Our Experience Contemporary Care. 15 Valley Drive, Suite 304 Greenwich, CT 06831. 100+ Patients 19 Currently in TMS Treatment. 36 Old Kings Highway South Darien, CT 06820 (203) 321-5063. Patient Outcomes N=100. 10%. 51%. **Indicates 81% Response Rate. -60 Patients remitted
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15 Valley Drive, Suite 304
Greenwich, CT 06831
36 Old Kings Highway
South Darien, CT 06820
**Indicates 81% Response Rate
-60 Patients remitted
-30 Patients improved
-10 Patients had no response
Patient is a 24 year old male student at Columbia University treated for severe medication resistant depression. After 6 weeks of high frequency rTMS, his Hamilton score improved from a 36 to a 3 indicating full remission.
Patient is a 25 year old female nursing student with medication resistant depression, anxiety, and suicidal ideation. Her Hamilton score improved from a 46 to a 0. The patient continues to be in remission 4 months after completion.
Hymen et al., 2006; Vandershuren and Kalivas et al., 2000; Wolf et al., 2004; Keck et al., 2002; Kano et al., 2004.
Slotema et al., 2010
Moderate effects (p<0.001) for hallucinations
Slotema et al., 2010)
This is a 52 year old women who was diagnosed with Schizoaffective Disorder. She experienced daily auditory hallucinations (AH) telling her to kill herself and other people, which ended up in a number of hospitalizations. Just 6 weeks after bilateral rTMS the patient's Hamilton score improved from a 24 to a 0 and her AH completely disappeared. Due to this result, and a re-analysis of the patient's symptoms, the patient was re-diagnosed with Severe Depression with psychotic features. She continues to be in remission to date, five months after she has completed TMS.
Cost: $500 for treatment planning and
$300-$500 per treatment session
Course: Five sessions a week for 4-6 weeks for a total of 24-30 sessions
Total cost: $8,000 - $14,000
Only covers treatment refractory unipolar depression.
Almost never provides preapproval
Most commercial plans that are not self-pay reimburse 80-100% of costs after the 3rd appeal, which occurs 2-6 months after TMS completion
Medicare may cover about 50%^ of costs about 50% of the time.
Brunoni et al 2009