NeuroStar® TMS Therapy
FDA-cleared, non-medication depression treatment
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If you haven’t explored TMS for obsessive compulsive disorder (OCD), this is an ideal time to see if it’s right for you. It holds especially true if aspects of your life seem out of your control and other therapies haven’t worked for you.
OCD can lead to feelings of helplessness, with symptoms that disrupt daily life. This lack of control over certain thoughts and behaviors can be disheartening when standard treatments such as therapy and medication aren’t producing effective results. TMS (which stands for transcranial magnetic stimulation) is a promising treatment that can help people with OCD regain some control in their lives.
More than 2 million Americans are diagnosed with OCD each year. This mental health condition triggers obsessions, which are irrational fears or thoughts. As the obsessions take hold in the mind, they can lead to compulsive, repetitive behaviors that are employed in an effort to reduce the anxiety behind the troubling thoughts.
The obsessions and compulsions may manifest in several different ways. These can include:
Obsession: A need for order
Compulsion: A constant drive to reorganize objects or place them “just so”
Obsession: Anxious thoughts of danger or harm to self or others
Compulsion: Avoiding situations that may pose a threat, even if the threat is irrational
Obsession: Fear of contamination by dirt, germs, blood or other foreign substance
Compulsion: Excessive hand washing or house cleaning
Scientific research hasn’t pinpointed a particular cause of OCD. It’s thought that certain risk factors contribute to OCD, such as traumatic events or associated mental health issues, including anxiety or depression. But one thing that is known is that the brain plays a significant role.
The brain has an intricate neural network that allows different parts of the brain to communicate with each other. With OCD, particular areas of the brain experience a marked increase in neural activity, which is called hyperconnectivity. This intense, elevated state of communication can trigger the fear and anxiety that lead to obsessions and compulsions.
Standard OCD treatments address the brain’s role in this mental health condition. They include a form of therapy called exposure and response prevention (ERP). In ERP, a therapist guides a patient through systematic exposure to situations involving the obsessions, so the patient gradually learns how to cope and lessen their fears. Antidepressant medications called selective serotonin reuptake inhibitors (SSRIs) are another type of standard OCD treatment. Examples of SSRI medications for OCD include sertraline (Zoloft) and fluoxetine (Prozac).
The value of TMS treatment for OCD is that it focuses on those areas of hyperconnectivity in the brain. Plus, it doesn’t carry the risk of side effects that come with medications. Many people turn to TMS for OCD treatment as a next step after medication or cognitive behavioral therapy.
TMS was FDA cleared to treat depression in 2008. However, it wasn’t until 2018 that the FDA cleared it for use in OCD treatment.
TMS is a non-invasive treatment, and it’s tailored to each patient’s unique anatomical brain structure. Patients are comfortably seated throughout a treatment session and can relax and watch TV, read or listen to music. The pulses typically aren’t painful; patients may feel a tapping sensation on their scalp during treatment. There’s no anesthesia required for TMS treatment, which means there’s no downtime—patients can drive themselves home after treatment and they can resume their normal schedule. This makes it easy to fit TMS treatment for OCD into anyone’s schedule.
Results are different for everyone, depending on their symptoms and the severity of the OCD. TMS may be especially effective for people who haven’t found the success they want with standard treatments.
Using TMS treatment for OCD is still relatively new but shows promising results. It’s an exciting field ripe for more research. Greenbrook TMS offers patients expertise in TMS treatment for OCD as well as depression. Our team of Patient Consultants and psychiatrists can develop a treatment plan to help you. Schedule your free consultation with us today.
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NeuroStar Adult Indications for Use
The NeuroStar Advanced Therapy System is indicated for the treatment of depressive episodes and for decreasing anxiety symptoms for those who may exhibit comorbid anxiety symptoms in adult patients suffering from Major Depressive Disorder (MDD) and who failed to achieve satisfactory improvement from previous antidepressant medication treatment in the current episode.
The NeuroStar Advanced Therapy System is intended to be used as an adjunct for the treatment of adult patients suffering from Obsessive-Compulsive Disorder (OCD).
NeuroStar Adolescent Indications for Use
NeuroStar Advanced Therapy is indicated as an adjunct for the treatment of Major Depressive Disorder (MDD) in adolescent patients (15-21).
Important Safety Information
NeuroStar Advanced Therapy is only available by prescription. A doctor can help decide if NeuroStar Advanced Therapy is right for you. Patients’ results may vary.
The most common side effect is pain or discomfort at or near the treatment site. These events are transient; they occur during the TMS treatment course and do not occur for most patients after the first week of treatment. There is a rare risk of seizure associated with the use of TMS therapy (<0.1% per patient).
Visit neurostar.com for full safety and prescribing information.
Important Safety Information
What is the most important information I should know about SPRAVATO®?
SPRAVATO® can cause serious side effects, including:
Do not take SPRAVATO® if you:
If you are not sure if you have any of the above conditions, talk to your healthcare provider before taking SPRAVATO®.
Before you take SPRAVATO®, tell your healthcare provider about all of your medical conditions, including if you:
Tell your healthcare provider about all the medicines that you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. Taking SPRAVATO® with certain medicine may cause side effects.
Especially tell your healthcare provider if you take central nervous system (CNS) depressants, psychostimulants, or monoamine oxidase inhibitors (MAOIs) medicine. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.
How will I take SPRAVATO®?
What should I avoid while taking SPRAVATO®?
Do not drive, operate machinery, or do anything where you need to be completely alert after taking SPRAVATO®. Do not take part in these activities until the next day following a restful sleep. See “What is the most important information I should know about SPRAVATO®?”
What are the possible side effects of SPRAVATO®?
SPRAVATO® may cause serious side effects including:
See “What is the most important information I should know about SPRAVATO®?”
Increased blood pressure. SPRAVATO® can cause a temporary increase in your blood pressure that may last for about 4 hours after taking a dose. Your healthcare provider will check your blood pressure before taking SPRAVATO® and for at least 2 hours after you take SPRAVATO®. Tell your healthcare provider right away if you get chest pain, shortness of breath, sudden severe headache, change in vision, or seizures after taking SPRAVATO®.
Problems with thinking clearly. Tell your healthcare provider if you have problems thinking or remembering.
Bladder problems. Tell your healthcare provider if you develop trouble urinating, such as a frequent or urgent need to urinate, pain when urinating, or urinating frequently at night.
The most common side effects of SPRAVATO® include:
If these common side effects occur, they usually happen right after taking SPRAVATO® and go away the same day.
These are not all the possible side effects of SPRAVATO®.
Call your doctor for medical advice about side effects. You may report side effects to Johnson & Johnson at 1-800-526-7736, or to the FDA at 1-800-FDA-1088.
What is SPRAVATO® (esketamine) CIII nasal spray?
SPRAVATO® is a prescription medicine used:
SPRAVATO® is not for use as a medicine to prevent or relieve pain (anesthetic). It is not known if SPRAVATO® is safe or effective as an anesthetic medicine.
It is not known if SPRAVATO® is safe and effective for use in preventing suicide or in reducing suicidal thoughts or actions. SPRAVATO® is not for use in place of hospitalization if your healthcare provider determines that hospitalization is needed, even if improvement is experienced after the first dose of SPRAVATO®.
It is not known if SPRAVATO® is safe and effective in children.
Please see full Prescribing Information, including Boxed WARNINGS, and Medication Guide for SPRAVATO® and discuss any questions you may have with your healthcare provider.
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