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The ESP Coordinating Center (ESP CC) is responding to a request from the Center for Compassionate Care Innovation for an evidence brief on the use of transcranial magnetic stimulation (TMS) for the treatment of mental and physical health diagnoses (not including major depressive disorder). Findings from this evidence brief will be used to inform a VHA pilot program to provide access to TMS for Veterans suffering from chronic pain, post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), opioid addiction, or sexual trauma as required by HR 1162, "No Hero Left Untreated Act".

Transcranial Magnetic Stimulation.

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Edited by clinicians who were involved with transcranial magnetic stimulation (TMS) from the beginning, Transcranial Magnetic Stimulation: Clinical Applications for Psychiatric Practice offers everything the mental health practitioner needs to know about this innovative and well-established treatment. It is increasingly clear that different combinations of biological, neurobehavioral, and symptomatic factors contribute to the problem of'treatment resistance'in psychiatric disorders. Fortunately, a number of neuromodulation approaches, including TMS, are providing more options for clinicians to combat psychiatric problems. However, guidance about how to identify patients who are good candidates for TMS and how to comanage them during treatment is scarce because instruction on this modality has yet to be integrated into most psychiatry residencies. Thus, this text fills a great need, providing clinicians with an evidence-based foundation for the efficacy and safety of TMS.Despite the rapid growth of this innovative option, many practitioners are unclear about how best to utilize TMS. The book addresses these clinical concerns systematically and thoroughly: • Clinical vignettes illustrate how to identify appropriate patients for referral to a TMS clinician.• Discussions of treatment resistance, psychiatric and medical comorbidities, and preparation of the patient for TMS are included.• Because TMS is likely to be used concurrently with other treatments, the book explains how to best integrate this modality with psychotherapy, pharmacotherapy, and other forms of neuromodulation to improve outcomes.• In-depth coverage is provided on how to coordinate efforts between the primary treatment and TMS teams to assure the best outcomes during acute, continuation, and maintenance treatment.• Chapters provide a review of topic-specific literature, as well as clinical vignettes that highlight how to integrate TMS into patient care. • Key clinical points summarize the optimal clinical application of TMS for the general mental health provider.• The evolving nature of TMS research, such as the ongoing development of this and related technologies, as well as its expanding use as a potential treatment for other clinical neuropsychiatric conditions, is also addressed. Transcranial Magnetic Stimulation: Clinical Applications for Psychiatric Practice guides the general psychiatrist and mental health clinician on how to integrate this treatment modality into their practice by presenting an update on the current clinical role of TMS and a road map to its potential future.

Magnetic brain stimulation. --- Magnetic stimulation of the brain --- Transcranial magnetic stimulation --- Brain stimulation --- Evoked potentials (Electrophysiology) --- Transcranial Magnetic Stimulation --- Depressive Disorder --- Transcranial Magnetic Stimulation, Paired Pulse --- Transcranial Magnetic Stimulation, Repetitive --- Transcranial Magnetic Stimulation, Single Pulse --- Magnetic Stimulation, Transcranial --- Magnetic Stimulations, Transcranial --- Stimulation, Transcranial Magnetic --- Stimulations, Transcranial Magnetic --- Transcranial Magnetic Stimulations --- Magnetoencephalography --- Transcranial Direct Current Stimulation --- therapy

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Despite increased knowledge, and more sophisticated experimental and modelling approaches, fundamental questions remain about how electricity can interact with ongoing brain function in information processing or as a medical intervention. Specifically, what biophysical and network mechanisms allow for weak electric fields to strongly influence neuronal activity and function? How can strong and weak fields induce meaningful changes in CNS function? How do abnormal endogenous electric fields contribute to pathophysiology? Topics included in the review range from the role of field effects in cortical oscillations, transcranial electrical stimulation, deep brain stimulation, modelling of field effects, and the role of field effects in neurological diseases such as epilepsy, hemifacial spasm, trigeminal neuralgia, and multiple sclerosis. The format of each (<1000 word) mini-review will begin by posing a question, problem, or challenge. The author(s) will provide a brief review of the literature and introduce essential concepts. Data regarding the outstanding question is presented, analysed, and issues of contention discussed thoroughly. The author should offer the reader an answer to the posed question if possible, and offer suggestions for future experiments to address outstanding issues.

Neurology --- Medicine --- Health & Biological Sciences --- Transcranial Magnetic Stimulation --- ephaptic --- Systems neuroscience --- brain oscillation --- transcranial direct current stimulation (tDCS) --- stimulation

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Brain stimulation --- Therapeutic use. --- Intracranial stimulation --- Stimulation of the brain --- Brain --- Neural stimulation --- Localization of functions --- Mental Disorders --- Brain Diseases --- Electric Stimulation Therapy. --- Transcranial Magnetic Stimulation. --- therapy. --- Transcranial Magnetic Stimulation, Paired Pulse --- Transcranial Magnetic Stimulation, Repetitive --- Transcranial Magnetic Stimulation, Single Pulse --- Magnetic Stimulation, Transcranial --- Magnetic Stimulations, Transcranial --- Stimulation, Transcranial Magnetic --- Stimulations, Transcranial Magnetic --- Transcranial Magnetic Stimulations --- Magnetoencephalography --- Transcranial Direct Current Stimulation --- Electrical Stimulation Therapy --- Interferential Current Electrotherapy --- Therapeutic Electric Stimulation --- Therapeutic Electrical Stimulation --- Therapy, Electric Stimulation --- Electrotherapy --- Electric Stimulation, Therapeutic --- Electrical Stimulation, Therapeutic --- Electrotherapy, Interferential Current --- Stimulation Therapy, Electric --- Stimulation Therapy, Electrical --- Stimulation, Therapeutic Electric --- Stimulation, Therapeutic Electrical --- Therapy, Electrical Stimulation --- Electricity --- Magnetic Field Therapy --- therapeutic use

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This book is a comprehensive reference on therapeutic repetitive transcranial magnetic stimulation (rTMS) that documents the current status in the field. While introductory chapters cover the neurophysiology of rTMS and present imaging information about its mechanisms of action, the main focus of the book is the clinical applications of rTMS that have been tested to date. These include treatment of paresis, aphasia, and visual neglect in stroke patients, therapy for motor impairment in Parkinson’s disease, and applications for tinnitus and neuropathic pain. Based on the available clinical evidence (RCTs, meta-analyses, and systematic reviews), combined with the personal experience of experts in the field, a clinically oriented best evidence synthesis is provided for each therapeutic application, together with a clear description of rTMS algorithms that generate clinical benefits in the target domain. Clinicians and researchers are thereby informed about the state of the art in terms of both the evidence base for therapeutic rTMS and practical issues in its application. A further feature is the presentation of a theoretical model of therapeutic action for each therapeutic target, and a concluding chapter describes a general concept of therapeutic applications of rTMS in neurology and associated fields. Therapeutic rTMS in Neurology will be invaluable for clinicians and researchers in neurology and related fields, inc luding neurologists, physiatrists, and ENT and pain specialists.

Neurology --- Medicine --- Health & Biological Sciences --- Magnetic brain stimulation. --- Magnetic stimulation of the brain --- Transcranial magnetic stimulation --- Brain stimulation --- Evoked potentials (Electrophysiology) --- Neurology. --- Nervous system --- Neuropsychiatry --- Diseases --- Neurology .