Transcranial Magnetic Stimulation is one form of treatment used to treat patients that have been diagnosed with major depression. It is used after a patient does not respond to at least one antidepressant medication in the current episode. A session can last from thirty to sixty minutes. This type of procedure does not reach more than two inches into the brain. The process used is an electromagnetic coil that is held against the clients forehead close to an area of the brain that is considered to be involved in the mood regulation. Next short electromagnetic pulses are administered through the coil. The magnetic pulses pass through the skull, and causes small electrical currents that stimulate nerve cells. The stimulated nerve cells are in
Unlike Naomi, Eric does not respond to drug therapy. Therefore, instead of a drug therapy, Eric receives the electroconvulsive therapy (ECT) or brain stimulation often an effective treatment for patients like Eric with severe depression who does not respond to a drug therapy. By shocking the brain, the ECT manipulates the brain’s chemical imbalance produced by the social-cultural stress experience. But after eleven ECTs in a month, Eric cannot function because of the temporary side effects of memory loss and confusion affecting his concentration to play the viola and his well-being. Then after four months of receiving ECT treatment, Eric returns to normal social functioning as a musician. Six months later, Eric is still playing the viola and has had no recurrence of his
... in assisting those who care about the bipolar individual, as well as providing socialization and a means to not feel alone. Generally, as a last resort, electroconvulsive therapy, or ECT is used. An electrical current is passed through the brain. This is thought to change the brain chemistry and increase the mood. This is used only for severe depression or when symptoms are unsuccessfully treated with medications. People with Bipolar Disorder are encouraged to avoid drinking alcohol, avoid the use of street drugs or misusing prescription medications, avoid unhealthy relationships, get plenty of sleep, and exercise on a regular basis. One thing is clear. The person themselves must be active in their own well-being in order to maintain a relatively healthy and productive lifestyle. In so doing, the prognosis for someone diagnosed with Bipolar Disorder is very good.
The magnetic pulses easily pass through the skull and causes small electrical currents that stimulate nerve cells in the targeted brain region. The magnetic field that is produced lasts 100 to 200 microseconds, and the procedure is less invasive than the ECT. rTMS may increase blood flow and the metabolism of glucose in the prefrontal cortex. It like ECT can additionally be a treatment option for mania but continues to be
During the later part of the 19th century magents were used to induce neuronal activity; however, in the later part of the 20th century, Barker and his colleagues illustrated that magnetic stimulation in human motor cortexes produces depolarization of cortical areas (Eitan, & Lerer, 2006). TMS is a noninvasive therapeutic technique where an electromagnetic coil is put above the awake patient’s scalp and then magnetic pulses are moved throughout the brain (George, Lisanby, & Sackeim, 1999). The magnetic pulses and coil combine to create an electrical activity in the cortical tissue which can cause localized neuronal depolarization. Not only has TMS been the topic of many recent research studies, but deep transcranial magnetic stimulation (deepTMS) has also been researched to decipher the effectiveness for treating depression. DeepTMS is when the coils have been designed to create a more intense electrical field deep in the brain tissue. DeepTMS uses several separate points of projection around the periphery of the brain while minimizing the electrical charge to the br...
Efficacy of continuation ECT and antidepressant drugs compared to long-term antidepressants alone in depressed patients. The American Journal of Psychiatry, 157, 1960-1965. Guttmacher, L. B. (1994). Concise Guide to Psychopharmacology and Electroconvulsive Therapy.
Electroconvulsive therapy, or ECT, is a highly effective yet controversial psychiatric method that involves sending electric shockwaves into the brain to cure various mental ailments. Because the populace is not typically educated by psychiatrists on techniques such as ECT, their knowledge comes from inaccurate, and mostly negative, descriptions in the media dictated by non-psychiatrists. Additionally, many patient families are skeptical of ECT because it is not common practice to allow non-medical staff in the therapy room. Furthermore, some psychiatrists perceive this treatment as callous because it is occasionally used without the consent of a patient, should they not be mentally stable. Moreover, because of strong public opposition, ECT
Parkinson’s) with excellent success. The scope of indications for deep brain stimulation is increasing and now includes a variety of movement disorders, pain syndromes, epilepsy, and also psychiatric diseases (e.g. OCD)” [Marko]. Currently, deep brain stimulators are the leading implant for patients with different diseases, and they will be able to cover a wider range of disease and disorders in the future. Deep brain stimulation involves implanting a brain pacemaker into the brain. The pacemaker, also called a pulse generator, can then stimulate parts of the brain which relieves the patient from symptoms of the disease. Deep brain stimulators use the electrode in the pacemaker to send electrical pulses to parts of the brain. These pulses stimulate cells in the brain, which reduce symptoms for diseases. Stimulating the brain does work and it has worked for thousands of patients, however, scientists are not fully certain why this technology works for the brain. The performance and understanding of deep brain stimulators will improve as more data is collected through research and existing patient records.
Several strides have been made in the medical field in regards to electroconvulsive therapy. The treatment is defined as “a medical procedure in which a brief electrical stimulus is used to induce a cerebral seizure under controlled conditions” (Enns, Reiss & Chan, 2010). It is used for a handful of mental illnesses, such as major depressive disorder, bipolar disorder, and schizophrenia, but when it was introduced in 1938 by Ugo Cerletti and Lucio Bin, its main use was to treat schizophrenia (Enns, Reiss & Chan, 2010). ECT can indeed be effective for schizophrenia, but the best results are when the “… duration of [the] illness is relatively brief or when catatonic or affective symptoms are prominent” (Enns, Reiss & Chan, 2010). Unlike schizophrenia, the best results from ECT have come from treatments with patients who have been diagnosed with major depressive disorder and alternative methods are no longer working...
The treatment involved passing electrical currents through the brain which would trigger a small seizure and ease the symptoms of certain mental illnesses, however the procedure was used without anesthesia and caused the patient to jerk uncontrollably, this treatment would sometimes result in fractures, memory loss, and other side effects. The treatment is still used today, although with much weaker currents and anesthesia. Another popular treatment used in the asylums was the injection of insulin into a patient to induce a coma. This treatment was thought to reset an individual’s brain and bring them back to “normal”, however, insulin coma therapy proved to be not very effective and was phased out in the 1960s. One of the most inhumane treatments for the mentally ill was the lobotomy, or the prefrontal leucotomy. This surgical procedure involved opening a hole in the head to sever nerve pathways in the prefrontal cortex. The lobotomy was performed at least 15,000 times in Britain before being phased out in the late 1950s. Another type of brain surgery discussed in the film, was one done on patient, Maggi Chapman, who underwent a surgery in which an electrode was attached to a part of her brain and then turned on to fry that part of the brain. Maggi goes on to describe how the next few years she felt like a zombie and had a difficult time going through life (BBC,
Throughout history, treatments for Parkinson's disease have been informed by the technology available at the time. Ablation was widespread until medicines that provided superior effectiveness were discovered. Deep brain stimulation -not a new technology when it came into use as a PD treatment in the 1990s, but one whose potential had not been realized -provided further improvements, allowing for treatment when medications ceased to work. Deep brain stimulation allowed for a very powerful tool in the treatment of Parkinson's disease, but not one that was without risks. As our understanding of the brain becomes more sophisticated, the mechanisms by which deep brain stimulation works are becoming more clear, allowing it to be used more effectively, with fewer side effects, and with less risk of harm to the patient during surgery and after.
Probably one of the largest contemporary trends in the therapeutic world is the use of magnetic therapy. However, it is also one of the least researched modalities, and has very little sound explanation for it's effectiveness. Winning over its clientele with testimonials by everyone from doctors to elite athletes, magnets are making a place for themselves in the health and therapeutic fields. This is accomplished by utilizing many different marketing strategies and very little research. "The trend is so lucrative, athletes are adding brand-name magnets to their list of endorsements" (Ruibal, p. 3C).
Winncott, M., and Laleh, B. 1989 The Phases of Development in TA therapy, New York, Guildford.
Most of the noninvasive imaging methods estimate brain activity by changes in blood flow, oxygen consumption, glucose utilization, etc. Discuss the potential problems with using this type of indirect measure.
As the human body goes through different experiences, the brain grows, develops, and changes according to the environmental situations it has been exposed to. Some of these factors include drugs, stress, hormones, diets, and sensory stimuli. [1] Neuroplasticity can be defined as the ability of the nervous system to respond to natural and abnormal stimuli experienced by the human body. The nervous system then reorganizes the brain’s structure and changes some of its function to theoretically repair itself by forming new neurons. [2] Neuroplasticity can occur during and in response to many different situations that occur throughout life. Some examples of these situations are learning, diseases, and going through therapy after an injury.
Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive and relatively painless tool that has been used to study various cognitive functions as well as to understand the brain–behavior relationship in normal individuals as well as in those with various neuropsychiatric disorders. It has also been used as a therapeutic tool in various neuropsychiatric disorders because of its ability to specifically modulate distinct brain areas. Studies have shown that repeated stimulation at low frequency produces long-lasting inhibition, which is called as long-term depression, whereas repeated high-frequency stimulation can produce excitation through long-term potentiation. This paper reviews the current status of rTMS as an investigative and