Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Can a magnet treat depression?

Heather Luing, MD
Conditions
May 22, 2021
Share
Tweet
Share

The rates of depression in the U.S. have tripled over the last year, with over 25 percent of adults expressing symptoms of depression. While depression was always a leading cause of mental illness and disability, it has become a worsening problem during the COVID-19 pandemic. An increasing number of people are suffering from the symptoms of sadness, loss of interest in pleasurable activities, and impairments in sleep, appetite, energy, and concentration.

At its worst, depression can lead to feelings of hopelessness and suicidal thoughts. Although psychotherapy and antidepressant medications work well for many, there remains a sizable subset of individuals who do not respond well to these treatments and continue to suffer from distressing symptoms of depression. Treatment-resistant depression (TRD) is defined as someone who has not responded to at least two antidepressant medications. Up to one-third of patients with depression may meet this criterion. This growing subset of patients may cycle through many trials of antidepressant medications without finding relief.

For these patients, the answer may not be a pill but instead a powerful magnet. Transcranial magnetic stimulation or TMS is not a new treatment. TMS was first cleared by the FDA in 2008 for treatment-resistant depression and can provide relief when traditional treatments have failed. It later gained indications for migraine (2013), OCD (2018), and smoking cessation (2020). But despite over 13 years as an available treatment, most patients and many doctors are not aware that it exists as a treatment option. Unfortunately, this means TMS is being under-utilized by patients despite widespread coverage by commercial insurance as well as Medicare and VA benefits.

TMS works by applying magnetic pulses to a specified area of the brain called the left dorsolateral prefrontal cortex (DLPFC). This area of the brain is hypoactive or slowed in individuals with depression. The magnetic pulses work to activate the area and stimulate normal brain activity, improving overall brain function and normalizing the production of important neurotransmitters like serotonin. This allows the brain to heal naturally without the need for medications that artificially boost levels of neurochemicals.

TMS holds many advantages over other treatments, including both efficacy and safety. For patients that have not responded to medications, response rates with at least a 50 percent improvement of depressive symptoms are superior to an additional medication trial and approach 70 percent. TMS also has very few side effects, with scalp tenderness and headaches being the most common.

There are no known long-term side effects of TMS, unlike medications that can cause weight gain, gastrointestinal symptoms such as nausea, diarrhea, and sexual side effects.

Individuals who have failed at least two antidepressant medications and a course of psychotherapy are good candidates for TMS if they are still dealing with moderate to severe depressive symptoms. Since most psychiatrists do not perform TMS, it is often necessary to contact a local TMS treatment center to see a psychiatrist specializing in this treatment. This non-invasive, FDA-approved treatment may be the answer for those suffering from treatment-resistant depression.

Heather Luing is a psychiatrist.

Image credit: Shutterstock.com

Prev

3 lessons I'm learning about practicing medicine

May 22, 2021 Kevin 1
…
Next

Doctors now must provide patients their health data, online and on demand

May 22, 2021 Kevin 1
…

Tagged as: Psychiatry

Post navigation

< Previous Post
3 lessons I'm learning about practicing medicine
Next Post >
Doctors now must provide patients their health data, online and on demand

ADVERTISEMENT

Related Posts

  • Treating depression with ketamine: We need incremental treatment for depression

    Shaili Jain, MD
  • Physicians are at the frontline of depression

    Michele Luckenbaugh
  • Surviving medical school with depression

    Anonymous
  • My depression won’t defeat me

    Ronna Edelstein
  • The CDC word ban: an attack on the patients I treat

    Rachel Alinsky, MD
  • To treat future COVID variants, we need more than vaccines

    Ian Chan, MBA

More in Conditions

  • One injection dropped LDL by 69 percent. Should we celebrate?

    Larry Kaskel, MD
  • Does cycling hurt male fertility?

    Martina Ambardjieva, MD, PhD
  • How community and buses saved my retirement

    Raymond Abbott
  • How changing your self-talk can transform your entire life

    Faust Ruggiero
  • Why your clinic waiting room may affect patient outcomes

    Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT
  • The ethical crossroads of medicine and legislation

    M. Bennet Broner, PhD
  • Most Popular

  • Past Week

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • Why transplant equity requires more than access

      Zamra Amjid, DHSc, MHA | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How doctors can think like CEOs [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why your health care dashboard isn’t working and how to fix it

      Dave Cummings, RN | Policy
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • A surgeon’s testimony, probation, and resignation from a professional society

      Stephen M. Cohen, MD, MBA | Physician
    • One injection dropped LDL by 69 percent. Should we celebrate?

      Larry Kaskel, MD | Conditions
    • Locum tenens: Reclaiming purpose, autonomy, and financial freedom in medicine

      Trevor Cabrera, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • Why transplant equity requires more than access

      Zamra Amjid, DHSc, MHA | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How doctors can think like CEOs [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why your health care dashboard isn’t working and how to fix it

      Dave Cummings, RN | Policy
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • A surgeon’s testimony, probation, and resignation from a professional society

      Stephen M. Cohen, MD, MBA | Physician
    • One injection dropped LDL by 69 percent. Should we celebrate?

      Larry Kaskel, MD | Conditions
    • Locum tenens: Reclaiming purpose, autonomy, and financial freedom in medicine

      Trevor Cabrera, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...