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Psychotherapy: 112b- Neuromodulation

Psychology11 CardsCreated about 2 months ago

This flashcard set outlines key indications for transcranial magnetic stimulation (TMS) and electroconvulsive therapy (ECT). TMS is FDA-approved for depression resistant to at least one medication and also used in research settings. ECT is a seizure-inducing treatment used as first-line therapy for catatonia, severe suicidality, and certain psychiatric conditions in pregnancy, and as a later-line option for treatment-resistant mood and psychotic disorders.

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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 approve...

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