Repetitive transcranial magnetic stimulation implementation within residential substance use disorder treatment centers for patients with comorbid depression

Repetitive transcranial magnetic stimulation implementation within residential substance use disorder treatment centers for patients with comorbid depression Mohammad Ali Shenasa, Maryam Soltani, Victor Tang, Cory R. Weissman, Lawrence Gregory Appelbaum, Zafiris J. Daskalakis, Dhakshin Ramanathan Advances in Dual Diagnosis, Vol. ahead-of-print, No. ahead-of-print, pp.- Repetitive transcranial magnetic stimulation (rTMS) is a well-established treatment with efficacy for several psychiatric disorders and has yielded promising yet mixed data showing reductions in craving for substance use. Patients with substance use disorders and comorbid depression may encounter obstacles to receiving rTMS in outpatient settings for treatment of depression. In turn, implementation of rTMS in residential substance use programs would greatly benefit those with comorbid treatment resistant depression. This paper aims to provide recommendations for implementing rTMS within residential substance use treatment centers.Using PubMed, the authors conducted a narrative review of manuscripts using various combinations of the following search terms: rTMS, depression, substance use and substance use disorder. The authors read manuscripts for their methodology, outcomes and adverse events to synthesize their results, which correspond to their recommendations for patient selection, safely implementing rTMS in residential substance use facilities and optimal rTMS protocols to start with.Advantages of this app...
Source: Advances in Dual Diagnosis - Category: Psychiatry Authors: Source Type: research