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KW Fitzpatrick's avatar

I’ve done two rounds of TMS, and, unfortunately, I don’t think it helped me. I’m curious to know more about what factors might affect efficacy. Do we know which patients do and don’t respond? The only thing I felt was heightened emotion and irritability for a couple hours, which I was told was a good sign, but nothing ever came of it. Do we know whether that effect is actually a correlate with remission? The only paper I’ve found on this particular effect left me skeptical.

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Owen Scott Muir, M.D, DFAACAP's avatar

So, targeting matters, brain plasticity matters, and both are addressable. Hard to tell "generally" but these are the kind of questions we get all the time in clinical consults.

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KW Fitzpatrick's avatar

Can you say more about whether one might be able to estimate their response? Are there key indicators to look out for that things are going well, or, conversely, that remission isn’t likely? I know it works for a lot of people, so I’m just very curious about why it might not work.

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Owen Scott Muir, M.D, DFAACAP's avatar

For any individual person, no, I would need to see the patient.

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