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Flashcards in Week Seven Deck (6)
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Treatment resistant depression patients

Vagal nerve stimulator

  • stimulates the Vagal nerve.  
  • Used to control seizures in the past.
  • Cost over $20,000 and insurances are very slow to pay for it because they describe it as somewhat experimental. 
  •  Involves electrical stimulation of the left Vagal Nerve by an implanted device.
  • Used for treatment resistant depression. 

Treatment resistant depression patients

Transcranial Magnetic Stimulation (TMS)

  • For treatment resistant depression
  • Repetitive stimulation of the prefrontal cortex which effects the Limbic circuits and acts on neurotransmitter systems
  • Newer versions of this approach are being studied.  Current results are modest.


If we see the depressive symptoms in spades, what should we ask before diagnosis? 


What should be considered if patient is in manic phase?

  • Hospitalization 


    Disruptive mood dysregulation disorder


  • Children older than 5 with temper/rage outbursts
  • The working name “Temper dysregulation disorder with dysphoria” was abandoned
  • It is intended to address the over diagnosis of bipolar disorder in children