Abstract:Electro-Convulsive Therapy (ECT) is an effective intervention for treatment resistant depression (TRD) (Pagnin et al., 2004). However, therapeutic alternatives are limited if ECT is deemed medically unsafe. Repetitive Transcranial Magnetic Stimulation (rTMS) has gained evidence (Slotema et al., 2010) in the management of depression. We describe a complex scenario in which we used rTMS to manage TRD.Mr T is a 56-year-old man who presented with depression, nihilistic delusions, and progressive deterioration in f… Show more
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