Number of Sessions & Pulses Required for Optimal Results of rTMS – Dr. Martjin Arns

Posted on February 20, 2019

Dr Sanil Rege, Consultant Psychiatrist and Founder of Psych Scene and Psych Scene Hub speaks to Dr. Martijn Arns, Chief Scientific Adviser, neuroCare Group; Founding Director & Senior Researcher at Research Institute Brainclinics.

Author Quote

As far as ceiling effects [are concerned], we do systematically assess the response of treatment every 5th session using the BDI, or any other rating scale could do as well, and that’s really helpful in order to inform a patient if they are responding or not, and also to make decisions to stop treatment.

Take Home Messages:

  • Known side effects of rTMS include muscle tension headache and a theoretical risk of seizure
  • Patients with a history of epilepsy are not considered suitable candidates for rTMS treatment
  • 2-3 sessions per week are considered a minimum with repeated administration after one week are required for a neuroplastic effect


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