We are thrilled to announce this week’s episode with Rustin Berlow, M.D., discussing Transcranial Magnetic Stimulation (TMS). Dr. Berlow is a leader in the field of TMS and will share his insights on how it can be used to treat depression and other mental health issues. He’ll discuss the latest research around this cutting-edge technology as well as its potential applications for various conditions. We invite you to join us for this fascinating conversation! You can listen online or subscribe through your favorite podcast platform: Apple Podcasts, Google Play Music, Spotify, Stitcher Radio and more.
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Show Notes from this episode
Dr. Berlow is a psychiatrist in a California private practice. Born in Wisconsin, graduated from Columbia (P&S) Medical School, trained: two years in neurosurgery, three years psychiatry and a two-year fellowship in Mood Disorders. After 23 years of practicing and teaching psychopharmacology he added procedural diagnosis and treatment including brain stimulation. Initial visit includes HRV, GSR and EEG. Multilayered treatment including 1) psychotherapy, 2) psychopharmacology, 3) Magnetic stimulation: rTMS, TBS, accelerated, deep TMS. 4) Electric stimulation: tDCS, tACS, Trigeminal and tVNS (Transcutaneous Vagus Nerve Stimulation),and 5) Intravenous and psychedelic therapy (ketamine etc). By teaching and training workshops he has shared his experience with hundreds of psychiatrists & neurologists in person and online. His areas of interest include numeric nosology, the relationship between brain and mind, EEG-TMS - how to predict and personalize treatment (including microstate cortical topographic analysis) and translating new science to helping people.
Dr. Barrett 01:06 Introduction of Dr. Berlow
Dr. Berlow 02:42 Shares his journey to psychiatry and TMS with us
Dr. Berlow 05:00 Discusses Neuronavigation and New Coils
Dr. Barrett 06:46 What about chronic pain?
Dr. Berlow 07:14 Why TMS works and how
Dr. Barrett 13:47 What about Frequency?
Dr. Berlow 14:08 Explains energy and frequency
Dr. Berlow 22:01 How the energy is converted from magnetism to electrical
Dr. Barrett 23:31 How does the hippocampus interact with the pre-frontal cortex?
Dr. Berlow 25:09 Combining psychedelics with TMS
Dr. Barrett 25:49 TMS and brain plasticity and reducing the penumbra of Stroke
Dr. Berlow 26:12 Talks about TMS use in stroke patients
Dr. Berlow 27:33 The association of chronic pain with anxiety and depression
Dr. Barrett 27:36 What about anxiety?
Dr. Barrett 29:09 How does TMS interact with the HPA?
Dr. Berlow 32:55 The amygdala, DLPFC, and frontal lobe
Dr. Berlow 34:46 Using fMRI and EEG
Dr. Berlow 37:57 Talks about treatment protocols
Dr. Berlow 39:06 Usefulness of EEG before and after TMS
Dr. Barrett 41:33 What about cellular fatigue?
Dr. Berlow 41:41 The newest and most exciting EEG technique is called micro state analysis
Dr. Barrett 44:10 Are you able to forecast a prognosis?
Dr. Berlow 45:15 Concomitant use of anti-depressants with TMS
Dr. Berlow 47:02 More about pain and suffering
Dr. Barrett 50:27 What about safety with TMS?
Dr. Berlow 51:10 Thresholds and seizures
Dr. Berlow 52:21 Dosage of TMS energy
Dr. Barrett 53:59 The concern about potential seizures
Dr. Berlow 54:11 Headaches—but mild are most common adverse effect
Dr. Barrett 55:45 What about in the future? Do you see where TMS will be used in conjunction with some of the psychedelics?
Dr. Berlow 55:55 Same day ketamine and TMS?
Dr. Barrett 59:02 FDA restrictions?
Dr. Berlow 59:49 People are either spiraling up, or they're spiraling down downward cycle.
Dr. Berlow 1:01:22 If you look at the DSM diagnoses, a patient that has one DSM diagnosis, the chances 65%, that they will have another diagnosis also.
