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Psychotherapy: 112b- Neuromodulation

Psychology11 CardsCreated about 2 months ago

This flashcard set reviews the clinical uses of neuromodulation techniques, highlighting transcranial magnetic stimulation (TMS) for treatment-resistant depression, electroconvulsive therapy (ECT) for catatonia and severe or refractory mood and psychotic disorders, and notes that ECT and deep brain stimulation (DBS) are seizure-inducing. It also touches on research applications of TMS in brain mapping and cortical studies.

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What are the indications for transcranial magnetic stimulation?

  • Depression in pts who have failed at least 1 medication
    FDA approved

Nonclinical (research) uses to measure cortical excitability, circuits and connectivity, and for brain mapping

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Key Terms

Term
Definition

What are the indications for transcranial magnetic stimulation?

  • Depression in pts who have failed at least 1 medication
    FDA approved

Which types of neuromodulation are seizure-inducing?

Electroconvulsive therapy

Deep brain stimulation

What are the indications for electroconvulsive therapy?

  • 1st line for:
    Catatonia

    • Se...

Which type of neuromodulation therapy is surgical?

Deep brain stimulation

(Vs. ECT and TMS which are non-invasive, although ECT does requi...

Which type of neuromodulation is invasive?

Deep brain stimulation

List 2 advantages of TMS over ECT

  • No memory/cognitive side effects

  • No general anethesia required for TMS...

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Psychotherapy: 112b- Neuromodulation
TermDefinition

What are the indications for transcranial magnetic stimulation?

  • Depression in pts who have failed at least 1 medication
    FDA approved

Nonclinical (research) uses to measure cortical excitability, circuits and connectivity, and for brain mapping

Which types of neuromodulation are seizure-inducing?

Electroconvulsive therapy

Deep brain stimulation

What are the indications for electroconvulsive therapy?

  • 1st line for:
    Catatonia

    • Severe suicidality

    • Severe psychiatric disorders in pregnancy (if medication cannot be tolerated

  • 2nd or 3rd line treatment for refractory:
    MDD

    • Bipolar disorder

    • Schizophrenia, schizoaffective disorder

    • Parkinson’s

    • Epilepsy

Which type of neuromodulation therapy is surgical?

Deep brain stimulation

(Vs. ECT and TMS which are non-invasive, although ECT does require anesthesia)

Which type of neuromodulation is invasive?

Deep brain stimulation

List 2 advantages of TMS over ECT

  • No memory/cognitive side effects

  • No general anethesia required for TMS

List some possible side effects of ECT

  • Post-ictal confusion

  • Anterograde and/or retrograde memory dysfunction

  • Headache, muscle ache, nausea/vomiting

Electroconvulsive therapy is [more/less] focal than transcranial magnetic stimulation

Electroconvulsive therapy is less focal than transcranial magnetic stimulation

Why is ECT underutilized?

  • Stigma

  • Not widely available

  • Expensive

[Electroconvulsive therapy/transcranial magnetic resonance] requires anesthesia

Electroconvulsive therapy requires anesthesia

What are the indications for Deep Brain Stimulation?

  • Essential tremor

  • Parkinson’s disease

  • Dystonia

  • Depression