当基于药物的治疗方法depression不起作用，医生可以规定其他治疗方案，例如重复的经颅磁刺激（RTMS）。
This therapy involves using magnetic pulses to target specific areas of the brain. People have been using it since 1985 to relieve the intense sadness and feelings of hopelessness that can come with depression.
如果您或亲人尝试过几种抑郁症治疗方法，而不会成功，RTMS可能是一种选择。
The FDA approved rTMS to treat severe depression when other treatments (like medications and psychotherapy) haven’t achieved enough effect.
Sometimes, doctors may combine rTMS with traditional treatments, includingantidepressants。
You may benefit the most from rTMS if you meet the following criteria:
- 您已经尝试了其他抑郁处理方法，例如至少一种抗抑郁药，无需成功。
- 你的手术不够健康electroconvulsive therapy (ECT)。如果您有癫痫发作的历史或无法忍受良好的程序，这是真的。
- 您目前尚未与物质或酒精使用问题挣扎。
If these sound like you, you may wish to talk to your doctor about rTMS. It’s important to note that rTMS isn’t a first line treatment, so you’ll have to try other things first.
This is a noninvasive procedure that usually takes between
Here’s what you can expect at a typical rTMS treatment session:
- 在医生靠近您的头部附近的特殊电磁线圈，您将坐或斜倚，特别是调节心情的大脑区域。
- The coil generates magnetic pulses to your brain. The sensation isn’t painful, but it may feel like knocking or tapping on the head.
- 这些脉冲在神经细胞中产生电流。
- You can resume your regular activities (including driving) after rTMS.
它认为这些电流以复杂的方式刺激脑细胞，这可以减少抑郁症。有些医生可以将线圈放在大脑的不同区域。
Pain isn’t usually a side effect of rTMS, but some people report mild discomfort with the procedure. The electromagnetic pulses can cause muscles in the face to tighten or tingle.
该过程与轻度至中等副作用有关，包括：
- 灯头的感觉
- 由于有时响亮的磁铁噪音，临时听力问题
- mild headaches
- 刺痛在脸上，下巴或头皮
虽然罕见，RTMS确实具有缉获的危险风险。
医生可以提供几种可能有助于治疗抑郁症的脑刺激疗法。而rtms是一个，另一个是electroconvulsive therapy (ECT)。
等涉及把电极放在战略领域of the brain and generating an electric current that essentially causes a seizure to occur in the brain.
Doctors perform the procedure under general anesthesia, which means you’re asleep and unaware of your surroundings. Doctors also give you a muscle relaxant, which keeps you from shaking during the stimulation portion of the treatment.
This differs from rTMS because people receiving rTMS don’t have to receive sedation medications, which can reduce the risks for potential side effects.
两者之间的其他关键差异之一是针对大脑的某些区域的能力。
When the rTMS coil is held over a certain area of the brain, the impulses travel only to that part of the brain. ECT doesn’t target specific areas.
虽然医生使用RTMS和ECT治疗抑郁症，但ECT通常保留用于治疗严重和潜在的危及生命的抑郁症。
Other conditions and symptoms doctors may use ECT to treat include:
虽然RTM没有很多副作用，但仍有一些人不应该得到它。如果您在头部或颈部的某个地方植入或嵌入或嵌入其中的金属，则不是候选人。
不应该获得RTM的人的例子包括：
- aneurysm clips or coils
- bullet fragments or shrapnel near the head
- 心脏起搏器或可植入的心脏过热器除颤器（ICD）
- facial tattoos that have magnetic ink or ink that’s sensitive to magnets
- implanted stimulators
- metal implants in the ears or eyes
- 颈部或大脑的支架
A doctor should conduct a thorough examination and take a medical history before using the therapy. It’s really important to disclose any of these potential risk factors to keep you safe.
虽然RTMS已经存在超过30年，但抑郁症治疗场景仍然是相当新的。因此，没有像其他抑郁症治疗一样大的研究体系。这意味着保险公司可能不会涵盖rtms治疗。
大多数医生都建议您联系您的保险公司，以了解是否涵盖了RTMS治疗。答案可能取决于您的健康和保险单。有时，您的保险公司可能无法涵盖所有费用，但至少支付一部分。
虽然治疗成本可能因位置而异，但平均成本可能是
Medicare typically reimburses rTMS at an average of
Another study suggests that a person may pay between $6,000 and $12,000 annually for rTMS treatments. While this price tag may seem high when considering a year at a time, the treatment may be cost effective when compared with using other depression treatments that don’t work well.
一些医院，医生办公室和医疗保健设施为那些无法支付全部金额的人提供付款计划或折扣计划。
Doctors will create an individual prescription for a person when it comes to treatment. However, most people will go to treatment sessions that last anywhere from 30 to 60 minutes about 5 times a week.
治疗持续时间通常持续4至6周。根据个人的回应，这个周数可能短或更长。
A number of research trials and clinical reviews have been written on rTMS. Some of the results include:
- A2018 study发现通过增加他们的Theta和alpha脑力活动来回应RTM的人更有可能改善他们的情绪。这个小型人类研究可以帮助预测谁可能对RTMS最响应。
- A
2019年共识建议书 发现治疗适合那些抑郁症的人medication resistantand who also have significant anxiety. - A
2015 critical review found rTMS in combination with ECT could minimize the number of needed ECT sessions and allow a person to get maintenance treatments with rTMS after an initial round of ECT treatment. This combination approach could help to reduce the adverse effects of ECT. - A
2019 literature review found rTMS is effective for treatment after one medication trial has worked well in treating major depressive disorder.
现在正在进行的许多研究都有研究人员检查RTMS的长期影响，并找出了什么类型的症状对治疗的回应。