Transcranial magnetic stimulation and ketamine: implications for combined treatment in depression

Drug-resistant mental disorders, particularly treatment-resistant depression, pose a significant medical and social problem. To address this challenge, modern psychiatry is constantly exploring the use of novel treatment methods, including biological treatments, such as transcranial magnetic stimula...

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Main Authors: Weronika Dębowska, Magdalena Więdłocha, Marta Dębowska, Zuzanna Kownacka, Piotr Marcinowicz, Agata Szulc
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1267647/full
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author Weronika Dębowska
Magdalena Więdłocha
Marta Dębowska
Zuzanna Kownacka
Piotr Marcinowicz
Agata Szulc
author_facet Weronika Dębowska
Magdalena Więdłocha
Marta Dębowska
Zuzanna Kownacka
Piotr Marcinowicz
Agata Szulc
author_sort Weronika Dębowska
collection DOAJ
description Drug-resistant mental disorders, particularly treatment-resistant depression, pose a significant medical and social problem. To address this challenge, modern psychiatry is constantly exploring the use of novel treatment methods, including biological treatments, such as transcranial magnetic stimulation (TMS), and novel rapid-acting antidepressants, such as ketamine. While both TMS and ketamine demonstrate high effectiveness in reducing the severity of depressive symptoms, some patients still do not achieve the desired improvement. Recent literature suggests that combining these two methods may yield even stronger and longer-lasting results. This review aims to consolidate knowledge in this area and elucidate the potential mechanisms of action underlying the increased efficacy of combined treatment, which would provide a foundation for the development and optimization of future treatment protocols.
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spelling doaj.art-b355321ba9a64fc4a588e838f3794b7b2023-10-26T14:37:20ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-10-011710.3389/fnins.2023.12676471267647Transcranial magnetic stimulation and ketamine: implications for combined treatment in depressionWeronika DębowskaMagdalena WiędłochaMarta DębowskaZuzanna KownackaPiotr MarcinowiczAgata SzulcDrug-resistant mental disorders, particularly treatment-resistant depression, pose a significant medical and social problem. To address this challenge, modern psychiatry is constantly exploring the use of novel treatment methods, including biological treatments, such as transcranial magnetic stimulation (TMS), and novel rapid-acting antidepressants, such as ketamine. While both TMS and ketamine demonstrate high effectiveness in reducing the severity of depressive symptoms, some patients still do not achieve the desired improvement. Recent literature suggests that combining these two methods may yield even stronger and longer-lasting results. This review aims to consolidate knowledge in this area and elucidate the potential mechanisms of action underlying the increased efficacy of combined treatment, which would provide a foundation for the development and optimization of future treatment protocols.https://www.frontiersin.org/articles/10.3389/fnins.2023.1267647/fulldepressive disorderstreatment-resistant depressiontranscranial magnetic stimulationTMSrTMSketamine
spellingShingle Weronika Dębowska
Magdalena Więdłocha
Marta Dębowska
Zuzanna Kownacka
Piotr Marcinowicz
Agata Szulc
Transcranial magnetic stimulation and ketamine: implications for combined treatment in depression
Frontiers in Neuroscience
depressive disorders
treatment-resistant depression
transcranial magnetic stimulation
TMS
rTMS
ketamine
title Transcranial magnetic stimulation and ketamine: implications for combined treatment in depression
title_full Transcranial magnetic stimulation and ketamine: implications for combined treatment in depression
title_fullStr Transcranial magnetic stimulation and ketamine: implications for combined treatment in depression
title_full_unstemmed Transcranial magnetic stimulation and ketamine: implications for combined treatment in depression
title_short Transcranial magnetic stimulation and ketamine: implications for combined treatment in depression
title_sort transcranial magnetic stimulation and ketamine implications for combined treatment in depression
topic depressive disorders
treatment-resistant depression
transcranial magnetic stimulation
TMS
rTMS
ketamine
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1267647/full
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AT magdalenawiedłocha transcranialmagneticstimulationandketamineimplicationsforcombinedtreatmentindepression
AT martadebowska transcranialmagneticstimulationandketamineimplicationsforcombinedtreatmentindepression
AT zuzannakownacka transcranialmagneticstimulationandketamineimplicationsforcombinedtreatmentindepression
AT piotrmarcinowicz transcranialmagneticstimulationandketamineimplicationsforcombinedtreatmentindepression
AT agataszulc transcranialmagneticstimulationandketamineimplicationsforcombinedtreatmentindepression