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

Posted on: February 20, 2019
Last Updated: 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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