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Nonpharmacologic Interventions for Treatment-Resistant Depression in Adults

Slide: 7 of 28

Background: Repetitive Transcranial Magnetic Stimulation

rTMS involves focal magnetic stimulation through the scalp without the use of anesthesia. The common placement site is at the dorsolateral prefrontal cortex, the usual dosage is less than 20 Hertz, and the average duration of treatment is 40 minutes daily (usually weekdays) for 2 to 6 weeks. rTMS is not approved by the FDA for treating TRD, however, and availability of this treatment option is currently limited, though improving.