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Maintenance and Continuation Treatment

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Repetitive Transcranial Magnetic Stimulation Treatment for Depressive Disorders

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Abstract

Relapse rates appear to be relatively high in the period of time following the cessation of an acute course of rTMS treatment. A number of strategies can be explored to minimise relapse rates. These include the provision of appropriate ongoing antidepressant medication, possibly combined with a mood stabiliser such as lithium. Specific forms of psychotherapy are also likely to have relapse prevention potential although these have not been systematically evaluated following rTMS treatment. A number of methods for the provision of rTMS maintenance have been proposed, although only limited data has explored the efficacy of these to date. Patients who have responded well to rTMS treatment and subsequently relapsed appear to have a high likelihood of responding to a subsequent course of rTMS treatment with no accumulation of risks or side effects.

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Authors and Affiliations

  1. Monash Alfred Psychiatry Research Centre, Monash University Central Clinical School and The Alfred, Melbourne, Victoria, Australia

    Paul B. Fitzgerald (Professor of Psychiatry)

  2. Centre for Addiction and Mental Health (CAMH), University of Toronto, Toronto, Ontario, Canada

    Z. Jeff Daskalakis

Authors
  1. Paul B. Fitzgerald
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  2. Z. Jeff Daskalakis
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Fitzgerald, P.B., Daskalakis, Z.J. (2013). Maintenance and Continuation Treatment. In: Repetitive Transcranial Magnetic Stimulation Treatment for Depressive Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36467-9_9

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  • DOI: https://doi.org/10.1007/978-3-642-36467-9_9

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36466-2

  • Online ISBN: 978-3-642-36467-9

  • eBook Packages: MedicineMedicine (R0)

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