What is rTMS?
Repetitive Transcranial Magnetic Stimulation (rTMS) treatment is approved by NICE (National Institute for Health Care and Excellence 2015) as a particularly powerful method of treatment for depression. It is non-invasive as it does not involve any anaesthesia, surgery or oral medication.
rTMS involves placing a treatment coil on the skull next to the area of the brain most associated with controlling the medical or psychiatric condition being treated. Unlike electroconvulsive therapy (ECT), rTMS is painless and does not affect the whole brain. rTMS works by inducing small electrical currents in the area of brain to be treated using pulsing magnetic fields. By controlling these currents we can increase or decrease activity in the parts of the brain associated with the condition being treated. The treatment usually takes 2-6 weeks to complete with most recipients feeling a noticeable effect after 3-4 weeks.
rTMS has also seen to be effective in treating a number of other conditions including:
- Anxiety Disorder
- Cocaine Addiction
- Anorexia Nervosa
- Chronic Facial Pain
- Post-Traumatic Stress Disorder
- Obsessive Compulsive Disorder
- Depersonalisation Disorder
Please watch the video to hear Dr. Sarkhel explain more about rTMS.
Our Unique Approach to rTMS
rTMS at Living Mind, London Clinic
At Living Mind we like to take a holistic approach to health; both mental and physical. As well as practising rTMS we also offer psychiatry, mindfulness workshops, acupuncture and reflexology which can be practised alongside or after your rTMS treatment has commenced. Our patients often find that a combination of treatments is the best way to secure their recovery and prepare them for the future.
rTMS as a Treatment for Depression
rTMS is seen in the medical world as a groundbreaking drug-free treatment for depression. Many sufferers of depression turn to rTMS as they want to avoid the notable side effects of taking antidepressants. On being approved as an effective treatment for depression, NICE noted:
'The Committee noted that commentary from patients was positive and described significant benefits to their quality of life, including the advantages, for some patients, of being able to stop the use of oral antidepressant medications.'
You can read the full NICE report here
rTMS as a Treatment for Cocaine Addiction
Recent studies show that rTMS therapy is also an effective therapy for those wishing to seek treatment for cocaine addiction. One particular study (read it here) showed that out of thirteen test studies who received rTMS treatment for cocaine addiction, ten showed favourable results with reduced drug use and cravings for the drug.
Pricing for rTMS
Treatments cost £200 per session (first session lasts up to 1 hour, subsequent sessions last 30 minutes)
3-5 5 sessions are required per week
Treatment length varies between 2 - 6 weeks
See more information below on treatment length for specific disorders
Treating Depression & Mental Health Disorders
If you are interested in receiving rTMS for depression, you will need to produce a written psychological or psychiatric assessment prior to your treatment starting. This assessment can be carried out by a psychiatrist, psychologist or your GP. Once we receive your written assessment you will then need to have a free 15 minute online consultation with Dr Arghya Sarkhel to go through your assessment and ensure that rTMS is the right treatment path for you.
Alternatively we offer a full psychiatric assessment which consists of a 1 hour appointment with Dr Arghya Sarkhel and a full written report post-assessment. Priced at £400, this assessment will ascertain whether you are a suitable candidate for the treatment. If you are deemed a suitable candidate and you book in for at least one week's worth of treatments, then the cost for the initial assessment is reduced to £200.
The average time that a patient may receive rTMS treatments for depression is 3 - 4 weeks however a patient may require treatment lasting between 2 - 6 weeks as a guideline.
More Information on the Living Mind Psychiatric Assessment:
Our full psychiatric assessment consists of a comprehensive psychiatric assessment, mental state examination and formulation, followed by a full report addressed to the patient’s GP and a formal diagnosis as and when appropriate. The care plan typically includes investigations as and when appropriate, advice on medications and if needed private prescription, advice on talking therapy, lifestyle (and habits) advice relevant to the individual’s mental health, social intervention as well as highlighting benefits of any complementary therapy.
Treating Physical Disorders
If you are interested in receiving rTMS for a physical disorder such as migraines or chronic pain, a written assessment by a GP or specialist physician will be sufficient and we will not require a written psychological or psychiatric assessment. The length of treatment course required varies on a case by case basis for physical disorders and the price is £200 per session.
If you would like to know more about how rTMS can work for you or to book an appointment you can contact us here