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  • colleencasey
    Participant

    kjacks4474:
    As a patient, not a professional, I have to support Hashmael’s advice about consistency and protocol for TMS Treatments. Do you know what company has provided the TMS Machine in your doctor’s office? I don’t see where you mentioned that, but I may have missed it. Hashmael has a very good suggestion about contacting Neuronetics if it is a NeuroStar TMS Machine. Just go to their website and it will direct you as to how to contact them directly. When I was speaking with a doctor on Long Island, she stated that protocol compliance for patients was critical in determining outcome. That is one doctor’s feedback. Getting direct feedback from the company is important. You deserve the best chance at success with this treatment. Don’t settle for anything less. There are doctors’ offices that unfortunately do not comply when administering treatments and it is unacceptable.
    Advocate for yourself and keep us posted so we can support you.
    Good luck with this.
    Colleen

    in reply to: TMS cause constant Anxiety? #5494

    colleencasey
    Participant

    Hi lunarafire:
    Are you having bilateral treatments? My experience with bilateral treatments was just the opposite. Anxiety is treated on the right side of the brain and depression on the left. When having bilateral treatments my anxiety diminishes about 90% and I rarely need anxiety medication. There is a vast improvement.
    What does your doctor say about an increase in anxiety?

    in reply to: Struggling-insomnia #5492

    colleencasey
    Participant

    Keep_Hoping and WarriorWon: I am saddened that TMS treatments are not showing the results that you both had hoped for. I am at a loss as to what to offer except support and encouragement not to give up. I have a friend who TMS did not work for either and I called her to find out what advice she might have. She is doing better than she was doing during and right after TMS treatments, but is not functioning optimally. She said that she takes each day and does the best she can. Her doctor told her that her diet, exercise, attitude, etc., make things better than they were and would be but they think she has a chronic virus from a former bout with mono. She was fine before mono struck. She is in her forties. She said that some days she takes it 15 mins at a time and that way before long the day is done. I know you both are working hard to find some sort of a path that would be more tolerable. Keep_Hoping you are a good mom as you are searching as hard as you can to improve your challenge. OMGoodness you are dedicated to this endeavor. Science is working overtime to try and find more answers. Don’t be like my brothers who gave up to early and now would be alive with TMS. The answers will come. You both are needed in this world. Try to stay connected. My thoughts and heart are with you both.

    in reply to: Struggling-insomnia #5489

    colleencasey
    Participant

    Mass: It is strange and common that others will notice changes in you before you do. Go figure – we are the last to know! I don’t understand it but that is the way it is.
    Sleeping is a problem for so many. I connected with a person this morning who is struggling so very much. I found this article:
    http://www.helpguide.org/articles/sleep/sleep-disorders-and-sleeping-problems.htm
    I don’t know if it will help.
    Keep_Hoping have you looked into Vagus Nerve Stimulation. I know of a patient who has great success with that. I also talked with my TMS coordinator who again referred to the patient that had TMS and they thought it had not worked for him. He contacted them a couple of years later with a drastic change – it had worked over the course of several months after the treatment. I keep hoping for you.

    in reply to: Struggling-insomnia #5473

    colleencasey
    Participant

    Keep_Hoping:
    My heart is with you. Has your doctor given her/his input on the outcome of your TMS Treatments? Have you been told you may need more time for a delayed response?
    I have included two websites: One is motivational and one is in regard to a different treatment for future reference after your outcome to TMS is determined.
    Keep_Hoping, continue searching for minor and major changes that make sense to you that you can add to your regime of self care. There are support groups that offer information, friendship, inspiration and strength. Keep searching for the answer to your depression. It may be many small changes or a major change. We are here for you. Please stay connected.
    Sending support for your journey.
    Colleen
    https://www.good.is/articles/oprah-on-failure.
    http://www.webmd.com/depression/vagus-nerve-stimulation

    in reply to: TMS and confusion #5471

    colleencasey
    Participant

    Erin. I sent you an email. At first I included a period at the end of your email address. I corrected it and it should have been delivered to you. 😊

    in reply to: 3000 vs 5000 pulse sessions #5469

    colleencasey
    Participant

    erinb:

    I tried to send an email but I get a message that the email address is invalid. Could you check the email you listed?
    Thanks
    Colleen

    in reply to: 3000 vs 5000 pulse sessions #5453

    colleencasey
    Participant

    erinb:

    Absolutely! I will email you tonight and we can exchange numbers. I am running to a meeting now that will be about 6 hours and then I have an hour travel. I will get back to you though very soon.
    Thinking positive thoughts!

    in reply to: Struggling-insomnia #5451

    colleencasey
    Participant

    How is it going WarriorWon and Keep_Hoping? Thinking of you each day.

    in reply to: TMS and confusion #5450

    colleencasey
    Participant

    That is great news Mass. Here is too continued movement forward! Please keep us posted through your process. It is helpful and encouraging to others. It is hopeful to think of your potential future. It will be interesting to see how long you notice improvement and what it is. Thanks for being a part of and contributing to this forum. We will look forward to future updates!

    in reply to: Struggling-insomnia #5448

    colleencasey
    Participant

    Keep_Hoping:
    It sounds discouraging to be in your position. I will tell you that my doctor has had patients that TMS appeared not to work for initially. There was a delayed reaction. It took a couple of months after treatment to reveal the positive outcome. It might be good to have that last treatment. I hope you will continue to let us know how you are doing. You are a strong and smart person Keep_Hoping. It is obvious from your posts. I know it is difficult and challenging to maintain a positive outlook at this point. Sending thoughts of hope.

    in reply to: Struggling-insomnia #5445

    colleencasey
    Participant

    Good Morning Keep_Hoping and WarriorWon:
    Got up this morning and was thinking of both of you. How are you doing? I just wanted to let you know that your journeys are powerful and have an incredible impact. Sending good thoughts!

    in reply to: TMS and confusion #5444

    colleencasey
    Participant

    Hi Mass: Welcome to the site.
    Keep-Hoping is right. There is a lot to discover about TMS throughout the process. I told my psychiatrist Tuesday, as I reflect back on my TMS journey, starting 5 1/2 years ago, I never realized at the time of the initial treatments just how challenging the unknowns were. And fortunately or unfortunately (depending on how you look at it) that is innate in the treatment. The brain is complicated but having this as an optional treatment gives us hope and another chance to improve our brain health (just admire my psychiatrist for changing the terminology to a positive!). I worked throughout treatment too but changed my initial schedule to work 8 hours and then go to treatment and then home to bed. Any possibility that may work? It was much better than going to treatment first and then going to work. I had to drive 2 hours each way to treatment so the middle of the day didn’t work with my schedule. I was so tired after treatment the two hour trip home was difficult. If TMS waits to work (so to speak) till after treatment and it does work, it is well worth the challenge of waiting. Life changes dramatically. Hang in there. You have support here and lots of knowledge from people who are now going through the treatments too.

    in reply to: Struggling-insomnia #5432

    colleencasey
    Participant

    Good Morning WarriorWon and Keep_Hoping:
    Life is more challenging than we certainly predict it might be, isn’t it? Sometimes I have to take a deep breath, well a lot of deep breaths, and tell myself I can handle an issue I am confronted with, even when I don’t think I can. It can be so difficult at times. I know I will never try suicide again, even though occasionally I have those thoughts. I know that when I die it will be because of the heartache I experience daily because of a family situation. If my mind is not preoccupied, I am thinking of the sorrow and sadness and feeling the pain of that situation. What I try to do is look for meaning in the journey of pain so I can keep going and growing. Sometimes I try to distract myself with meaningful activities so I can nourish myself in an effort to build strength. And I say this with the knowledge that I am not depressed and don’t face those trials at this moment. I think though, life is challenges and lessons with rays of sunshine in between.
    I wish there was some way to relieve your challenges and the heartache and disappointment as well as the confusion in regard to the “whys” (why depression, why me, why rejection, why can’t I sleep, etc.) you experience. Unfortunately we do not have the power to do that for each other. But I do want to say this, if not this challenge, there would be another. Life is always teaching us through challenges (I think we could all use a few less sometimes!). I know what it takes for you to get up each day; its hard, damn hard. Know that to put one foot in front of the other is a major victory. Know that you are cared about and that your journey is respected and appreciated. And know that there is an endless supply of hope in this world – even though it does not feel it. It is inside of each of you, it is so deep that when you call upon it, it will be there. You exemplify that each day. Remember that the continuous and concentrated brain research that is going on all over the world will bring some additional answers soon. Maybe watch a funny movie today to distract you even for a moment. Sending caring thoughts.

    in reply to: Struggling-insomnia #5427

    colleencasey
    Participant

    Keep_Hoping and WarriorWon:
    You two are amazing. The honesty and raw truth that you reveal in your posts are so very basic and needed for a strong foundation for brain health – (my preference over the term mental health – too much stigma). But so often it is forgone because of fear, shame and all those other feelings that erupt because of external pressure. Depression when revealed for what it is and how it robs a person of the life they would choose, is one of the most difficult challenges we can face for many reasons. With that said, even though the process takes time, you have every right to be frustrated, impatient, aggravated and angry. Anyone in pain feels this way no matter what kind of pain it is. The problem with depression, is that it is an invisible suffering that has no verbal cues to alert others of what is happening and what might be needed. Keep_Hoping, the road I traveled was anything but pretty – It was very difficult and I was miserable, hurting, scared, exhausted, etc. I can relate to a lot of the feelings and experiences that you both are posting. Somehow, I find that people with depression dig so deep to keep going, keep hoping, keep trying and exploring options. It really is incredible the drive depressed people have when lethargy, lack of sleep, anxiety, pain, sadness, etc., loom constantly.
    Respect is owed to you for the path you both are individually traveling. It is amazing what the two of you are enduring for your health. My thoughts are with you each day.

    in reply to: Struggling-insomnia #5422

    colleencasey
    Participant

    WarriorWon and Keep_Hoping – What you are experiencing I guarantee is very predictable and I hesitate to use the word but for lack of a better one, NORMAL, ROUTINE, EXPECTED. First I hope this helps. Oh my goodness you bring back memories of the session I almost told my therapist to S________ it because he was looking at my improving scores and listening to the TMS Coordinator say I was improving, but I didn’t feel it. Oh I was angry, ticked off, even felt betrayed. All of this you are experiencing is the flow of energy which is positive. I am not trying to predict the outcome of your treatments, but the path you speak about has been traveled by thousands before you, which reflects hope, even though you don’t feel it. Not sure where you heard you would improve immediately, but just think for a moment. Your brains are waking up. They aren’t quite in sync yet. It takes time for your brain to activate and respond, neural connections are growing. It does takes time. You are battling the pains of the brain disorder (or brain disease or whatever verbiage is comfortable), which is unbearable. The degree of your depression and pain has to be matched with the degree of the treatment energy flow to the brain, time of growth, etc. If it takes 5 years to gain 100 lbs, and one starts a diet, it is not going to be an immediate fix to loose it. I am not going to say, be patient, because I wasn’t. But what might help is to understand the mechanics of the process in the brain so your expectations can be aligned with what is going on in the brain. Then you will not experience the degree of disappointment that comes with false expectations. Sending lots of good vibes and support your way! Thank you both for your kind words of support. It is much appreciated and helpful.

    in reply to: Struggling-insomnia #5415

    colleencasey
    Participant

    Good Morning Keep_Hoping and WarriorMan:
    I am struck by the names you have both chosen – how significant in your journey in dealing with depression. I am sitting here on the outside of this conversation in awe of the strength, support, insight and hope you are both freely offering to each other. It has made me teary thinking about how the struggle with depression has brought this kindness, sharing and caring out of each of in you in support of each other. What an example you set for us all. Warrior-Man, I think the isolation of depression can be a roadblock to more positive experiences – I know it feels like reaching out just isn’t in you right now, you reached out here! And look at the bond in the struggle with depression and TMS Treatments its forging. If this forum provides that opportunity, then bravo to you for using it! That is a milestone in the world of dealing with this challenge. Keep_Hoping, keep hoping! Someone in this forum described their experience with a positive outcome with TMS like it came in waves. Wow what an accurate analogue. That is what happened to me – up and down till the ups surpassed the downs. You two show STRENGTH through this journey. You are hope. You have touched my heart and soul this morning when I am struggling with a painful issue. Please keep communicating this way – it is good to do such good in the middle of such a challenge – sending both of you gratitude. Thank you.

    in reply to: Treatment number 14 today…needing encouragement. #5404

    colleencasey
    Participant

    Keep_Hoping:
    So glad that you are getting consistent and similar support in regard to how individual responses are to TMS, how eclectic our approaches need to be as there are so many variables when dealing with the challenges of depression as we all have spoken about, and the sunshine of hope in your message. I think Buddy addresses so many relative issues and points about depression that we can relate to. There is a fear factor involved for some of us when we do start to improve, which questions whether or not these improvements are substantial or even real. Buddy could not have said it more accurately as he addresses the patterning and cycling of thoughts and the intervention that is helpful. I was a TMS Coordinator after my treatments for a while and the patients I saw validated Buddy’s point about individual differentials and individual pathways in response not only to this treatment, but the overall approach to our brain disorders that we need to take. Attitude and persistence in managing our illness, with an open mind and a firm knowledge that this challenge indeed is a tough one can be helpful. We can either put one foot in front of the other (even when it feels impossible) or we can sit down (when the pull is so strong we don’t think we can stand up). Buddy’s partnering with someone who is a willing support system is striking and sounds positively powerful! I have a therapist who provides insight, knowledge and support for innovative and unique pathways to growth and I find it coordinates with his description. Our course in life is to deal with this illness. There are resources, people, supports, tools and information that can support our journey. The one thing I do think that is critical is being cognizant of what is in our lives that we can be grateful for. I read an article the other day about a scientific study that reports, if you list 3 things you are grateful for and write 2 mins on the happiest thing that you experienced each day, it can elevate your mood markedly. When you add new efforts to the management of your depression, it keeps you in a forward motion. Love Buddy’s reference to the difference between I am and I feel. Working with this concept has been pivotal to my growth. And if it makes even the smallest of differences, its an improvement. Do something good for yourself for all the energy and efforts your are putting into dealing with this challenge!

    in reply to: Not sure I will make it #5395

    colleencasey
    Participant

    Keep_Hoping:
    I can imagine that at this point you are feeling a disappointment that is indescribable. What is your doctor/TMS Coordinator/Treatment Team saying? Have they said that TMS definitely did not work for you; are they still hopeful that you may have a delayed response, etc.? This connection and communication is so very important. Maybe making a list of questions to ask at your next visit would help with focus and direction.
    No-doubt the unknown is frightening. Questions about what the future will hold if TMS does not bring the results that were hoped for are probably looming within. Here is the point, Keep_Hoping it is important to remember that there is brain research happening around the world at a pace never seen before. It is just a matter of time when science will understand more accurately “Exactly why depression occurs in the brain and how to more effectively treat it.” I know you might question whether you can endure depression in the quandary of whether TMS has worked. Depression is horrible. Now might be the time to define a backup plan with your doctor. It is important for many reasons. It might be enlightening to sit down and make up a list of reasons you have to make that backup plan. Also there are support groups that can offer connection, understanding, commonality, etc., that can help in a positive way. I joined a NAMI (National Alliance for Mental Illness), local affiliate, and it has given me more help and hope than I could have realized before I joined. There are so many people who are confronting similar challenges and when bonded together can have a powerful positive influence.
    Keep_Hoping – there is a place in you that wants more than ever to find the pathway to the life you want. Keep looking, as tired and discouraged as you may be, keep looking. You have much to offer this world. Keep looking.

    in reply to: Scared this isn't working #5392

    colleencasey
    Participant

    erinb:
    Thank you for your supportive message. It means a great deal to me. I feel so grateful that TMS has worked for me. I want it to work for everyone. I think supporting others going through TMS is an important part of giving back.
    Wow you have a lot on your plate. It is difficult to decipher what issues and responses belong to what stimulus during TMS. It is complicated and confusing. You seem to be handling this with determination and persistence. You are to be admired for sure. Please don’t doubt that for a moment.
    My heart hurts when I hear you describe the experience with your children. My biggest heart ache through life has been what my children have suffered as a result of my depression. However, we must remember that life gives us all challenges along the way, most often starting in childhood. You are doing the best you can under these difficult circumstances and you deserve respect for all you are doing to manage these with all of your other responsibilities.
    In terms of the Adderall – my insurance stopped paying for slow-acting Adderall, which I was on. Consequently I had to go on fast acting and I had an adverse reaction to it. I went off it immediately – with no tapering so yes I did have a difficult time for a short time. Then I had TMS bilateral treatments and it quickly resulted in the remission of my ADHD. You are receiving bilateral treatments now so you may not need Adderall after TMS ends.
    erinb what you are going through can be terrifying. However, once the treatments are over and your brain and body settle down from the intense stimulus, things will work themselves out and clarity will come. One piece of advice, from one who did the same thing, stop reading information because whatever your response is going to be will be. I am a research bug and had to step away from reading everything I could get my hands on because I was driving myself crazy. Your experience may not be as bad as others. You are tapering under your doctor’s care. That is important. Things will settle for sure. This is a difficult time no doubt. Persist as you have been doing. You will be done with treatments soon and shortly the doctors and you will be able to assess the outcome. (I hate the unknown too!) Do what you are doing. It is a good path. Sending lots of understanding, compassion and hugs.

    in reply to: Not sure I will make it #5388

    colleencasey
    Participant

    Kate:
    Great advice from Keep_Hoping. It is indeed a medical procedure and deserves that validation. I rarely talk about the difficult experience I had at the beginning of TMS Treatments and still occasionally surfaces during boosters. The first two weeks of treatment, and until my doctor remapped, the memory part of my brain was affected in this way. I started experiencing a surge in the memories I have of the violent physical and sexual abuse I endured as a child. For two weeks, 24 hours a day I just wanted my mind to stop and thought of every possible violent way to make that happen. It was unbearable. I felt worse than I did when I started TMS and was terrified this was going to be a life long change. I kept asking myself, “What the h____ have I done?” The memories stopped when the placement of the coils were reconfigured. This medical procedure is filled with challenges (individual to us all) that no one will understand unless they experience TMS or administer and observe TMS treatments.
    HOWEVER, most things in life are dualistic – and we are challenged to take the bad with the good. Even if I had to go through that once a year, I would because the end result is life changing. I live life to the fullest now, where before TMS, I just tried to breath and stay alive each day. We are stronger than we think. We prove that each day we confront depression and other brain disorders. It is 37 mins each day. You have the strength!

    in reply to: Treatment number 14 today…needing encouragement. #5383

    colleencasey
    Participant

    Keep_Hoping – Those feelings of guilt and unworthiness are so difficult aren’t they? And when your heart is saying “I want to do this but your body and the lethargy won’t let you,” it is discouraging and heart wrenching. I am sending compassion for your struggle. We don’t know all of the medical details and inner workings of our brain in response to TMS treatments, but I just had an unusual experience (for me) with TMS that may help give some hope to keep fighting through your treatments and tapers. I never experienced the upswing or lift from depression during my initial treatments 5 years ago until after treatments were over. Since then, every year in late spring I need three booster treatments and it (in my language) pops me back to my new normal of not being depressed. However this year I needed my treatments in March because of a reaction to anesthesia. Anesthesia is a depressant and it had that affect on me. I went for my three booster treatments which usually “pops” me back before I am out of the chair after the first treatment. But this year, it took over two weeks to pop me back. I was terrified that TMS stopped working for me and went on that mental journey. It was horrible, but throughout, my doctor maintained his belief that I just needed time. And he was right. There are so many variables that play apart in this journey through TMS that we must stay connected with our doctors and treatment teams so they can keep us grounded when we struggle. Sometimes there are no words to describe the challenge, pain and discouragement. It can be all-consuming. You are so close to the end of treatment, don’t give up now. If you do, you will never know if you are one of those patients that don’t see a positive outcome until after treatment ends. And you deserve that chance.

    in reply to: Scared this isn't working #5382

    colleencasey
    Participant

    Hi erinb:
    It is a positive attribute that you are reaching out for information and support. The dip can be one of the most difficult experiences during treatment. The good news is that it is temporary. When it lifts, hopefully some of the anxiety you are experiencing will lift. Are you having bilateral treatments? I have adhd and was on adderall for years. When I had treatment on the right side, I no longer needed the adderall – I have been off of it for over 5 years. Also right side TMS treatments can help reduce anxiety. I have developed anxiety over the past three years and was taking Klonopin routinely. Now it is a rare occasion that I need it. I have 3 TMS booster treatments yearly and my anxiety and adhd are in remission (so to speak). If you are not receiving bilateral treatments, you may want to ask your doctor about it. If it is an option, it may be helpful to have the treatments now as you are proceeding with treatment for your depression. In February I had a medical procedure involving anesthesia (which is a depressant). It threw me into a depression. With 3 bilateral treatments and an observation time of 2 weeks, I was back in remission with depression, anxiety and adhd. I find it amazing. Coincidentally four weeks ago I came close to a massive heart attack (thank goodness for other medical treatments too!), and had to wear a monitor, etc. No part of the experience or treatment has affected the outcome of my TMS treatments. Actually my positive response to TMS treatments has supported my recovery with the heart issue.
    TMS treatments are challenging, however keeping connected with your treatment team, conversing with your support system, engaging with this site, etc., help support your courageous efforts in dealing with depression, anxiety, etc. Stay connected. Meditation, good nutrition, exercise, all help too. Sending continuous support.
    Colleen

    in reply to: Treatment number 14 today…needing encouragement. #5377

    colleencasey
    Participant

    Keep_Hoping: rebtar has some wise words about not experiencing improvement until after treatment ends. And an eclectic approach to dealing with depression is spot on! I also did not experience improvement till after treatment ended even though my TMS Coordinator did and verbalized that to my doctor. I got so angry saying to my doctor, “I don’t notice any change. Why don’t you believe me!, instead of the Coordinator. The depression is in my body!” Whoaaa, I was not happy. So yes, it can and does happen that others may see the changes first. There is no doubt that this medical treatment is a challenge and most often to the depths that we never could have anticipated. You are doing the right thing by talking with your doctor, continuing treatment and reaching out to this site and possibly others. Keep doing what you are doing. The unknown outcome can be tough to deal with. It may not feel it but your efforts are definitely on the right road. Keep connected. Your journey is important not only to you but to others as they may have the same struggles and will gain strength from your posts. I know I have. Sending positive thoughts!

    in reply to: Treatment number 14 today…needing encouragement. #5373

    colleencasey
    Participant

    Keep_Hoping: What is your doctor or treatment team saying about how you are feeling after 4 weeks of treatment?

    in reply to: Treatment number 14 today…needing encouragement. #5371

    colleencasey
    Participant

    Buddy:
    You have provided needed support and information. Thanks for sharing. Keep us posted on how you progress through your treatments. This is very helpful. Sending positive thoughts for a continued positive response.
    Colleen

    in reply to: Not sure I will make it #5369

    colleencasey
    Participant

    Keep_Hoping:
    Depression and treatment are a struggle. I am sending support as you proceed through this journey.
    I have posted a couple of research quotes below that may be helpful in offering hope. No doubt there is no guaranteed outcome for any treatment; try to remember with TMS, many don’t experience a positive change until the end or after treatment is completed.
    That being said, with the current emphasis on brain research initiatives, a clearer understanding of brain function and treatment of brain disorders is emerging. This is very hopeful and allows for optimism in the treatment of depression.
    Staying connected to your treatment team, loved ones, supportive circles, etc., is really important. Also good nutrition, humor, exercise, interaction in relationships are all positive elements that can support your efforts in dealing with depression. Stay connected with us Keep_Hoping. We understand the path you are on.

    “Many people notice temporary improvement in the first week or two due to the activation of existing neurocircuits. Longer lasting improvement occurs several weeks later when new circuits are formed. Maximum improvement, however, may not be achieved until about 4 to 6 weeks of treatment.”
    http://mindfulhealthsolutions.com/faq/

    “Because every patient is different, reaction to treatment can vary. Some patients may notice small changes after week 2 and others not until week 4 or 5.
    What are the first things they usually notice?
    It is the small, everyday things that count. Small changes like having a better night’s sleep, waking up on time and getting out of bed, making more independent decisions. Some of our patients reported feeling “good” in the mornings, they were dressing more nicely, having increased patience with family members, feeling like they could resume working, motivated to be more social; these are all signs of improvement!”

    How quickly does TMS Therapy work?

    in reply to: Not sure I will make it #5350

    colleencasey
    Participant

    Keep_Hoping:
    I sent a message to one of the persons who developed this site to see if he could address the issue of you not getting notifications of responses to your posts. I am sure you will hear from him as he is very attentive to this site.
    It is still early to tell about a response to the treatment; although I am sure it is not easy to hear this when we are anxious about the outcome. Six weeks is a long stretch, but keeping as much hope as possible in your front and back pockets can be helpful. Your brain needs time. You are 1//2 way. Medical treatments don’t necessarily affect our illnesses immediately. Our bodies are amazing – they have their own system and time clock for attacking illnesses when treatments are administered. Improvements can be slow, steady and minimally detectable at first. You’ve got this! 🙂
    Colleen

    in reply to: Not sure I will make it #5348

    colleencasey
    Participant

    Oh my Keep_Hoping – I didn’t catch that I was responding to you and not chrisxxcross on some of these posts. I apologize. Good lesson in wearing my reading glasses when I am reading. Sorry for the mixup. 65 was a tough birthday to transition to – haha!!! Have a nice day.

    in reply to: 3000 vs 5000 pulse sessions #5347

    colleencasey
    Participant

    Keep_Hoping;
    What encouraging news. Hope is what this journey is about!.
    Some brains take more time to respond to the jump start that TMS provides. It is good to hear you report your improved experience from Week 1 to Week 2. That is encouraging for you (I assume) and it will be helpful to others who visit this site. You are so right as we all have experienced, not everyone understands depression. It is one of the invisible illness that we still need to do a great deal of public education about. Your contribution is appreciated. Please let us know about your treatment and response as you continue. Your nickname is a great mantra!
    Have a nice weekend.
    Colleen

    in reply to: Not sure I will make it #5345

    colleencasey
    Participant

    That is great chrisxxcross! And what a suggestion, making a chart – that visual can be so uplifting. Your posts will help other too. Celebrating with you in spirit! Enjoy your weekend.
    Colleen

    in reply to: Not sure I will make it #5327

    colleencasey
    Participant

    chrisxxcross:
    I did the same thing – changed my schedule so I could work early and then go for treatments later because I experienced the tiredness that you describe. “I really want to quit but don’t want to look back 6 weeks from now and think that I could be done if I just would have kept going.” Hold on to your quote because six weeks of a medical procedure that could be life altering is an opportunity for an improved life. As much as it may not feel it, you have the fundamental thinking that will get you through. You are stronger than you probably realize! This is a good mantra, “I am stronger than I realize.” Tomorrow you will have two weeks behind you.
    Colleen

    in reply to: Not sure I will make it #5325

    colleencasey
    Participant

    chrisxxcross:
    It is a sign of strength that you return to this site for support during this challenging time. It is great to hear that you are working with your treatment team to find a more tolerable TMS experience so that you can continue treatment. The benefits of tolerating TMS can be immeasurable in the long run. Are there any distractions in the treatment room such as music, TV, videos, etc.? I had a better response to ibuprophen; could you talk with your doctor about a more effective medication? Even though experiencing mood cycles can be a part of treatment, hold on to the fleeting moments of positive and invest hope in them. It takes some time for the brain to respond with its full potential to TMS. Hold on to the inner strength you possess and your desire to improve, use your support systems, including your treatment team and use this site to assist and benefit you. Sending you support for continued tolerance and determination. You deserve this!
    Colleen

    in reply to: Not sure I will make it #5320

    colleencasey
    Participant

    chrisxxcross:
    Thanks for reaching out. I am sending support and hope to you. TMS is a medical procedure with its challenges no doubt. It sometimes can seem like a mental roller coaster ride. The discomfort most often eases as you proceed through treatments. If not, there are things that your doctor might be able to tweak in treatment or suggest that may make the experience more tolerable. Staying connected and communicating often with your treatment team is an essential part of the process. It is important that these issues are discussed in order to help you maintain a hopeful perspective. I had TMS over 5 years ago and did not experience a positive outcome until after treatment ended. (I did get discouraged). The result of treatment is evident at different times for different patients. The end result however was more positive than I could have imagined. Hang in there!
    There is an event called the dip that many but not all patients experience during the course of treatment, which is a temporary increase in depression and/or anxiety. It is temporary and well worth tolerating as the outcome of TMS can be life changing. I tell you this because it can be frightening if you are not aware that it is one of those uncomfortable, but temporary events that you may experience. Stay connected with your support system; they can be very helpful in supporting you through it if it does occur.
    Fear is a very common feeling that most patients experience when undergoing TMS. The unknown results can cause anxiety and uncomfortable fear. Again this is part of the process.
    If you can keep some laughter in your day, maybe watching a funny movie or visiting with a friend who has a great sense of humor, it can be helpful and support the work that TMS is doing in your brain.
    Let us know how you are doing and visit this site as often as you need to for encouragement.
    Colleen

    in reply to: Treatment number 14 today…needing encouragement. #5300

    colleencasey
    Participant

    Martha:
    There is always a solution so take a deep breath and let’s see what the possibilities are.
    Neuronetics has a doctor locator on their site. If you type in neurostar.com on the right side on the top of the initial page you will see a physician locator. Type in your zip code to see locations for providers offering TMS.
    Here is the number to customer service at Neuronetics – 1-877-600-7555. Call them and explain your situation and ask for guidance, help and direction in locating a treatment center. Here is the link to the customer service contact page where you can send a message about your situation – make sure you communicate your needs. https://neurostar.com/contact-us/
    Martha, try these connections, be persistent and keep connected. There are always options. If you need additional ideas for resources, get back on this site and ask! Please keep us posted.
    Sending my best
    Colleen

    in reply to: Any Words of Hope and Encouragement #5295

    colleencasey
    Participant

    SvenSven:
    Your perspective and attitude is admirable. What an inspiration. Thanks for sharing. I just had a medical procedure which required anesthesia. I experienced a depressive episode after, as anesthesia is a depressant, resulting in 3 booster treatments. It took 16 days for the treatments to be effective, during which time I experienced a dip. It was the first time with booster treatments that happened. It reminded me that depression is a chronic illness that needs attention on a continuum. I am pulling for you!
    Colleen

    in reply to: 3000 vs 5000 pulse sessions #5292

    colleencasey
    Participant

    SvenSven:
    I have not heard of that formula for treatment. TMS is a progressive treatment with the continual release of scientific research and updates as to its methodology and purposes. Your input is important so please stay connected and let us know how you are doing. Sending support.
    Colleen

    in reply to: Any Words of Hope and Encouragement #5287

    colleencasey
    Participant

    Hi kuku:
    Just saw your post. The dip as far as I have experienced, talked with others or read about is temporary. That is the positive in what can feel like a worse than the original depression experience. Knowledge is helpful in knowing that temporary is the operative word here. It can provide the hope and patience we need to endure the darkness of the dip. By the time you read this, I am sure it will have passed as it seems like a short term occurrence.
    I hope this message gets to you and I apologize for a late response.
    How are you doing now?
    Colleen

    in reply to: Scared this isn't working #5277

    colleencasey
    Participant

    kuku:
    The light bulb moments some times begin at a lower wattage rather than all of a sudden being at 100 watts. Watch for the little changes like a smile here or there, a feel good moment among the difficult ones, etc. Hopefully the dip is past and the improvements will appear. Nice to hear from you from England. Sending best wishes across the ocean. Let us know how you are progressing!
    Colleen

    in reply to: Treatment number 14 today…needing encouragement. #5273

    colleencasey
    Participant

    Bobby: Thanks for the update. Good news indeed. Sending positive thoughts for continued progress!
    Keep in touch. Colleen

    in reply to: Treatment number 14 today…needing encouragement. #5257

    colleencasey
    Participant

    Bobby: I hear your sadness and recall those days. Just know that your duration in treatment to date means little in terms of the outcome of TMS. You need more time and treatments. Many do not experience the lift or the light early on because the brain needs time to work in those changes such that it affects mood. Keep your eyes open for the little changes, as those appear first!

    in reply to: Treatment number 14 today…needing encouragement. #5254

    colleencasey
    Participant

    You are on point bobbypec. The initial outcome after treatment was not the end result of treatment for me. I continued to improve for nine months. Very interesting that the brain is still working on developing improved efficiency long after treatment ends. Patience sometimes is in short supply when feelings are so dark, but when the darkness lifts, life is different, very different. As others’ stories indicate, there is reason for hope.
    Improvement may be just a breathe away for you. Sending good wishes for an effective outcome.
    Colleen

    • This reply was modified 8 years, 3 months ago by  colleencasey.
    in reply to: Treatment number 14 today…needing encouragement. #5219

    colleencasey
    Participant

    Great to hear Rebecca. Here’s to another! Will be thinking of you today.
    Colleen

    in reply to: Treatment number 14 today…needing encouragement. #5216

    colleencasey
    Participant

    Amazing TMS Story of Success – This brings hope and encouragement.

    Colleen

    • This reply was modified 8 years, 4 months ago by  colleencasey.
    in reply to: Treatment number 14 today…needing encouragement. #5214

    colleencasey
    Participant

    Thanks for your kind wishes Rebecca!
    Just wanted to touch base as the weekend approaches because it sometimes can be a bit more challenging. I felt a bit abandoned over the weekend once I started treatment because I had support five days a week for consecutive weeks. So just a connect to let you know you are being thought of.
    Sending positive vibes!
    Colleen

    in reply to: Treatment number 14 today…needing encouragement. #5212

    colleencasey
    Participant

    Hi Rebecca:
    I always remind myself I am not a doctor when I address such issues as re-calibration and that I speak from patient experience only. I did have a re-calibration after two weeks of treatment and yes there was a change in intensity and placement of the coils. The reasons however for consideration for you may be very different than the reasons I had the re-calibration. TMS, although has similarities among all patients, also has individual variables under consideration when doctors are making treatment decisions.
    The issue I would be looking at first is how experienced (how many years administering TMS does your doctor have, how many patients has she/he administered TMS to, (if its only a few do they outsource for guidance and information), are you confident in her/his presentation of information and reasoning for the decisions she/he is making for your treatment and is she/he open to discussing your view point and sharing information that supports the decision(s) being made?
    The next point is not so clear. I would say it is a matter of weighing what your gut is directing you to do with an understanding that there are unknowns about treatment outcomes up until and even after treatment ends. It is scary no doubt (and for me it was a mind roller coaster ride until after treatment ended), not to see results that you may have predefined; but each of us has different brain chemistry so outcomes, response time frames, just do not have definitives. I will say that I stayed very connected to my doctor and treatment team, asked as many questions as I needed to and eventually put trust in my doctor’s belief as I had very little of my own throughout treatment.
    I am obsessed with research, but at one point I had to accept I just didn’t know what was going to happen nor did I really have any more than a basic understanding of TMS partially because of my depression. Our depression many times guides our emotional decisions at the forefront and leaves the intellectual component kind of lingering behind. Your doctor has the scientific data that guides her/his decisions, in addition to the resources made available to the doctors administering this new treatment.
    It can be a confusing process at times but my guess is most medical procedures have some form of the unknown and/or confusion along the pathway.
    Hope this helps. Thanks for staying connected to get the support you need. It can make a difference. Keep us updated.
    Happy New Year Rebecca!
    Colleen

    in reply to: Treatment number 14 today…needing encouragement. #5206

    colleencasey
    Participant

    Rebecca:
    Wow – Sending wishes for continued improvement. Your story is inspirational. Keep us updated as your sharing is hopefully a positive experience for you and will be for others.
    I wonder if you journal at all. Your day to day experience with TMS may be ever changing and it might be a historic, interesting compilation of what it was like for you. Just a thought.
    Happy New Year!
    Colleen

    in reply to: Treatment number 14 today…needing encouragement. #5204

    colleencasey
    Participant

    Rebecca:
    It is so good to hear that your mood has lifted some. I am not familiar at all with the set up of the MagVenture machine or technology. Are you receiving bilateral treatments by any chance? I know with Neurostar, I have treatment on the left side of my brain for depression and on the right side for anxiety and adhd (right side treatment is off label so far). Anxiety is being treated on the right side of the brain with a great deal (not perfect) of success. It might be worth asking about if your TMS treatments are not addressing this.
    You seem quite persistent! I think, as you are a perfect example, depression is a disease that needs a multifaceted, eclectic approach – professional treatment, exercise, determination, good nutrition, supports systems in place, etc. Keep doing what you are doing – hitting it head on. As always, stay connected to your professional team of doctors, TMS coordinator, etc. You deserve much respect and admiration for the journey you have chosen in confronting this challenge.
    Research on brain functioning is at an all time high so hope is on the horizon for so many more who suffer.
    Sending positive thoughts and prayers! Thanks for your kind thoughts and wishes.
    Colleen

    in reply to: Treatment number 14 today…needing encouragement. #5202

    colleencasey
    Participant

    Hi rebtar:
    Depression is so difficult and challenging to deal with. And sometimes the treatment can add to those challenges, which is characteristic of the dip, that you may be experiencing.
    First let me commend you on your determination to “stick it out” as treatment outcomes sometimes can not be determined until treatment is complete. Hence the importance of not ending treatment prematurely if that is what your doctor is advising.
    The dip is a phenomena that occurs during treatment for some patients. It is a “dip” in mood so to speak, what feels like a worsening of depression. Sometimes it can feel worse than the depression you are being treated for. The good news is that it is temporary. It can be quite difficult to tolerate and endure, However, it is a small price to pay if TMS works for you. I cried, wanted to quit treatment, was confused and unsure of almost anything during that time. Hold on, you will make it through.
    TMS is a medical treatment and needs to be viewed as such so have some patience (I know it can be hard), and compassion for yourself and your process. Stay connected with your Doctor and TMS Coordinator on a regular basis. Stay in touch with your support systems and communicate your experiences whenever you need to.
    I have no experience with MagVenture, I was treated with the Neurostar System.
    I am sending support. Please stay connected with this site too for info and the support you need. I am praying for you.
    Colleen

    in reply to: New patient 5 treatments in its been a mixed bag #5200

    colleencasey
    Participant

    mousehousevacs:

    Now to address TMS as a treatment option. TMS is a treatment that is FDA approved to treat Major Depressive Disorder. (MDD) (so there is a chance of insurance coverage depending on individual policies). My psychiatrist stated that the scientific evidence finds that TMS works slightly better than medication. Each patient is evaluated by an M.D. for treatment consideration. There is no definitive to determine whether it will work for any one individual; there is risk involved that it may not just like medication. TMS can be offered for other conditions besides MDD without FDA approval (off label and no insurance coverage). (It was effective for my ADHD to the point where I no longer need meds). There is mounting information on the internet about TMS, patient testimonials, scientific data, treatment explanations, etc.
    Self education is important so that the most informed decision can be made. Keep hope in your heart. Brain research and understanding human behavior is a research priority right now. That is good news.

    Colleen

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