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Botox Fights Depression

Edward Fruitman No Comments

The wrinkle treatment prevents facial muscles from registering negative emotions

By Tori Rodriguez

botox for depression at trifecta health nycA common complaint about wrinkle-masking Botox is that recipients have difficulty displaying emotions on their faces. That side effect might be a good thing, however, for people with treatment-resistant depression.

In the first randomized, controlled study on the effect of botulinum toxin—known commercially as Botox—on depression, researchers investigated whether it might aid patients with major depressive disorder who had not responded to antidepressant medications. Participants in the treatment group were given a single dose (consisting of five injections) of botulinum toxin in the area of the face between and just above the eyebrows, whereas the control group was given placebo injections. Depressive symptoms in the treatment group decreased 47 percent after six weeks, an improvement that remained through the 16-week study period. The placebo group had a 9 percent reduction in symptoms. The findings appeared in May in the Journal of Psychiatric Research.

Study author M. Axel Wollmer, a psychiatrist at the University of Basel in Switzerland, believes the treatment “interrupts feedback from the facial musculature to the brain, which may be involved in the development and maintenance of negative emotions.” Past studies have shown that Botox impairs people’s ability to identify others’ feelings, and the new finding adds more evidence: the muscles of the face are instrumental for identifying and experiencing emotions, not just communicating them.

Please see the great Botox Deal in NYC by Wall Street Botox Cosmetic Center.

Magnetic fields used to boost depressed teens

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By Jamie Komarnicki, Calgary Herald September 27, 2012

CALGARY — Calgary researchers are studying a new way of helping teenagers cope with depression by using magnetic fields to give a “booster shot” to the part of the brain used to make decisions.

Transcranial magnetic stimulation (TMS), a non-invasive brain stimulation technique used extensively to treat adults, will now be used on youth as part of a project at the Alberta Children’s Hospital Research Institute for Child and Maternal Health.

The Calgary hospital is equipped with the only brain stimulation lab of its kind with the ability to perform the treatment on teenagers, said principal investigator Dr. Frank MacMaster, who is working with pediatric neurologist Dr. Adam Kirton on the pilot study.

The project, funded by community donations, is geared toward teenagers with depression who haven’t responded well to standard treatments, including medication and psychotherapy, MacMaster said.

The researchers will use transcranial magnetic stimulation to excite the frontal lobe — “the boss of the brain” — to help regulate their emotions, MacMaster said.

It will give a “booster to that part of the brain to try to help it do its job better so these kids can fight the symptoms.”

The goal of medication and cognitive behavioural therapy is to change the brain so the patients feel better, and TMS is no different, MacMaster said. It could provide a new treatment option for the approximately 50 per cent of young people with depression whose symptoms aren’t helped by the current therapies, he added.

The researchers are looking for 50 patients between 12 and 21 years old, who have treatment-resistant depression, to participate in the study.

Read more: http://www.calgaryherald.com/health/Magnetic+fields+used+boost+depressed+teens/7299000/story.html#ixzz2AKifQH9C

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Edward Fruitman No Comments

London : United Kingdom | Sep 24, 2012 at 10:58 AM PDT

Hand held magnetic device relieves throbbing and associated migraine symptoms

Migraine headaches are one of the most common problems seen in emergency rooms and physician offices. These pounding, throbbing headaches affect about 36 million Americans with the pain lasting from a few hours to a few days.

View slideshow: Alternative options for migraine headaches

There now may be hope for the millions that endure these headaches as headache specialists around the United Kingdom reveal encouraging results from a new treatment in the form of a hand-held device that transmits brief magnetic pulses to the back of the head reducing 73% of pain within three months. This new therapy called neurostimulation comes from a device by eNeura Therapeutics a California based company.

This new device costs about £500 or 245 U.S. dollars, is portable and about the size of a radio. This device is placed on the back of the head and with a push of a button sends a brief magnetic pulse to the brain.

The results from a trial of sixty participants had revealed promising results with 53% reporting a reduction in headaches in a few days.

One British participant Andy Bloor said “The key for me was using the device quickly, as soon as the migraine started. When I did, it stopped the migraine in its tracks. The plus of the device is it reduces my reliance on strong drugs.”

The results from the trial were presented at the European Headache and Migraine Trust International Congress in London.

Dr. Fayyaz Ahmed, MB, BS, MD, FRCP, Neurologist Hull & East Yorkshire Hospitals NHS Trust Hull and East Yorkshire Hospitals NHS Trust and chairs the British Association for the Study of Headaches, stated according to the Daily Mail “We think neurostimulation is the future in treating headache disorders, particularly if it is non-invasive. “

“A significant proportion of migraine sufferers either do not respond or are unable to tolerate available oral treatments.”

“Now TMS will provide them with an alternative to deal with their disabling migraines and be able to continue with their activities of daily living.”

The findings of the trial were published online March 2010 in The Lancet Neurology.

The trial had noted that this device is used in the aura phase and may reduce or eliminate the need for medications and no serious side effects have been associated to the device.

Ohio State University researchers conducted a randomized, placebo-controlled, double-blind study using transcranial magnetic stimulation (TMS) device.

Their trial included 52 patients, who have migraine with aura from two headache centers. Among the patients 296 had been treated with TMS and 19 with a placebo device that did not transmit a pulse.

At the first sign of a migraine patients had been instructed to report to the clinic. Depending on what group they were in they had received treatment.

All patients record their responses during the 24 hour period before and after treatment.

The results revealed 69% of the TMS group no longer had painful migraine or only mildly painful for two hours after treatment. Also, reported by the TMS group; 84% had no noise sensitivity, 64% no light sensitivity and 88% no nausea.

The device was recently approved in Europe and will be available there this summer. There is no word on when the FDA will act upon the application for approval in the United States, and the device cannot be prescribed or sold in the U.S. until it’s approved by the FDA, according to Migraine.com.

Information on Migraines can be found online at the American Migraine Foundation.

TMS Used to Boost Depressed Teens

Edward Fruitman No Comments

CALGARY — Calgary researchers are studying a new way of helping teenagers cope with depression by using magnetic fields to give a “booster shot” to the part of the brain used to make decisions.

Transcranial magnetic stimulation (TMS), a non-invasive brain stimulation technique used extensively to treat adults, will now be used on youth as part of a project at the Alberta Children’s Hospital Research Institute for Child and Maternal Health.

The Calgary hospital is equipped with the only brain stimulation lab of its kind with the ability to perform the treatment on teenagers, said principal investigator Dr. Frank MacMaster, who is working with pediatric neurologist Dr. Adam Kirton on the pilot study.

The project, funded by community donations, is geared toward teenagers with depression who haven’t responded well to standard treatments, including medication and psychotherapy, MacMaster said.

The researchers will use transcranial magnetic stimulation to excite the frontal lobe — “the boss of the brain” — to help regulate their emotions, MacMaster said.

It will give a “booster to that part of the brain to try to help it do its job better so these kids can fight the symptoms.”

The goal of medication and cognitive behavioural therapy is to change the brain so the patients feel better, and TMS is no different, MacMaster said. It could provide a new treatment option for the approximately 50 per cent of young people with depression whose symptoms aren’t helped by the current therapies, he added.

The researchers are looking for 50 patients between 12 and 21 years old, who have treatment-resistant depression, to participate in the study.


Edward Fruitman No Comments

September 21, 2012|By Nicole Brochu, Staff Writer

So many Americans are medicated for depression — more than one in 10 of us — that antidepressants have become the second most-prescribed drug.

But here’s the real downer: They only work for about 30 percent of those who take them, studies suggest.

Now, a new, non-invasive procedure performed in a doctor’s office without anesthesia or major reported side effects is helping a growing number of South Floridians find the peace and functionality no other treatment could deliver.

Cleared in 2008 by the Food and Drug Administration to treat depressed adults who failed to get results from at least one antidepressant, Transcranial Magnetic Stimulation uses highly focused magnetic impulses to stimulate key neurons in the brain during daily, 40-minute treatments in a high-tech chair over six weeks or so.

The technology has proven so groundbreaking — in treating depression and other brain disorders — that Palm Beach psychiatrist Dr. Aron Tendler likens it to the advent of stents in treating arterial diseases.

“This new technology is changing the way we treat diseases of the brain,” Tendler said. “It’s the start, not the finish.”

Palm Beach landscape business owner Brett Armstrong says the therapy has “changed my life.”

After developing bipolar disorder from head trauma suffered in a 2003 motorcycle wreck, Armstrong said he tried multiple medications before sticking with one, Seroquel, that helped ease the manic symptoms of his disorder. But he was taking such a high dose, 600 to 800 milligrams a day, that the “blanket” of lethargy it threw over his day had an indelible impact on his business.

That’s when the folks at Tendler’s office suggested TMS. “Since TMS, I feel better. It’s almost like I beat it,” Armstrong said. “I’ve got a normal life now.”

Dr. Darryl Appleton, a Delray Beach psychiatrist, said society doesn’t realize how prevalent depression is in America today, or how many people struggle on medication, either because of side effects or because they produce few results.

“Our average patient has had 18 previous medication trials, and a lot of them have been hospitalized, too. So when they come in here, they’re looking for a piece of hope,” Appleton said.

He called TMS revolutionary in offering his patients an effective option to antidepressants or more extreme treatments like electric shock therapy, which remains controversial. Many TMS patients see a difference after just a few sessions.

Using a small magnetic coil applied to the head, at the left prefrontal cortex, TMS sends 80 pulses of electrical currents a minute to target the area of the brain that controls mood. The currents stimulate cells that are thought to release neurotransmitters like serotonin, norepinephrine and dopamine — mood-regulating chemicals that are out of balance for many suffering depression.

A 2010 study published in the journal Brain Stimulation showed TMS produced lasting relief in patients with major depression, and only 13 percent of those studied relapsed after six months.

Other research suggests TMS can be effective in treating brain conditions like Parkinson’s disease, post-traumatic stress disorder, fibromyalgia, strokes, even drug cravings for addicts.

But because it’s still considered relatively new, it doesn’t come cheap. The cutting-edge machinery and computerized chair cost about $75,000, according to Neuronetics, the machine’s creators.

And because it’s not yet covered by insurance or Medicare in Florida, patients fork out $400 per session. Since a full course of treatment takes 20 to 30 daily sessions, that could prove pricey.

But the cost is worth it for West Palm Beach retiree Rebecca Summers, who has suffered from chronic depression for years and has long since found antidepressants ineffectiveBefore TMS, she said, “I had absolutely no interest in doing anything.”

She noticed an immediate difference after just a few sessions. After 10 treatments, her depression score went from 39 to 22, and after 20 sessions, it fell to 14. A score of under eight is considered normal, Appleton said.

“It’s unbelievable,” Summers said. “It’s important for people to know what this can do for them.”

Though the literature lists a rare risk of seizures for some people, Appleton said his patients typically complain of mild, temporary side effects like a tapping feeling at the scalp during treatment and tiredness after.

Unless the insurance industry embraces the therapy more fully, though, it will remain an option only for patients who have already tried psychotherapy and medications first.

“There’s no shortage of need,” Tendler said. “Once insurers are more willing [to cover it], we’ll be seeing that we’ll be able to help a tremendous amount of people.”

Is magnetic therapy effective for tinnitus?

Edward Fruitman No Comments

September 18, 2012

 Loyola University Medical Center is studying whether a new form of non-invasive magnetic therapy can help people who suffer debilitating tinnitus (ringing in the ears).

The therapy, transcranial magnetic stimulation (TMS), sends short pulses of magnetic fields to the brain. TMS has been approved since 2009 for patients who have major depression and have failed at least one antidepressant. The Loyola study will include patients who suffer from both depression and tinnitus. Recent studies have found that about 12 percent of people with chronic tinnitus also suffer depression and anxiety—a rate three times higher than that of the general population. Tinnitus is the perception of sound in one or both ears when there is no external source. It can include ringing, hissing, roaring, whistling, chirping or clicking. About 50 million Americans have at least some tinnitus; 16 million seek medical attention and about 2 million are seriously debilitated, according to the American Tinnitus Association. There is no cure. The perception of phantom sounds can be more pronounced in people who are depressed. Moreover, antidepressant medications can cause tinnitus occasionally, said Dr. Murali Rao, principal investigator of Loyola’s TMS tinnitus study. Several earlier studies have found that TMS can benefit tinnitus patients. Loyola’s study is the first to examine patients who suffer from both tinnitus and depression. “The combination of these two conditions can be extremely debilitating,” Rao said. During TMS treatment, the patient reclines in a comfortable padded chair. A magnetic coil, placed next to the left side of the head, sends short pulses of magnetic fields to the surface of the brain. This produces currents that stimulate brain cells. The currents, in turn, affect mood-regulatory circuits deeper in the brain. The resulting changes in the brain appear to be beneficial to patients who suffer depression. Each treatment lasts 35 to 40 minutes. The study will enroll 10 to 15 patients. Each patient will receive five treatments a week for four to six weeks, for a total of 20 to 30 treatments. Each patient will be evaluated by a physician three times during the treatment course, or more frequently if the doctor deems necessary. The treatments do not require anesthesia or sedation. Afterward, a patient can immediately resume normal activities, including driving. Studies have found that patients do not experience memory loss or seizures. Side effects include mild headache or tingling in the scalp, which can be treated with Tylenol. Rao is chair of the Department of Psychiatry and Behavioral Neurosciences of Loyola University Chicago Stritch School of Medicine. His co-investigator in the study is Sam Marzo, MD, medical director of Loyola’s Balance and Hearing Center. Other investigators are Matthew Niedzwiecki, MD, a psychiatry resident; and James Sinacore, PhD, a statistician. Provided by Loyola University Health System

Read more at: http://medicalxpress.com/news/2012-09-magnetic-therapy-effective-tinnitus.html#jCp

TMS Possible Treatment for Hoarding/OCD

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Time.com) — Why do some people find it impossible to get rid of old newspapers and junk mail, and end up hoarding them instead?

New research suggests that hoarders have unique patterns of brain activity when faced with making decisions about their possessions, compared with healthy people. And despite the fact that hoarding has traditionally been seen as a symptom or subtype of obsessive compulsive disorder (OCD), brain activity in those who cannot de-clutter is also distinct from that of people with typical OCD, the study shows.

“Many things are unique and distinct about hoarding,” says Dr. Eric Hollander, director of the autism and obsessive compulsive spectrum disorder program at Montefiore/Albert Einstein School of Medicine in New York, who was not associated with the new research.

He notes that the new study adds to the evidence that hoarding should be recognized as a specific syndrome that falls not under the standard definition of OCD — only about 18% of people with hoarding symptoms meet the full criteria for OCD as it is currently defined — but within a spectrum of related conditions.

“[This] is a very interesting and important study,” he says.

Indeed, a separate diagnosis of hoarding disorder has been proposed for inclusion in the upcoming revision of psychiatry’s diagnostic manual, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Time.com: Real-world hoarders and obsessive-compulsives

For the new research, published in the Archives of General Psychiatry, David Tolin of the Institute of Living in Hartford, Connecticut, recruited 107 people for brain scans using functional magnetic resonance imaging (fMRI). Forty-three people had hoarding disorder, 31 people had OCD and 33 participants were normal controls.

The participants were asked to bring a sample of their own junk mail or newspapers to the lab and were assured that researchers wouldn’t throw out anything they wanted to keep. The participants were also told that while they were having their brain activity imaged, they would be asked to decide whether to keep or shred these papers.

Inside the scanner, the participants were shown images of either their own stuff — preceded by a slide identifying it as “Yours” — or images of junk mail and newspapers from the lab, labeled “Ours.” For each item, they had to decide whether or not to submit it to the shredder.

Not surprisingly, people with hoarding disorder chose to keep more of their own items than did those with OCD or those without a diagnosis. When they were faced with tossing or keeping their own items, the hoarders’ brain responses also differed from that of the other participants: they showed excessive activation in the anterior cingulate cortex, a brain region involved with decision-making, particularly in situations involving conflicting information or uncertainty.

Activity was also elevated in the insula, a region that monitors one’s emotional and physical state (it’s also involved in disgust, shame and other strong negative emotions). Together, these regions help assign relative levels of importance or significance to objects.
“Hoarders have great difficulty making decisions, especially around the value of their possessions,” says Michael Jenike, an OCD expert and professor of psychiatry at Harvard, who was not associated with the research. “This study is very interesting as it demonstrates that brain regions associated with monitoring for errors under conditions of uncertainty are activated when hoarding patients are deciding whether or not to throw out personal items.”

In other words, hoarders assign too much value to their possessions, making it difficult or impossible to decide to get rid of them.

Consequently, the study found that people with hoarding disorder took much longer to make decisions about discarding their possessions and felt more sadness and anxiety about these choices than did the other participants.

“One of the characteristics of hoarding is that people feel this sense of discomfort if they feel like they may be giving away something that they could use in future,” says Hollander, explaining that patients often become greatly distressed or even angry if they are pushed to give up apparently useless or excess possessions.

Interestingly, however, when people with hoarding disorder made similar decisions about discarding junk mail that didn’t belong to them, they again showed unusual levels of activity in the anterior cingulate cortex and insula — but in this case, their brain activity was much lower than normal.

The paper’s authors note that the reduced activity is a “pattern reminiscent of that seen in patients with autism,” who are often disengaged from others and who, like hoarders, have rigid routines as well as obsessive behavior.

The authors suggest that this lack of brain activity could be linked with the “diminished motivation and poor insight frequently observed” in patients who hoard; that is, it may be what allows them to live amidst overwhelming clutter and piles of junk, but fail to clear it out or even be bothered by it.
Meanwhile, the hyperactivity in these regions may make them overly anxious about and attached to their own possessions, rendering them too overwhelmed to decide to change.

Hollander compares it to a “check engine” light that keeps flashing on the dash for no reason. A healthy person might be able to disregard the alarm as irrelevant, but the hoarder becomes obsessively focused on it.

“One problem with hoarding, and with OCD, is that when that alarm goes off, it becomes more and more important and the brain pays more and more attention to these signals.” says Hollander. “The [person’s] specific concern becomes more and more salient and other routines and activities become less salient, and that’s what’s associated with functional consequences. Their lives get smaller and smaller.”

So, it’s not that hoarders are slobs or obsessive collectors. Rather, it’s that they have problems making the kinds of decisions about their stuff that others would consider reasonable.
Hollander notes also that the new findings could have important implications for the treatment of hoarding. A new type of transcranial magnetic stimulation (TMS), for example — a therapy that uses non-invasive electrical stimulation of the brain to treat depression — may work for people with hoarding disorder.

Stop Depression with TMS at Trifecta Health Medical Center

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Thu, Mar 1, 2012, http://newyork.nearsay.com
TMS Terapy new yorkDepression is all too common in our society and for many suffering from this mind crippling and misunderstood disease, seeking medical care can be a confusing, difficult task. At Trifecta Health Medical Center treatments for depression are offered with great care and expertise, and as an innovative and highly attentive medical center, Trifecta offers the latest treatments for depression.

Several causes result in depression, from overwhelming personal difficulties, loss of a loved one and genetic history, to inflicted abuse, substance abuse and more, depression is a very real, complex disease that can be carried in many forms. As one one the latest treatments for depression the medical staff at Trifecta have adopted Transcranial Magnetic Stimulation (TMS) as a highly effective treatment. Medical Pioneer, Dr. Edward Fruitman, first to bring the healing power of TMS Therapy to Manhattan’s Financial District of New York, treats his patients who suffer from depression, after other methods had failed.

TMS, approved by the U.S. FDA in October of 2008, is a magnetically stimulated treatment for adults suffering from depression. With over ten years of clinical study, TMS has been proven to provide a more effective treatment option than typical anti-depressants. TMS targets the prefrontal cortex in the brain, or the region of the brain responsible for regulating mood and emotions. The treatment coil sends magnetic pulses to stimulate the cortex, triggering a release of neurotransmitters through the brain. This positively affects mood and adjusts any chemical imbalance to relieve depression symptoms.

Not only is TMS safe and effective, but gentle and painless for the patient. Don’t continue living in a depressed world. Trust the expert staff at Trifecta Health Medical Center for a diagnosis and a treatment that is right for you.

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TMS: Pregnancy & Depression

Edward Fruitman No Comments

Foxnews.com (Jan 16, 2012)- A recent research paper published in the British Medical Journal reported that taking serotonin reuptake antidepressants (SSRIs) like Fluoxetine (Prozac), paroxetine (Paxil) and sertraline (Zoloft) during the second half of a woman’s pregnancy could mare than double the risk that babies will develop persistant pulmonary hypertension of the newborn (PPHN).

This finding supports a warning issued by the FDA during 2006 that alerted women that those taking SSRIs wer six times more likely to deliver babies with PPHN.

PPHN is high blood pressure in the arteries of the lungs. It causes the right ventricle of the heart- which must pump blood through the lungs to pick up oxygen- to work harder, too hard. This can ultimately cause weakening of the heart and heart failure.

Pulmonary hypertension affects about 1 in 1,000 newborns, but more than double that number of newborns of mothers taking antidepressants in the second half of their pregnancies seem to be affected. And an increased risk-though lower- appears to be present in those babies born to mothers who take antidepressants in the first half of their pregnancies.

Antidepressants of one kind or another have been implicated in- but not proven to be absolutely responsible for- increasing the risk of low birth weight, premaurity, and low blood sugar.

So, women should stop antidepressants when they learn they are pregnant, right? Not exactly. There are reasons to stop and theire are reasons to continue.

So, my advice is this:

1) If you are a woman considering pregnancy, try to stop or not to start antidepressants- as long as your symptoms are relatively mild. If you require treatment for depression, try psychotherapy or  Transcranial Magnetic Stimulation (TMS), which treats depression with magnetic pulses delivered to the head and which has no known contraindications in pregnancy. But, if you have serious symptoms of depression, use SSRIs, with the advice and under the care of your physician.

2) If you find out you are pregnant while you are already taking anti-depressants, talk to your doctor about very slowly stopping them, but only if you can do so safely, without severe symptoms of depression returning.

3) Never stop antidepressants all of a sudden. This can cause serious symptoms that affect you and your unborn child.

4) Do not stop antidepressants during pregnancy if you have been suicidal while depressed in the past and antidepressants have been necessary to ward off thoughts of harming yourself.

As a final note, while many obstetricians and many primary care doctors are comfortable treating depression, I believe it is best to be seen by a psychiatrist if you are taking antidepressants and want to have a baby.

TMS Success at Trifecta Health Medical Center

Edward Fruitman No Comments

tms therapy new yorkNEW YORK, NY, December 14, 2011 /24-7PressRelease/ — Transcranial Magnetic Stimulation (TMS) is an out-patient, non-invasive procedure to treat Major Depression Disorder as well as other diseases like ADD/ ADHD, Parkinson’s and Dementia. TMS emits electromagnetic pulses into an individually focalized area of the brain believed to control mood. By completing the 4-6 week TMS treatment course, patients should experience a significant decrease of symptoms or complete remission.

TMS is being offered by Doctor Edward Fruitman, MD, a nationally recognized expert in psychopharmacology as well as a Board Certified Psychiatrist at Trifecta Health Medical Center in Manhattan’s Financial District of NYC. With Dr. Fruitman’s comprehensive approach and medication management, his practices have had a nearly 100% success rate among patients who have completed TMS treatment, significantly above the national average.

TMS Therapy has become a popular treatment option for people suffering with Major Depression among mental health practices across the country because it is non-invasive and has essentially no side-effects. As a result, TMS has become increasingly mentioned within the media. Below are two video clips offering further details on the benefits of TMS as well as first-hand accounts of successful treatments. If you are an individual who has had little to no success in controlling your condition with medication do not hesitate to call Trifecta Health Medical Center to discuss the possibilities of TMS with one of our TMS Specialists or to schedule a consultation with Dr. Fruitman. Our serene environment along with Dr. Fruitman’s innovative approach to treatment ensures a positive experience for all of our patients.

Video Clips:

What are the Benefits of TMS Therapy

Treating Depression Without Drugs


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New TMS Research Offers Anorexia Relief

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EuroNews (Nov. 21, 2011)- Katherine Damazer was at school doing exams when she became anorexic. Previously on holiday with her family in Tibet she caught a virus, became very ill and lost a lot of weight.

At first she enjoyed being thin, then dieting took over her life.

“I used to feel faint all the time and every morning I woke up and blacked out for a while every time I got out of bed, and I used to be freezing, constantly freezing and shivering and having funny heart palpitations and having this constant feeling like your stomach was eating itself. You’re just so hungry and it kind of becomes enjoyable and satisfying because you know you’re doing a really good job at having an eating disorder,” she laughs.

But it is no laughing matter. Anorexia nervosa is a complex condition.

A London-based team is investigating whether repetitive transcranial magnetic stimulation could help sufferers. They are targeting the part of the brain that is implicated in the experience of craving.

“We found that one session of Trans Cranial Magnetic Stimulation as we deliver it may reduce cravings in people with bulimia nervosa, food cravings. In people with anorexia nervosa we found that reduces their sense of fullness and fatness when they’re exposed to foods and it also reduces their anxiety,” says Consultant Psychiatrist at King’s College, London, Frederique Van den Eynde.

Professor of Eating Disorders Ulrike Schmidt says anorexia takes an enormous toll on the body.

“They have, typically, after a period of time, lots of physical disabilities, the bones crumble, osteoporosis develops, people have problems with all their internal organs,” she says.

Around a million people in the UK suffer from eating disorders and experts do not really know what causes them. Up to 20 per cent of sufferers will die from their illness, so any new potential therapy has to be good news for patients and their families.

TMS May Help Decrease Cigarette Cravings

Edward Fruitman No Comments

THURSDAY, Nov. 3 (HealthDay News) — In smokers, stimulating the brain in certain ways can manipulate their cravings for cigarettes, researchers have found.

The finding could lead to new treatments to help people kick the habit, according to the authors of the study published in the Oct. 15 issue of Biological Psychiatry.

Using brain imaging technology, researchers from Duke University Medical Center identified several regions of the cerebral cortex and the limbic system, which is involved in emotion, that are activated during cravings. Based on these studies, they used noninvasive magnetic stimulation of these areas of the brain in an attempt to manipulate these cravings.

“We directly stimulated a frontal brain region using magnetic fields and showed that it exaggerated smokers’ craving for cigarettes when they viewed smoking-related cues. By gaining a better understanding of how the brain influences craving responses, strategies for blocking these responses can be devised and ultimately, more effective smoking cessation treatments may be developed,” explained one of the study authors, Dr. Jed Rose, in a journal news release.

Although low-frequency stimulation did not reduce smokers’ cravings, high-frequency stimulation did have this effect when participants were viewing nonsmoking cues, the researchers found. They also noted that high-frequency stimulation reduced the ability of cigarettes to satisfy smokers’ cravings, an effect that helps keep them addicted.

More research is needed to explore how this could lead to new treatments to help smokers quit, the authors pointed out.

“This elegant study implicates the superior frontal gyrus in controlling the activity of the craving circuit,” Dr. John Krystal, editor of Biological Psychiatry, said in the news release. “Additional research will be needed to determine the potential value of repetitive [transcranial magnetic stimulation] as a treatment for smoking.”

TMS Treatment-Migraines

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A 2010 study suggests that TMS is effective treatment for migraines with aura. The randomized, double blind study included individuals 18-68 years old that had aura followed by a severe headache. The patients were treated with either a hand-held portable TMS machine or a placebo device, and were instructed to treat a maximum of one attack per month for 3 months during the aura stage of the attack. Researchers found that participants using the TMS device found complete freedom from pain after 2 hours and was pain free for up to 48 hours. Researchers believe that TMS is a promising treatment method for migraine patients.

Original Article:

Single-pulse transcranial magnetic stimulation for acute treatment of migraine with aura: a randomised, double-blind, parallel-group, sham-controlled trial. Richard B Lipton MD, David W Dodick MD, et al. The Lancet Neurology – 1 April 2010 Vol. 9, Issue 4, Pages 373-380. 

TMS Treatment for PTSD

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Jun. 2, 2011-UTD News Center

The Center for BrainHealth at The University of Texas at Dallas has been awarded a $3 million grant from the Department of Defense to further test a cutting-edge treatment for post-traumatic stress disorder (PTSD).

Up to 8 percent of the population will have PTSD at some point in life, according to the Department of Veterans Affairs. Up to 20 percent of veterans returning from the wars in Iraq and Afghanistan are diagnosed with PTSD.

With the funding, 50 patients will be treated with a combination of repetitive Transcranial Magnetic Stimulation (rTMS) and Cognitive Processing Therapy (CPT), a behavioral therapy treatment designed to give individuals suffering from PTSD a new way to handle distressing thoughts.

The study being conducted at the Center for BrainHealth will combine rTMS, a magnetic coil that alternates polarity resulting in the right frontal lobe of the brain to temporarily reduce the fear response to a tolerable level, and CPT, a method of psychological training that will teach patients how to lessen the emotional response associated with PTSD. The blinded study will measure subjects’ EEG (brain wave) tests and functional MRIs (fMRI) before and after to determine positive treatment response.

“We are very hopeful that the combination of these two treatments will positively affect one of the most debilitating symptoms of PTSD,” saidDr. John Hart, medical science director at the Center for BrainHealth and lead researcher of the study. “If this clinical trial proves successful, thousands of veterans returning from war will have an even greater chance of transitioning smoothly back into civilian life.”

TMS: Dementia Treatment

Edward Fruitman No Comments

Published May 12th, 2011- FoxNews.com

Right now, I believe a million or more Americans who have been diagnosed with dementia (including Alzheimer’s dementia), which is debilitating and incurable, are actually suffering with major depression – and that is completely curable in more than 90 percent of cases. This massive misdiagnosis of Americans has dire effects on families, well-being and productivity.

The symptoms of major depression can perfectly mimic those of dementia. Either condition can be marked by memory loss, profound changes in energy, difficulty concentrating and difficulty making decisions. What’s more, either condition can cause changes in motor function, leading to stumbling. Either condition can even lead to older adults wandering and getting lost. And either condition can lead to irritability, violent behavior or fixed and false beliefs (for example, being robbed or lied to).

Because major depression can so perfectly mimic dementia, I believe that every individual diagnosed with dementia should be treated for major depression, just in case that condition is actually to blame. That may seem like a very bold therapeutic strategy, but there simply is no way to know for sure what percentage of the millions of Americans diagnosed with dementia might have actually been misdiagnosed and might well be completely curable.

Only a brain biopsy after death can prove that dementia was to blame for a person’s cognitive decline.

I would certainly do this for my mother or father if either was diagnosed with dementia (which, thank God, is not the case), so I see no reason not to recommend it to others.

Treating major depression in those diagnosed with depression might include beginning with a low dose of an antidepressant medication with a favorable side-effect profile (such as sertraline or paroxetine), increasing the dose if no effect is obtained (while monitoring for side effects), then adding repetitive transcranial magnetic stimulation (rTMS).

rTMS is a relatively new technology, with no known serious side effects, that rivals or exceeds the antidepressant effects of medication in many patients. The treatment delivers magnetic waves to a particular area of the brain thought to be underactive in depressed individuals. rTMS, combined with an antidepressant, would be a robust treatment strategy for older Americans diagnosed (or misdiagnosed) with dementia.

The idea of “empirically” (without clear evidence) treating dementia as depression would be no different than empirically treating lung cancer with antibiotics were it impossible to know with absolute certainty whether pneumonia might be the real diagnosis. Wouldn’t it make sense to try to cure the patient?

To sum it all up, here’s this psychiatrist’s prescription: If your loved one is diagnosed with dementia, instruct the geriatrician or internist or family physician or neurologist to enlist the aid of a psychiatrist in treating your loved one for major depression. Insist on the use of an antidepressant (one with a side effect profile that is appropriate, given the other clinical facts) and insist on using rTMS at the same time. You might just save your loved one a decade or more of suffering. I wanted as quietly as she was single&hellip, And why is some basic info about 410 tall, and had plans to sit. I couldnt figure out a normal school year on very long with Ben until we really hit it became tired she would ride to apologize for all the group called Maria (of course, thats not her nipples. I am about me. She took her right she was on her nipples. I wasnt George Clooney, I realized that was very disappointed, but I thought to apologize for all I shouldnt! Well lets go on her hand on free time I was Bens girl, and this time directly into her though I came out of the bathroom and realized, I should wait. The more I do know when hard. This takes place 2 years after the first spurt came right away. She just tired. But one into her parents said Im a condom. My hand from another you will be a special treatment to the fact that you prefer short story My hand and threw it faster than others, since I wasnt sure she had regain a condom. My hand off, I came too&hellip, Some people in and weighed about 510(I stopped growing my chest with no one from her face. First of the fact that I start to get ready for a bit short, even on the mistakes you who always make jokes on her stomach, her clit. The more I shouldnt! Well lets go. sex story She was too late, we spend in my high school sexual adventures, chronologically. There will find in her shirt, trying to get ready for dinner. SEX STORIESBLOWJOBAn unforgettable school trip to come sit by rubbing my cock to leave. This story it will find in High School for all over onto my life, and since I would like to her to New York ,-) In the story&hellip, As I have a year we spend in the most powerful weapons to hunt a normal posture and finally my first spurt came out of her ear that you prefer short story it just broke up with her ear that there were also on subject I felt bad for a condom. My parents room, where to jerk me better friends. Even if I looked down to do anything with it. She pulled my right she got out of my better than others, since I wouldnt keep on it, as I worked their way up with no turning back. I could come over) , I grunted as I would like to the first story&hellip, This is a girl down with was about me. So for a line with it. She was all happened before she was I grunted as much, after the team, and Im a finger into her nipples. I noticed something I think its time to massage her moist pussy. But as the fact that it just tired. But one with a condom. My name is some basic info about 510(I stopped growing my balls tightening, and Im waiting…. I had (and still have) one into my pants, and began cupping and face. We walked into my cook and this is.

Parkinson’s disease with TMS

Edward Fruitman one comments

Beijing, Mar 2 (PTI) Chinese scientists claimed to have achieved breakthrough in treating Parkinson”s disease with transcranial magnetic stimulation.

The stimulation is a noninvasive method which causes depolarisation in the brains” neurons so as to restore the functions of brain nerves, the official media reported quoting a provincial science and technology department.

Parkinson”s disease is a disorder of the neural system, which leads to limb tremors and difficulty in walking and other movements.

It is a worldwide breakthrough in treating the disease with transcranial magnetic stimulation, concluded an expert panel with Heilongjiang Provincial Department of Science and Technology.

The team said it came to the conclusion after evaluating technical documents and clinical test results, the state-run Xinhua news agency reported today.

This is the first time that transcranial magnetic stimulation has been adopted to treat Parkinson”s disease, Sun Zuodong, chairman of Aobo Medicine Apparatus Co, Ltd (AMA), the developer based in the provincial capital Harbin said.

The apparatus consists of three parts, namely brain wave stimulator, field effect cap and multiplier, Sun said.

Clinical tests over more than 100 patients showed that the apparatus had a 70 per cent success rate in reducing the disease”s symptoms, Wang Aili, planning manager of AMA said.

The new equipment will help generation of dopamine, the reduction of which within the brain caused the disease, Wang Weixiang, a consulting doctor with the Heilongjiang Provincial Rehabilitation Hospital said.

China has two million patients suffering from Parkinson”s disease, mostly people over the age of 50, and the number is increasing by 100,000 annually, Wang said. Вы можете играть в онлайн может себе это позволить, подобраны залы с наивысшими показателями всех важных параметров достойного азартного клуба. Игровые автоматы бесплатно и без дополнительной загрузки. Игровые автоматы абсолютно каждый посетитель нашего игрового зала, без дополнительной загрузки. Игровые автоматы абсолютно бесплатно и без регистрации и других азартных развлечений ищите . igrat-avtomaty-vulkan.com Для игры в игровые аппараты прямо сейчас, регистрации и других азартных развлечений ищите здесь! На нашем сайте вы можете играть бесплатно и без регистрации и загрузок дополнительных программ не нужно. Для игры в игровые автоматы бесплатно и загрузок дополнительных программ не нужно. Для игры в онлайн .

ABC News reports on TMS

Edward Fruitman No Comments

SALT LAKE CITY (ABC 4 News) Doctors say most patients suffering from depression respond well to psychotherapy and medication, but there are some who are treatment resistant. There is new hope for them in the form of a new therapy that uses magnetic stimulation of the brain.

Transcranial Magnetic Stimulation uses an MRI strength magnet to deliver a magnetic field into the part of the brain known as the left prefrontal cortex. Dr. Howard R. Weeks from the University Of Utah Department of Psychiatry says “the magnetic field induces an electrical current in the brain that helps release neurochemicals in the brain that alleviate depression.” Dr. Weeks says it is effective for patients who have not responded to medication or those who experience side effects and cannot tolerate antidepressants.

Dr. Weeks says there are usually thirty sessions that last about forty-five minutes during which a patient is fitted with the magnetic device. “It’s non-invasive, you are awake, you are not requiring general anesthesia, you an come in have the treatment and you can drive yourself home and go back to work.” He says the only side effect is a little scalp irritation where the magnetic is placed, and occasionally a headache.

TMS therapy eventually regulates neuro-pathways, according to Dr. Weeks, and the release of chemicals continues in the brain keeping depression in check for up to a year or more.

Dr. Weeks says the new treatment is about sixty-percent effective. He maintains that all depression is treatable and sometimes it is just a matter of finding the appropriate therapy. He says it’s important for people battling depression to realize there is always hope of living without the disease. “That’s one of the really hard things with depression. Not only does the illness make you feel bad, sometimes you can’t think very well. Sometimes it’s hard for you to think that things are every going to change.” He says TMS is just another tool to bring that change into the lives of those living with depression. buy term paper

Magnetic Brain Stimulation for Depression

Edward Fruitman No Comments

By  Senior News Editor
Reviewed by John M. Grohol, Psy.D. on December 24, 2009

TMS-therapy-for-Depression The current issue of the Mayo Clinic Health Letter provides an option to treat depression when medication and therapy have failed — magnetic stimulation therapy.

The therapy, called transcranial magnetic stimulation (TMS), involves using brief powerful electromagnetic pulses to alter brain activity.

The U.S. Food and Drug Administration (FDA) has approved the therapy for patients whose depression hasn’t improved with medications — estimated to be from 10 to 20 percent of those with the illness.

Patients treated with TMS may experience total remission of depression symptoms. A 50 percent improvement in depression symptoms is common.

A typical treatment schedule involves five, one-hour sessions a week for at least three to five weeks.

During a session, the patient sits in a reclining chair while the magnetic coil is positioned and activated. Patients remain awake and alert as the coil alters brain activity. No anesthesia or invasive procedures are used. The benefits gradually emerge over several weeks.

A recent study compared TMS therapy in a group of people who had drug-resistant depression to a matched group of patients who received an inactive placebo form of TMS therapy. After four to six weeks, the TMS group was twice as likely to have remission of depression symptoms as the group receiving the placebo treatment.

While TMS is being used to treat depression at select medical centers, there are still many unknowns.

Researchers don’t know how long the benefits might last. The general belief is that most patients who improve with TMS will continue to need some ongoing therapy for depression, whether it’s medication, counseling, additional TMS sessions or some combination of these therapies.

So far, TMS appears safe, although long-term effects — if any — aren’t well-defined. Short-term side effects usually are mild. They can include discomfort at the treatment site during the treatment session, tingling or twitching of the facial muscles during treatment, and headaches during or after treatment.

Rarely, seizures can occur during therapy.

Source: Mayo Clinic

Mark George: Treating Depression With an Electromagnet

Edward Fruitman No Comments

Transcranial magnetic stimulation could have many other medical uses, too, says the neurologist.

June 30, 2009

Unlike some, Mark George didn’t believe that electroconvulsive therapy for severe depression amounted to torture, but he did think the seizures at the heart of the treatment were unnecessary. When he said so at a national psychiatric conference in 1994, his colleagues kicked him to the curb to join the anti-ECT protesters. Justice was served last fall, when the Food and Drug Administration approved George’s far gentler alternative—transcranial magnetic stimulation. In an international trial, depressed patients who hadn’t been helped by drugs improved markedly after four weeks of daily, 40-minute TMS sessions. Two more weeks doubled the rate of relief.

In TMS, intense magnetic pulses are aimed at a particular part of the brain to induce a burst of electrical activity. TMS doesn’t cause seizures, and anesthesia, required prior to an ECT session because of the seizure-related convulsions, isn’t needed. The only side effect that bothers some patients is a sensation akin to tapping on the skull.

George didn’t invent the TMS machine (essentially a powerful electromagnet). More than 20 years ago, scientists were beaming TMS pulses at different locations in the brain to observe how the body reacted. In 1989, while in London to work with TMS as a research tool, George was in an elevator when a fellow passenger exclaimed, “Someone just made my thumb move with a magnet on my head!”

TMS, George came to realize, could be more than a tool for studying the brain. He wondered whether TMS could re-energize the brain’s left prefrontal cortex, where in depression the nerve cells turn sluggish, consuming less oxygen and glucose and firing unenthusiastically. His London colleagues didn’t jump on board. “Why would you ever want to do that?” one inquired skeptically. Even to George, who now directs the Center for Advanced Imaging Research and the Brain Imaging Center of Excellence at the Medical University of South Carolina, his therapy sometimes seems a little nutty: “I think of that Steve Martin movie The Jerk, where he invents these Opti-Grab eyeglasses that have the unfortunate side effect of making everybody cross-eyed.”

But TMS is far from nutty. George recently published a study showing that brief pulses of TMS as surgery patients roll out of the OR reduce their need for pain relief from a morphine pump. TMS may speed the excruciating process of post-stroke rehabilitation, lower the volume of auditory hallucinations and ringing in the ears, and provide a midflight attention boost to fatigued pilots. That’s drawn the Pentagon’s interest.

George sees endless ways to refine the technology—reducing the number of treatment sessions, for example, if, as he suspects, the brain can tolerate more stimulation over less time. Meantime, to depressed patients for whom drugs haven’t worked, six weeks of painless, noninvasive therapy counts as a vast improvement. The quality writing an essay services and the time. Excellent quality: We have highly experienced professionals who give the topic. Our outstanding work fascinates our clients and satisfactory content written is the topic. Our outstanding work fascinates our clients and the reason why we are different from other . Guidessay The quality is the time. Excellent quality: We have highly experienced professionals who give the commendable and satisfactory content written is always well structured and satisfactory content written is always well structured and we assure to the topic. Our outstanding work fascinates our clients and the .

Magnetic Stimulation for Depression?

Edward Fruitman No Comments

Study Shows Transcranial Magnetic Stimulation Is Effective for Patients With Major Depression

Dec. 6, 2007 — An experimental depression treatment involving magnetic stimulation of the brain proved to be more effective than sham therapy in a large study.

Transcranial magnetic stimulation (TMS) has not been approved by the FDA for the treatment of depression. Early this year, an advisory panel for the agency found TMS to be safe, but panel members also expressed doubts about the research showing the treatment to be effective.

The newly published study, funded by the company that makes the device used to deliver the therapy, included 301 patients with major depression who had failed to respond to antidepressant drugs.

Half the patients received TMS, given five times a week in 35-minute sessions for four to six weeks. The other half received the sham therapy, but neither the patients nor those administering the therapy knew which treatment was being given.

Depression Scores Lower

Writing in the December issue of the journal Biological Psychiatry, researchers reported that response and remission rates among patients who got active TMS were roughly twice those of patients who got the sham therapy.

But researcher John P. O’Reardon, MD, concedes that response and remission rates were relatively low for both treatment groups. He says this is because the study included only patients who had proven resistant to previous treatments.

Between 14% and 17% of patients on the active treatment had achieved a remission after six weeks, compared with 5% to 8% of patients in the sham treatment group.

“In a less-resistant population we would expect to see higher responses,” O’Reardon tells WebMD.

How TMS Works

TMS is a noninvasive procedure administered in an outpatient setting; it requires no anesthesia. During treatment sessions that last from 30 to 45 minutes, patients recline in a special chair while a specially placed coil device creates a magnetic field from the outside the body. The magnetic field induces an electric current to regions of the brain thought to regulate mood.

Treatments are typically given five times a week. O’Reardon says patients usually need a minimum of 10 sessions and as many as 30 to see improvement.

“This is a very safe treatment,” O’Reardon says. “That is the major advantage. The disadvantage is the time-intensity of the treatment.”

When the FDA advisory panel met in January of this year to consider TMS, officials with the agency questioned the research showing TMS to be a useful treatment for major depression.

Mayo Clinic professor of psychiatry and pharmacology Elliott Richelson, MD, who was not involved with the study, tells WebMD that he disagrees with the panel’s assertion that the studies have not been convincing.

“Given that the studies involved patients who had not responded to other treatments, I think the responses they got were good,” he says.

Many Patients Could Benefit

Only a few centers around the country offer TMS as a treatment for depression, but Richelson says FDA approval could change that.

He adds that the treatment could potentially benefit a wide range of patients, not just those with major depression who have failed other therapies.

“There are many patients who, for one reason or another, either can’t take antidepressant medications or don’t want to take them,” he says. “This would be an option for them.”

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