Mental Health

U.S. News on TMS for Depression

Great article from U.S. News on TMS Therapy as a leading form of treatment for depression

It’s been called “brain zapping” and “jumper cables for the mind.” Scientists prefer the more professional-sounding neologism electroceuticals. Whatever you call it, the interest in using electricity to treat certain types of mental disorders, including depression, is growing rapidly. That’s because numerous studies over the past several years show that it works.

The National Institute of Mental Health says conservatively that brain stimulation therapies “can play a role in treating certain mental disorders.” Brain stimulation therapies, the NIMH explains, involve activating or inhibiting the brain directly with electricity. The electricity can be given directly by electrodes implanted in the brain or noninvasively through electrodes placed on the scalp. The electricity can also be induced by using magnetic fields applied to the head. “While these types of therapies are less frequently used than medication and psychotherapies, they hold promise for treating certain mental disorders that do not respond to other treatments,” the NIMH concludes.

[Read: What’s the Connection Between Brain Inflammation and Suicidal Thoughts?]

Magnetic-field stimulation is especially useful in treating depression, its advocates say. One particularly strong advocate of this treatment is Marom Bikson, a professor of biomedical engineering at the City College of the City University of New York. “It is not mainstream yet, and most providers are not using it yet, but the ones who are really have studied it and embraced it as a good option for their patients,” Bikson says. “Some are even specializing in it.”

Magnetic Possibilities

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Is Depression a Disease?

There are two main types of magnetic therapies. The first, called repetitive transcranial magnetic stimulation, or rTMS, involves using a wand attached by cable to a wall outlet. The wand is positioned over the head and delivers magnetically generated electricity to the brain. "The magnetic field travels through the hair, skin and skull because they do not conduct electricity," says Dr. Joan A. Camprodon, director of neuropsychiatry and neuromodulation at Harvard Medical School and director of the transcranial magnetic stimulation clinical service at Massachusetts General Hospital. "When it gets to the surface of the brain it interacts with brain cells, which do conduct electricity. The brain's neurons act as a pickup coil and turn the field back into electricity, which forces the neurons to fire."

The second, called transcranial direct-current stimulation, or tDCS, is a smartphone-sized unit that contains its own 9-volt battery. Two wires with electrodes extend from the device and are placed on the head.

“Both use electricity, but the way they deliver electricity is very different,” Bikson says. rTMS produces more intense stimulation, about 200 milliamps, but over a short duration of a few seconds. The electric current coming out of a tDCS device is about 2 milliamps, which is about a tenth of the current used by a night light, but it is delivered for an extended period of time, about 20 minutes. (By way of comparison, electroconvulsive therapy uses about 800 milliamps, which is enough to cause a controlled seizure.)

Electrical stimulation works because the brain is an electrical organ, Bikson says. “The connections are electrical, and all brain function and dysfunction can be conceived of as how this electrical system functions.” Shocking the brain changes that system. “If you do it right, that can produce after effects, so when you’re done the brain has changed,” he says.

Depression, he says, is believed to be caused by electrical dysfunction of one region of the brain, known as the dorsolateral prefrontal cortex. “The notion is that that part of the brain is not as active in a depressed patient as in a healthy individual, so stimulation applies electricity to try to boost its function to behave more like a normal dorsolateral prefrontal cortex.”

[Read: How Do I Know If I Have Depression?]

Just Scratching the Surface

In 2008, the Food and Drug Administration approved rTMS as a treatment for major depression for patients who do not respond to at least one antidepressant medication in the current episode. A large clinical trial, funded by NIMH and published in 2010, found that 14 percent of depression patients achieved remission with rTMS compared to 5 percent with a placebo treatment. Camprodon adds that about 70 percent of those who improve with treatment are still better a year later.

 

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A Patient's Guide to Depression

Know the basics on symptoms, diagnosis and treatment to help as you battle the condition.

Its counterpart, tDCS, has not been approved yet by the FDA. It is a newer technology, discovered only around 2000, Bikson says. “The overall consensus is that it shows promise for depression, but it has not yet had the multicenter trials that would get it FDA approval,” he says. If and when it is, it has the potential to be prescribed as an at-home treatment, whereas TMS will likely remain based in a clinical setting, Camprodon says.

[Read: What High-Tech Tools Are Available to Fight Depression?]

Electrical stimulation is not a first-line treatment option. But for those suffering major depression, it can be a life-saver when nothing else helps, Bikson believes. “Something that can transform the life of one person is in a sense revolutionary. There is strong evidence that, for some individuals who failed to respond to everything else, stimulation doesn’t necessarily cure them but it puts them on a path toward healing and rebuilding their life. Because of that I am really enthusiastic. It is not for everyone, it is not going to replace drug therapy, but in my mind it could be as big as drug therapy.”

Bikson sees great strides being made in the coming years. “We are at baby aspirin levels of dosage and flip-phone levels of technology,” he says. “We have not even scratched the surface. We haven’t seen anything yet in the potential of electroceuticals.”

Former NFL Player on Opioids, Addiciton & Depression

Really great open discussion from former NFL players on opioids, addiction, depression, and alternative forms of care like medical marijuana.  Huge endorsement for alternative care! If only they knew about TMS Therapy...

 

Check out the full video below!

TMS Therapy for Addiction

Check out some great brain imaging as it relates to the circuitry of addiction: 

via National Geographic

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National Geographic magazine did a recent cover story on 'How Science Is Unlocking the Secrets of Addiction' in its September 2017 issue. It is a very interesting article and discusses how clinical neuroscientists analyze brain imaging to specifically target faulty reward circuits when someone is dealing with addiction. The coolest part about this mainstream public service announcement is that it focused on TMS Therapy as the treatment that can best help correct this 'highjacking of neural pathways'.

TMS Therapy is still considered off-label when it comes to treating substance abuse, but as this article indicates, it can be a highly effective form of care. At The HH, we often will target the underlying depression that is inherent with many post-detox addiction cases and have additional off-label protocols available as well to focus more heavily on treating the brain's dopamine receptors specifically. Fascinating stuff and a great spotlight on what is becoming proven alternative care for the disease of addiction ️

10 Tidbits of Wisdom from Mahatma Gandhi

The Man, The Myth, The Legend!

Wellness Wednesday: Wellness Guidelines for Pain

New non-drug guidelines have been released by The American College of Physicians for chronic or recurring back pain. And they include a lot of regular wellness care services!

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The Listed Procedures Include...

 ✔️  Superficial Heat

✔️  Massage, Acupuntcure & Chiropractic

✔️  Stretching & Yoga

✔️  Cognitive Behavioral Therapy

✔️  Fitness & Exercise

And more! 

[B]oth mindfulness-based stress reduction and cognitive behavioral therapy proved more effective than “usual care” in relieving chronic low back pain and improving patients’ function.
— Dr. Daniel Cherkin (Lead Researcher, Kaiser Permanente Washington)

It is amazing how quick our medical culture is to prescribe pain meds or to recommend surgery for pain.  Both forms of treatment have their place and can offer symptom relief or help correct a problem, but we often forget to consider the natural remedies available for pain because we are instead blinded by the prospect of a 'quick fix'. Just remember, pain meds (Opioids in particular) can be the root of additional ailments like addiction and depression. This is why it is so great to see treatment guidelines for pain shifting towards what has been considered alternative care in the past.  Just because it is alternative does not mean that it's not proven or that it's not scientific... You are your own greatest Health advocate!.


Sources: 

Brody, J. E. (2017, September 11). Alternatives to Drugs for Treating Pain. Retrieved October 10, 2017, from https://www.nytimes.com/2017/09/11/well/alternatives-to-drugs-for-treating-pain.html

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TBT: The Fight Against Opioids

In 2015, 15,000 people were reported to have lost their lives due to prescription opioids overdose.

 

⇰ A petition has been filed to ban daily-dose prescriptions that are above 90 milligrams of morphine

⇰ The CDC reported that high-level doses do not improve pain control or the ability to function

⇰Opana ER has been pulled from the market this past July after an HIV and hepatitis C outbreak. 

President Trump is now declaring that opioid abuse is a national epidemic.  There will be a ton of fall out around the decisions made on how to fix this problem, but hopefully we can arrive at better and more holistic treatment options.  Remember, TMS Therapy is a proven and more effective alternative to pharmaceuticals! 

(Even though it is still only FDA Approved for MDD)


Sources: 

Ban high-dose opioid painkillers, groups urge FDA. (2017, August 31). Retrieved September 13, 2017, from https://www.today.com/health/groups-urge-fda-ban-high-dose-opioid-painkillers-t115800

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Wellness Wednesday: Stress

high levels of stress can cause health problems, but stress can have a positive impact on your health as well. 

😯 

How to Use Stress to Your Advantage?

☑️  See stress as your body's way of preparing you to excel

☑️  Gradual exposure to small stressors can serve as a great foundation for handling life's bigger stressors which are inevitable

☑️  Regular exercise is very effective in reducing the irritability that comes with stress

The best way to manage stress isn’t to reduce or avoid it, but rather to rethink and even embrace it.
— Dr. McGonigal, Author of “The Upside of Stress"

Turning stress into an indicator for when to take Action or using it as a motivator to make necessary changes can be life-altering.


Sources:

Parker-Pope, T. (n.d.). How to Be Better at Stress. Retrieved September 05, 2017, from https://www.nytimes.com/guides/well/how-to-deal-with-stress

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TBT: pH & Panic Disorders?

 Is your body's pH contributing to panic attacks?

⭕️  Research at the University of Cincinnati has found a correlation between acidosis, an excessively acid condition of the body's fluids or tissues, and panic attacks. 

⭕️  Gene-8 (TDAG8) receptors are associated with T-cell death, and an increasing presence of these receptors correlates to more severe panic attacks.

⭕️  Further research is needed to determine how the presence of these receptors is influenced by genetics versus environmental factors.

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Reducing acidity in the body is proven to reduce inflammation and to improve the overall health of the human body.  Good to know that better balanced alkalinity might be experienced as more immediate relief from the symptoms of anxiety. 


Sources:

Nauert, R. (2017, August 25). Progress Toward Identifying Biological Source for Panic Disorder. Retrieved August 29, 2017, from https://psychcentral.com/news/2017/08/25/progress-toward-identifying-biological-source-for-panic-disorder

https://www.google.com/search?as_st=y&tbm=isch&hl=en&as_q=background&as_epq=&as_oq=&as_eq=&cr=&as_sitesearch=&safe=images&tbs=sur:fc#imgrc=jxJV6aWJqmbUFM:

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Wellness Wednesday: How to talk to your child about disasters like Harvey

 ⇰  Consider your child's age. 

⇰  Ask your child what they have already heard about the incident

⇰  Listen, be honest, and focus on the fundamentals of the events☂️

⇰  Reassure them by saying things like, “It is ok if this bothers you; we are here to support each other.”

⇰  Maintain routine to provide normalcy for your child

⇰  Spend extra time together and encourage your child to express his or her feelings around the experience and appropriate exposure

Lend a hand to those affected!

Our thoughts and prayers with everyone in Houston


Sources:

Crist, C. (2017, August 09). Pediatricians offer strategies for talking to kids about bad news. Retrieved August 29, 2017, from https://www.reuters.com/article/us-children-communication-idUSKBN1AP2HV

Moreno MA. How to Talk to Your Children About Tragedies in the News. JAMA Pediatr. Published online August 07, 2017. doi:10.1001/jamapediatrics.2017.2351

https://www.google.com/search?as_st=y&tbm=isch&hl=en&as_q=red+cross&as_epq=&as_oq=&as_eq=&cr=&as_sitesearch=&safe=images&tbs=sur:fmc#imgrc=W07gt9fSZDsJEM:

 

Anxiety is the Worst

A heartfelt account of how crippling anxiety can be for someone who deals with it regularly

Video by Ton Mazzone

TBT: The Nun Study

In 1986, Professor David Snowden started studying the onset of Alzheimer's among 678 nuns. 


While the study is still in progress, his work has indicated that there are certain lifetime behaviors and/or tendencies that can influence the onset of Alzheimers later in life.

 

Autobiographies with "Idea density" and a positive outlook

Dr. Snowden believes that idea density and positivity have something to do with Alzheimer's prevention.  This ongoing longitudinal study focuses on an ideal population in terms of a uniform lifestyle amongst its subjects (the nuns). And because lifetime journaling is regular for nuns, Dr. Snowden has been able to use journal entries from early adulthood as a reference to identify things like idea density (complexity, vivacity, fluency, etc.) and positive thinking. What he continues to find is that these two variables are key indicators in determining which subjects developed Alzheimer's later in life. In fact, roughly 80% of the nuns identified as lacking linguistic density and positive thinking went on to develop Alzheimer's later in life, compared to only 10% amongst those not lacking. Confirmation bias could certainly be at play, but these figures definitely give legitimacy to how reinforcing neural pathways can preserve the function of the human brain.  Some nuns are even calling for further structural analysis of the brain...

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“Through brain donation, we can help unravel the mysteries of Alzheimer’s disease"

- Sister R. Schwalbe

 

The nun study might be creating More questions than it is answers, but it is building a strong case for keeping the brain active.  It's good to know there there are behaviors to work towards that can better create longevity and overall mental capacity.


Sources:

Belluck, P. (2001, May 06). Nuns Offer Clues to Alzheimer's and Aging. Retrieved August 23, 2017, from http://www.nytimes.com/2001/05/07/us/nuns-offer-clues-to-alzheimer-s-and-aging.html

[Ethan Rozin]. (2006, Dec. 28). nun study video. [Video File]. Retrieved from https://www.youtube.com/watch?v=nw2lafKIEio. 

R. (2012, April 26). Aging with Grace. Retrieved August 23, 2017, from https://robinmd.wordpress.com/2012/04/26/aging-with-grace/

https://www.amazon.com/Aging-Grace-Teaches-Healthier-Meaningful/dp/0553380923

HH Services: Tips on Finding the Right Therapist for You

Our wounds are often the openings into the best and most beautiful part of us.
— David Richo

1. Ask friends and family for referrals. 

2. Find out what type of therapy is right for you (unconscious motivation, cognitive therapist, family-oriented systems, etc.)

3. Shop online or call a practice to see what their counseling philosophies are all about.

4. Pick a therapist based on the quality of the therapeutic relationship and then create a regular relationship that is convenient to you, not the other way around.

5. Notice how you feel while talking to them, but understand that it is normal to feel nervous and awkward the first time when speaking with a licensed counselor.  Remember, everything is confidential by law!

 

At The Healing House, we like coupling our counseling care with Biosound Therapy to reinforce breathwork with biofeedback and to visualize mindfulness with fun games or brain wave imaging.  

The first session is always at a discounted rate so that a proper therapeutic relationship can be established :)

Call 407-701-4500 for more!


Sources:

Cleantis, T. (2011, February 16). How to Find the Best Therapist for You. Retrieved August 21, 2017, from https://www.psychologytoday.com/blog/freudian-sip/201102/how-find-the-best-therapist-you

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TBT: Exposure Therapy through Virtual Reality

➲  Exposure Therapy is a technique used in which patients mentally revisit a traumatic experience or a phobia with the emotional guidance of a therapist. 

➲  The company Limbix is working to fully engage patients during Exposure Therapy by utilizing Google Virtual Reality Goggles and a smartphone. 

➲ Limbix will not only be used to help individuals with a fear of heights, flying, or bridges, but it will also be used to help coach individual through a particular traumatic event by them back to the location of the event through virtual reality. 

The prospect of combining psychotherapy and virtual reality is a real game changer.  Exciting things to come!


Sources:

[Limbix, Inc.]. (2017, Jun. 15) Limbix: Modern Therapy Tools. [Video File]. Retrieved from https://www.youtube.com/watch?v=0tsNE6cSbMg

Metz, C. (2017, July 30). A New Way for Therapists to Get Inside Heads: Virtual Reality. Retrieved August 09, 2017, from https://www.nytimes.com/2017/07/30/technology/virtual-reality-limbix-mental-health.html

https://www.flickr.com/photos/nanpalmero/16237219524

HH Services: Improving Confidence with Body Language

Don’t fake it till you make it. Fake it till you become.
— Amy Cuddy, Harvard Psychology Professor

 ✔️ Smiling to feel happier or dressing up for an interview to be on top of your game actually work!

 ✔️ Practice Mindfulness by staying in the moment and knowing nothing is perfect.

 ✔️ Use body language to your advantage! Standing tall like Super Woman will cause your brain to release chemicals that increase and stabilize your confidence. 

Really cool stuff that you can let your body trick your mind into feeling more confident.


Sources:

Kaplan, E. (2017, April 07). How to Replace Your Self-Doubt With Unshakeable Confidence. Retrieved August 08, 2017, from https://journal.thriveglobal.com/how-to-replace-your-self-doubt-with-unshakable-confidence-fc9bf59615c5

[Ted]. (2012, Oct. 1). Your body language may shape who you are | Amy Cuddy. [Video File]. Retrieved from https://www.youtube.com/watch?v=Ks-_Mh1QhMc

https://www.flickr.com/photos/frederickhomesforsale/16241388115

HH Services: Are You Approaching Gratitude the Right Way?

Is there a problem with how we are perceiving gratitude? John Monterosso, Associate Professor of Psychology & Neuroscience at the University of Southern California and the author of "The Trouble With Gratitude" says that people can achieve better sustained gratitude by working on their very perception of it.

Monterosso claims that sustained gratitude's best sources are ultimately: 

1) focusing on interpersonal relationships and

2) a Mindful awareness of the moment

We regularly focus on identifying sources of gratitude in our Counseling and Biofeedback services at The HH.  And our providers will tell you that it's almost equally important to learn how to forgive yourself for 'not feeling grateful enough', which is another point that this article touched on.  Apparently practicing gratitude, like anything else, can be a process.   


Sources: 

Monterosso, J. (2017, July 21). A Psychology and Neuroscience Professor Explains What We Get Wrong About Gratitude. Retrieved July 31, 2017, from https://www.thriveglobal.com/stories/10813-the-trouble-with-gratitude

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TBT: Heads Together

William, Catherine, and I started this campaign because we saw that fear of judgment, stigma, and outdated prejudice meant that too many people stayed quiet about their mental health challenges. I’ve seen the threat these fear and stigma imposes on my work with veterans and my former army friends.
— Prince Harry of Wales, Co-Found of Heads Together

  📌  Duke and Duchess William and Kate, as well as Prince Harry, found a common thread of mental health as the challenge behind numerous problems in society.  

📌   The Heads Together campaign is working with charities to break the stigma and provide help for individuals dealing with mental illnesses. 

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Click the button below to read more about Heads Together and how you can get involved!

Great to see big names getting involved with mental health awareness!


Sources:

About Heads Together. (n.d.). Retirved July 10, 2017, from https://www.headstogether.org.uk/about-heads-together/

Patrons_heads_together [Photograph found in Royal Foundation]. (n.d.). Retrieved July 10, 2017, from http://www.royalfoundation.com/heads-together-duke-duchess-cambridge-prince-harry-working-eliminate-stigma-around-mental-health/

[Heads Together]. (2017, Feb. 21). Heads Together | Prince Harry's speech at Heads Together Training Day in Newcastle. [Video File]. Retrieved from https://www.youtube.com/watch?v=gUL9tmPZ8XI&t=1s

[Heads Together]. (2017, Apr. 21). Catherine, William + Harry | Heads Together| #oktosay. [Video File]. Retrived from https://www.youtube.com/watch?v=45RqUmxDXiY

 

HH Services: 3000 Pulses Later with Martha Rhodes

It’s almost like the reinvention of Martha. And that’s a great feeling.
— Martha Rhodes, Author of 3000 Pulses Later

 ▪️  In 2009 Martha Rhodes discovered TMS Therapy as a treatment option for depression.

 ▪️  After going through 6 weeks of treatment, Rhodes was able to successfully achieve full remission from what had been a very treatment-resistant case of Major Depressive Disorder prior to that.

 ▪️ In her autobiography, 3000 Pulses Later, Rhodes talks about her experience before and after completing TMS Therapy and specifically about her remarkable turnaround as a result of this treatment.

3,000 pulses to the left prefrontal cortex is the best treatment going for depression.  Double the effectiveness of any antidepressant on the market with no side effects other than mild scalp discomfort!  Plus, you can stay on the meds that work well for you.  We are grateful for champions of this therapy like Martha!


Sources:

[Emory University]. (2016, Jan. 6). OTT: TMS - Depression, TMS & Emory. [Video File] Retrieved from https://www.youtube.com/watch?v=Z6NG3DvcZGI

Martha Rhodes; a TMS Success Story | Part I. (2013, April 05). Retrieved July 24, 2017, from http://tmsneuro.com/depression-treatments/martha-rhodes-a-tms-success-story-part-i/

https://pixabay.com/en/photos/nature/

TBT: 13 Reasons Why

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→   The Netflix original series, "13 Reasons Why" has become the most tweeted about show in 2017. 

→   The drama-mystery series based on the novel by Jay Asher focuses on the story of a teen who commits suicide. 

→   The number of teens and young children that have been hospitalized for suicidal thoughts and actions has doubled in the past decade. Naturally, parents are concerned about how this series may affect its viewers, an already vulnerable population.  

Harvard Health has written an article on 5 recommended topics to cover with your child if they are watching "13 Reasons Why". 

Harvard Health's Physician Editor is being proactive with proper mental health education that counters how this series is potentially normalizing depression for teens.  Make sure to check it out!


Sources:

McCarthy, M. C. (2017, May 03). 5 things to tell your child about 13 Reasons Why. Retrieved July 16, 2017, from http://www.health.harvard.edu/blog/5-things-tell-child-13-reasons-2017050211695

Peterson, K. (2017, May 08). The controversy behind Netflix's teen-suicide drama '13 Reasons Why' - and why it's hitting close to home. Retrieved July 17, 2017, from http://www.sandiegouniontribune.com/entertainment/tv/sd-me-thirteen-reasons-20170508-story.html

Scutti, S. (2017, May 05). 'Alarming' rise in children hospitalized with suicidal thoughts or actions. Retrieved July 17, 2017, from http://www.cnn.com/2017/05/05/health/children-teens-suicide-study/index.html

Wellness Wednesday: Should Days Off for Mental Health Count as Sick Days?

I wasn’t expecting the exposure, but I am so glad I was able to have such a positive impact on so many people.
— Ben Congelton, CEO of Olark Live Chat

😷 😷 😷

🔅  1 in 6 Americans are medicated for mental health.

🔅  The CEO of Olark Live Chat encourages his employees to take sick days not only for physical illnesses but also for mental illnesses. 

🔅  Without a healthy mind, workers are not able to perform to their full capabilities. 

It's always tricky balancing the burden of life's inevitable expenses and proper self care.  But sometimes you have to put your own gas mask on first to ensure that you are able to maintain career challenges.


Sources:

P. (2017, July 10). A Boss' Response to an Employee Taking a Mental Health Day Is Going Viral. Retrieved July 16, 2017, from https://www.attn.com/stories/18200/how-email-helping-break-mental-health-stigma?utm_source=facebook&utm_medium=post&utm_campaign=internal

Miller, S. G. (2016, December 13). 1 in 6 Americans Takes a Psychiatric Drug. Retrieved July 16, 2017, from https://www.scientificamerican.com/article/1-in-6-americans-takes-a-psychiatric-drug/

HH Services: Growth of NeuroStar

👍  Another NeuroStar success story in the testimonial below 👇

✔️  806 treatment sites currently in the USA alone 

✔️  NeuroStar can be found all over North America and has a particularly strong presence in the United States and in Japan.  There are positive growth trends internationally as the demand increases for neurostar and for TMS therapy in general now that the care benefits are better understood.  

✔️  The US has seen a 20% growth in NeuroStar systems in the past year. 

Great things are in motion with some serious momentum for NeuroStar TMS Therapy!


Sources:

NeuroStar® Advanced Therapy Depression Outcomes Registry Surpasses 500 Patient Milestone. (2017, May 22). Retrieved July 10, 2017, from http://www.wboc.com/story/35485332/neurostar-advanced-therapy-depression-outcomes-registry-surpasses-500-patient-milestone

[NeuroStar Advanced Therapy]. (2017, Apr. 19). NeuroStar - Patient Story - Kristi. [Video File]. Retrieved from https://www.youtube.com/watch?v=CVO25y55ptg

With ProvenNon-Drug Therapy. (n.d.). Retrieved July 10, 2017, from http://neurostar.com/en/