The Benefits of Transcranial Magnetic Stimulation Therapy for Persistent Symptoms

Like the heart, we must remember that the brain is both a chemically and electrically responsive organ.

For years, the best-known practice to adjust electrical signaling in the brain was electroconvulsive or “shock” therapy (ECT), which is both invasive and rather unappealing to many. However, as most people with depression are treated with medications to adjust the chemistry of the brain, what option do they have when those medications are less effective or one’s improvement is insufficient?

Transcranial Magnetic Stimulation Therapy (TMS).

What Is Transcranial Magnetic Stimulation Therapy?

According to the Industrial Psychiatry Journal, “Transcranial magnetic stimulation (TMS) is a neurophysiological procedure for noninvasive stimulation of the nervous system. It involves the application of a rapidly changing magnetic field to the superficial layers of the cerebral cortex.”

In lay person’s terms, TMS is a non-invasive procedure that uses magnetic fields to “jump-start” the neurons of the brain. Ultimately, these magnets target and focus on specific parts of the brain that control emotions and decision-making. TMS has been highly effective in helping those struggling with persistent symptoms.

What Does Transcranial Magnetic Stimulation Therapy Treat?

The Food and Drug Administration (FDA) has approved TMS for four specific conditions:

  • Major depressive disorder (MDD)
  • Obsessive-compulsive disorder (OCD)
  • Tobacco use/dependence
  • Severe migraines

Additional research shows TMS can treat substance use disorders (SUDs), bipolar disorder, eating disorders, post-traumatic stress disorder (PTSD), and even some cases of schizophrenia.

However, because it has only been fully approved for MDD and OCD, it is important to note that TMS is an appropriate option for patients who have had limited results from medication and psychotherapy. Even for MDD and OCD, it is recommended that it be used as part of a customized recovery plan.

What Are the Benefits of Transcranial Magnetic Stimulation Therapy?

Benefits include (but are not limited to):

  • A reduction in feelings of depression, loneliness, and lack of self-worth
  • In some instances, a reduction in the use of mental health-related medications
  • Improvement in challenging OCD symptoms that have been resistant to medication and psychotherapy.
  • A non-invasive treatment that can be relatively easily scheduled and administered

Compared to these upsides, the risks of TMS are minimal. They may include slight headaches, scalp discomfort, short-term facial tingling or twitching, and a low risk of seizure (less than 0.01%), which often decrease over the course of treatment.

In contrast to ECT, TMS is less intense, does not require as much medical support, and

has fewer side-effects. Moreover, for people with medication-resistant depression, it represents a very promising tool to improve difficult mood and behavioral symptoms.

Utilizing Transcranial Magnetic Stimulation Therapy Holistically

We strive to incorporate TMS with courses of Residential, Partial Hospitalization or Intensive Outpatient treatment at SunCloud Health.

In this fashion, patients may engage in daily psychotherapeutic activity while receiving TMS several times per week. Thus, a combination of dynamic, evidence-based psychotherapy and medical treatment is often the best strategy for people struggling with challenging mood or anxiety disorders.

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-Our Research Team-
Timothy D. Brewerton, MD, DLFAPA, FAED, DFAACAP, CEDS-S
Professor Emeritus of Psychiatry and Behavioral Sciences
Dr. Christopher Womack
Medical Director, Child and Adolescent Psychiatry

Dr. Christopher Womack joins SunCloud as our Medical Director, Child and Adolescent Psychiatry.

Dr. Womack is board certified in Adult as well as Child and Adolescent Psychiatry, attending the University of Chicago Pritzker School of Medicine. Adult psychiatry residency and child fellowship training were completed at the University of Chicago Medical Center.

Dr. Womack’s treatment  philosophy hinges on strength based, evidence informed care, where collaboration is central to guiding individualized treatment.  He has experience caring for children and teens from varied backgrounds, appreciating the importance of how identity can inform treatment.

Favorite pastimes are cooking new recipes and exploring Chicago’s rich cultural diversity through its neighborhood and fine dining experiences.

Elizabeth E. Sita, MD
Medical Director of Adult Services

Dr. Elizabeth E. Sita, MD, is a Board Certified psychiatrist specializing in the care of patients with eating disorders. She completed her undergraduate training at the University of Chicago and graduated with Highest Honors. She then earned her medical degree at Northwestern University Feinberg School of Medicine and was recognized with the Chairman’s Award for Excellence in Psychiatry. She subsequently completed residency with the Department of Psychiatry and Behavioral Sciences at McGaw Medical Center of Northwestern University, where she was elected Chief Resident and received the Resident Psychiatrist Leadership & Service Award.

Upon completing her training, Dr. Sita joined the staff atAscension Alexian Brothers Behavioral Health Hospital Hospital, where she served as Assistant Medical Director of the Center for Eating Disorders and Director of Transcranial Magnetic Stimulation Services before transitioning to lead the new inpatient eating disorder unit as Medical Director of Eating Disorder Services at Ascension Saint Joseph Hospital – Chicago. In these roles, she has cared for a multitude of adolescents and adults struggling with anorexia nervosa, bulimia nervosa, binge eating disorder, and other eating disorders as well as severe, cooccurring mood, trauma, personality, and substance use disorders.

Dr. Sita has been recognized throughout her training and practice for a commitment to excellence in patient care and for her ability to engage patients in their most challenging moments. Her passions include the care of treatment-resistant eating and mood disorders as well as questions of medical capacity and end-of-life decision making.

She believes that, first and foremost, human connection is key to mental health and well-being and strives to share this philosophy in each and every patient encounter. She is excited to bring her expertise to SunCloud Health as the Medical Director of Adult Services!

 

VIDEO: Meet Elizabeth E. Sita, MD, Medical Director of Adult Services

 

Lacey Lemke, PsyD
Assistant Vice President of Clinical Services

Dr. Lacey Lemke (she/her) is a licensed clinical health psychologist with specialized expertise in the treatment of eating disorders and the practice of medical and health psychology. She completed her doctoral training in clinical psychology with a Primary Care emphasis at the Adler School of Professional Psychology. Dr. Lemke went on to complete both her predoctoral clinical internship and postdoctoral fellowship through Ascension Health, where she gained advanced training working with individuals experiencing eating disorders and self-injurious behaviors, as well as within pediatric subspecialty settings including endocrinology, neurology, and adolescent medicine.

Dr. Lemke is deeply committed to providing evidence-based, compassionate care and collaborates closely with interdisciplinary teams to ensure comprehensive treatment. Her professional mission is to support patients in achieving their fullest potential by guiding them to the most appropriate level of care and empowering them to make meaningful, sustainable progress toward improved health and well-being.

VIDEO: 2. Meet Lacey Lemke, PsyD.