Presented for Accelerated TMS therapy for MDD over the left DLPFC and GAD over the right DLPFC (Patel protocol) – 50 sessions of high-frequency TMS (iTBS) over the L DLPFC for MDD and 50 sessions of cTBS over the R DLPFC for GAD in 5 days (20 sessions/day for 5 days)i. Reported slight “TMS dip” with worsening of mood on day 2 (33% can experience dip by day 2) ii. Day 3: at midday, she was reporting less fatigue and improvements in mood by at least 50% with reduced depressed mood and anxiety; mother also reported noting significant changes starting to emerge.
iii. Day 4: continued noting improvements in mood with no fatigue and somnolence as she was experiencing prior to starting treatment.
iv. Day 5: reported feeling extremely well with smiling and reporting not feeling depressed and mother also concurring with the same level of observed improvement.
Final PHQ-9 after 5 days of treatment: 2
Final GAD-7 after 5 days of treatment: 5
Patient Health Questionnaire #9
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