously failed at least 2 rounds of antidepressants, the response rate to TMS+therapy was found to be 66%. This study stands in stark contrast to the results of the well-known STAR*D trial, where the response rate to antidepressants after 2 failed rounds of medication was only 16.8%. REDUCING OR ELIMINATING MEDICATION A key goal for treatment is to reduce one’s need for antidepressant medication. As such, often antidepressants (and their side effects) can be eliminated after a course of TMS. LASTING BENEFITS The benefits of TMS typically have long-lasting results. This is because, unlike medication which focuses on changing the amount of chemicals in the brains, TMS induces neuroplastic changes and facilitates the regrowth of neural connections. NON-INVASIVE There is no downtime with TMS. You can work, drive or exercise immediately after treatment. TMS allows one to quickly resume their daily activities and get on with living their life. OCD TMS activates areas responsible for OCD, such as intrusive thoughts & repetitive behaviors. TMS for OCD PTSD TMS targets the prefrontal cortex, the region controlling fear & anxiety responses. TMS for PTSD CHRONIC PAIN TMS can increases the body’s own pain-killer chemicals to improve chronic pain symptoms. TMS for Pain OCD TMS activates areas responsible for OCD, such as intrusive thoughts & repetitive behaviors. TMS for OCD PTSD TMS targets the prefrontal cortex, the region controlling fear & anxiety responses. TMS for PTSD CHRONIC PAIN TMS increases the body’s own pain-killer chemicals to improve chronic pain symptoms. TMS for Pain GENERAL PSYCHIATRY SERVICES General Psychiatry Referrals DR SHANEK WICK IS AN ADULT PSYCHIATRIST WITH A SPECIAL INTEREST IN TREATMENT-RESISTANT DEPRESSION, ESPECIALLY IN PEOPLE WHO ARE AT THE TRANSITIONAL PHASE OF LIFE (APPROXIMATELY 50-70 YEARS OLD). DR. WICK ALSO SEES A LIMITED NUMBER OF PATIENTS FOR ADHD MANAGEMENT. TMS EDUCATIONAL VIDEOS NEURALIA.TMS 137 neuralia.tms View Jul 5 Open If you`re considering TMS treatment for your ... 5 0 neuralia.tms View Jul 2 Open #NAIDOC2023 #ForOurElders . . . ... 1 1 neuralia.tms View Jun 29 Open You really do ❤ . . . ... 1 2 Load More Follow on Instagram Recent Articles The History of TMS September 12, 2022Cleared as a form of treatment for depression in 2008, TMS (Transcranial Magnetic Stimulation) and the use on the brain has been studied since the 1980’s, although studies are dated back to the1980’s, the study of electrical energy and the effects TMS has on the nervous system has been around since the 1790’s. Since these studies commenced, TMS treatment has undertaken a more modern approach and has been successful in the ability to reduce the symptoms of depression. Dating back to the 1790’s, scientists discovered that electrical energy could be carried deep within the nervous system, later proving that the body’s tissue is a source of electricity; this revelation changed the way electrical signals within the body are understood. Creating the very first TMS device in 1985, Dr. Anthony Baker created a device that identified the influence of magnetic stimulation on the motor cortex and with the use of magnetic fields. Fast forward to the 1990’s, studies indicated that TMS was a safe and effective treatment of Depression. By 2010 the APA (American Psychiatric Association) included it as a mainstream safe treatment for depression. In order to receive TMS therapy, the patient will sit on the treatment chair and have a magnetic coil placed on the designated areas (in depression this is often adjacent to their dorsolateral prefrontal cortex). The coil then emits tiny electrical currents to the targeted regions. By producing these electrical currents, the therapy is able to enhance the functioning in the prefrontal cortex and strengthen the ability to communicate with other areas of the brain to regulate mood. Related posts: Who is a Good Candidate for TMS? The Connection Between Depression and Motivation Who shouldn’t get TMS therapy? TMS vs ANTIDEPRESSANTS [...] Read more... What are the symptoms of Depression? June 10, 2022Sadness and Depresssion exists on a continuum. We all have low days. That is normal. However, we believe clinical depression occurs when these low days become persistent and patient’s experience additonal affective, biological and cognitive symptoms. When this occurs, we suspect changes in a one’s seritonin, dopamine and noradrehnaline levels. The symptoms of depression can be divided into the following three categories: 1. Affective symptoms:: decreased mood, hopelessness, worthlessness, guilt 2. Biological symptoms: early morning wakening, decrease appetite, psychomotor slowing ie. monotonous/slow/delayed/decreased amount speech & decreased facial expressions OR psychomotor agitation ie. hand wringing. 3. Cognitive symptoms: decreased concentration, decreased memory, daily tasks take longer than normal, decreased self esteem, self harm or suicidal thoughts) At times one’s thoughts can become extremely dark. When this occurs. occasionally one’s mind can start playing tricks on them and psychotic symptoms develop (delusions and hallucinations). Delusions are fixed, false beliefs out of keeping with a patient’s culture. Hallucinations occur when one experiences a perception eg. voice or image, in the absence of an actual environmental stimuli. Treatment for depression span three major categories. Medication Talking Therapy Neurostimulation eg. TMS. Related posts: What is Bilateral TMS? Are we able to treat General Anxiety with TMS? Does TMS Work Long Term? Understanding how Depression and the Menstrual Cycle interact [...] Read more... The Science of TMS August 15, 2018TMS uses an alternating current passed through a metal coil placed against the scalp to generate rapidly alternating magnetic fields. This passes through the skull nearly unimpeded and induce electric currents that depolarize neurons in a focal area of the surface cortex The magnetic field generated by TMS is comparable to that of a standard magnetic resonance imaging (MRI) device (approximately 1.5 to 3 Tesla); however, the TMS field is very focal (beneath the coil). TMS stimulates regions of the brain that are underactive in patients with depression, anxiety disorder and chronic pain. Specifically the Dorsolateral Prefrontal Cortex with respect to depression and anxiety. During TMS treatment, magnetic s fields timulate neural activity in the underactive areas. When this is done tens of thousands of times over a course of 4-6 weeks, lasting changes in brain circuity occur. The exact mechanisms of action for TMS is unknown. One hypothesis is that stimulation of discrete cortical regions alters pathologic activity within a network of grey matter brain regions that are involved in mood regulation and connected to the targeted cortical sites. To find out more, please visit About TMS. Both ECT and TMS have been shown to increased monoamine activity (seritonin in particular) and assist in the normalisation of the Hypothalamic pituitary axis. The effect on TMS varies based on a number of factors. These include whether a high frequency of magnetic stimulation is used. When this occurs the targeted neurons are stimulated. We generally used high frequency stimulation when target the left prefrontal cortex in the treatment for Depression. In contrast low frequency stimulation appears to inhibit cortical activity (and is usually directed at the right prefrontal cortex). Inhibitory stimulation to the Right DLFPC is an alternative treatment used in depression. This can be useful in patients who are at a high risk of seizure (Eg. depending on their medication). Inhibitory stimulations greatly reduce any risk of seizure. In a systematic review by Noda et al, the review examined 66 studies in depressed patients who were treated with TMS targeting the dorsal lateral prefrontal cortex and found that high frequency TMS generally increased regional cerebral blood flow and that low frequency TMS generally decreased regional cerebral blood flow The intensity of the treatment is the other main parameter we can change to ensure efficiacy. If you would like to know how your GP or psychiatrist could refer you for TMS please visit our TMS Referrals page. If you are psychiatrist or pain specialist looking to introduce TMS into your clinic please visit our Partnering With Us page Related posts: What is Bilateral TMS? Are we able to treat General Anxiety with TMS? Does TMS Work Long Term? Understanding how Depression and the Menstrual Cycle interact [...] Read more... Overcoming Stigma: Perth Psychiatrist, Dr Wick weighs in on TMS as your Mental Health Treatment June 20, 2023Mental Health can be a daunting experience that can interfere with your daily life. Fortunately, there are numerous ways to manage it, and TMS treatment is one of the most effective. Perth Psychiatrist, Dr Shanek Wick and the team at Neuralia TMS, Palmyra recommends discussing TMS treatment with your GP as an option for managing Mental Health. You can find out more information about TMS here. The fact that TMS treatment is non-invasive—that is, it doesn’t require any surgery or medication—is one of its main advantages. For those who are unable to take medication owing to side effects or other health issues, this makes it a safe and viable alternative. The majority of patients simply experience a slight tapping sensation on their scalp during TMS therapy, which is also completely painless. The fact that TMS treatment is very individualised is another advantage. Based on your particular requirements and symptoms, Perth psychiatrist Dr. Shanek Wick will work with you and your treatment plan. The standard course of treatment entails daily sessions for a few weeks, but the frequency and duration of treatment may change based on your particular situation. If you’re considering TMS treatment for your mental health, it’s essential to work with a qualified and an experienced Perth Psychiatrist who specialises in this treatment option. Your GP can assist you in deciding whether TMS is the best option for you and recommend you to a psychiatrist who will create a specialised treatment plan that takes into account your unique needs. You can find out if you are a good candidate for TMS Treatment here. In conclusion, TMS treatment is a safe and effective option for managing mental health. If you’re struggling with anxiety, depression, OCD or PTSD and are looking for a non-invasive treatment option, TMS may be worth considering. Talk to our team at Neuralia TMS about whether TMS is the right choice for you, and take the first step towards regaining control over your mental health. Related posts: What is Bilateral TMS? Are we able to treat General Anxiety with TMS? Am I suitable for TMS? Who shouldn’t get TMS therapy? [...] Read more... TMS Treatment and Medicare: What You Need to Know May 12, 2023Are you considering TMS treatment but unsure if Medicare covers it? Here you will find all the information you need to know about TMS and what Medicare will cover for your treatments. As the mental health industry expands, more people than ever are seeking therapy for their conditions. TMS (Transcranial Magnetic Stimulation) is a mental health treatment option that has grown in popularity. Thankfully, many people who seek TMS can now rely on Medicare to assist, cover all or part of the costs involved with this form of mental health treatment. But what precisely does Medicare cover in terms of TMS? To help you choose the best course of treatment with Neuralia TMS, we’ll examine all you need to know about TMS and Medicare coverage in this post. What is TMS? Find out here What is Medicare? Australia’s Medicare is a government funded health insurance programme that gives qualified patients access to fundamental medical and hospital services. It enables Australians to obtain therapies like TMS that are not accessible to private patients. Medicare-approved treatments, including TMS for depression, are specifically listed in the Medicare Benefits Schedule (MBS). You must meet specific requirements and get a referral from your GP or psychiatrist in order to be eligible for TMS therapy through Medicare. If you believe TMS therapy could be beneficial for you but are concerned about the related expenses, ask your doctor if you qualify for the Medicare Benefit Schedule. You can get access to cutting-edge mental health treatments like TMS and begin rebuilding your life right away with the assistance of Medicare and Dr. Shanek Wick at Neuralia TMS in Palmyra. TMS and Medicare Coverage Eligible patients can get TMS treatments with no gap payment and have their out-of-pocket expenses paid for by Medicare under the Medicare Benefits Schedule (MBS). As a result, it is significantly more accessible and affordable than private treatments, which is a huge relief for those dealing with mental health concerns. Conditions to Receive Medicare Benefits for TMS Treatment Medicare coverage for TMS (Transcranial Magnetic Stimulation) therapy can be a huge comfort for people with mental health issues. Before receiving the therapy, you must fulfil a number of requirements in order to be eligible for the Medicare Benefits Schedule. You must first receive a medical diagnosis of a mental health condition. If your doctor decides that TMS is the best course of treatment for you, they will direct you to a qualified provider and assist you in getting the available Medicare benefits. Last but not least, your doctor will need to provide documentation of your mental health history as well as any other treatments you have tried. Once each of these conditions has been satisfied, Medicare coverage can be accessible to help with any out-of-pocket costs related to this kind of treatment. Mental Health Disorders that can be treated with TMS Treatment and covered by Medicare Medicare covers TMS therapy as a viable treatment option for a number of mental health conditions. Among these include depression, anxiety conditions, PTSD, obsessive compulsive disorder (OCD), and anxiety disorders. You can find out how TMS Treatment works here Initial treatment for patients with depression or anxiety disorders frequently entails antidepressant medication and psychological counselling. These therapies might not always work or might only temporarily relieve symptoms. When this occurs, TMS therapy can be a useful complementary therapeutic option for reducing anxiety and alleviating depressive episodes. TMS has also been demonstrated to be a successful method of treatment for easing symptoms including intrusive thoughts and flashbacks in those with PTSD or OCD. Medicare currently covers up to 35 TMS sessions for treatment-resistant depression, with typical TMS treatment plans involving many sessions spread over several weeks. It’s crucial to keep in mind that there are ways to obtain support and get back on the road to recovery, regardless of the type of mental health problem you’re dealing with. Speak with your healthcare practitioner right away about how Medicare can assist in defraying the cost of your treatments if you believe TMS therapy may be the best option for you. Related posts: How long will I stay better after TMS? Who is a Good Candidate for TMS? The Connection Between Depression and Motivation TMS Treatment Strategies for Great Results [...] Read more... TMS Treatment Strategies for Great Results February 21, 2023Get a good night’s sleep. Make sure you give yourself time to rest after your session because TMS can have a lulling impact in the early stages of treatment. Additionally, more restful sleep prepares you for a better day in terms of mood, energy, and focus. Before treatment, drink caffeine. Caffeine, which is a stimulant, can assist maximise the advantages of your therapies’ stimulating pulses providing caffeine-containing beverages do not make you feel anxious. Remain alert. Don’t rest while receiving treatment. The pulses should be going while the brain is awake and vigilant. Dialog throughout therapies. Engaging in conversation while receiving treatment can help you achieve the best results because the brain is at its most capable of learning and processing while the stimulatory pulses are active. Keep up a balanced, healthy diet. During therapy, a healthy diet can help maintain your mental energy levels up. As a result, as you continue your sessions, your focus and stamina will increase. Sip some water. Drinking plenty of water will keep you feeling fresh and fight weariness. Keep moving and work out. In fact, wear workout attire to your TMS sessions and head straight to the gym afterwards. You’ll feel less stressed, have more energy, and get a better night’s sleep as a result of doing this. Continue to take your meds as directed. The advantages of TMS can be impacted by abruptly discontinuing, and missing doses can generally result in unpleasant sensations. Before quitting any medications, see your doctor. Keep to the schedule. Try your best to show up for each daily appointment five days a week. Try to plan your treatments in advance, at times you are aware of as being most effective for you. Keep in mind that since this is brain training, repetition with consistency is the key to learning. Have compassion for yourself. The advantages of TMS are felt differently by each person. People in your life will frequently notice the changes before you do, so periodically check in with them to see how you’ve changed in their eyes. Related posts: The History of TMS Which TMS Therapy type is best? What are the Pros and Cons of having TMS (Transcranial Magnetic Stimulation)? Does TMS Work Long Term? [...] Read more... TMS vs ANTIDEPRESSANTS February 7, 2023Finding the best treatment for you frequently involves researching various depression treatment alternatives. You’re sure to come across TMS therapy and antidepressants in your search, but which one should you take first? Are they successful? How long do the two procedures last? To assist you in choosing the course of therapy that might be the greatest fit for you, this guide will provide answers to these and other questions. Antidepressants vs. TMS Antidepressants and TMS therapy are both successful ways to treat depression. TMS therapy can, however, help those who either haven’t had good results with antidepressants or can’t handle them. This is one of its advantages. Examining the specifics of both is important in order to accurately compare TMS therapy and antidepressants. Your choice of treatment can be influenced by understanding how they operate, their adverse effects, and their success rates. How They Operate TMS Treatment:Magnetic pulses are used in TMS therapy to target particular brain regions that control mood and emotion. The ability of the brain to control mood can be enhanced by stimulating the nerves in various areas of the brain. Antidepressants:The brain can receive information from the nervous system thanks to chemical messengers known as neurotransmitters. Increasing the amounts of particular neurotransmitters that influence mood and emotion is how antidepressants often operate. This outcome is attained by various antidepressant kinds by interacting with specific neurotransmitters. Negative effects TMS TreatmentThe fact that TMS therapy has few adverse effects is one of its advantages. One in ten patients report mild to moderate headaches and/or discomfort during or after the treatment session, although the majority of patients report that these side effects lessen and finally go away as they get used to the medication. Seizures are a very uncommon side effect of TMS therapy, occurring in less than one out of every 60,000 TMS sessions. AntidepressantsDepending on the type of antidepressant being used, a person may suffer different adverse effects. Nausea, diarrhoea, headaches, trouble sleeping, and sexual issues are some of the side effects of SSRI and SNRI antidepressants that are frequently experienced. Side symptoms like blurred vision, constipation, dizziness, dry mouth, shaking, and problems urinating are more likely to occur when taking tricyclic antidepressants. Heart issues and liver damage are uncommon antidepressant adverse effects. After the first few weeks of using antidepressants, side symptoms are often less frequent. However, some people find the adverse effects overwhelming and stop receiving therapy as a result. Related posts: What is Bilateral TMS? Who is a Good Candidate for TMS? Which TMS Therapy type is best? Does TMS Work Long Term? [...] Read more... Who shouldn’t get TMS therapy? January 31, 2023To find out how TMS works, click here For patients who are resistant to treatment, TMS can be extremely beneficial. TMS candidates often had taken two or more antidepressants with little to no success. Not everyone is a candidate for TMS therapy, despite the fact that it offers hope for many individuals with depression or OCD. A few things that can prevent you from getting TMS therapy for depression or OCD are, financial circumstances and Medicare coverage, or previous health conditions that clash with the magnetic coils. TMS therapy may be more expensive than antidepressants, patients are typically required to try at least two before being considered for TMS Therapy. If you don’t wish to take medicine, you can try TMS without taking antidepressants, but further consideration and discussion is required. As TMS Therapy makes use of strong magnets, certain individuals may have medical conditions that should be thoroughly evaluated before beginning TMS Treatment with Neuralia TMS, Perth. These conditions are known as potential clashes and the following are some of the most typical ones: Metal implants above the neckline: In particular, aneurysm clips from neurosurgery would be a concern. Implanted devices: TMS magnets have the potential to interfere with physiologic sensing devices, pacemakers, vagus nerve stimulators, or other devices that utilise battery packs. Seizure history: A seizure during TMS therapy is more likely to occur in someone who has had seizures in the past. In this case, it is beneficial to have a skilled medical professional assess the risk and, if necessary, make particular arrangements to reduce the risk of seizures. Related posts: What is Bilateral TMS? Who is a Good Candidate for TMS? Which TMS Therapy type is best? Does TMS Work Long Term? [...] Read more... Understanding how Depression and the Menstrual Cycle interact January 24, 2023Both depression and the menstrual cycle can affect a woman’s daily life in both favourable and unfavourable ways. The severity and length of a woman’s menstrual cycle may have an impact on how depressed she feels. Positively, periods can aid in the management of depression by offering structure, solace, and support. Depression, on the other hand, can exacerbate PMS symptoms and make them more challenging to control. According to research, there is a direct relationship between depression and the menstrual cycle. Menstrual abnormalities, such as irregular periods, lighter or heavier bleeding, or shorter or longer cycles, might affect women who are depressed. However, depression can also be a symptom of menstruation-related diseases in women. This is particularly valid for women who have polycystic ovary syndrome (PCOS). Sleep, energy levels, and concentration can all be negatively impacted by depression. These signs of menstruation, along with cramps, headaches, and exhaustion, can also occur. Menstruation and depression can have a disruptive influence on daily life, making it challenging to perform chores and uphold relationships. This may be made worse by the fact that some antidepressant medications may have unrecognised effects on the menstrual cycle. The hormonal changes brought on by the menstrual cycle can be particularly troublesome for women who suffer from depression. This is due to the possibility that the hormones released during menstruation would make depressed symptoms worse and raise the likelihood of recurrence. As a result, it’s critical to understand the potential connection between depression and menstruation as well as the effects it may have on day-to-day functioning Have a conversation with your doctor if your menstrual cycle is being affected by depression or medicines. There is “one size fits all” remedy that works for everyone, but altering your way of life may assist. Try to eat enough to nourish your body, get enough sleep to rest, and engage in moderate exercise as often as you can. Stress-relieving activities include breathing or mindfulness exercises, writing, and gentle exercise such as yoga and strolling. Consult your doctor about non-pharmaceutical remedies for depression if your symptoms appear to get worse after taking an antidepressant. Talking treatments like counselling and cognitive behavioural therapy as well as TMS therapy may fall under this category. To find out more about TMS, click here Related posts: The Science of TMS What are the symptoms of Depression? Which TMS Therapy type is best? Does TMS Work Long Term? [...] Read more... How does TMS treatment help with OCD? December 6, 2022TMS, or transcranial magnetic stimulation, is a relatively new and exciting treatment option for those living with Obsessive Compulsive Disorder (OCD). It is a non-invasive form of therapy that is showing promising results in reducing symptoms and improving quality of life for those with OCD. TMS therapy works by activating targeted areas of the brain that are believed to be responsible for some of the core symptoms of OCD, such as intrusive thoughts and repetitive behaviors. It is a safe, painless procedure that does not require the patient to take any medications or make any lifestyle changes. What causes OCD? It is not fully understood what causes OCD, but it is believed to be a combination of genetic and environmental factors. Some research suggests that OCD may be caused by an imbalance of certain chemicals in the brain, such as serotonin. It is also thought that OCD may run in families, which suggests that there may be a genetic component to the disorder. However, it is important to note that not everyone with a family history of OCD will develop the disorder themselves. How does TMS work to treat OCD? TMS therapy works by stimulating targeted areas of the brain that are believed to be responsible for some of the core symptoms of OCD, such as intrusive thoughts and repetitive behaviors. The therapy uses magnetic fields to stimulate the nerve cells in the brain, which can help to reduce symptoms and improve quality of life. TMS is a safe and painless procedure that does not require the patient to take any medications or make any lifestyle changes. TMS can help with OCD by targeting the areas of the brain that are responsible for the repetitive behaviours associated with the disorder. The treatment can help to reduce the intensity of the OCD symptoms and make them more manageable. In some cases, TMS can even help to eliminate the symptoms altogether. Obsessions, which are illogical fears or thoughts, are brought on by this mental health condition. When obsessions become ingrained in the mind, they might trigger compulsive, repetitive behaviours that are used to try to calm the distress that is brought on by the unsettling thoughts. There are various ways that the obsessions and compulsions might show themselves. These may consist of: Obsession: A need for structure Compulsion: The persistent want to rearrange things or arrange them “exactly so” Obsession: Anxious ideas of danger or injury to oneself or others are known as obsessions. Compulsion: Avoiding potentially dangerous circumstances even when they pose an illogical threat is known as compulsion. Obsession: Fear of being contaminated by dirt, pathogens, blood, or other external substances is an obsession. Compulsion: Excessive hand washing, or house cleaning is required. The function of the brain in OCD is addressed in conventional treatments. They consist of an exposure and response prevention therapy (ERP). Another common OCD treatment is the use of antidepressant drugs called selective serotonin reuptake inhibitors (SSRIs). The benefit of TMS treatment for OCD is that it concentrates on those brain regions with hyperconnectivity. Additionally, it doesn’t run the risk of adverse drug reactions. TMS is frequently used as a supplement to medicine or cognitive behavioural therapy for the treatment of OCD. Depending on their symptoms and the degree of their OCD, everyone will experience varied outcomes. For those who haven’t had the desired results from conventional treatments, TMS may be extremely useful. For more details on TMS, please see our dedicated TMS FAQs page. Although TMS treatment for OCD is still very new, early findings are encouraging. It’s an intriguing area that needs additional study. TMS is a great alternative for people who haven’t had success with conventional OCD treatments. It’s also non-invasive and has very few side effects. TMS has the potential to help a lot of people who suffer from this debilitating disorder. Hopefully, with more research, TMS will become an even more effective treatment for OCD. Related posts: How long will I stay better after TMS? Who is a Good Candidate for TMS? The Connection Between Depression and Motivation Which TMS Therapy type is best? [...] Read more... Does TMS Work Long Term? November 29, 2022The question of whether TMS works long-term and whether patients will need to return after some time remains as many patients experience improvements right away or after a few treatments. The Findings of TMS Research Understanding how we gauge achievement, both immediately and over the long term, may be made easier by taking a look at three significant TMS research. One of the earliest TMS research used randomised, double-blinded, sham-controlled trials to investigate the treatment’s effectiveness and safety in the short-term management of MDD. In other words, study participants were unaware of whether they were receiving a genuine TMS treatment or a phoney one. Before the trial began, all study participants stopped taking their antidepressants, and the TMS technicians were instructed to be emotionally neutral, making the trial sterile and, as a result, not particularly spectacular. Studies soon showed it to be beneficial in treating MDD (Major Depression Disorder) with few side effects, but many participants who received the fake treatments showed no improvement. Where participants knew they were getting a real TMS treatment, they encouraged participants from the initial study to take part. TMS was administered to study participants in a natural, non-sterile environment. Many patients discover that TMS therapy itself is beneficial, making time each day for themselves to be welcomed by kind individuals who are concerned about their well-being. Additionally, patients were permitted to resume using their antidepressants, indicating that TMS may offer even better results when combined with other proven treatments. Two years later, a comparable second continuation study by Dunner et al (2014) that tracked participants for a year was carried out. After six weeks of TMS treatment, patients had a 62.3% response rate to TMS, and 41.2% of patients had achieved remission. At this point, the results were promising. 62.5% of those who responded were still doing better a year later, and 45.1% of those who were in remission were still doing so. Additionally, it was discovered that 84.2% of patients who benefited from TMS during their first course of treatment but did not experience remission did so again during their second round of treatment. So, does TMS function over time? Yes is the common response. And for those who later develop symptoms after undergoing TMS therapy, a second session of TMS will effectively get them back on track. More research is required to understand how to reap the full benefits of TMS therapy and on staying well after TMS treatment. Based on studies about depression and doctors’ and patients’ experiences, it is possible to encourage and prolong the therapeutic effects of TMS therapy with the help of other therapeutic modalities. Mood stabilisers Antidepressants can maintain your state following TMS, lowering your likelihood of depressive symptoms resurfacing even if they didn’t work for you prior to the procedure. A safe, preventative measure to encourage your positive response to TMS may be to continue taking an antidepressant for a year following your course of treatment. Talk therapy Even if counselling didn’t seem to be of much use prior to TMS, talk therapy is incredibly helpful in maintaining wellness. One form of therapy that has received a lot of support is cognitive behavioural therapy (CBT). CBT assists you in avoiding the cognitive traps that can result in a downward spiral of mood. Changes in Lifestyle Maintaining a regular sleep-wake cycle, eating well, and exercising frequently will help you stay healthy if TMS therapy was effective for you. Exercise in particular should not be overdone; exercise can have positive effects on health even at low doses. You don’t need to follow a strict routine if your doctor gives you the all-clear. Walking your pets, gardening, or going for a short walk around the block all have great health advantages and can prolong the effects of TMS. How to Respond If Depression Recurs Even if you follow all the appropriate steps, depression has a way of returning even when you take all the necessary precautions. It’s critical to keep in mind that you are not to blame for your depression. The wellness pathways in your brain will be strengthened to keep you feeling well, though, the more you stay healthy. Get back into treatment as soon as possible if you do discover that your depressed symptoms have returned after TMS therapy. Before contacting Neuralia TMS clinic, don’t allow your depression symptoms to persist for longer than a few weeks. Read more for an overview of how TMS works. References: Dunner et al – 2014- A multisite, naturalistic, observational study of transcranial magnetic stimulation for patients with pharmacoresistant major depressive disorder: durability of benefit over a 1-year follow-up period – https://pubmed.ncbi.nlm.nih.gov/25271871/ Related posts: What is Bilateral TMS? Are we able to treat General Anxiety with TMS? Which TMS Therapy type is best? Who shouldn’t get TMS therapy? [...] Read more... What are the Pros and Cons of having TMS (Transcranial Magnetic Stimulation)? November 22, 2022You’ve had a mental health problem for some time and nothing seems to be working despite your attempts at various treatments and medications. As you examine the benefits and downside of transcranial magnetic stimulation (TMS), you might not feel as informed as you need to make an informed choice as many others do. To assist you in making a decision regarding how to proceed on your path to health, below are some advantages and disadvantages of TMS therapy. Advantages of TMS Therapy Obsessive-compulsive disorder (OCD), chronic pain, PTSD, and treating depression are some of the other illnesses that can be treated with TMS. TMS is a quickly developing medical sector that is likely to be utilised in the future to treat a wide range of different disorders, but more study is required to get a deeper understanding and insurance coverage. TMS is effective when other therapies are not Although insurance companies typically only pay TMS when a patient hasn’t reacted to at least two antidepressants, TMS therapy is Medicare funded to treat major depressive disorder (MDD) in patients who have failed to respond to two different types of antidepressants. TMS therapy often succeeds where medicine has failed for persons with TRD. Some people may find antidepressant side effects overwhelming, which makes TMS therapy a tempting alternative. Minimal TMS Side Effects TMS is often well tolerated and rarely has negative effects. Transient headache or site discomfort when starting therapy is the only side event with a risk higher than 5%. However, because drugs pass through the body, people can experience systemic side effects. Antidepressant medication compliance might be difficult since, for instance, some antidepressants are known to cause weight gain, constipation, anxiety, nausea, blurred vision, sleepiness or insomnia, and sexual dysfunction. TMS Provides a Chance for Self-Care Patients will have 35 sessions spread out over 8 weeks. While this may seem like a lot of sessions, a lot of patients enjoy their appointments because they have a set time to focus on themselves. You will sit in a comfy chair during your appointment while the TMS therapy equipment is placed on your head. The device will provide gentle magnetic pulses to the parts of the brain known to be directly involved in mood regulation, and it may be adjusted to your comfort. The professionals take all reasonable measures to guarantee that your visit is soothing and enjoyable. After a 20-minute treatment session, you can resume your regular activities right away. The drawbacks of TMS therapy: TMS Is Not Advisable for Everyone TMS may be challenging or dangerous for those with specific medical issues. Magnetic fields used in TMS can be harmful for persons who have metal implants above their necks. Metal cannot be penetrated by a magnetic field and may become heated as a result. A history of seizures, implanted devices, and brain tumours are other factors that could make TMS more difficult. Before you decide that TMS won’t work for you, make sure to consult with your GP who may be able to work around your unique situation. Many of these problems may be overcome. Related posts: How long will I stay better after TMS? Who is a Good Candidate for TMS? The Connection Between Depression and Motivation Which TMS Therapy type is best? [...] Read more... Which TMS Therapy type is best? November 15, 2022Since transcranial magnetic stimulation (TMS) was shown to be successful in treating major depressive disorder in the 1980s, other therapy modifications have emerged. To have a thorough understanding of their treatment options, patients must comprehend these distinctions. To identify the optimal treatment for their needs, patients should examine the various TMS options with their TMS psychiatrist. Find out what happens during TMS sessions. Are all TMS procedures equivalent? The magnetic pulse rate or the type of equipment utilised may be different among the many forms of TMS. A TMS provider will describe the kind of therapy performed and how it might benefit you. In terms of pulse rate, the first group of TMS treatments varies: Multipulse TMS: Every few seconds, one pulse is delivered steadily. TMS with paired pulses: Two pulses are delivered simultaneously. Depending on the desired outcomes for each patient, these pulses can either target one cerebral hemisphere or both. The most popular form of TMS therapy is probably repetitive TMS (rTMS). Multiple pulses are given simultaneously at various frequencies to achieve various goals. The brain is stimulated or inhibited when there are fewer pulses than when there are more pulses. The pulse rate is determined by the unique conditions of each patient. The lowest amount of magnetic energy necessary to activate muscle fibres and cause the thumb to twitch is used to measure the patient’s motor threshold in order to establish the ideal pace. There is no distinction between TMS and rTMS; the two acronyms are typically used synonymously. Stimulation with theta waves TMS vs. TBS: Time is the main factor that distinguishes TMS from TBS. TBS takes about one to three minutes as opposed to a regular TMS treatment session, which can last up to 45 minutes. That’s because TBS transmits magnetic pulses at a frequency similar to brainwaves, but at a considerably faster rate. This TMS variant, which was approved by the FDA in 2018, is frequently referred to as express or expedited TMS. Then there are two additional TMS variations that employ technology that is distinct from normal TMS. Deep TMS (dTMS): Deep TMS treatment uses a particular kind of machine with a different coil than rTMS, hence the name. The dTMS device manufacturer asserts that the coil enables the magnetic pulses to penetrate deeper into the brain (about 4cm in, compared to about 1.5 with rTMS). But when it comes to pulse rate, dTMS and rTMS are comparable in that they send a number of pulses at once. Functional MRI or Neuro-navigated TMS (fMRI TMS): While TMS is being administered, a neuroimaging instrument such as an MRI monitors brain activity for a real-time evaluation of brain function. The ideal placement of the coils on the brain can also be determined using the MRI. Read more on the science of TMS. Related posts: What is Bilateral TMS? Are we able to treat General Anxiety with TMS? Does TMS Work Long Term? Who shouldn’t get TMS therapy? [...] Read more... The Connection Between Depression and Motivation November 8, 2022When you wake up in the morning, you are already worn out as you consider all the things you need to get done that day. In fact, it’s so overpowering that all you seem to be able to do is crawl back into bed. When you’re depressed, motivation is difficult to come by and is what you really need. Motivation and depression are mutually exclusive concepts. It’s frequently difficult to carry out your regular obligations while you’re in a depressive state. Then, getting behind on your duties may worsen your situation. Feeling unmotivated while receiving medication and talk therapy for depression can be very distressing. When that happens, TMS can be beneficial in reducing the symptoms of depression so you can regain your motivation and momentum. How Depression and Low Motivation are Related Any part of your life that is suffering from a lack of drive or motivation will be affected because they are unable to complete even the most basic duties, a student or productive employee may witness a decline in their performance. Additionally, explaining your difficulties to coworkers or teachers can be challenging. You can become even more depressed as a result. Low motivation is harmful on both a personal and professional level. Because you lack the energy to engage with others, relationships may suffer. The same lack of energy makes it challenging to practise fundamental self-care practices like working out, eating healthily, and getting enough sleep, which can result in problems with both mental and physical health. Finally, being under a lot of stress might make you weak. Exhaustion may result from the body’s overproduction of the cortisol hormone in response to stress. It may consequently cause dopamine and serotonin levels to drop. Additionally, if you already lack motivation, the pressure of getting behind on your work may make it worse. Simply put, you lack the motivation to work. When you lose motivation, it’s simple to slip into the trap of feeling hopeless or unworthy. It is crucial to consult your support network and get medical attention for your depression symptoms because these feelings of failure could spiral. You can also do some things to help increase your motivation that won’t take too much work. A tiny move in the direction of improvement can have a significant impact. How to Stay Motivated During Depression Like building muscle, increasing motivation requires frequent training to get stronger. Here are a few easy ideas to try: Break negative thought patterns: Self-talk and negative thoughts are destructive. It will not help you to beat yourself up over missing a deadline. Through cognitive behavioural therapy (CBT), you can evaluate your negative feelings and thoughts and swap them out for more constructive ones. When you notice that your thoughts are drifting in a depressing direction, a CBT-trained therapist can give you coping mechanisms and skills you can utilise. Create a schedule: Keep your initial tasks straightforward to avoid becoming overwhelmed; having a lengthy to-do list might be intimidating. Additionally, being overworked puts you at risk for toxic productivity, a side effect of high-functioning sadness that might prevent you from putting your mental health first. Invest in enduring connections: Your motivation may rise through social interaction with close friends or family because of their encouragement and support. They can also act as a sounding board if you need a little prodding to start going. Attend to your bodily requirements: Even while getting a massage or spending the day outside admiring the scenery are both wonderful, simplicity is essential if you can’t do either. Good self-care practices include eating well, taking a short stroll around the block, and getting seven to nine hours of sleep each night. They’ll give you a rush of energy that can inspire you to get moving. In search of little pleasures, even if it’s just once a week for a little while, engage in something enjoyable. This could be a pastime, an activity, or just hanging around with friends. The positive emotions this produces can lessen depressive and increase motivational symptoms. Make a system of rewards: Rewarding yourself with a movie, new clothing, or anything else you enjoy will help you stay motivated to complete a task or take care of yourself. This will increase your incentive to maintain healthy practices. In addition, when you work hard to get motivated and accomplish your goals, you’ll develop self-confidence. Even while these techniques can seem simple, they might be intimidating for someone going through a depressed episode. It may seem impossible to overcome failure, discouragement, or exhaustion. Finding a depression treatment that is effective for you is essential in order to reduce your symptoms so that you can focus on regaining your motivation. The first line of therapy is medication and conversation therapy, such as CBT. When you discover that such techniques aren’t producing the desired results, TMS may be useful. A non-invasive outpatient treatment for depression called TMS may be able to reduce symptoms including lack of desire. TMS operates as follows: On the scalp, close to the left temple, a coil of electromagnetic energy is applied. The coil transmits gentle magnetic pulses to the desired brain regions. The pulses transform into electrical currents that trigger the nerve cells in the brain to improve symptoms and restore brain function. The average treatment session lasts around 20mins, and you will be comfortably seated the entire time. You can drive yourself to and from treatment because there are few side effects—mild headaches or scalp discomfort are the most frequent—and no downtime. TMS is typically administered daily during the workweek for 8 weeks, then less frequently for a time. Related posts: The History of TMS What is Bilateral TMS? Does TMS Work Long Term? How does TMS treatment help with OCD? [...] Read more... Who is a Good Candidate for TMS? November 2, 2022For patients with specific mental health disorders, such as major depressive disorder, transcranial magnetic stimulation (TMS) can be very helpful. Once they learn about the therapy and how it can reduce symptoms, many patients are eager to give TMS a try. Who is a good candidate for TMS is ultimately decided on a case-by-case basis. This is a personalised form of care and patients must first satisfy TMS requirements in order to be eligible for it. To determine whether TMS will be a suitable fit for you, it is necessary to comprehend how it operates. There are a few significant traits to consider: There are little adverse consequences. The biggest one is when the scalp feels like it is being tapped during therapy. Additionally, some people get a minor headache following treatment. An over-the-counter pain reliever can be used to treat these headaches. You can drive yourself to and from treatment with TMS because it is non-invasive and doesn’t require sedation, so there is no downtime. An electromagnetic coil is applied to the scalp during treatment. The coil emits magnetic pulses, which the brain subsequently converts into mild electrical currents. Specific parts of the brain are stimulated by these currents. The length of a treatment session is 18 to 40 minutes. TMS is typically administered once a week for the first several weeks, then less frequently as the treatment progresses. Each patient receives a customised therapy with TMS. However, certain TMS prerequisites must be met before possible treatment candidates can begin. TMS Important Criteria To be authorised for treatment with TMS, you must fulfil the requirements listed below: TMS has been approved for the treatment of major depressive disorder, obsessive compulsive disorder (OCD), quitting smoking, and depression-related anxiety symptoms (also called depressive anxiety). Other mental health issues cannot currently be treated with it due to regulatory restrictions. History of treatment: TMS is typically utilised for patients who have tried medicine and/or talk therapy but are still not feeling well. While receiving TMS, however, people frequently continue taking their drugs and/or receiving counselling. Age: TMS is currently not licensed for use in children or adolescents; it is typically reserved for individuals 18 years of age and above. Patients who are nearly 18 years old are in a “grey area” and may be suitable for TMS; the TMS provider can decide if they are. Health History: Due to the nature of TMS treatment, individuals may not be eligible if they have pacemakers or vagus nerve stimulators installed in their bodies, with the exception of dental fillings, which are acceptable. People who have neurological issues, such as epilepsy risk or head trauma, may not be eligible for treatment. Even if you have one of these conditions, our Care Team will be able to provide you with advice based on your individual circumstances, so it doesn’t necessarily preclude you from treatment. Related posts: What is Bilateral TMS? Are we able to treat General Anxiety with TMS? Does TMS Work Long Term? Who shouldn’t get TMS therapy? [...] Read more... Am I suitable for TMS? October 24, 2022Consider these questions to help find an answer. 1. Are you experiencing depression? TMS treatment is only for those diagnosed with MDD or clinical depression. Feeling sad doesn’t mean you’re in a depression. Only a therapist can diagnose signs of depression in you with the help of a series of questions, for instance. For how long have you been experiencing these symptoms? How is your appetite? How are your sleeping habits? How is your lifestyle? Do you feel tired and less focused? 2. Have You Tried Initial Antidepressant Therapies? Once you’re diagnosed with depression, the antidepressant medication is usually tried first. Instead, they prefer to try first-line treatment options. If two medication attempts fail to alleviate depression, TMS is often considered. Another thing that doctors ensure before TMS therapy is whether you have tried evidence-based treatment, such as CBT. 3. Are you experiencing any other health conditions? Overall TMS is non invasive and largely safe. However there are some conditions that need to be considered to see if TMS is suitable. Here’re some of those conditions: Presence of non-removable metal in your head. These metals could be deep brain stimulators, stents in the neck or aneurysm coils or clips. Epilepsy Alcohol addiction (which can increase the risk of seizure if you are experiencing alcohol withdrawal symptoms) Experiencing all the above conditions doesn’t mean you can’t consider TMS treatment. However, your doctor must know if you have any of these. 4. Are you able to make time for self care? The TMS session is brief and doesn’t take much time. You can use your day in the way you want after every session. However, you could utilize the self-care time to boost the effects of TMS treatment. Most patients consider it rewarding. Besides proper self-care time, you should also maintain other self-care habits, such as journaling, meditation and exercise. TMS treatment is for everyone who has tried several treatments to get rid of depression but is still experiencing it. TMS for treatment-resistant depression is common, so just ask the above four questions to yourself and step forward to TMS and positive lifestyle. Related posts: What is Bilateral TMS? Are we able to treat General Anxiety with TMS? Who shouldn’t get TMS therapy? TMS vs ANTIDEPRESSANTS [...] Read more... How long will I stay better after TMS? October 24, 2022Even when more traditional therapies have failed, transcranial magnetic stimulation (TMS) therapy for depression frequently works successfully. Prospective patients frequently have questions regarding TMS and want to know everything there is to know, especially how long TMS treatment lasts. We advise anyone considering TMS for major depressive illness to schedule a consultation to go through their individual circumstances because results differ from patient to patient. TMS can be a useful way for treating depression, especially for those who haven’t had success with first-line treatments like talk therapy and pharmaceuticals. If you are interested in learning how TMS works, click here. If you would like to know how frequently you’d need to attend to receive TMS treatments, click here. The initial benefits may start to show during the first few TMS treatment visits. One patient may feel a shift after the first few weeks, while another patient may start to notice those changes towards the conclusion of the first phase of treatment. The duration of the effects of TMS treatment ultimately depends on the patient. Some patients could require additional TMS maintenance treatments, especially if they experience a further major depressive episode. The good news is that TMS nearly always produces positive outcomes if someone needs it again, if it was unsuccessful during their original treatment. TMS has the potential to provide enduring, long-term advantages for mental health. All of our patients are also encouraged to develop a way of life that supports their mental health. These include maintaining a healthy weight, exercising, getting enough rest, and attending talk therapy. These tools, along with TMS, will provide you the ability to improve your mental health over time. Want to learn more about the duration of TMS treatment? Our TMS staff will go into great depth about the TMS procedure and what to anticipate during the subsequent weeks of therapy. They can also discuss the several advantages of TMS therapy with you. TMS is a targeted treatment technique, as opposed to antidepressants, which have a generalised effect on the body. It is also effective, non-invasive, doesn’t require sedation, has very few side effects, and is a low-risk procedure. Related posts: The History of TMS What is Bilateral TMS? Does TMS Work Long Term? How does TMS treatment help with OCD? [...] Read more... Are we able to treat General Anxiety with TMS? October 17, 2022Anxiety and depression leave you worried, tense, drained and demotivated. Both conditions have many things in common. If you’re going through one condition, more likely you may have symptoms of the other. TMS therapy is a saviour for depression patients. But the question is Can TMS therapy help general anxiety? Yes, TMS therapy can help you get out of anxiety. However, it is not an approved treatment for anxiety disorder. It explicitly targets depression. However, when you use it to treat depression, you may notice an improvement in your anxiety symptoms. The more effective treatment options for anxiety disorder are talk therapy and medication. TMS does have specific protocols for Anxiety Disorders such as PTSD and OCD. Indeed, it’s challenging to treat anxiety and depression at the same time. But you must keep trying. Once you know how both these mental health conditions are related, you can find the best treatment option for you. How Depression and Anxiety Are Connected? Researchers have presented various theories to explain how Anxiety and Depression are connected. Below are some findings Both anxiety and depression involve compromise on similar mental and physical functions Both conditions occur due to the same neurotransmitters Both conditions may involve genetics Both conditions may develop as a result of any other serious health issue. Most of the time, anxiety and depression occur together. According to researchers, 60% of people with depression have anxiety symptoms. The same is true for people with an anxiety disorder to have anxiety. It indicates that one of the disorders will be dominant. The other will appear as a recessive disorder and show some of its symptoms. At the same time, the overall health effects of the dominant disorder will increase. You may have to struggle more to be active in your daily life. Treat Depression with TMS, Help Your Anxiety Anxiety and depression have many emotional and physical symptoms in common. Some symptoms may aggravate other issues. For instance, poor appetite leads to fatigue, and poor sleeping habits lead to irritability. You will feel much better once one or two symptoms are improved. Improvement in depression symptoms will make you visionary. You will feel a positive energy. You can treat anxiety when you work to improve the following symptoms: Sleeping habits such as not enough sleeping or sleeping too much Fatigue or muscle aches Change in eating patterns Irritability Difficulty in concentrating Don’t Ignore Anxiety and Keep seeking treatment! Treatment of one condition doesn’t mean you will get rid of the other condition. Indeed, depression treatment helps you with some of the anxiety symptoms. But, it’s not enough to treat anxiety. Instead, talk therapy or medication works wonder for anxiety. So, you must go with these options even if you feel better after getting depression treatment. Final Thoughts..!!! Depression and anxiety leave you overwhelmed. It’s time taking to figure out the right treatment option. But once you find the one that works for both conditions, you will return to life. You will feel a positive energy. So, stay encouraged and keep trying to find the best treatment option for both conditions. Learn about how TMS works from a scientific perspective Related posts: What is Bilateral TMS? Does TMS Work Long Term? Who shouldn’t get TMS therapy? TMS vs ANTIDEPRESSANTS [...] Read more... What is Bilateral TMS? September 25, 2022TMS (Transcranial Magnetic Stimulation) is a form of brain stimulation and continually gaining attention as an effective strategy for treating depression. Traditional treatments can sometimes provide inadequate relief for as many as 60% of patients with a major depressive disorder. Located at the front of the skull, the cerebrum is split into the right and left hemispheres. The Prefrontal Cortex is a very important part of the front of the brain that has a number of essential functions. These included emotional regulation and executive functioning (attention, impulse inhibition, prospective memory, and cognitive flexibility. Neuroscientific research has hypothesized that deduced activity in the left Dorsolateral Prefrontal Cortex and increased activity in their right side is associated with depression. To reverse the effects of under and over excitability, high and low frequency transcranial magnetic stimulation is used. Unilateral TMS uses high frequency pulses to increase the reduced excitability of the left Dorsolateral Prefrontal Cortex and Bilateral TMS uses low frequency pulses to lower the overexcitability in the right Dorsolateral Prefrontal Cortex in addition to increasing of the reduced excitability in the left. In general, the most commonly prescribed protocol for TMS for depression is left sided 10Hz treatment of the Dorsolateral Prefrontal Cortex. At Neuralia TMS, our standard practice is for patients to be reviewed around session 20 to ensure that they are starting to demonstrate early signs of improvement. Most of the time, patients are showing signs of improvement. However, if this is not the case we will usually recommend either right sided unilateral stimulation or bilateral stimulation. One rationale for the use of bilateral stimulation is the notion that a certain subset of patients who have not improvement by session 20 may be late responders to left sided treatment. Your TMS Psychiatrist will make this decision based on a number of unique factor that will be determined during this mid review session. Please click here to watch a video about how TMS works. Related posts: Are we able to treat General Anxiety with TMS? Who is a Good Candidate for TMS? Who shouldn’t get TMS therapy? TMS vs ANTIDEPRESSANTS [...] Read more... The History of TMS September 12, 2022Cleared as a form of treatment for depression in 2008, TMS (Transcranial Magnetic Stimulation) and the use on the brain has been studied since the 1980’s, although studies are dated back to the1980’s, the study of electrical energy and the effects TMS has on the nervous system has been around since the 1790’s. Since these studies commenced, TMS treatment has undertaken a more modern approach and has been successful in the ability to reduce the symptoms of depression. Dating back to the 1790’s, scientists discovered that electrical energy could be carried deep within the nervous system, later proving that the body’s tissue is a source of electricity; this revelation changed the way electrical signals within the body are understood. Creating the very first TMS device in 1985, Dr. Anthony Baker created a device that identified the influence of magnetic stimulation on the motor cortex and with the use of magnetic fields. Fast forward to the 1990’s, studies indicated that TMS was a safe and effective treatment of Depression. By 2010 the APA (American Psychiatric Association) included it as a mainstream safe treatment for depression. In order to receive TMS therapy, the patient will sit on the treatment chair and have a magnetic coil placed on the designated areas (in depression this is often adjacent to their dorsolateral prefrontal cortex). The coil then emits tiny electrical currents to the targeted regions. By producing these electrical currents, the therapy is able to enhance the functioning in the prefrontal cortex and strengthen the ability to communicate with other areas of the brain to regulate mood. Related posts: Who is a Good Candidate for TMS? The Connection Between Depression and Motivation Who shouldn’t get TMS therapy? TMS vs ANTIDEPRESSANTS [...] Read more... What are the symptoms of Depression? June 10, 2022Sadness and Depresssion exists on a continuum. We all have low days. That is normal. However, we believe clinical depression occurs when these low days become persistent and patient’s experience additonal affective, biological and cognitive symptoms. When this occurs, we suspect changes in a one’s seritonin, dopamine and noradrehnaline levels. The symptoms of depression can be divided into the following three categories: 1. Affective symptoms:: decreased mood, hopelessness, worthlessness, guilt 2. Biological symptoms: early morning wakening, decrease appetite, psychomotor slowing ie. monotonous/slow/delayed/decreased amount speech & decreased facial expressions OR psychomotor agitation ie. hand wringing. 3. Cognitive symptoms: decreased concentration, decreased memory, daily tasks take longer than normal, decreased self esteem, self harm or suicidal thoughts) At times one’s thoughts can become extremely dark. When this occurs. occasionally one’s mind can start playing tricks on them and psychotic symptoms develop (delusions and hallucinations). Delusions are fixed, false beliefs out of keeping with a patient’s culture. Hallucinations occur when one experiences a perception eg. voice or image, in the absence of an actual environmental stimuli. Treatment for depression span three major categories. Medication Talking Therapy Neurostimulation eg. TMS. Related posts: What is Bilateral TMS? Are we able to treat General Anxiety with TMS? Does TMS Work Long Term? Understanding how Depression and the Menstrual Cycle interact [...] Read more... The Science of TMS August 15, 2018TMS uses an alternating current passed through a metal coil placed against the scalp to generate rapidly alternating magnetic fields. This passes through the skull nearly unimpeded and induce electric currents that depolarize neurons in a focal area of the surface cortex The magnetic field generated by TMS is comparable to that of a standard magnetic resonance imaging (MRI) device (approximately 1.5 to 3 Tesla); however, the TMS field is very focal (beneath the coil). TMS stimulates regions of the brain that are underactive in patients with depression, anxiety disorder and chronic pain. Specifically the Dorsolateral Prefrontal Cortex with respect to depression and anxiety. During TMS treatment, magnetic s fields timulate neural activity in the underactive areas. When this is done tens of thousands of times over a course of 4-6 weeks, lasting changes in brain circuity occur. The exact mechanisms of action for TMS is unknown. One hypothesis is that stimulation of discrete cortical regions alters pathologic activity within a network of grey matter brain regions that are involved in mood regulation and connected to the targeted cortical sites. To find out more, please visit About TMS. Both ECT and TMS have been shown to increased monoamine activity (seritonin in particular) and assist in the normalisation of the Hypothalamic pituitary axis. The effect on TMS varies based on a number of factors. These include whether a high frequency of magnetic stimulation is used. When this occurs the targeted neurons are stimulated. We generally used high frequency stimulation when target the left prefrontal cortex in the treatment for Depression. In contrast low frequency stimulation appears to inhibit cortical activity (and is usually directed at the right prefrontal cortex). Inhibitory stimulation to the Right DLFPC is an alternative treatment used in depression. This can be useful in patients who are at a high risk of seizure (Eg. depending on their medication). Inhibitory stimulations greatly reduce any risk of seizure. In a systematic review by Noda et al, the review examined 66 studies in depressed patients who were treated with TMS targeting the dorsal lateral prefrontal cortex and found that high frequency TMS generally increased regional cerebral blood flow and that low frequency TMS generally decreased regional cerebral blood flow The intensity of the treatment is the other main parameter we can change to ensure efficiacy. If you would like to know how your GP or psychiatrist could refer you for TMS please visit our TMS Referrals page. If you are psychiatrist or pain specialist looking to introduce TMS into your clinic please visit our Partnering With Us page Related posts: What is Bilateral TMS? Are we able to treat General Anxiety with TMS? Does TMS Work Long Term? Understanding how Depression and the Menstrual Cycle interact [...] Read more... Overcoming Stigma: Perth Psychiatrist, Dr Wick weighs in on TMS as your Mental Health Treatment June 20, 2023Mental Health can be a daunting experience that can interfere with your daily life. Fortunately, there are numerous ways to manage it, and TMS treatment is one of the most effective. Perth Psychiatrist, Dr Shanek Wick and the team at Neuralia TMS, Palmyra recommends discussing TMS treatment with your GP as an option for managing Mental Health. You can find out more information about TMS here. The fact that TMS treatment is non-invasive—that is, it doesn’t require any surgery or medication—is one of its main advantages. For those who are unable to take medication owing to side effects or other health issues, this makes it a safe and viable alternative. The majority of patients simply experience a slight tapping sensation on their scalp during TMS therapy, which is also completely painless. The fact that TMS treatment is very individualised is another advantage. Based on your particular requirements and symptoms, Perth psychiatrist Dr. Shanek Wick will work with you and your treatment plan. The standard course of treatment entails daily sessions for a few weeks, but the frequency and duration of treatment may change based on your particular situation. If you’re considering TMS treatment for your mental health, it’s essential to work with a qualified and an experienced Perth Psychiatrist who specialises in this treatment option. Your GP can assist you in deciding whether TMS is the best option for you and recommend you to a psychiatrist who will create a specialised treatment plan that takes into account your unique needs. You can find out if you are a good candidate for TMS Treatment here. In conclusion, TMS treatment is a safe and effective option for managing mental health. If you’re struggling with anxiety, depression, OCD or PTSD and are looking for a non-invasive treatment option, TMS may be worth considering. Talk to our team at Neuralia TMS about whether TMS is the right choice for you, and take the first step towards regaining control over your mental health. Related posts: What is Bilateral TMS? Are we able to treat General Anxiety with TMS? Am I suitable for TMS? Who shouldn’t get TMS therapy? [...] Read more... TMS Treatment and Medicare: What You Need to Know May 12, 2023Are you considering TMS treatment but unsure if Medicare covers it? Here you will find all the information you need to know about TMS and what Medicare will cover for your treatments. As the mental health industry expands, more people than ever are seeking therapy for their conditions. TMS (Transcranial Magnetic Stimulation) is a mental health treatment option that has grown in popularity. Thankfully, many people who seek TMS can now rely on Medicare to assist, cover all or part of the costs involved with this form of mental health treatment. But what precisely does Medicare cover in terms of TMS? To help you choose the best course of treatment with Neuralia TMS, we’ll examine all you need to know about TMS and Medicare coverage in this post. What is TMS? Find out here What is Medicare? Australia’s Medicare is a government funded health insurance programme that gives qualified patients access to fundamental medical and hospital services. It enables Australians to obtain therapies like TMS that are not accessible to private patients. Medicare-approved treatments, including TMS for depression, are specifically listed in the Medicare Benefits Schedule (MBS). You must meet specific requirements and get a referral from your GP or psychiatrist in order to be eligible for TMS therapy through Medicare. If you believe TMS therapy could be beneficial for you but are concerned about the related expenses, ask your doctor if you qualify for the Medicare Benefit Schedule. You can get access to cutting-edge mental health treatments like TMS and begin rebuilding your life right away with the assistance of Medicare and Dr. Shanek Wick at Neuralia TMS in Palmyra. TMS and Medicare Coverage Eligible patients can get TMS treatments with no gap payment and have their out-of-pocket expenses paid for by Medicare under the Medicare Benefits Schedule (MBS). As a result, it is significantly more accessible and affordable than private treatments, which is a huge relief for those dealing with mental health concerns. Conditions to Receive Medicare Benefits for TMS Treatment Medicare coverage for TMS (Transcranial Magnetic Stimulation) therapy can be a huge comfort for people with mental health issues. Before receiving the therapy, you must fulfil a number of requirements in order to be eligible for the Medicare Benefits Schedule. You must first receive a medical diagnosis of a mental health condition. If your doctor decides that TMS is the best course of treatment for you, they will direct you to a qualified provider and assist you in getting the available Medicare benefits. Last but not least, your doctor will need to provide documentation of your mental health history as well as any other treatments you have tried. Once each of these conditions has been satisfied, Medicare coverage can be accessible to help with any out-of-pocket costs related to this kind of treatment. Mental Health Disorders that can be treated with TMS Treatment and covered by Medicare Medicare covers TMS therapy as a viable treatment option for a number of mental health conditions. Among these include depression, anxiety conditions, PTSD, obsessive compulsive disorder (OCD), and anxiety disorders. You can find out how TMS Treatment works here Initial treatment for patients with depression or anxiety disorders frequently entails antidepressant medication and psychological counselling. These therapies might not always work or might only temporarily relieve symptoms. When this occurs, TMS therapy can be a useful complementary therapeutic option for reducing anxiety and alleviating depressive episodes. TMS has also been demonstrated to be a successful method of treatment for easing symptoms including intrusive thoughts and flashbacks in those with PTSD or OCD. Medicare currently covers up to 35 TMS sessions for treatment-resistant depression, with typical TMS treatment plans involving many sessions spread over several weeks. It’s crucial to keep in mind that there are ways to obtain support and get back on the road to recovery, regardless of the type of mental health problem you’re dealing with. Speak with your healthcare practitioner right away about how Medicare can assist in defraying the cost of your treatments if you believe TMS therapy may be the best option for you. Related posts: How long will I stay better after TMS? Who is a Good Candidate for TMS? The Connection Between Depression and Motivation TMS Treatment Strategies for Great Results [...] Read more... TMS Treatment Strategies for Great Results February 21, 2023Get a good night’s sleep. Make sure you give yourself time to rest after your session because TMS can have a lulling impact in the early stages of treatment. Additionally, more restful sleep prepares you for a better day in terms of mood, energy, and focus. Before treatment, drink caffeine. Caffeine, which is a stimulant, can assist maximise the advantages of your therapies’ stimulating pulses providing caffeine-containing beverages do not make you feel anxious. Remain alert. Don’t rest while receiving treatment. The pulses should be going while the brain is awake and vigilant. Dialog throughout therapies. Engaging in conversation while receiving treatment can help you achieve the best results because the brain is at its most capable of learning and processing while the stimulatory pulses are active. Keep up a balanced, healthy diet. During therapy, a healthy diet can help maintain your mental energy levels up. As a result, as you continue your sessions, your focus and stamina will increase. Sip some water. Drinking plenty of water will keep you feeling fresh and fight weariness. Keep moving and work out. In fact, wear workout attire to your TMS sessions and head straight to the gym afterwards. You’ll feel less stressed, have more energy, and get a better night’s sleep as a result of doing this. Continue to take your meds as directed. The advantages of TMS can be impacted by abruptly discontinuing, and missing doses can generally result in unpleasant sensations. Before quitting any medications, see your doctor. Keep to the schedule. Try your best to show up for each daily appointment five days a week. Try to plan your treatments in advance, at times you are aware of as being most effective for you. Keep in mind that since this is brain training, repetition with consistency is the key to learning. Have compassion for yourself. The advantages of TMS are felt differently by each person. People in your life will frequently notice the changes before you do, so periodically check in with them to see how you’ve changed in their eyes. Related posts: The History of TMS Which TMS Therapy type is best? What are the Pros and Cons of having TMS (Transcranial Magnetic Stimulation)? Does TMS Work Long Term? [...] Read more... Neuralia TMS are the Transcranial Magnetic Stimulation (TMS) specialists in Perth, WA. TMS is non-invasive treatment for depression and several other conditions. Phone: 6230 3996 Email: info@neuralia.com.au Fax: 6230 2231 Healthlink ID: neuralia * * * FIND US Palmyra Melville House, Suite 7, 25 Foss Street Palmyra WA 6157 West Leederville 2/160A Cambridge Street, West Leederville, WA 6007 Bunbury 15/135 Victoria Street Bunbury WA 6230 Albany 2 Pioneer Road Albany WA 6330 JOIN US SUBSCRIBE TO OUR NEWSLETTER HERE AND STAY IN THE LOOP. Email First Name Last Name Visit our TMS Education portal for regular discussions on Mental health, Psychology, Neurostimulation and the latest innovative technologies in Psychiatry. 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