Clinic: New Depression Treatment Now Being Offered to The Woodlands, TX Residents by Dr. Sheri Gaines

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Research-supported, second-line treatment available in The Woodlands for those still struggling with mood disorder symptoms after receiving pharmaceutical treatment.

The ADD Wellness Group in The Woodlands, TX joins a small group of facilities in the Houston area to offer TMS, overseen directly by psychiatrist Dr. Sheri Gaines, MD.

NeuroStar TMS Therapy is cleared by the U.S. Food and Drug Administration (FDA) for the treatment of patients with depression who have failed to achieve satisfactory improvement from prior antidepressant medication.

TMS Therapy may be right for you if:

Your depression is only partially better with medications and you still cannot enjoy life.
You experience medication side effects (weight gain, dry mouth, sexual dysfunction) that are not acceptable to you.
You have multiple medical problems and there is a concern about drug-drug interactions.
You have undergone bariatric surgery, so absorption of medications might be a concern.
You have postpartum depression and/or are breast-feeding.
You are on multiple medications for your depression and the monthly cost of your medications exceeds $200 a month.Youhave considered ECT (electroconvulsive therapy).
You simply do not like to take medications.

NeuroStar TMS Therapy should not be used (is contraindicated) in patients with implanted metallic devices or non-removable metallic objects in or around the head. NeuroStar TMS Therapy should be used with caution in patients with implanted devices that are controlled by physiological signals. This includes pacemakers and implantable cardioverter defibrillators (ICDs). It should be used in caution with patients using wearable cardioverter defibrillators.
In clinical trials, patients received NeuroStar TMS Therapy 5 times per week for 37 minutes sessions over 4-6 weeks.

Patients treated with NeuroStar TMS Therapy should receive treatment for a minimum of four weeks with additional treatments based on clinical judgment.

Consultation

The first step in the TMS treatment process is determining whether or not TMS is an appropriate treatment for you. This is done in a consultation with Dr. Gaines, who will review your symptoms, treatment history, and possible treatment options. When you contact the Texas TMS Center, our staff will schedule this evaluation, which will last about an hour.
Your first treatment session

If TMS is right for you, an initial treatment session will be scheduled. At this first visit, which may last over an hour, Dr. Gaines will determine the appropriate placement and energy settings of the NeuroStar treatment coil. Placement of the treatment coil and the strength of the magnetic field are important factors in successful TMS treatment. In order to do this, a test is done to determine what is called the motor threshold. A magnetic pulse will be repeatedly given to find the strength that is just enough to result in a movement of your right hand. From there, the coil is moved forward to a specific area over the left frontal lobe, and the energy levels on the NeuroStar TMS machine are increased.

Procedure

The actual treatment session lasts 37 and one half minutes. As you sit reclined, awake and alert, the NeuroStar TMS System delivers 40 rapid MRI strength magnetic pulses over 4 seconds. The pulses make a loud clicking sound, and ear protection or ear plugs are required. The pulses feel like a tapping on the scalp but without the sensation of anything touching the skin. The same 4 second sequence is repeated 75 times every thirty seconds. During the session you can watch television, listen to music, or simply sit back and relax.
After the procedure

After the treatment, you can drive and resume your normal day. TMS is non-invasive, meaning it does not involve surgery, and also non-systemic, meaning no drugs are used, and therefore no drug side effects. Typical TMS side effects are irritation or discomfort at the treatment site, or headache, and are usually mild.

Treatment sessions are then repeated by our trained TMS staff each day using the settings initially determined by Dr. Gaines. A usual course of treatment involves sessions 5 days a week for 4 to 6 weeks, although this can vary depending on a patient's response to treatment. A tapering set of treatments is sometimes used to to allow the brain to take over its role after intermittent sessions. As you progress through your therapy, Dr. Gaines, and the TMS staff will regularly assess your progress and determine the eventual number of treatments.

For more information of to schedule an initial consultation, contact: cs(at)addwoodlands(dot)com, or call 281-528-4226.

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Adrienne Langelier
ADD Wellness Group of The Woodlands
(830) 237-4822
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