Transcranial magnetic stimulation and transcranial direct current stimulation appear to be safe neuromodulatory techniques useful in the treatment of anxiety disorders and other neuropsychiatric disorders
ABSTRACT Transcranial magnetic stimulation (TMS) has recently been investigated as a possible adjuvant treatment for many neuropsychiatric disorders, and has already been approved for the treatment of drug-resistant depression in the United States and in Brazil, among other countries. Although its u...
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Veröffentlicht in: | Arquivos de neuro-psiquiatria 2016-10, Vol.74 (10), p.829-835 |
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description | ABSTRACT
Transcranial magnetic stimulation (TMS) has recently been investigated as a possible adjuvant treatment for many neuropsychiatric disorders, and has already been approved for the treatment of drug-resistant depression in the United States and in Brazil, among other countries. Although its use in other neuropsychiatric disorders is still largely experimental, many physicians have been using it as an off-label add-on therapy for various disorders. More recently, another technique, transcranial direct current stimulation (tDCS), has also become available as a much cheaper and portable alternative to TMS, although its mechanisms of action are different from those of TMS. The use of off-label therapeutic TMS or tDCS tends to occur in the setting of diseases that are notoriously resistant to other treatment modalities. Here we discuss the case of anxiety disorders, namely panic and post-traumatic stress disorders, highlighting the uncertainties and potential problems and benefits of the clinical use of these neuromodulatory techniques at the current stage of knowledge. |
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Transcranial magnetic stimulation (TMS) has recently been investigated as a possible adjuvant treatment for many neuropsychiatric disorders, and has already been approved for the treatment of drug-resistant depression in the United States and in Brazil, among other countries. Although its use in other neuropsychiatric disorders is still largely experimental, many physicians have been using it as an off-label add-on therapy for various disorders. More recently, another technique, transcranial direct current stimulation (tDCS), has also become available as a much cheaper and portable alternative to TMS, although its mechanisms of action are different from those of TMS. The use of off-label therapeutic TMS or tDCS tends to occur in the setting of diseases that are notoriously resistant to other treatment modalities. Here we discuss the case of anxiety disorders, namely panic and post-traumatic stress disorders, highlighting the uncertainties and potential problems and benefits of the clinical use of these neuromodulatory techniques at the current stage of knowledge.</description><identifier>ISSN: 0004-282X</identifier><identifier>ISSN: 1678-4227</identifier><identifier>EISSN: 1678-4227</identifier><identifier>EISSN: 0004-282X</identifier><identifier>DOI: 10.1590/0004-282X20160115</identifier><identifier>PMID: 27759809</identifier><language>eng</language><publisher>Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil: Thieme Revinter Publicações Ltda</publisher><subject>anxiety ; Anxiety Disorders - physiopathology ; Anxiety Disorders - therapy ; Humans ; Mental Disorders - physiopathology ; Mental Disorders - therapy ; Nervous System Diseases - physiopathology ; Nervous System Diseases - therapy ; NEUROSCIENCES ; panic disorder ; Prefrontal Cortex - physiopathology ; PSYCHIATRY ; transcranial direct current stimulation ; Transcranial Direct Current Stimulation - methods ; Transcranial Magnetic Stimulation - methods ; Treatment Outcome ; VIEW AND REVIEW</subject><ispartof>Arquivos de neuro-psiquiatria, 2016-10, Vol.74 (10), p.829-835</ispartof><rights>Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon.</rights><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c571t-e6f529780a0994d8b0874188f065a8e3c358b4c4dc6b4ca0902dbd3dd22d43ac3</citedby><cites>FETCH-LOGICAL-c571t-e6f529780a0994d8b0874188f065a8e3c358b4c4dc6b4ca0902dbd3dd22d43ac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1590/0004-282X20160115.pdf$$EPDF$$P50$$Gthieme$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1590/0004-282X20160115$$EHTML$$P50$$Gthieme$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,860,881,20871,27903,27904,54565,54593</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27759809$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iannone, Aline</creatorcontrib><creatorcontrib>Cruz, Antonio Pedro de Mello</creatorcontrib><creatorcontrib>Brasil-Neto, Joaquim Pereira</creatorcontrib><creatorcontrib>Boechat-Barros, Raphael</creatorcontrib><title>Transcranial magnetic stimulation and transcranial direct current stimulation appear to be safe neuromodulatory techniques useful in the treatment of anxiety disorders and other neuropsychiatric disorders</title><title>Arquivos de neuro-psiquiatria</title><addtitle>Arq Neuropsiquiatr</addtitle><description>ABSTRACT
Transcranial magnetic stimulation (TMS) has recently been investigated as a possible adjuvant treatment for many neuropsychiatric disorders, and has already been approved for the treatment of drug-resistant depression in the United States and in Brazil, among other countries. Although its use in other neuropsychiatric disorders is still largely experimental, many physicians have been using it as an off-label add-on therapy for various disorders. More recently, another technique, transcranial direct current stimulation (tDCS), has also become available as a much cheaper and portable alternative to TMS, although its mechanisms of action are different from those of TMS. The use of off-label therapeutic TMS or tDCS tends to occur in the setting of diseases that are notoriously resistant to other treatment modalities. Here we discuss the case of anxiety disorders, namely panic and post-traumatic stress disorders, highlighting the uncertainties and potential problems and benefits of the clinical use of these neuromodulatory techniques at the current stage of knowledge.</description><subject>anxiety</subject><subject>Anxiety Disorders - physiopathology</subject><subject>Anxiety Disorders - therapy</subject><subject>Humans</subject><subject>Mental Disorders - physiopathology</subject><subject>Mental Disorders - therapy</subject><subject>Nervous System Diseases - physiopathology</subject><subject>Nervous System Diseases - therapy</subject><subject>NEUROSCIENCES</subject><subject>panic disorder</subject><subject>Prefrontal Cortex - physiopathology</subject><subject>PSYCHIATRY</subject><subject>transcranial direct current stimulation</subject><subject>Transcranial Direct Current Stimulation - methods</subject><subject>Transcranial Magnetic Stimulation - methods</subject><subject>Treatment Outcome</subject><subject>VIEW AND REVIEW</subject><issn>0004-282X</issn><issn>1678-4227</issn><issn>1678-4227</issn><issn>0004-282X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>0U6</sourceid><sourceid>EIF</sourceid><sourceid>DOA</sourceid><recordid>eNqNks1u1DAQxyMEokvhAbggH7mk2I4d20dU8VGpEgeKxM1y7EnXqyRebEdi37EPhdOUQA9IXDzy-Df_-fBU1WuCLwhX-B3GmNVU0u8UkxYTwp9UO9IKWTNKxdNqt72fVS9SOmBMmVLieXVGheBKYrWr7m6imZIthzcDGs3tBNlblLIf58FkHyZkJofy35TzEWxGdo4RpvyYPR7BRJQD6gAl0wOaYI5hDG4hQjyhDHY_-R8zJDQn6OcB-QnlPZQUYPK4CIa-5PzpIZ9KqhSig5juqwiFi6viMZ3s3pscS7Eb9LJ61pshwasHe159-_jh5vJzff3l09Xl--vackFyDW3PqRISG6wUc7LDUjAiZY9bbiQ0tuGyY5Y52xZTIExd5xrnKHWsMbY5r65WXRfMQR-jH0086WC8vneEeKtNLGMcQHNuiJPQQZk2ay0xgqpOiuLERLXGFa2LVStZD0PQhzDHqRSvvy6_p7ffxaTcJVUl4O0acIxhGWPWo08WhsFMEOakieSKyUbg9j_QhjPFiMAFJStqY0gpQr-1RbBelk0_LqcsW4l58yA_dyO4LeL3dhUAr0DeexjhT2__1vwFg7XhpQ</recordid><startdate>201610</startdate><enddate>201610</enddate><creator>Iannone, Aline</creator><creator>Cruz, Antonio Pedro de Mello</creator><creator>Brasil-Neto, Joaquim Pereira</creator><creator>Boechat-Barros, Raphael</creator><general>Thieme Revinter Publicações Ltda</general><general>Academia Brasileira de Neurologia - ABNEURO</general><general>Academia Brasileira de Neurologia (ABNEURO)</general><scope>0U6</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope><scope>GPN</scope><scope>DOA</scope></search><sort><creationdate>201610</creationdate><title>Transcranial magnetic stimulation and transcranial direct current stimulation appear to be safe neuromodulatory techniques useful in the treatment of anxiety disorders and other neuropsychiatric disorders</title><author>Iannone, Aline ; Cruz, Antonio Pedro de Mello ; Brasil-Neto, Joaquim Pereira ; Boechat-Barros, Raphael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c571t-e6f529780a0994d8b0874188f065a8e3c358b4c4dc6b4ca0902dbd3dd22d43ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>anxiety</topic><topic>Anxiety Disorders - physiopathology</topic><topic>Anxiety Disorders - therapy</topic><topic>Humans</topic><topic>Mental Disorders - physiopathology</topic><topic>Mental Disorders - therapy</topic><topic>Nervous System Diseases - physiopathology</topic><topic>Nervous System Diseases - therapy</topic><topic>NEUROSCIENCES</topic><topic>panic disorder</topic><topic>Prefrontal Cortex - physiopathology</topic><topic>PSYCHIATRY</topic><topic>transcranial direct current stimulation</topic><topic>Transcranial Direct Current Stimulation - methods</topic><topic>Transcranial Magnetic Stimulation - methods</topic><topic>Treatment Outcome</topic><topic>VIEW AND REVIEW</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iannone, Aline</creatorcontrib><creatorcontrib>Cruz, Antonio Pedro de Mello</creatorcontrib><creatorcontrib>Brasil-Neto, Joaquim Pereira</creatorcontrib><creatorcontrib>Boechat-Barros, Raphael</creatorcontrib><collection>Thieme Connect Journals Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Arquivos de neuro-psiquiatria</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iannone, Aline</au><au>Cruz, Antonio Pedro de Mello</au><au>Brasil-Neto, Joaquim Pereira</au><au>Boechat-Barros, Raphael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transcranial magnetic stimulation and transcranial direct current stimulation appear to be safe neuromodulatory techniques useful in the treatment of anxiety disorders and other neuropsychiatric disorders</atitle><jtitle>Arquivos de neuro-psiquiatria</jtitle><addtitle>Arq Neuropsiquiatr</addtitle><date>2016-10</date><risdate>2016</risdate><volume>74</volume><issue>10</issue><spage>829</spage><epage>835</epage><pages>829-835</pages><issn>0004-282X</issn><issn>1678-4227</issn><eissn>1678-4227</eissn><eissn>0004-282X</eissn><abstract>ABSTRACT
Transcranial magnetic stimulation (TMS) has recently been investigated as a possible adjuvant treatment for many neuropsychiatric disorders, and has already been approved for the treatment of drug-resistant depression in the United States and in Brazil, among other countries. Although its use in other neuropsychiatric disorders is still largely experimental, many physicians have been using it as an off-label add-on therapy for various disorders. More recently, another technique, transcranial direct current stimulation (tDCS), has also become available as a much cheaper and portable alternative to TMS, although its mechanisms of action are different from those of TMS. The use of off-label therapeutic TMS or tDCS tends to occur in the setting of diseases that are notoriously resistant to other treatment modalities. Here we discuss the case of anxiety disorders, namely panic and post-traumatic stress disorders, highlighting the uncertainties and potential problems and benefits of the clinical use of these neuromodulatory techniques at the current stage of knowledge.</abstract><cop>Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil</cop><pub>Thieme Revinter Publicações Ltda</pub><pmid>27759809</pmid><doi>10.1590/0004-282X20160115</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | anxiety Anxiety Disorders - physiopathology Anxiety Disorders - therapy Humans Mental Disorders - physiopathology Mental Disorders - therapy Nervous System Diseases - physiopathology Nervous System Diseases - therapy NEUROSCIENCES panic disorder Prefrontal Cortex - physiopathology PSYCHIATRY transcranial direct current stimulation Transcranial Direct Current Stimulation - methods Transcranial Magnetic Stimulation - methods Treatment Outcome VIEW AND REVIEW |
title | Transcranial magnetic stimulation and transcranial direct current stimulation appear to be safe neuromodulatory techniques useful in the treatment of anxiety disorders and other neuropsychiatric disorders |
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