25-year-old male presented with a history of severe, treatment-resistant MDD, GAD, chronic PTSD, eating disorder, poor sleep, substance use disorder with alcohol, ADHD, and possible Type I Bipolar disorder
Not a candidate for traditional TMS secondary to possible Type I Bipolar disorder and high risk of precipitating a manic episode with traditional TMS therapy; does not take any medications
Initial PHQ-9: 22 (severe depression)
Initial GAD-7: 16 (moderate anxiety)
Initiated MeRT on 6/22/23
,Follow-up visit 5 weeks after initiating therapy (7/27/23)i. Reported no issues with MeRT therapy and no symptoms of depression, no anxiety, no nightmares, and sleeping very well.
He has not had alcohol or marijuana in 4 weeks and no cravings vi. better focus and concentration.
He feels significantly better and very happy.
No manic episodes with MeRT
Final PHQ-9 after 6 weeks of MeRT: 0
Final GAD-7 after 6 weeks of MeRT: 5
Patient Health Questionnaire #9
The initial EEG on 6/13/23 was before initiation of MeRT therapy showing significant slowing and low voltage activity in all areas of the brain.
The 2nd EEG demonstrated increasing brain frequency at ~11 Hz with the activity becoming stronger in all areas.
The final EEG was on the last day of treatment demonstrating significantly increased brain activity in all areas of the brain at 11 Hz (goal) and an example of what normal brain activity without depression, anxiety, etc. should look like.