Depression and Anxiety Treatment

Treatment privately with Dr Colin Robertson for depression without medication is £3400 

Information and procedure for private clients to apply for TMS treatment

Application Procedure

To apply for treatment, please complete the application form found on this web page and email or post to Nicola Mallon, our TMS appointments secretary. When your application is received, a letter will be sent to you requesting information from your G.P. / Consultant Psychiatrist about your mental health history. You must contact your G.P. / Consultant Psychiatrist to request this information be sent to Nicola Mallon. Only when we have received this information can an appointment be arranged for you to see Prof. Ann Mortimer, Consultant Psychiatrist, to assess your suitability for TMS treatment. This appointment will occur on a Monday or Tuesday only. Should you be considered suitable you will be referred to Dr. Colin Robertson, TMS Psychologist, to arrange appropriate dates for treatment.  Please note the time between seeing Prof. Mortimer and your referral with Dr. Robertson can take up to 2 months.

We have two treatment clinics, one in Grimsby, N.E.Lincs., and another in Welton, East Yorkshire.

Treatment Procedure.

If you have a considerable distance to travel then we recommend you stay in a local hotel for the duration of treatment. The aim is to give you 10 treatments over 3 consecutive days to minimise the demands on your time, for instance Monday to Wednesday. On the first day of treatment you will with us all day, usually starting at 9.30am. The day will start with recording your EEG which will take about one hour. Then there will be a break to analyse the EEG. Once the EEG has been analysed you will be shown the results and explain how to treat you with TMS and give you your first treatment. Then there will be a break for lunch and after this the aim will be to give you 3 further treatments.

 

On the Tuesday we will start again at 9.30am and you will be with us all day with the aim of giving you 4 treatments, 2 before and 2 after lunch. On the Wednesday again start at 9.30am with 2 treatments followed by another EEG recording, with the aim of completion by midday.

 

On completion of TMS therapy a follow up appointment will be arranged for review with Prof. Mortimer approximately one month later, to assess the effects of therapy. A report of the pre and post EEG recordings will be provided for this follow up assessment. Should you consider sometime later, perhaps after 3-6 months, that you would benefit from a repeat course of treatments this can be arranged.

 

 

 

Treatment Cost.

As you are out of our catchment area we have to charge a fee to cover the cost of treatment. The fee is currently £3400 paid in advance. This fee covers your pre and post treatment appointments with Prof. Mortimer, your EEG recordings, analyses and up to 10 TMS treatments. Any subsequent treatments are charged at £340 each.

Please note you have to pay separately for the hotel accommodation. For the Grimsby clinic there are three hotels we recommend one is Millfields, 53 Bargate, Grimsby, North East Lincolnshire, DN34 5AD. Tel 01472 356068 www.millfieldshotel.co.uk, a second is the Pink Butterfly Bed and Breakfast, 198 Victoria Street, Grimsby, DN31 1NX. Tel 01472 340818 Email franco@pink-butterfly.co.uk, and a third is Premier Inn,  Europa Park Appian Way, Off Gilbey Road Grimsby DN31 2UT. Tel: 0871 527 8478 www.premierinn.com

For the Welton clinic in East Yorkshire there is the Green Dragon Inn, Cowgate, Welton, HU15 1NB Tel. 01482 666700

 

Are there any risks involved?

The National Institute for Health and Clinical Excellence (NICE) published their guidance in November 2015 and stated that there are no major safety concerns associated with TMS. NICE also states there are potential adverse events which may include the following:

(1)      A small percentage of service users in clinical studies have experienced transient headaches that are believed to be due to excessive muscle tension. Headaches induced by TMS can be treated with simple ‘over the counter’ pain killers such as paracetamol.

(2)      The straight posture of the head and neck during the application of TMS can result in transient neck stiffness and neck pain due to muscle contracture. This neck pain can also be treated with simple pain killers such as paracetamol.

(3)      Very rarely indeed (16 times during thousands of treatments during several decades worldwide) TMS has caused an epileptic fit, even without risk factors such as pre-existing epilepsy or other brain disease.  However, the strength of TMS which we are using has never caused an epileptic fit.

 

 

 

Criteria used for treatment selection.

To be considered for TMS treatment the following inclusion and exclusion criteria should be applied.

Inclusion Criteria:

  1. Gender: male or female.
  2. Must suffer from major depressive episodes, generalised anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, or schizophrenia according to clinical interview and historical review.
  3. Consistent medication: unchanged for the last six weeks.
  4. Co-operative with medication.
  5. Capacity for written informed consent.

 

Exclusion Criteria:

  1. History of epilepsy.
  2. Pregnancy.
  3. Metal implants in the head.
  4. Independent neurological or neuropsychiatric disorder.
  5. Alcohol abuse or substance abuse.
  6. Primary diagnosis of personality disorder.
  7. Heart pacemaker.

 

Enquiries

Should you require any further information contact Nicola Mallon either by email nicola.mallon@nhs.net or phone 01472 583016

 

 

 

#depression

We are delighted to be working with DR Colin Robertson who is offering an exciting new therapy for depression. Targeted Transcranial Magnetic Stimulation is a non medication effective treatment for depression. Dr Robertson records the natural electrical activity in your brain using an EEG, he then analyses the results to identify patterns of anomalous brain activity. Colin than uses these results to specifically target the magnetic stimulation to your needs in this unique and exciting new treatment.

 

What is TMS?

Transcranial Magnetic Stimulation is a non-invasive, pain free method to stimulate areas of the brain to improve symptoms of depression.

The TMS device is a coil of plastic-coated wire and is about the size and thickness of a typical oval cake tin.

The coil has a powerful and rapidly changing electrical current passed through it which produces a pulse of magnetism.

This pulse can produce a secondary current which when placed on the head generates a magnetic field which passes through the scalp with little resistance, and causes the underlying brain cells to activate.

This electrical activity does not spread throughout the brain. There is no damage to the brain, no serious side effects and no long-term adverse effect from the pulse of magnetism.

The TMS pulses can increase or decrease the activity in targeted areas of the brain depending on your individual requirements.

TMS for treatment of depression and anxiety

This treatment was recently highlighted in a episode of ‘Trust me I am a Doctor’ on BBC2, showing trials of TMS in US service men returning home from combat. TMS used in USA on trust me I’m a Doctor BB2