A lot of people walk through life battling depression on their own. Some people can hide their depression concealing behind their “happy face” facade, which only makes symptoms worse. People with hidden depression don’t want to admit the severity of their state of mind. They believe their depressive feelings will just go away on their own. In rare cases, it might work. But for most people, depression will drag them deeper into a realm of sadness and loneliness.
Depression often goes undiagnosed, unrecognized, and unseen. According to a study, at least 1 out of 20 Americans suffers from depressive symptoms with the highest rate of incidence being in people from 40 to 59 years of age.
Society often prevents us from talking more about our true feelings. Many of us were brought up not to talk about our emotions, and sometimes it is considered taboo to even mention ongoing, uncontrolled depression. People suffering from hidden depression are expected to deal with their state of mind in a way that it doesn’t make them visible. It just takes a closer look or few minutes of observation to actually see what these people are trying to hide. If you or a loved one has these signs, you should seek depression treatment through TMS or some other means as soon as you can.
Signs of Hidden Depression
Hiding Behind a Smile
People dealing with depression force a happy face and always make excuses when someone noticed their change of behavior. It is important to know that the mental disorder is more than just a mood or phase. Sometimes they appear seemingly happy around their loved ones. It is like a mask that they wear from time to time, but it will eventually slip. Even for a brief moment, you can notice their loneliness when the conversation suddenly stops, or when they are being too honest. If it did, they will always find a quick excuse and readily available stories behind it. They always make excuses not to hang out, go out for a quick lunch or even spend some time.
Unusual Eating and Sleeping Habits
Sleeping pattern is a good indication of both good physical and mental health. When a person changed the way they sleep, most of the time it’s a sign that something is amiss. If a person sleeps for too long, or can’t sleep at all, it may be a sign of hidden depression.
Many turn to food or alcohol addiction to suppress their depressive feelings. Binge eating and/or overeating can make a depressed person feel full. They turn to food to feel good from inside and to feed their emotions. While alcohol can help them forget about their feelings of loneliness and sadness because of its intoxicating effect. In few cases, they may turn to abusing drugs, and the euphoric feeling it produces makes them feel happy. Sometimes they turn the other way – losing all interest in eating, drinking, and spending time with any family activities that they previously enjoyed.
Suicide Talk & Attempts and Joking About Death
A person who frequently mentions death or suicidal attempts is one of the most dangerous signs of severe depression. When someone suffers severely depressed suicidal thoughts and death become prominent. They lose interest in all facets of life, from eating, drinking, and getting out of bed seems a daunting task.
Concentration and Memory Problems
Depression affects an area of the brain associated with the cognitive function. Trouble concentrating, thinking and forgetfulness are symptoms of depression. People suffering from depression have these issues which can add up to their difficulties they need to face every day.
People hiding their depressive feelings feel emotions more intensely than most people. They are easily get carried away while watching a film or break out crying during a particularly sad scene. Others get angered easily about anything, a crying baby or when someone cuts their line in traffic. In keeping their depressive feelings in a box, other feelings leak out more easily. Increased irritability or anger all of the time is a red flag of hidden depression.
Quick to Physical Exhaustion or Pain
A study shows that 50% of people suffering from depression across the globe reported having unexplained physical pain like back pains, headaches, stomach pains, and neck pains. Depression can literally hurt without a valid medical condition. Also, they get more easily exhausted from the relatively simple task. A person with severe depression find it difficult to just get out of bed, they seem to lose interest in their surroundings. They also have trouble finding enough strength to participate in normal activities.
Because of people with depression lose their interest in life, they also become less optimistic. They find it hard to get motivated, psychologists called this phenomenon as “depressive realism”. In a study based on Moore & Fresco published in 2012, “Non-depressed people believed they performed better on laboratory tasks than they actually did, compared to people with depression”. As depressed seeps in, they are less positive about the things that can give them more.
Depression is a very serious matter, it is important to seek help at once to have a better chance of recovery. As bad as the situation may seem, depression is treatable with transcranial magnetic stimulation and therapies. If any of your loved ones are showing signs of hidden depression in North Beach, get them the help they deserve and contact us right if you have any questions.
What is TMS?
Transcranial magnetic stimulation or TMS is a non-invasive medical treatment that uses a magnetic field to stimulate nerve cells in the brain mainly for depression. However, recent studies show that TMS can cure a variety of mental disorders including addiction.
How does it work?
In this procedure, the electromagnetic coil is placed on the scalp of the patient near the forehead. The electromagnet delivers a magnetic pulse to stimulate nerve cells in the brain that involves regularization of the mood control and depression. TMS activates this region of the brain to reduce the activity associated with depression. It sends stimulation effects in the part of the brain linked with treating depression and mood improvement.
Treatment of depression is through repetitive magnetic pulse called r TMS or TMS. Depression is well treatable but a lot of people failed to achieve success using conventional medical treatments and therapies. TMS, on the other hand, is an effective alternative treatment for depression with fewer or no relapse at all. Unlike the other procedures including nerve stimulation or deep brain stimulation, TMS is a non-invasive and non-systemic treatment. As a non-systemic procedure, it does not cause any side effects of seizures or any sedation with anesthesia.
Patients with melancholic depression can also benefit from TMS. There are several studies suggesting on how to use TMS on specific disorders. Multicenter studies on efficacy for 6 weeks will test whether a longer period of stimulation is more effective in a controlled setting. While another research shows that a right-sided stimulation is more effective.
What to expect in a TMS session?
This medical procedure uses an electromagnetic coil extends with a high-intensity current that turned on and off in the coil through the discharge of a capacitor. This is a time-varying a magnetic field which lasts for about 100 – 200 microseconds. The strength is about 1.5 to 2 Tesla at the surface of the coil.
Healthcare professional conducts TMS as an outpatient basis in a clinic and it requires a series of treatment sessions to become more effective and preferably within five times a week for about four to six weeks. The attending doctor will conduct the procedure in the best place. Pacing the magnet on the head and best dose of magnetic energy will be given. Upon the first session of appointment, the patient will be placed in a treatment area where there is a wearing of earplugs, an electronic coil will also be placed in the forehead and switches off and repeated to produce stimulating pulses.
The tapping of the sounds will last in a few seconds and then pause for a while, the feeling sensation on the forehead called mapping. Doctors will then determine the right amount of magnetic energy that patients needed.
During the actual treatment, once a coil is placed on the forehead and dose is identified, now ready to start the procedure. Once settled in a comfortable chair wearing earplugs and the magnetic coil placed, health care professionals will turn the machine on. The patients will then hear a clicking sound or feel a light tapping on their forehead. The procedure will last about 40 minutes, patients will remain wide awake and alert the entire session. Patients may feel some mild discomfort during the treatment within the first week but will ultimately subside afterward.
The preparation of TMS should always be observed before applying to patients. TMS treatment is not for everyone, although relatively safe, there are pre-medical evaluation and tests. These include the following:
- Physical examination and doing laboratory tests or any other tests required to make sure that the r TMS is safe and in normal,
- have a psychiatric assessment to evaluate the mood of depression,
- any metal or implanted medical device in the body in some patients or people with metal implant device can have the procedure and due to strong magnetic field
Furthermore, it is recommended for the following persons who have aneurysm clip or coil, stents, implanted stimulators, implanted vagus nerve or deep brain stimulators, electrodes for brain monitoring, implanted electrode device such as a pacemaker, medication pump, and bullet fragments to undergo TMS.
After TMS treatment
After treatment, normal activities or daily works are normal once the patient was treated, such as driving and working in the offices and others. May different ways to perform its techniques may vary according to the studies for more effectiveness.
TMS effectiveness in depressed patients takes about several weeks of treatment depending upon the cooperation of each patient. Symptoms will drastically improve during and even after treatments. There are no significant signs of relapse. When undergoing the procedure, it involves continuing treatment until patients are symptom-free with the hope that will prevent relapses.
Depression improves clinically proven with TMS and if there is an episode or return of symptom it can be repeated again called re-induction. All the procedures and management will become helpful for the intervention to prevent and detect the depression or any other mood disorders.
Transcranial Magnetic Stimulation or TMS sends electromagnetic currents near the frontal lobe of the brain to stimulate brain activity. The medical community had used brain stimulation for years as an effective treatment for various psychiatric disorders, especially depressive and anxiety disorders.
As a non-invasive medical procedure that uses a magnetic field to stimulate nerve cells in the brain, it remains one of the safest therapies to treat various health problems. Due to its efficiency and effectiveness, recent studies had explored other possibilities of TMS therapy to other types of health problems like addiction.
The US Food and Drug Administration of FDA approved TMS as a safe and alternative treatment for depression. Today, more scientists explore the possibility of other medical uses of TMS.
The Study Behind the Theory
The results show a promising clinical data indicating that TMS can help people recover from addiction. Neuroscientists Antonello Bonci and Billy Chen from the National Institute on Drug Abuse (NIDA) in Baltimore spearheaded a study of rats trained to uncontrollably seek out cocaine. The rats are very much addicted that they tolerate electric shocks just to get their fixes. However, when researchers stimulated the rat’s brain using TMS, the animals were able to get out of their addiction.
In a journal published in Nature, Bonci and other scientists suggested that stimulating the prefrontal cortex can help addicts end their substance abuse. TMS can effectively target that area of the brain. As a non-invasive procedure stimulating neural activity, it might help with addiction.
There are several more studies conducted each year to support TMS therapy as a safe and effective alternative treatment method for various illnesses.
During TMS procedure, an electromagnetic coil is placed on the scalp near the forehead. The electromagnet delivers a magnetic pulse to stimulate nerve cells in the brain associated with controlling mood and depression – the two main emotional factor triggering addiction.
Repeated Transcranial Magnetic Stimulation
Repeated Transcranial Magnetic Stimulation (sometimes referred to as rTMS) uses a coil that emits a magnetic wave that passes through the skull. This triggers an electrical field that can alter brain cells activity. This varies from low frequency about 1 hertz to a high frequency of 10 to 20 Hertz. Health care professionals study the strength based on the patient’s motor threshold, which is the needed amount of current that makes fingers or leg muscles move when a TMS session starts.
This procedure had been proved effective for treating depression. TMS affects the prefrontal cortex of the brain, which affects the limbic system, an area of the brain associated with addiction. Stimulating and regulating brain nerve cells in these parts can help decrease symptoms of addiction.
The subcortical generally the medial prefrontal cortex, modulates addiction but needing deeper stimulation using rTMS. Studies show that using H-coil and higher frequency stimulation with 120% motor threshold will yield better results.
According to the American Psychiatric Association, TMS show positive promise as an alternative addiction treatment.
Digging Deeper into the Brain
Still, TMS research needs to dig deeper into the brain to targets more areas of the brain. Usually, doctors use “figure 8 coil” but others use “H coil” which can reach deeper parts of the brain.
Scientists have tested the theory on nicotine dependence, one of the most studied forms of addiction. On several research studies, stimulating the dorsolateral prefrontal cortex, (DLPFC) using “figure 8 coil” eventually decreases nicotine cravings. However, other studies show that nicotine dependence was totally eliminated. In alcohol dependence, TMS used in high-frequency targeting DLPFC showed promising effect.
Different studies consistently show TMS as a safe and effective tool for addiction treatment that carries no significant side effects.
More than 14 million American adults suffer from clinical depression. According to researchers, by the year 2020, depression will be the second leading cause of disability in the world. Around two-thirds of people suffering from depression will have another episode of the illness during their lifetime. Existing treatment options often lead to severe side effects. In time these medications will lose their effectiveness in treating depression. These will eventually lead to a lack of adequate treatment options.
What is Transcranial Magnetic Stimulation or TMS?
Transcranial Magnetic Stimulation or TMS is a newly found advance treatment for resistant depression. The US Food and Drug Administration of FDA approved TMS for clinical depression that can no longer treat with previous conventional antidepressant medications and therapies. Patients who suffer from drug-resistant treatments and medications can benefit well undergoing TMS therapy.
The medical community approved TMS because of its non-invasive procedure. TMS does not require any sedation, anesthesia on its depression treatment. It’s a simple procedure which conveniently performed right inside the doctor’s office under their supervision. Patients are kept awake and fully alert during each treatment sessions.
As a non-systemic and does not include heavy doses of drugs. Also, because TMS is a non-pharmaceutical therapy, it does not entail any drugs to circulate throughout the body. Since TMS does not involve any medical procedure or drugs, it does not have side effects associated with antidepressant medications like weight gain, nausea, sleepiness, memory loss, and sexual dysfunction.
Initially, TMS was used as depression treatment but recent studies show that this procedure can also treat different brain disorders. Doctors used TMS to treat a wide range of mental disorders like generalized anxiety, obsessive-compulsive disorder (OCD), tinnitus and cognitive impairments.
Some of the benefits of TMS include:
TMS active a large area of the Prefrontal Cortex
TMS delivers highly focus magnetic field pulses to the prefrontal cortex of the brain – to stimulate the area of the brain associated with depression. The procedure produces short bursts of magnetic pulses through the scalp and it triggers the neurons locally as it targets the areas of the brain. The pulses which the TMS machine produces are similar to what the MRI imaging scan emits. As the TMS machine produces these pulses, it stimulates the deeper and broader area of the brain linked to depression.
An effective depression treatment
Many can attest to the excellent efficacy of TMS therapy. Several studies support the effectiveness of this state of the art technique. During the 4 to 8 weeks of TMS treatment phase, clinically depressed people show a promising recovery that persists into the long term. The success of TMS treatment grows steadily over the years as newer treatment parameters have been discovered along with strategic targeting in the brain’s area. Even for people who undergone electroconvulsive therapy or ECT, they show significant recovery from depression.
Shorter treatment time
The average treatment for TMS therapy lasts for about 4 to 8 weeks. During this time, patients can already notice great improvements in their overall well-being. Studies show that the improvements noted in the patient lasted for several years without any significant relapse. This saves a lot of time and money for both the providers and the patient. Compare to antidepressant medications and therapies, TMS offers a safe and effective treatment for depression.
Other Benefits of TMS
Unlike the conventional depression treatments, TMS therapy does not produce systemic side effects like sedation, nausea, weight gain, sexual dysfunction, dry mouth. There are no reports of either memory loss or inability to concentrate which are both links to antidepressants.
Several clinical trials show that TMS therapy is an effective and safe treatment for patients who do not respond to previous antidepressant medications. TMS therapy offers very few side effects which are generally well tolerated by most patients. The most common side effect of TMS includes a slight scalp irritation and mild headache during the first week of treatment but will eventually subside.
Nothing says “something is wrong with your body” like pain. This primal sensation is what has kept us alive as a species and the brain does what it can to ensure that we feel them properly. Our nerves do a great job of delivering messages to the brain to make sure we are aware that something is damaged.
That’s not always the case though. Nerve and brain damage can sometimes cause the brain to feel pain even though nothing is particularly wrong with the area. One of these cases of chronic pain is called Neuropathy.
Neuropathy and Pain
There are many cases of Neuropathy and other chronic pain issues. But the most common reason why it happens is due to nerve damage, or issues with the way the brain perceives pain. There are treatments for these, including drugs such as antidepressants, anticonvulsants, and opioid-type pain relievers. These treatments are proven to work time and time again, but like all drugs, they have their own share of issues and drawbacks. One such drawback is toxicity due to constant exposure to the drugs. There’s also nerve surgery which is effective, but is invasive and could cut a deep hole in your pocket unless you have really good insurance.
Transcranial Magnetic Stimulation: Old Tech, New Ways
Transcranial Magnetic Stimulation has been used decades ago, but not as a form of treatment. TMS was used as a way to map out brain damage and function in stroke patients and patients who suffered head trauma. Recent discoveries in brain function revealed that activating parts of your brain using electromagnetic pulses can “train” it to function better, or at least back to normal.
TMS is basically putting a magnet over your head and using that magnet. The magnet delivers electromagnetic pulses to your brain. The cells of your brain react to these electromagnetic waves. They activating them as if the brain itself commanded them to. The process harmless and adverse effects are both rare and conditional. These effects included motion sickness or chronic migraines. The procedure lasts for 30-60 minutes. These are done daily for 4-6 weeks, but some programs may differ in frequency.
Promising TMS Treatments for Chronic Pain
There are few approved TMS therapies for chronic pain. Progress is increasingly good. Clinical trials with large sample groups have shown that the therapy causes an analgesic effect that gives temporary relief from chronic pain. Further clinical trials explored different frequencies and methods on a multitude of patients. These revealed that electromagnetic stimulation not only creates an analgesic effect but also “train” parts of the brain to adjust to the pain caused by Neuropathy. This could lead to more permanent ways to reduce the pain, or even lead to curing it.
People who suffer from depression due to their chronic pain issues will find themselves relieved of the depression as well. TMS deep brain stimulation can help the brain generate dopamine. Dopamine is a neurotransmitter or brain chemical responsible for happiness. Solving depression and relieving pain using a non-invasive, non-health-detrimental procedure ought to cause a euphoria more rewarding than any drug.
Bipolar Disorder is a brain disorder that affects your mood in extreme ways. One moment you’re feeling alright, then you’re hit with an immense depression. In some cases, you feel incredibly happy, active and energetic and what’s odd is that you don’t remember when it started. Then comes this sudden tug of hopeless void, sometimes enough to make you faint on the spot.
This is not a way to live a healthy life and people with Bipolar Disorder struggle to live their everyday lives. There are effective medications to stabilize your moods, as well as psychotherapy. However, they have their setbacks such as time, costs, and physical conditions that can get in the way of medication. These were the only working methods until Transcranial Magnetic Stimulation was utilized.
TMS for Bipolar Disorder
Transcranial Magnetic Stimulation (TMS for short) is the process of placing an electromagnetic coil over your head and delivering precise electromagnetic waves to your brain. Specific parts of the brain are stimulated over a period of time, normally lasting around 10-20 minutes at a time. TMS is already a proven treatment for Severe Depression, so researchers are looking into how it affects people with Bipolar Disorder.
How TMS Works
How it works is that the coil delivers an electromagnetic wave to the brain. The affected area reacts to the waves, stimulating it. One such proof that it works is that when the magnet stimulates the motor area of the brain, the patient’s arm or leg twitches. The amount of energy delivered is not enough to harm the brain, even after repeated exposure.
The procedure is very much like physical therapy. Think of a part of your brain as an arm that hasn’t moved because it was in a cast. It’s frail and can’t bend much. In physical therapy, the therapist assists in moving the arm and making you grab objects. The same can be said for TMS therapy. The waves activate a specific part of the brain, making them “stretch and bend” like they used to. Depending on the frequency of the waves, TMS can either stimulate the part of the brain or suppress activity.
Treating Bipolar Disorder with TMS is slowly becoming a reality. Clinical trials have determined that using TMS to target areas of the prefrontal cortex show improvement in patients. To make the clinical trial more thorough, they set up two treatments. First is the sham or placebo test, literally therapy whose only purpose is to make the patient think they are getting treatment. The second is the true treatment, where the mood-center of the brain is stimulated.
Further Research Required
The end result of the clinical trials is conflicting. The placebo test yielded little improvements, which was good. On the other hand, the true treatment displayed improvement with patients. The only conflict is that the effects mostly leaned on improving the depressive effects. According to the “Hamilton Depression Rating Test”, TMS made significant improvements in the patients with Bipolar Disorder. This means though TMS has not fully treated the disorder, it made a significant improvement in their lives. It’s now just a matter of adjusting the treatment methods to further improve the results.
Autism is a complex condition in the brain which impairs communication and social interactions. It affects 1 out of 80 Americans on average, even more so when you consider the world. Autism has a lot of varied symptoms and severities that it’s called “Autism Spectrum Disorder” to help encompass all of it.
The cause of Autism is about as varied as its symptoms. In some cases, it’s caused by a faulty gene. In others, it caused by chemical imbalances or viruses during pregnancy, such as German measles. Autism is generally detectable around birth, up to the 3rd year of age. In some cases, a person may not display symptoms in the early years, only to dip in development after the 3rd year.
Today’s Autism Treatments
Treatment for Autism Spectrum Disorder is generally advanced methods of training. There are also drugs that help manage certain severities of autism like antipsychotics. Ultimately, once it’s detected, it should be given attention as soon as possible.
One problem is that for children and adolescents with severe conditions, treatment is extensive. It’s a long-term procedure that demands attention, both medical and financial. It impacts the quality of life of both the child and their parents.
There is promising hope for alternative treatment. It’s in a form of a special machine attached to an electromagnet. The procedure is called Transcranial Magnetic Stimulation, TMS for short. It uses electromagnetic waves to stimulate specific areas of the brain.
Transcranial Magnetic Stimulation Trials for Autism
The treatment is still in the experimental stage. There’s no government-approved methods yet, but clinical trials all over the world show promise. What makes transcranial magnetic stimulation a novel approach to brain treatment, is how simple the procedure is.
An 8-shaped magnet is placed on the patient’s head. Afterwards, the machine generates precise pulses of electricity that activates the electromagnet. This delivers a precise amount of electromagnetism into the brain, causing the targeted part to activate. The effect is both seen and felt during the testing and mapping phase. In this phase, the electromagnet will target the motor area of the brain, causing the hand or a foot to twitch when the magnet is activated.
How TMS Works to Treat Autism
How it works to treat Autism, is essentially the same way you learn how to do a certain task. TMS therapy will activate certain parts of the brain to “flex” them. The procedure lasts up to 6 weeks, with daily, 30-60 minute processes. With this repetitive process, the brain eventually learns to activate properly and all the parts around the area adapt accordingly. By aiming the electromagnet on the part of the brain that controls communication, it can train the area to work correctly.
Clinical trials have shown improvements in a child’s behavior. There’s improvement in social skills and hand-eye coordination, which are markers for progressive brain development. TMS therapy, combined with proper training could be the key to reversing the effects of Autism Spectrum Disorder.
It’s only a matter of time before a proper method of TMS therapy is approved. With promising results from clinical trials and the global effort of researchers, we’re one step closer to fully understanding our brain, and perhaps a cure for its many illnesses.
Transcranial Magnetic Stimulation or TMS is far from being a miracle, but the procedure has opened new ways to understand the brain. These ways are different from functional MRIs which view the activity of the brain in real time. TMS allows us to see the deeper and more subtle result of stimulating our brain cells. It allows us to identify what part of the brain does what, more accurately.
If you break the process down to its simplest steps, it’s basically putting an electromagnet on top of your head. The magnet activates in pulses using a machine that controls both the strength and the frequency. The electromagnet’s activation causes a somewhat loud “tick” sound akin to the sparks of electricity when inserting an electric plug into a socket. The machine generates high voltage bursts that deliver powerful electromagnetic waves. But despite the raw power fed to the magnets, it’s harmless to the receiver.
TMS Parts in General
There are two kinds of TMS. There’s the original TMS where there’s a large electromagnetic coil positioned on a certain part of your head to deliver single pulses. The other one is called Repetitive Transcranial Magnetic Stimulation or rTMS. It’s often a smaller pair of the electromagnet that delivers repetitive weaker bursts of electromagnetism over a period of time. Both of them have the same general parts.
The Electromagnets or Conductors
While it can be explained as simply aiming the magnets, how it actually works is a bit more complex. The magnets are composed of two coils that deliver a “beam” of electromagnetism. The two beams on their own are weak and won’t affect the brain that much. When they cross, however, the combined energy is enough to properly stimulate whichever part they land on. This is how TMS can stimulate specific parts of the brain.
The Pulse Generator
Basically, the machine that generates electricity to activate the electromagnets. The machine comes with a control panel that allows the user to alter the amount of electricity that flows to the electromagnet. They can also control the frequency of the pulses. The pulse generators are relatively large and heavy. But recent advancement in technology allowed development of smaller, semi-portable machines.
All in One TMS Machines
Since machines are getting smaller these days, so are TMS pulse generators. There are commercially released products where the magnet and the pulse generators come as one device. These relatively lightweight devices can be placed on your head to deliver pre-programmed frequencies.
The key to getting the right effect is to conduct the therapy continuously. TMS clinics offer programs that have 40-60 minute sessions every day for 5-7 days a week, lasting for 20-30 days. On average, people experience improvements in their depression and anxiety. What concerns most first-time users are the lack of sensations during the first few rounds of stimulation. Proof that it affects the brain is shown through the muscle twitches caused when the magnet is aimed at the motor part of the brain which controls your muscles. The procedure is indeed slow, which is important as so to avoid causing stress or damage.
A good number of people in the world hear sounds they shouldn’t be hearing. No, it’s nothing close to the supernatural. These people hear ringing or random sounds when there’s nothing that’s causing the noise around them.
This condition is called “Tinnitus” and it has a lot of causes. It could be due to serious issues such as brain damage and infection in the ear or could be as simple as a piece of dirt or ear wax lodged in your eardrum.
Though the causes can be identified, the mechanics behind Tinnitus is yet to be fully understood. There are cases where even if they managed to deal with the cause, the patient still hears random noises. This makes Tinnitus a symptom, rather than a condition on its own. Like a fever, you can treat it, but if you don’t deal with the actual problem, it will just keep coming back.
The most common cause of tinnitus is constant exposure to loud sound. Examples of these are constant exposure to construction noises or explosions. Construction workers and people who serve the military may be at risk of this. The cure is often to decrease the person’s exposure to loud noises. But, it doesn’t work for some people. Some people live with tinnitus for years. This can cause depression, anxiety, and concentration issues all their life.
Advancement in medical science have found a way to treat patients with long-term tinnitus. This process is through the simple use of electromagnets. The procedure is called “Transcranial Magnetic Stimulation.”
Transcranial Magnetic Stimulation Treatment for Tinnitus: How does it work?
Transcranial Magnetic Stimulation, or TMS, can be described as using a pair of electromagnets to stimulate certain parts of your brain using electromagnetism. It sounds simple, but that’s what makes it amazing. This procedure has little side-effects and shows direct results in treating Tinnitus.
During TMS therapy, the patient is sat comfortably in a chair and an operator will aim a number 8 shaped electromagnet an inch or two above the scalp. A machine connected to the electromagnet will deliver precise amounts of electricity. This causes the magnets to deliver pulses of electromagnetism.
The first step is to get you a physical and psychological exam. This is to ensure that you won’t have complications during the procedure and to understand your depression. When the physical exam checks out and the psychological evaluation is complete, you’ll be taken to the TMS clinic.
During the process, they will first “map out” the areas of your brain by activating the coil on certain areas of your head. You may feel a slight ticking in your scalp and your muscles may flinch, which is perfectly normal. When the doctor or operator has determined the right position, the machine will continue to send pulses to that specific part of the brain. I some cases, you may not feel any tapping or clicking sounds, but rest assured that the machine is doing its job.
After about 30-60 minutes of deep brain stimulation, the procedure ends for the day. Patients are highly encouraged to complete the entire procedure, lasting about 4-6 weeks to ensure that you get the best results.
The brain is perhaps the most complicated organ in the world. Millions of neurons communicating in countless ways. They work millions of times per second, all ensuring that you live longer than 2 minutes. Complicated systems also have complicated problems, which often need complicated solutions. Yet as we discover more about our brain and how we can affect it, solutions for problems such as depression, tend to get simpler.
So simple that it involves putting a magnet over your head for an hour or less, every day for a month.
What is TMS?
TMS is short for Transcranial Magnetic Stimulation. As the name states, it’s using electromagnets to stimulate areas beyond the skull, specifically, certain parts of the brain. The TMS machine consists of the electromagnetic coils that deliver the magnetic pulses and the pulse generator. This is a machine that delivers precise amounts of electric current to the magnet.
What is Depression?
It’s feeling sad, but not the everyday sadness you feel when you, for example, dropped your cold ice cream on hot, stressful day. Depression is an intense kind of sadness that can last for days, even weeks. It can affect your way of thinking, making it progressively worse. It can resolve itself into Clinical Depression, a treatable medical condition.
How Does it Work?
It works by activating a pair of electromagnetic coils about half an inch above your scalp. The two coils deliver a relatively weak pulse of electromagnetism, not enough to affect your brain in any significant way. Where the two waves meet, however, causes a significant electromagnetic effect. The effect is strong enough to make your hand or foot twitch when the coil is aimed at the motor area of the brain. Yet, weak enough that it doesn’t cause any significant damage, even after an daily, one-hour exposure over a month.
Using this targeted method, TMS can stimulate certain parts of the brain. People suffering from depression have decreased activity in certain parts of their brain. Specifically, these are the areas that create or govern the creation of Dopamine, a brain chemical that causes happiness. TMS can stimulate these areas to help restore normal function. Think of it as physical therapy on an arm or leg that has been cast for 4 months. TMS “flexes” and “massages” the problem areas, allowing these parts to work normally when they need to.
The full therapy varies depending on the severity of the depression. According to many clinical trials and anonymous patient data, 4-6 weeks of therapy caused improvements about 95% of the patients. The 5% are those unfortunate to have developed adverse effects. This is either through pre-existing conditions or could not handle the therapy due to side effects such as dizziness and nausea.
Continued therapy is encouraged well after the month-long procedure to minimize remission. Though there are still a number of patients who went into remission after stopping the procedure, TMS still holds a candle when it comes to non-invasive or drug therapies for depression.