Dr Rustin Berlow discusses the mechanism of action behind TMS and its current understanding in the brain stimulation research community: mycloudtms.com
I participated in a clinical trial for rTMS at the black dog institute is Australia about 10 years ago, for treatment resistant anxiety and depression. During the treatment regime I described to the neurologist, at length and unprompted, changes to my metacognition that I was perceiving in almost real-time. This description correlates with my experience remarkably well.
Today is 2024/08/09 and my birthday, this is last session of my internship in TMS and TDCS , I'm psychology student and this opportunity is priceless for me to be aware of such instruments
I bought a fisher Wallace home device. I've had it for less than two weeks. Last night was my first night I slept without any assistance medically. Which is ground breaking to me. I have a history that stretches as far back as 13 years. It's a miracle!! I do it twice a day at home.
I've been subject of a test with TMS. I never quite knew exactly what was wrong with me. All I know is that right after the first session with TMS I felt I could understand how people manage to stay motivated and going through their daily routines. I could almost derive pleasure from activities. But the truth is, that at least for me, I could only feel it for the first two weeks (the regimen they were testing was a 50hrtz, 30 pulses 10 min every day for 4 weeks). It really improved my focus and helped me feel things very positively. But it passed. I would really love to have that fortitude of mind.
So the DLPFC is usually the area that is stimulated in TMS for depression because in many ways it's the highest part of the brain. It's the part that decides how to respond to information coming in. It has the cells that respond to what just happened, and that trigger what action to take. It's hypothesized that psychiatric patients have a lack of DLPFC activity; a lack of conginitive control. To much rumination, negative thinking etc.
What's confusing is that they don't know why it works. That's scary to me. I want to know why, or at least a general idea of why it works. Also I want to know, if it works on helping depression and can create such a big difference, then what "other" big differences is it making?
Like anything related to the phenomenon of consciousness, there is no exact way of knowing. Only experimenting. I have been through one of the possible regimens and I can say to you that it really something in me (it unfortunately lasted very shortly) but it helped me understand that I'm not as simple as I would like to be. We are all complex organisms.
Why and how it works are explained in these videos IMHO TMS->increased Left DLpfc Activity, that improves Executive function and cognitive control. This network is the Attention/Executive network, one of the major large scale cortical networks. Standard opinion is that DLPFC Inhibits Subgenual Cortex (Brodmann area 25) which is active during sadness. (See Drevets et al)
a lot of psychiatry is like this, someone did something in an experiment at one point, maybe expecting some result, said oh it does this as well? We can use it to treat that, (viagra for example). So not knowing why it works or did what it did actually makes scientists want to research and suddenly they have break throughs on how the brain works even more.
Dr Rustin Burlow Can TMS cure depression caused by electrocution. ? I have had debilitating insomnia triggered by sleep onset myoclonus for the last 11 years since 2010 and have been on different meds . This treatment does not work well, so in desperation to rid my insomnia I used a device (Fisher Walace stimulator) at home that passes a 2 amperes current for 20minutes (did 10 in 5 days sessions total 200 minutes of stimulation) from electrodes placed on both sides of the head to improve /erase insomnia , but there was no improvement (insomnia). Instead it triggered adverse symptoms of depression , tinnitus, nerve pains, nerves transmitting wrong messages (e.g today if i listen to white Noice (e.g rain sounds) to calm my mind trying to sleep, instead i experience pains at the bottom of both my feet , AND a strong nervousness feeling in my head and along my spin. Also when i eat something or take anything including medications i experience SRANGELY enough pains under both of my feet (which lasts for 15 minutes then slowly disappears) .Back on eating food normally after you swallow food you feel it down in the gut .In my case i don't feel(filling up feeling) in my gut but instead i get this feeling (filling up of food)in my spine (as if the food is going to my spine instead of stomach) a feeling that starts slowly from the bottom of the spine(tail bone) and proceeds upwards my spine. Question? On depression can TMS be used to treat depression induced by electrocution to the head as in my case? What do you think the device(mybe it was faulty or i used it wrongly) did to my brain? Do you think the 2 ampere low voltage current stimulated all parts of the brain? Actually my memory is not that good, My speech has been impaired i now sometimes stutter when i speak, i feel a tight band around my head . How can all this symptoms be reversed? In my case would TMS be better than ECT.? What should i do? Plz respond to me.I liked you presentation so much ,i would like to talk or work with you. Thanking you in advance
Had anyone completed TMS? Does sleep improve overall? I am on week 3. Any gap in treatment I struggle with sleep (Such as over the weekend in between treatments).
@Moataz Ahmed we don’t really use “permanent” or “cure” in mental health. Depression is a relapsing remitting disorder. Oncologists (cancer doctors) do the same. They would tell you “you are in remission” they would never say it’s permanent.
TMS is not usually used for seizures. But tVNS (transcutaneous Vagus Nerve Stimulation) works well and is very safe for seizures (and anxiety, headaches and insomnia)
This is mostly for Depression depending on the Anxiety, You have a better chance trying other things to help. 1. Reduce Caffeine intake/Alcohol 2. Take slow deep breath and meditate for 5 minutes then after ..go to the bathroom and Splash Really cold water on your face (Things will start to Clear up) 3. Don't Fight Anxiety, accept and ride the wave when you feel it approaching, It helps with Confusion and Panic attack 4. Exercise and Go for 30 Min walk (it boost seratonin levels) 5. Anxiety is CURABLE and TREATABLE. You must fight through it till you get the Help you Need. 👥 6. CBD is the Best Medicine that Cures Anxiety. (You won't get high from it) -When you make a habit everyday of these things you will see improvements and Re-wire your brain 👁️🗨️ I study Psychology I Hope this helps.
GiftedNoodle They are doing more research and yes it can. There are now studies being tested for Tourette's and other conditions. There are two different machines one for depression and one for OCD, anxiety, and PTSD. The different machines target different places in brain and different current level.You have to find the TMS for OCD/anxiety. My son is getting it for OCD! Tourette's, and anxiety. It is interesting because the do testing and illicit a response first and do a map so they are targeting the right spot.
I believe early versions of the equipment were based on diagnostic tools for stimulating nerve responses and mapping connectivity in the brain. Mind you, I'm possibly half remembering that info.
Correct. Its original intention was diagnostic in nature. It was studying nerve responses in the body and state changes in the brain after being stimulated via the magnetic field.
Nope, this is entirely different from electroshock therapy, as this is using a magnetic field to stimulate the brain, causing the neurones to fire chemicals, these chemicals produce a signal or current that is transferred from one nerve cell to another.
Haruodeberht K. I am a 54 year old who has been suffering from brain fog since 2018. Would this protocol help me? According to the MRI reports with contrast my brain looks normal. My doctor thinks Im just anxious🤦🏽♂️
mike gramm Really??? Seems like a light bulb is off. When did you realize that something was off? I realized that my mind became foggy one morning in October 2018, I couldn’t fully awaken. Although, I couldn’t shake this fog I reported for work. I thought my problem was from two knee surgeries I had during the prior summer months, specifically, from the anesthesia.
I wanted to say, electro shock is now called ECT, and has been developed from a torturous guessing game into a real medical treatment. Nowadays, ECT is given to people under anesthesia with very specific guidelines. It is similarly given to people with difficult-to-treat mental illnesses, etc. I hope you feel better soon!
@@altheaunertl ECT can also bring about side effects like memory loss. TMS looks like the way to go. I'm seriously considering it for anxiety, as I've seen a few videos on youtube where people have related their experiences gaining success over anxiety with TMS.
“The coil is basically a wrapping of wire” Yeah man that’s what a coil is. “It goes through the skin, scalp and skull” I didn’t know there was a difference between my skin and my scalp skin.
![Dr Rustin Berlow TMS demonstrations [CloudTMS TMS Course - Marina Del Rey 10/2018]](http://i.ytimg.com/vi/WxCunEG2oi0/mqdefault.jpg)
![Dr Rustin Berlow TMS demonstrations [CloudTMS TMS Course - Marina Del Rey 10/2018]](/img/tr.png)
I participated in a clinical trial for rTMS at the black dog institute is Australia about 10 years ago, for treatment resistant anxiety and depression. During the treatment regime I described to the neurologist, at length and unprompted, changes to my metacognition that I was perceiving in almost real-time. This description correlates with my experience remarkably well.
Was it a positive experience
Today is 2024/08/09 and my birthday, this is last session of my internship in TMS and TDCS , I'm psychology student and this opportunity is priceless for me to be aware of such instruments
I bought a fisher Wallace home device. I've had it for less than two weeks. Last night was my first night I slept without any assistance medically. Which is ground breaking to me. I have a history that stretches as far back as 13 years. It's a miracle!! I do it twice a day at home.
How can I get this device
Can it use for treatment resistance depression
What's featurings
I,ll be greatly appreciated your help
I've been subject of a test with TMS. I never quite knew exactly what was wrong with me. All I know is that right after the first session with TMS I felt I could understand how people manage to stay motivated and going through their daily routines. I could almost derive pleasure from activities. But the truth is, that at least for me, I could only feel it for the first two weeks (the regimen they were testing was a 50hrtz, 30 pulses 10 min every day for 4 weeks). It really improved my focus and helped me feel things very positively. But it passed. I would really love to have that fortitude of mind.
How much does it cost?
@@bucknastynastybuck it was free of charge for me, as it was a clinical research. But it can be quite expensive
@@alexpalomino8947 where are u located?
@@bucknastynastybuck São Paulo, Brazil
@@alexpalomino8947 ohh I'm in USA.
Happy Holidays 🙏
this is the fucking future right there
Fantastically informative video. Nuts & Bolts. I love it!
Aweosme doctor to understand this.thank you
So the DLPFC is usually the area that is stimulated in TMS for depression because in many ways it's the highest part of the brain. It's the part that decides how to respond to information coming in. It has the cells that respond to what just happened, and that trigger what action to take. It's hypothesized that psychiatric patients have a lack of DLPFC activity; a lack of conginitive control. To much rumination, negative thinking etc.
Could this lack of activity be determined by QEEG?
@@martinlutherkingjr.5582 yes, we look at left-right asymmetry
What's confusing is that they don't know why it works. That's scary to me. I want to know why, or at least a general idea of why it works. Also I want to know, if it works on helping depression and can create such a big difference, then what "other" big differences is it making?
Like anything related to the phenomenon of consciousness, there is no exact way of knowing. Only experimenting. I have been through one of the possible regimens and I can say to you that it really something in me (it unfortunately lasted very shortly) but it helped me understand that I'm not as simple as I would like to be. We are all complex organisms.
I don't think they know why any psych meds work
You'll be waiting hundreds of years for the "why" in mental health. Most treatments for mental health are not really understood.
Why and how it works are explained in these videos
IMHO TMS->increased Left DLpfc Activity, that improves Executive function and cognitive control. This network is the Attention/Executive network, one of the major large scale cortical networks.
Standard opinion is that DLPFC Inhibits Subgenual Cortex (Brodmann area 25) which is active during sadness. (See Drevets et al)
a lot of psychiatry is like this, someone did something in an experiment at one point, maybe expecting some result, said oh it does this as well? We can use it to treat that, (viagra for example). So not knowing why it works or did what it did actually makes scientists want to research and suddenly they have break throughs on how the brain works even more.
I need to level up and try to do something like this pills suck.
Big pharma sux
i am a TMS technician. i definitely recommend and have seen it work with my own eyes for a few hundred patients
@@austinchaney3041 what nero transmitters does it help with?Does it work only on certain areas of the brain or all areas?Thanks
Dr Rustin Burlow Can TMS cure depression caused by electrocution. ? I have had debilitating insomnia triggered by sleep onset myoclonus for the last 11 years since 2010 and have been on different meds . This treatment does not work well, so in desperation to rid my insomnia I used a device (Fisher Walace stimulator) at home that passes a 2 amperes current for 20minutes (did 10 in 5 days sessions total 200 minutes of stimulation) from electrodes placed on both sides of the head to improve /erase insomnia , but there was no improvement (insomnia). Instead it triggered adverse symptoms of depression , tinnitus, nerve pains, nerves transmitting wrong messages (e.g today if i listen to white Noice (e.g rain sounds) to calm my mind trying to sleep, instead i experience pains at the bottom of both my feet , AND a strong nervousness feeling in my head and along my spin. Also when i eat something or take anything including medications i experience SRANGELY enough pains under both of my feet (which lasts for 15 minutes then slowly disappears) .Back on eating food normally after you swallow food you feel it down in the gut .In my case i don't feel(filling up feeling) in my gut but instead i get this feeling (filling up of food)in my spine (as if the food is going to my spine instead of stomach) a feeling that starts slowly from the bottom of the spine(tail bone) and proceeds upwards my spine. Question? On depression can TMS be used to treat depression induced by electrocution to the head as in my case? What do you think the device(mybe it was faulty or i used it wrongly) did to my brain? Do you think the 2 ampere low voltage current stimulated all parts of the brain? Actually my memory is not that good, My speech has been impaired i now sometimes stutter when i speak, i feel a tight band around my head . How can all this symptoms be reversed? In my case would TMS be better than ECT.? What should i do? Plz respond to me.I liked you presentation so much ,i would like to talk or work with you. Thanking you in advance
Very meaningful and understanding video. i want to try TMS to my 12yr old kid with ASD. Thanks
Had anyone completed TMS? Does sleep improve overall? I am on week 3. Any gap in treatment I struggle with sleep (Such as over the weekend in between treatments).
Why do they stimulate opposite sides of the DLPFC for depression vs ADHD if stimulating it makes cognitive control stronger?
TMS therapy is a good alternative for depression treatment.
@Moataz Ahmed yes. About a third (38%) remit. About 60% of those remitted will stay well in 12 months after.
@Moataz Ahmed we don’t really use “permanent” or “cure” in mental health. Depression is a relapsing remitting disorder. Oncologists (cancer doctors) do the same. They would tell you “you are in remission” they would never say it’s permanent.
@Moataz Ahmed Yes. Many cases. We keep following up on patients after TMS and many didn’t need re-treatment.
Is it work on treating seizure patients ?
Works on depression ,parkensens and more
TMS is not usually used for seizures. But tVNS (transcutaneous Vagus Nerve Stimulation) works well and is very safe for seizures (and anxiety, headaches and insomnia)
I had a family member that went thru TMS and did not receive any positive outcome!
TMS is very expensive!
Does it work on OCD patients?
Yes
TMS is FDA cleared for OCD, and some OCD patients have benefitted
Can TMS cure cluster headaches?
Doctor, can this be used to treat Multiple Sclerosis?
I don't see how, since MS is due to Myelin damage.
@@slighter if it could address local inflammation of CNS
@@aditya50499 But even if that would work, which I don't think i would, how would that reproduce the already damaged material?
@@slighter I would be happy if it could reduce the inflammation thereby preserving neuronal health and pacifying various symptoms
Why isn't this covered by insurance?
Is that can be used for generalized anxiety disorder?
This is mostly for Depression depending on the Anxiety, You have a better chance trying other things to help.
1. Reduce Caffeine intake/Alcohol
2. Take slow deep breath and meditate for 5 minutes then after ..go to the bathroom and Splash Really cold water on your face (Things will start to Clear up)
3. Don't Fight Anxiety, accept and ride the wave when you feel it approaching, It helps with Confusion and Panic attack
4. Exercise and Go for 30 Min walk (it boost seratonin levels)
5. Anxiety is CURABLE and TREATABLE. You must fight through it till you get the Help you Need. 👥
6. CBD is the Best Medicine that Cures Anxiety. (You won't get high from it)
-When you make a habit everyday of these things you will see improvements and Re-wire your brain 👁️🗨️ I study Psychology I Hope this helps.
GiftedNoodle They are doing more research and yes it can. There are now studies being tested for Tourette's and other conditions. There are two different machines one for depression and one for OCD, anxiety, and PTSD. The different machines target different places in brain and different current level.You have to find the TMS for OCD/anxiety. My son is getting it for OCD! Tourette's, and anxiety. It is interesting because the do testing and illicit a response first and do a map so they are targeting the right spot.
it has helped me with both anxiety and depression
1hz right DLPFC is most common for GAD.
@@whatwhat8524 Did this treatment help your son?
5:26 What was the original intention?
I believe early versions of the equipment were based on diagnostic tools for stimulating nerve responses and mapping connectivity in the brain. Mind you, I'm possibly half remembering that info.
Correct. Its original intention was diagnostic in nature. It was studying nerve responses in the body and state changes in the brain after being stimulated via the magnetic field.
I am on my 7th treatment
Hows it going so far?
Also are you using CloudTMS?
Can you share your experience in a little more detail?
DLPFC is dysfunctional in depression, no permanent remission is possible
Magnets -- how do they work?
Is this elecro shock therapy? This was performed during the early 1900’s in psychiatric Hospitals.
Nope, this is entirely different from electroshock therapy, as this is using a magnetic field to stimulate the brain, causing the neurones to fire chemicals, these chemicals produce a signal or current that is transferred from one nerve cell to another.
Haruodeberht K. I am a 54 year old who has been suffering from brain fog since 2018. Would this protocol help me? According to the MRI reports with contrast my brain looks normal. My doctor thinks Im just anxious🤦🏽♂️
mike gramm Really??? Seems like a light bulb is off. When did you realize that something was off? I realized that my mind became foggy one morning in October 2018, I couldn’t fully awaken. Although, I couldn’t shake this fog I reported for work. I thought my problem was from two knee surgeries I had during the prior summer months, specifically, from the anesthesia.
I wanted to say, electro shock is now called ECT, and has been developed from a torturous guessing game into a real medical treatment. Nowadays, ECT is given to people under anesthesia with very specific guidelines. It is similarly given to people with difficult-to-treat mental illnesses, etc.
I hope you feel better soon!
@@altheaunertl ECT can also bring about side effects like memory loss. TMS looks like the way to go. I'm seriously considering it for anxiety, as I've seen a few videos on youtube where people have related their experiences gaining success over anxiety with TMS.
Sir send this machine in india and kashmir,because there is lack of technology in country india.
Wait, What he say ? I wasn't listening
I don't trust anyone with that hair.
“The coil is basically a wrapping of wire”
Yeah man that’s what a coil is.
“It goes through the skin, scalp and skull”
I didn’t know there was a difference between my skin and my scalp skin.