004: Treatment Resistant Depression and Transcranial Magnetic Stimulation | Prof Paul Fitzgerald

The Dr Syl Podcast

In this episode of the Dr Syl Podcast, Dr Syl and Professor Paul Fitzgerald discuss treatment resistant depression and the advent of transcranial magnetic stimulation. They discussed the limitations in the current treatment landscape, what the experience of having TMS is like, and how to future of it looks.
A bit more about Prof Paul Fitzgerald:
Paul Fitzgerald is the Head of the School of Medicine and Psychology at the Australian National University. He is a qualified psychiatrist, has a MBBS degree, Masters of Psychological Medicine and research PhD from Monash University.
He has conducted an extensive range of more than 20 clinical trials, especially focussed on the development of novel brain stimulation treatment options including repetitive transcranial magnetic stimulation (rTMS) for patients with depression, schizophrenia, obsessive compulsive disorder, PTSD, autism and Alzheimer’s disease. He has had continual NHMRC grant support for over 20 years and over $10 million in research support in the last 5 years. He has published several books, over 500 journal articles and been cited over 20,000 times.
He has established multiple clinical rTMS services, founded several device and clinical service companies and the first rTMS training program in Australia. He led a national application to the Department of Health at the Federal Government level and this resulted in Medicare funding $283 million in year 1 of rTMS therapy for patients with depression in 2021.
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Link to disclaimer: https://youtu.be/pfVAn7Zp-_o
If you or someone you know is in immediate danger, please call a local emergency telephone number or go to the nearest emergency room. This channel is intended for general educational mental health content only. It is NOT a substitute for seeking professional mental health/health advice from your doctor or therapist. Interacting with my channel does NOT constitute a Doctor-Patient relationship. I do NOT represent any medical college or organisation. This content represents my PERSONAL views only.
00:00 - Introduction

02:17 - Prof Fitzgerald’s journey into psychiatry

06:30 - How do you think about Depression?

09:04 - What is TMS?

13:30 - Why don’t medications work?

19:30 - Is there an ideal patient who responds to TMS?

29:00 - Is psychiatry too conservative a field?

37:10 - How much does TMS cost?

44:30 - Can it be used as Augmentation?

49:00 - How can a Psychiatrist get more involved?