A blow to the head or body can cause a traumatic brain injury. A bullet or piece of skull can cause traumatic brain injury. A traumatic brain injury can lead to big life changes that can leave a person needing long term care.
Effects of Traumatic Brain Injury
The effects of traumatic brain injury can be wide-ranging, and may appear immediately after the event. Quality of life is often greatly affected by the cognitive, behavioral, and sensorimotor disabilities that result from the traumatic brain injury. Depression can be caused by the effects of TBI. Depression after a traumatic brain injury is characterized by:
Persistent sadness and anxiety
Anhedonia (lack of pleasure)
Feelings of worthlessness
Loss of interest in work and family activities
Decreased social contact
Depression after traumatic brain injury has a number of risk factors.
Depression is a common mental health problem after a traumatic brain injury. The lifetime rates of depression are estimated by most experts to be 26-64%.
Genetics, demographic, developmental and psychosocial factors are some of the factors that influence the risk of depression. People with a history of mood and anxiety disorders are more likely to develop major depression after a traumatic brain injury.
Alcohol misuse can lead to depression after a traumatic brain injury. Some of the people who were followed by Arciniegas used alcohol for a year after their traumatic brain injury. The first year of follow-up for 55 patients with a history of alcohol misuse, 33 developed a mood disorder, compared with 38 patients without a history of alcohol misuse.
The development of depression is likely to be caused by injury severity tms, injury to the left dorsolateral frontal part of the brain, and poor social support.
How can the use of technology help traumatic brain injury and depression?
It is difficult to treat depression after a traumatic event. There has been inconsistent research on the effectiveness of antidepressants for depression.
Conventional rehabilitation methods are not as effective when treating a traumatic brain injury because they cause both diffuse and focal damage. There is a need for improved therapeutic strategies for post-TBI depression.
There are some benefits to using transcranial magnetic stimulation in patients with traumatic brain injury, but other results are not as good. There are several studies that show enhanced recovery from a traumatic brain injury.
There are limited published studies on the use of TMS for treating depression. A randomized trial by He et al. compared the effects of TMS on depression with a tricyclic antidepressant alone, and a case report by Fitzgerald et al.
The Journal of Neurologicaltrauma found that the treatment of traumatic brain injury was well-tolerated in post-TBI depression. The study showed that it was effective in helping patients with post-TBI depression. Twenty-one patients with a current episode of major depression after a traumatic brain injury were randomized to receive a placebo or a randomized double-blind placebo-controlled trial of TMS. The left and right dorsolateral prefrontal cortex were treated with sequential bilateral TMS in 20 treatments over a period of 4 weeks. Patients were randomly allocated to receive stimulation. All patients who were treated with TMS showed a significant improvement in their depression regardless of their treatment group. The study only provided 20 treatment sessions, which is less than the amount of sessions we provide to patients in real world clinical practice, including at Mid City. The patients in the study had more significant improvement in their symptoms if there had been more sessions.
More research is needed to find out how to use TMS to treat depression. Larger research groups with better design and better protocols are needed for new studies.
Consider the benefits of the therapy for traumatic brain injury and depression.
TMS is a proven depression treatment. There are some advantages of using TMS over medications in treating post-TBI depression, for example, it may lend itself to the neuroscience of the brain more than the drugs.
If you have suffered from a traumatic brain injury and are wondering if TMS can help you, please contact us and we will help you figure out the best plan for you.