Evidently the cost of rTMS therapy for treatment resistant depression is $50k; when low amplitude PEMF applied regularly for 1/50th the cost can produce comparative if not better changes.

I was ‘shocked’ to discover the cost of rTMS for medication resistant depression per patient. In a 2009 study, rTMS provides an incremental cost-effectiveness ratio of USD $34,999 per quality-adjusted life-year or QALY. The Willingness-to-pay threshold was set at USD $50,000 per QALY.  Evidently, the $35K is some sort of deal and squeaks under the $50K willingness to pay quotient.

According to Wikipedia:

The quality-adjusted life year (QALY) is a generic measure of disease burden, including both the quality and the quantity of life lived. It is used in assessing the value in money of a medical intervention. One QALY equates to one year in perfect health.

i.e. $50K per year! Each rTMS system costs roughly $50K from the manufacturers! This is crazy. Seem’s ridiculously expensive considering the number of patients one system can treat. What a racquet.

rTMS is simply very strong PEMF to the head. This strong PEMF causes a significan’t electrical current to surge through the target tissue with each pulse. The EarthPulse™nano-second rise time waveform produces a significant but relatively weak electrical current, but over-time we’re getting results that are as good or better than the published study abstracts, at home, at about 1/50th or so the cost.

elevate your mood with pulsed electromagnetic field therapy PEMF

While they don’t come out and say it, the $35K figure looks like it was the cost of one course of 40 minute, 3 to 5 times per week sessions for 4 to 6 weeks. I suppose that if patient was to require a second cycle of therapy the economics invert upside-down. If these rTMS systems cost just $50K why is the therapy so expensive? Makes no sense to me. To read the story.

One of these systems should be in every hospital (including the VA) adjacent to the Emergency Room where patients can be treated round the clock. Even if it were set up at just $25 per 30 minutes session and you had the system run by medical or PhD students rather than fully paid technicians, say just 2 per hour over 24 hours (48 sessions) at $25 = $1200 per day. Payback 60 days (without a technician). Simple-stupid.

What’s simpler, is just doing the same thing at home while you sleep with an EarthPulse™ under your pillow.

Why congress hasn’t forced the VA into installing rTMS for PTSD symptoms is a mystery. Right now the list of VA studies on rTMS are few and far between and the subject matter of them is embarrassing.

The VA know’s this works but would rather hand out psych drugs for something so simple while they dick-around and waste time seeing if Fast or Slow rTMS is better.

It’s obviously safe and effective so why not install them and then figure out what’s better? BECAUSE THEY DON’T CARE, THAT’S WHY. Or, they do care and they’re trying to delay the inevitable in favour of their drug-lobbiest friends.

From https://clinicaltrials.gov

4 studies (just 2 on-point) found for search: veteran rTMS ptsd

Rank Status Title;

1. Recruiting Study Testing if Fast or Slow rTMS is Better for the Treatment of Posttraumatic Stress Disorder (PTSD)
Conditions: Posttraumatic Stress Disorder; Depression
Intervention: Device: Repetitive Transcranial Magnetic Stimulation
2. Enrolling by invitation Novel Treatment of Emotional Dysfunction in Post Traumatic Stress Disorder (PTSD)
Condition: Post Traumatic Stress Disorder
Interventions: Device: Repetitive Transcranial Magnetic Stimulation (rTMS); Behavioral: Cognitive Processing Therapy; Device: Repetitive Transcranial Magnet Stimulation (rTMS)
3.  Recruiting rTMS to Improve Cognitive Function in TBI
Condition: Traumatic Brain Injury
Interventions: Device: rTMS; Device: Sham rTMS
4. Recruiting Improving Functions in MTBI Patients With Headache by rTMS
Condition: TBI (Traumatic Brain Injury)
Interventions: Device: Transcranial Magnetic Stimulation; Device: Sham Transcranial Magnetic Stimulation

Search for veteran rTMS depression finds just one more VA study:

7 studies found for: veterans rTMS depression

Rank Status Study
1. Recruiting CSP #556 – The Effectiveness of rTMS in Depressed VA Patients
Condition: Major Depressive Disorder
Interventions: Device: rTMS; Device: Sham Device
2. Recruiting Study Testing if Fast or Slow rTMS is Better for the Treatment of Posttraumatic Stress Disorder (PTSD)
Conditions: Posttraumatic Stress Disorder; Depression
Intervention: Device: Repetitive Transcranial Magnetic Stimulation
3. Completed A Clinical Trial of Magnetic Stimulation in Depression
Condition: Depression
Interventions: Procedure: Repetitive transcranial magnetic stimulation (rTMS); Procedure: Sham rTMS; Device: Repetitive Transcranial Magnetic Stimulator
4. Recruiting rTMS to Improve Cognitive Function in TBI
Condition: Traumatic Brain Injury
Interventions: Device: rTMS; Device: Sham rTMS
5. Unknown † Efficacy of rTMS in the Treatment of Patients With Migraine
Condition: Migraine
Intervention: Device: Repetitive Transcranial Magnetic Stimulation (rTMS)
6. Recruiting Transcranial Magnetic Stimulation for Apathy in Mild Cognitive Impairment:Pilot Study
Conditions: Apathy; Mild Cognitive Impairment
Intervention: Device: Neurostar repetitive transcranial magnetic stimulator
7. Recruiting Repetitive Transcranial Magnetic Stimulation for Apathy in Alzheimer’s Dementia
Conditions: Apathy; Alzheimer’s Dementia
Intervention: Device: Neurostar repetitive transcranial magnetic stimulator

Meanwhile look at the number of behavioural studies (or BS) for veterans with PTSD! Somewhere in the 362 studies is the 3 veterans rTMS studies listed immediately above. It’s a joke, but no laughing matter while 22+ vets a day commit suicide. This is incompetence of the highest order.

From the looks of things it’ll be a long wait for veterans (or just about anyone for that matter) with either PTSD or treatment resistant depression to find or have ready access to rTMS at their local VA or hospital. Meanwhile rTMS has proven to work at this Newport Beach, CA clinic treating veterans for free. While we’re only aware one client with significant PTSD disability, EarthPulse™ PEMF worked like a charm for him.

362 studies found for: ptsd veterans (meaning that 9 of 362 studies are using rTMS vs. 353 studies using behavioural management or drugs when rTMS stands head & shoulders above them in terms of effectiveness while being equally safe as biofeedback / behavioural management and conditioning. 

1 Completed Has Results Telemedicine and Anger Management Groups With PTSD Veterans in the Hawaiian Islands
Condition: Posttraumatic Stress Disorder
Intervention: Behavioral: 12 sessions Anger Management Therapy.
2 Not yet recruiting LED Light Therapy to Improve Cognitive & Psychosocial Function in TBI-PTSD Veterans
Conditions: Traumatic Brain Injury (TBI); Post-traumatic Stress Disorder (PTSD)
Intervention: Device: Photomedex Sham Helmet with Red/Near-Infrared Light-Emitting Diodes (LEDs) that are not turned on
3 Completed Quantitative Electroencephalography (QEEG) and Low-resolution Electromagnetic Tomography (LORETA) Analysis in Post Traumatic Stress Disorder (PTSD) Patients
Condition: Post-Traumatic Stress Disorder
Intervention:
4 Completed Effectiveness of Cognitive, Exposure, and Skills Group Manualized Treatments in Operations Iraqi (OIF)/Operation Enduring Freedom (OEF) Female Veterans
Condition: Post Traumatic Stress Disorder
Intervention: Behavioral: 16-Week Group Treatment
5 Active, not recruiting Using Heart Rate Variability Biofeedback to Improve Attention and Memory in PTSD+ Combat Veterans
Condition: PTSD
Intervention: Behavioral: Biofeedback
6 Completed Norepinephrine Transporter Availability in PTSD
Condition: Posttraumatic Stress Disorder
Intervention: Drug: [C-11]MENET
7 Recruiting A RCT of Meditation Compared to Exposure Therapy and Education Control on PTSD in Veterans
Condition: Post-traumatic Stress Disorder
Interventions: Behavioral: Transcendental Meditation; Behavioral: Prolonged Exposure; Behavioral: Educational control
8 Active, not recruiting Virtual Reality Therapy and Imaging in Combat Veterans With Blast Injury and Posttraumatic Stress Disorder
Conditions: Post-Traumatic Stress Disorder; Blast Injury
Intervention:
9 Completed
Has Results Tobacco Cessation for Veterans With Post Traumatic Stress Disorder (PTSD)
Conditions: Tobacco Use Cessation; Post Traumatic Stress Disorders
Intervention: Behavioral: Motivation Interviewing Counseling
10 Recruiting Improving Functional Outcomes of Veterans With PTSD and Tobacco Dependence
Conditions: Tobacco; Posttraumatic Stress Disorder
Interventions: Behavioral: Acceptance and Commitment Therapy for PTSD and Tobacco Use; Behavioral: Freedom From Smoking
11 Not yet recruiting Exercise and PTSD in Older Veterans
Condition: Post-traumatic
Intervention: Behavioral: Exercise as an Adjuvant Therapy for Veterans with PTSD
12 Not yet recruiting Interpersonal Therapy for Veterans With PTSD
Condition: Interpersonal Therapy for PTSD
Interventions: Behavioral: Interpersonal Therapy for PTSD; Behavioral: Prolonged Exposure
13 Completed A Study of Dog Adoption in Veterans With Posttraumatic Stress Disorder (PTSD)
Condition: Posttraumatic Stress Disorder (PTSD)
Intervention: Other: Shelter Dog Adoption
14 Completed
Has Results Telemental Health and Cognitive Processing Therapy for Rural Combat Veterans With Posttraumatic Stress Disorder
Condition: Posttraumatic Stress Disorder
Interventions: Behavioral: Cognitive Processing Therapy Group Videoteleconference; Behavioral: Cognitive Processing Therapy Group In-Person
15 Recruiting Meditation in Veterans With PTSD and Mild TBI
Conditions: Stress Disorders, Post-Traumatic; Concussion, Mild
Interventions: Behavioral: Inner Resources for Veterans (IRV); Behavioral: PTSD and mTBI education
16 Completed Behavioral Activation for Posttraumatic Stress Disorder (PTSD)/ Depression Treatment in Operations Iraqi Freedom and Enduring Freedom (OIF/OEF) Veterans
Conditions: Posttraumatic Stress Disorder; Depression
Interventions: Behavioral: Behavioral Activation treatment; Other: Usual VA Treatment for PTSD
17 Unknown † Strength at Home Couples Program (PTSD-Focused Relationship Enhancement Therapy for Returning Veterans)
Conditions: Aggression; Post Traumatic Stress Disorders
Interventions: Behavioral: Strength at Home Couples Group; Behavioral: Supportive Group Therapy
18 Recruiting Evaluation and Treatment of Substance Abuse in Veterans With PTSD Disability Claims
Conditions: Attendance at Treatment; PTSD, Substance Use, and Attendance at Treatment
Intervention: Behavioral: SBIRT
19 Withdrawn Community-Based Telemedicine to Reduce Risk to Georgia Veterans With Post Traumatic Stress Disorder
Condition: Post Traumatic Stress Disorder, PTSD
Intervention: Behavioral: Prolonged Exposure Therapy
20 Unknown † Development of a Post-Traumatic Stress Disorder (PTSD) Population Registry for Veterans
Condition: Stress Disorders, Post-Traumatic
Intervention: