Category Archives: Tms

The following pages might help you choose the person best suited for you:

We hope that you find the following pages helpful as well:

You may see the following links under the entries for some providers:

Before starting a professional relationship with anyone on this list, you should confirm relevant information, including credentials and accepted insurance. As with all other information on the wiki, we can't guarantee the information in this list. When possible, we try to include links to make it easy for you to confirm the information.

Please help us improve this list by providing us with more information about yourself. See our "Updating information about yourself in our practitioner list" page for information about how to do this. General information about interacting with the wiki can be found in our "For TMS practitioners" page.

If you are a licensed TMS therapist or physician and would like to be listed on our directory please Contact Us.

Unfortunately, many people who think they may have Tension Myositis Syndrome (TMS) do not live in an area served by any TMS professionals. Luckily, some TMS professionals are able to provide services over the internet or telephone. Although diagnosis can't be performed over the internet or telephone and distance can provide a significant barrier to psychotherapy, the following people provide coaching and other services to people who aren't able to travel to meet a provider face to face. More information can be found in our page on Structured TMS recovery programs.

Currently, all additional practitioners listed are able to conduct sessions remotely. Click here to go to the Additional TMS Practitioners page.

Dr Rochelle is a practicing orthopedic surgeon in Arkansas. He incorporates the TMS diagnosis and treatments in his practice. He says that only when people "accept the idea that unpleasant emotions in the unconscious mind actually cause physical symptoms will we see an end to the current epidemic of TMS musculoskeletal pain in its many varieties." He is also a contributing author to Dr Sarno's The Divided Mind. (Source)

Address has not been verified Orthopedic Surgery 403 Morrow St N Suite F Mena, AR 71953 Main Wiki Page on Dr. James Rochelle Contributed the article, "My Perspective on Psychosomatic Medicine," in The Divided Mind, by Dr. John Sarno. 2006.

Will Baum is a psychotherapist in the Los Angeles area. He has written a number of articles for PsychologyToday.com, the Huffington Post, and Where the Client Is. He is cross trained in psychodynamic talk therapy, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT). Will Baum's practice is focused on anxiety/depression, relationships, chronic pain, and addiction recovery. He has experience working with an "extremely wide range of clients and concerns." (Source)

Recent Change of Address 4448 Ambrose Ave. Los Angeles, CA 90027 (323) 610-0112 will@willbaum.com TMS Wiki Profile / Website Main Wiki Page about Will Baum Will Baum has written several TMS related articles for Where the Client Is. Information about them can be found on the TMS in the Media page.

Arnold Bloch, LCSW has been in practice for over 25 years, during which time he has seen over 200 clients with TMS. He holds a master's degree in social work from the University of Southern California, and studied under long-time TMS therapist, Don Dubin, MFT. Bloch has a close working relationship with David Schechter, MD (Source) who himself has seen over 1000 patients with TMS. He has dedicated himself to "the alleviation of chronic pain, especially when that pain can not be satisfactorily explained by conventional medical examination." He believes in the power people have in "freeing themselves from the suffering brought about by a negatively conditioned mind," and he seeks to help people develop the skills to choose the mind and body states they desire to have.

Bloch has been very active in the TMS community. He has attended TMS conferences and stays up-to-date on the latest mind-body research and treatment techniques. In the fall of 2012, Bloch participated in a TMS webinar, alongside Dr. Schechter. (Source)

Available via Phone and Skype 1280 Willsbrook Ct Westlake Village, CA 91361 (805) 796-9540 arnold@arnoldbloch.com Survey Response / Website TMS Webinar with Dr. Schechter and Arnold Bloch

Samantha Bothast is a psychotherapist at the Pain Psychology Center in Los Angeles, CA headed by Alan Gordon, LCSW. Samantha uses both a cognitive behavioral and psychodynamic approach in her sessions. Samantha worked as a medical social worker for 19 years prior to working at the Pain Psychology Center. (Source)

Available via Skype 9777 Wilshire Blvd. Suite 1007 Beverly Hills, CA 90212 (310) 853-2049 Contact Form

(Deceased) Don Dubin was a committed and loved TMS therapist who worked with David Schechter for many years.

Alan Gordon is a psychotherapist in private practice in Santa Monica who specializes in the treatment of chronic pain using the the TMS approach. He is a co-founder and the Executive Director of the Pain Psychology Center, a TMS treatment center in Los Angeles. He is also a board member of the Psychophysiologic Disorders Association (PPDA). He was the primary organizer (chair) of the 2nd annual TMS Conference held in LA in March 2010, where he gave a presentation entitled Cognitive-Behavioral Approaches in the Treatment of Mind-Body Disorders. His efforts were a key factor in making the conference a success. Alan also co-organized and presented at the 2013 clinical training in Los Angeles with Howard Schubiner, MD in partnership with the PPDA.

Alan developed a free multimedia TMS Recovery Program, which he donated to the TMS Wiki in 2013. He has also written an article called Miracles of Mindbody Medicine for the Healthcare Counseling and Psychotherapy Journal.

Alan is also one of the answering therapists for the Ask a TMS Therapist program.

(Source1, Source2, Source3, Source4)

Available via Skype 1247 7th St., Suite 300 Santa Monica, CA 90401 (310) 945-6811 and 9777 Wilshire Blvd. #1007 Beverly Hills, CA 90212 (310) 945-6811 Contact Form Forum Profile / Personal Website / Pain Psychology Center Main Wiki Page About Alan Gordon Ask a TMS Therapist Responses

Karen Kay is a licensed clinical psychologist with psychoanalytic training, and has a private practice in West Los Angeles. She has worked with TMS patients throughout her 25+ year career, and has been supervised by Arlene Feinblatt, Ph.D. (the psychologist who developed the psychotherapeutic approach to TMS in collaboration with John Sarno, M.D.) as well as Eric Sherman, Psy.D., and Frances Sommer Anderson, Ph.D. She has been an approved supervisor by the American Association for Marriage and Family Therapy since 1991. She says, "I have had great success in helping people who struggle with mind-body difficulties. In addition, I have specialty training in working with children, adults, and families."

1800 Fairburn Avenue Suite 109 Los Angeles, CA 90025 (310) 446-0500 TMS Wiki Profile Survey Response Website

Suzi Kimbell is a psychotherapist with training in somatic, body-centered psychotherapy, EMDR, mindfulness-based stress reduction, and trauma and PTSD treatment from a mind-body perspective. She attended the clinical training in Los Angeles in November 2013. Suzi also suffered from chronic back pain, which she overcame using the TMS approach. She writes, "My own recovery from TMS led to my passion for helping those with chronic pain, whose symptoms are so often misunderstood by the traditional medical community. I know first hand how powerful Dr Sarnos ideas are and that recovery from pain is truly possible." (Source)

Available via Phone and Skype 860 Via De La Paz, Suite F6 Pacific Palisades, CA 90272 (310) 463 7598 Insurance Accepted: All PPO insurances (Suzi Kimball is an out of network provider) Survey Response

Catherine Lockwood is an experienced Intensive Short Term Dynamic Psychotherapy (ISTDP) psychotherapist based in Los Angeles, California. She has studied under many notable ISTDP instructors and continues to attend workshops and seminars on ISTDP. She also attended the 2013 Clinical Training for the Treatment of Mind-Body Disorders in Los Angeles. There, she observed how Howard Schubiner, MD and Alan Gordon, LCSW, the presenters of the training, are utilizing ISTDP in their approaches to treating TMS. Catherine writes, "I am passionate and dedicated to continuing to improve my skills in ISTDP, TMS and trauma treatment." (Source)

Available via Video 179 Barrington Place, Suite B Brentwood Village Los Angeles, CA 900049 (310) 488-5292 CatherineLockwoodMFT@GMail.com Survey Response / Website

Daniel G. Lyman is a psychotherapist at the Pain Psychology Center in Los Angeles, CA headed by Alan Gordon, LCSW. He earned a master's degree in Social Work and in Public Administration from the University of Southern California and specializes in the treatment of mindbody pain syndromes. In describing his treatment approach, he writes, My goal in therapy is to provide a safe place to challenge our current beliefs and behaviors regarding our pain (TMS). The process is two-fold: The first part is changing the nature of our relationship to our symptoms, and the second part is discovering why the symptoms are there in the first place. These concurrent paths help to decrease the symptoms in the present as well as discourage the symptoms from recurring in the future. Daniel also specializes in working with the LGBT population, including couples and family issues. (Source)

Daniel is one of the participating psychotherapists in the Ask A TMS Therapist program. Read his responses here.

Contributed article: 10 Days of Silence: Meditation, Pain, & How You Can Become the Most Emotionally Healthy Person You Know, by Daniel G. Lyman (Part I), (Part II).

Available via Phone and Video (617) 470-6043 DanielGLyman@gmail.com Survey Response / Forum Profile Ask A TMS Therapist Responses

Gillian Marcus is a clinical therapist with a private practice in West Los Angeles specialized in TMS. She attended the Los Angeles conference When Stress Causes Pain for TMS practitioners in November 2013. Gillian also has a personal history of TMS, and used a combination techniques including psycho-education, therapy, meditation and other self-help techniques to help relieve her TMS symptoms. (Source)

Available via Phone 2001 South Barrington Avenue Los Angeles, CA 90025 (310) 288-3536 Survey Response

Brooke Mathews is an experienced psychodynamic therapist based in Southern California. A former board member of the Psychophysiologic Disorders Association (PPDA), Brooke earned her master's degree in social work from the University of Southern California, and is a licensed clinical social worker (LCSW) in the state of California. She writes, I have devoted a great deal of my practice to working with and advocating for patients who can't seem to find anything medically or physically wrong...My approach is to treat the whole person, whether you come in with pain and are subsequently depressed, or your pain is a result of your anxiety, I work with patients to address the source of the problem and resolve the issues with pain. Brooke also has a personal connection to TMS, suffering fro chronic migraines in the past. (Source)

Available via Phone and Skype Recent Change of Address 3331 Ocean Park #101 Santa Monica, CA 90405 (917) 692-4085 bmathewslcsw@gmail.com Survey Response

Andrew Miller is a licensed Marriage Family Therapist (LMFT) and a TMS/PPD sufferer. He has over a decade of experience with TMS as both a patient and as a clinician. As a clinician, he received his Masters of Arts in Clinical Psychology at Antioch University in Los Angeles. Incorporating psychodynamic, cognitive behavioral therapy (CBT), mindfulness and psychodramatic techniques, he has helped his clients reduce TMS/PPD symptoms, more masterfully deal with difficult emotions, and more skillfully cope with lifes adversity. Currently, Andrew works in private practice and runs groups at treatment centers across Los Angeles.

Available via Phone and Skype Recent Change in Address 566 S. San Vicente Blvd. Suite 203 Los Angeles CA 90048 and 1314 Westwood Blvd. Suite 201 Los Angeles, CA 90024 (310) 776-5102 Website Survey Response Forum Profile / Introductory Thread / Success Story

Jessica Oifer is a Licensed Marriage and Family Therapist based in Los Angeles, California. She has worked with David Schechter, MD and in 2013 she attended the Clinical Training for the treatment of mind-body disorders in Los Angeles, CA. Jessica is also trained in the Trauma Resiliency Model, an approach that helps restores balance to the body after traumatic stress. On her general treatment approach, Jessica writes, My process often includes non-judgmental exploration of my clients past and present experiences, as well as the development of concrete skills to reduce the physical and emotional symptoms that traumatic stress can have on the body and nervous system. (Source)

Available via Phone and Skype 4640 Admiralty Way Suite 318 Marina del Ray, CA 90292 and 15300 Ventura Boulevard Suite 328 Sherman Oaks, CA 91403 (818) 538-9548 jessicaoifermft@gmail.com Survey Response / Website

Colleen Perry is a licensed marriage and family therapist practicing in the Los Angeles area. She focuses on eating disorders and body image issues, along with helping people with chronic pain. She says "In individual therapy we explore the direct link of the unconscious mind to the manifestation of pain in the body. Traditional forms of pain treatment such as physical therapy, pain medications, anti-inflammatory medications and injections, surgery, acupuncture, chiropractic care, or massage, do not address the underlying emotional issues that are causing the pain in the first place. All that these other forms of pain management can give you are temporary relief...The most immediate relief for clients upon receiving the TMS diagnosis is that there is nothing structurally wrong with their body and are therefore encouraged to go about their daily activities of life without giving into the pain."

Available via Video 1247 Seventh St. Suite 300 Santa Monica 90401 (310) 259-8970 drselfish@yahoo.com Website TMS Wiki Profile Main Wiki Page on Colleen Perry Curriculum Vitae

Dr. Pohl is a clinical health psychologist with both master and doctorate level education in health psychology and additional training in pain, chronic illness, and other health-related issues (source). Dr. Pohl also has developed a specialty in trauma and health psychology (source). She writes, "It takes a great deal of courage to ask for help. It requires facing ones problems head on and it can stir up feelings of shame and vulnerability. You may experience difficulty with trusting someone to accompany you on this journey; but also trusting that positive change is possible. It is important to find someone you can connect with to start your healing and growth. In my work with clients, I strive to create a safe and compassionate environment" (source).

2730 Wilshire Blvd, Suite 600 Santa Monica, CA 90403 (310) 709-4582 Insurance Accepted: All PPO insurances (Dr. Pohl is an out of network provider) Survey Response / Website

Arlen is a licensed psychologist in California. He has a doctorate in psychology. He says "I had been focusing on the mind body connection for a long time before I got exposed to Dr. Sarno. His thinking filled in important gaps for me. I have now spent several years specifically extending his diagnostic formulations into effective treatment for those people whose pain is caused by or worsened by emotions that have gotten directed into physical pain. I consider physical therapy, anti-inflammatory or pain deadening drugs and surgery to all have potential value. However, If you are not satisfied with the limitations of those approaches and believe that your pain has a significant emotional component, I can work with you on healing it." (Source)

1923 1/2 Westwood Blvd, Suite 2 Los Angeles, CA 90025 and 20501 Ventura Blvd, Suite 395 Woodland Hills, CA 91364 Website (818) 999-0581 Arlen@ArlenRing.com

David Schechter is a Clinical Associate Professor in the Department of Family Medicine of the University of Southern California in Los Angeles. Dr. Schechter has over twenty five years of experience with the Tension Myositis Syndrome (TMS) diagnosis, has treated over a thousand patients has published original research on the subject and is the author of The Mindbody Workbook. While a medical student at NYU, he was a successful patient of Dr. Sarno. Dr. Schechter was a speaker at the 2nd Annual TMS Conference in March 2010. His presentation was entitled "Clinical Evaluation of Patients with Mind-Body Disorders." (Source)

Available via Internet Video 8500 Wilshire Blvd, Suite 705 Beverly Hills, CA 90211 (310) 657-1022 310-six nine four-9814 fax and 10811 Washington Blvd, Suite 250 Culver City, CA 90232 310-836-2225 (310-836-BACK) 310-six nine four-9814 fax frontofficedrs@gmail.com TMS Wiki Profile / Survey Response / Q&A Answers / Workbook and CDs / Website Main Wiki Page About David Schechter / Board member of the Psychophysiologic Disorders Association (PPDA) / Curriculum Vitae Insurance Accepted: PPO provider for Blue Cross, Shield, United, Aetna, Cigna, Medicare. No HMO's.

Clive Segil is an internationally renowned orthopedic surgeon from Los Angeles with 30 years of experience in the management of musculoskeletal disorders a healer not just a physician/surgeon, with creative approaches to patient problems. Dr. Segil sees the patient as a whole person not only a disease, and he places great emphasis on the mind-body connection, applying the concept of what is best for the patient. This means that he uses treatments that result in a cure, at best, and at very least, a marked improvement in their well-being. (Source)

2080 Century Park East, Suite 500 Los Angeles, CA 90067 (310) 203-5490 (310) 203-5412 fax drsegil@drsegil.com Website CURRICULUM VITAE Survey Response Insurance Accepted: All

Dr. Smith wrote one of the few doctoral dissertations on mind-body medicine (Claremont Graduate University 1998). He gives lectures and seminars on Tension Myositis Syndrome (TMS), as well as contributing to research on the subject. (Source)

The Noetic Health Institute Irvine, CA (949) 460-0820 drsmith@noetichealth.com Website Resume

Jill is a licensed marriage and family therapist in the Los Angeles area. She says "My interest in TMS grew after my own experiences with chronic pain for many years and my frustration with the traditional medical community. I knew there were many people suffering from 'mystery illnesses' that needed relief, guidance and support. I read Dr. John Sarno's book and was introduced to TMS through Dr. David Schechter in Los Angeles and Don Dubin MFCC. I am in private practice in the West Hollywood area, and chronic pain and somatization is one area of interest of mine. Unconscious 'bad' feelings that have been suppressed since childhood such as anger, guilt, sadness, rage, disappointment, unloveability and low self-esteem often emerge as somatic symptoms in various parts of the body." (Source)

Available via Phone 8240 Beverly Blvd Suite #8 Los Angeles, CA 90048 (323) 692-3759 jdspsyche@aol.com TMS Wiki Profile / Survey Response / Website Insurance Accepted: Private Pay

Clark has a masters in Humanistic Psychology (Mind/Body focus) and a PhD in Clinical Psychology, California Institute of Integral Studies. He is a licensed psychologist in California. He receives most of his referrals from Dr. Parvez Fatteh in the San Francisco Bay Area, who is a Sarno adherent and is board certified in physical medicine & rehabilitation, with a sub-specialty (Board Certified) in pain medicine.

He says, "About 8 years ago I was working with a client who had a number of issues, with the most compelling one severe tendon/muscle pain in his arms. He was diagnosed with repetitive motion injury and was so incapacitated that he couldn't even pick up his two year old daughter. This client introduced me to Sarno's work as he worked through his pain. The philosophy of Sarno's beliefs were familiar to me because of my background in mind/body psychologies in my Master's program at Sonoma State University. Approximately 7 years ago I had a close family member go through excruciating back pain. She consulted with over 10 health practitioners (mainstream and alternative) and did not find any diminution of the pain until she read "The Mind Body Prescription". She was pain free in about 2 months." (Source)

Available via Phone 1902 Webster St San Francisco, CA 94115 (415) 923-6760 clarkgrove@sbcglobal.net Survey Response / TMS Wiki Profile / Website Insurance Accepted: Aetna, Managed Health Network.

Katy Wray graduated from the California Institute of Integral Studies in 1989, and has been in practice for over 20 years. She specializes in relationship issues, anxiety, chronic pain, and depression. She describes her therapeutic style as "interactive and collaborative." She says, "We will work together on coming to a deeper understanding of what is happening in your life. Different possibilities and choices can then become available to you." (Source)

2506 Clay Street San Francisco, CA 94115 (415) 922-8121 kwraymft@yahoo.com

Santa Cruz area

Dr Eisendorf MD is a doctor with the Palo Alto Medical Foundation in California. He says: I try to understand my patients. I want to know what their experiences have been, what their joys and challenges are, and what's getting in the way of their more full enjoyment of life. My studies with Dr. John Sarno, author of "Healing Back Pain", "The Mindbody Prescription", and other books, has strongly influenced my practice of medicine. The mind and emotions have a profound effect on our physical and mental health and well-being. To better understand this relationship and help patients use the mind to their advantage, I teach classes and offer monthly support groups. (Source)

2025 Soquel Avenue Santa Cruz, CA 95062 (831) 458-5524 Website Insurance Accepted: Cigna, Healthnet, Wellcare, Humana, BCBS, United Health Care, Wellpoint

Hasanna received a M.A. in Clinical Psychology in 1992 from JFK University and has been a Licensed Marriage and Family Therapist since 1995. She says "For the past fourteen years I've been helping people with a wide range of issues, such as relationship problems of all kinds, depression, grief and loss, anxiety, life transitions, spirituality, parenting, self esteem, and chronic physical pain. I cured my own long-standing back, neck and hip pain 10 years ago after reading Sarno's Healing Back Pain. Unfortunately, I didn't discover TMS in time to avoid two unnecessary shoulder surgeries in both shoulders. It has been so satisfying to help my clients avoid a similar mistake! " (Source 1) (Source 2)

Available via Phone and Skype 2715 Porter Street Soquel, CA 95073 (831) 476-8556 hasanna@baymoon.com Hasanna has contributed a short article on Choosing a TMS Therapist to the TMS Wiki. Survey Response / TMS Wiki Profile / Website Insurance Accepted: Not on any preferred provider lists, but some PPO plans will reimburse at a lesser amount

A traditionally trained physician, Dr. Emmett Miller is one of the founders of modern mind-body medicine. Although Dr. Miller is not trained in the treatment of TMS specifically, his treatment methods have been very helpful to others with TMS, including author Steve Ozanich, as he mentioned in a forum post (listed below). Dr. Miller now practices in California. using different holistic approaches such as guided meditation and deep relaxation as well as cognitive behavioral techniques, his practice focuses on helping people overcome a variety of chronic illnesses and problems, including stress, anxiety, and physical pain. Dr. Miller also provides life coaching sessions. (Source) Read Steve Ozanich's forum post mentioning Dr. Miller and mindbody medicine.

Available via Phone and Skype To make an appointment with Dr. Miller, follow the steps listed on this webpage 329 S San Antonio Road, Suite 9 Los Altos, CA 94022

18834 Rock Creek Rd Nevada City, CA 95959 (530) 478-1807 (530) 478-0160 fax Website

An experienced clinical and health psychologist, Dr. Engelman has been working in the field of psychophysiologic disorders for 30 years. Part of the medical staff at St. Joseph Hospital in Orange, CA, Dr. Engelman often works with referrals from physicians (both TMS physicians specifically and physicians in general) who think thier patients may have a psychological compontent to their pain. Her approach includes mindfulness, biofeedback and other mind body approaches to working with pain. She also conducts Animal Assisted Therapy. Dr. Engelman currently has two offices, one in Orange, CA and one in Laguna Niguel, CA. (Source)

30131 Town Center Drive, Suite 292 Laguna Niguel, CA 92677 or 1310 W. Stewart Drive, # 608 Orange, CA 92868

(949) 460-4908 srephd@hushmail.com Survey Response / Website Insurance Accepted: Aetna (in network provider), Blue Cross (out of network provider)

Patti is a licensed clinical social worker. She says of TMS "Treatment consists of identifying and acknowledging the suppressed emotion (anger, sadness, fear, etc.). That's it. It is not necessary to delve into the scenario which triggered those feelings in order to release the physical symptoms. Those symptoms were only there to protect your conscious mind from the feelings. So once the feelings are revealed, the symptoms simply fall away." (Source)

Peaceful Sea Counseling 920 Samoa Blvd, Suite 209 Arcata, CA 95521 (707) 822-0370 Website Insurance Accepted: Most providers including Medicare, Blue Cross Blue Shield, AARP, Tricare

PPDA Practitioner Aimee Aron attained a Master of Arts degree in Clinical Mental Health with a special focus in multicultural counseling from the University of Colorado Denver. Her primary approaches are Multicultural and Existential Humanistic Therapies. These approaches demonstrate respect for and evaluate the individual, the relationships in their lives, the culture with which they identify, and how they make meaning of the experiences and elements of their lives. Value is found in examining the subjects of gender, age, ethnicity, spirituality, socio-economic status, and many other cultural forces in determining how a person has come to be who they are, what they believe about the world, and the troubles they are bringing to therapy. She helped found the Rocky Mountain Stress Check-Up organization, which reaches out to physicians about Tension Myositis Syndrome (TMS).

860 Emerson Street #0 Denver, CO 80218 (303) 900-8672 aimee@aimeearon.com Website

Pam Benison has been treating people with TMS/PPD for over 18 years. She encountered Dr. Sarno's book, Healing Back Pain, in 1994, used the knowledge he presented to successfully treat her own back pain. Most recently, she has studied with Dr. Howard Schubiner and has incorporated his book, Unlearn Your Pain, when working with her clients. Because of her 32 years in private practice, Pam draws upon many types of therapies and relaxation techniques that eliminate stress and progress one toward satisfaction and growth. Some of these methods are: gestalt psychotherapy, cognitive behavioral therapy, insight therapy, positive psychology, couples therapy, various forms of meditation and breath work. Pam received her Bachelor of Arts from Michigan State University and her Master's degree from the University of Denver. She is a fellow in the American Psychotherapy Association. She is willing to meet with clients via the phone or Skype.(Source)

Available via Phone and Skype 7950 So. Lincoln St., #100 Littleton, Co. 80122 and 1625 Larimer St., #2704 Denver, Co. 80202 303-797-8137 integratedwellness@hotmail.com Survey Response / Website

Dr. Henri has been treating people with Tension Myositis Syndrome (TMS) for over 9 years, and during that time has treated close to 200 people with TMS symptoms. She is able to draw upon her own experiences with chronic back pain, which she had for about one year, when she is treating her clientele. Henri uses several different therapy techniques to help her clients including EMDR, Solution-Focused Therapy, Mindfulness-Based Cognitive Behavioral Therapy (MBCT), and Brainspotting depending on the situation. Henri uses these multiple techniques to design a unique treatment for her patients. Dr. Henri graduated with a Bachelors in Arts from Stanford University and received her PhD in Clinical/Health psychology from Ohio State University. In addition, Henri completed her internship and Post-doctoral fellowship from UCLA. (Source)

1325 Dry Creek Dr. Suite 101 Longmont, CO 80503 (720) 771-9248 evanahenri@accessyoureverest.com TMS Wiki Profile / Survey Response / Website Insurance Accepted: Aetna, United Behavioral Health, Humana, Mental Health Network, Rocky Mountain Health Plans, and Anthem/BCBS

PPDA Practitioner Catherine Tilford earned a Master's of Arts in Counseling Psychology from the University of Colorado in Denver and a Bachelor's degree in Psychology from Colorado Mesa University. In 2011, she was trained by the PPDA to provide Stress Check-Ups and is a founding member of the Rocky Mountain Stress Check-Up Network. Through counseling, Catherine supports personal growth by helping individuals move forward with self-awareness and strength. She provides a safe place in which you can explore your experiences and the problem or painful emotions that are standing in your way of living a personally meaningful and fulfilling life.

Available via Skype 2010 W 120th Avenue Suite 100 Denver, CO 80234 (303)720-9424 catherine@embracestrengthcounseling.com Website

Dr. Denkin has seen over 500 patients with PPD/TMS symptoms over a nine year span. She continues to receive education and training on treating PPD. Her speciality is in mind-body work, chronic pain, somatic disorders, anxiety, diet and nutrition to help others. In addition she does treat patients via skype.

Available via Phone and Skype 51 Locust Avenue Suit 302 New Canaan, CT 06840 jdenkin@denkinassociates.com Survey Response

Dr Zagar is the Director, Neuropsychology Services at The Associated Neurologists of Southern Connecticut, P.C. They offer Mind-Body Medicine, which typically focuses on interventions believed to promote health and wellness such as Yoga, Relaxation, Biofeedback, Clinical Hypnosis, and Cognitive Behavioral Therapies. The Mind-Body Medicine perspective views illness as an opportunity for personal growth and healthcare providers are guides in this transformative process. Frequently, Mind-Body Medicine focuses on the impact of stress and the development of illness and the worsening of symptoms such as pain. (Source)

Associated Neurologists of Southern Connecticut 75 Kings Highway Cutoff Fairfield, CT 06824 (203) 333-1133 Website Insurance Accepted: Aetna, Cigna, Healthnet, Medicaid, Medicare, BCBS, United Health Care, Wellpoint

Nicole Sachs is a graduate of the University of St. Thomas, and has been treating people with TMS for over 10 years. During that time she has seen over 100 clients with TMS. Sachs is the author of the book, The Meaning of Truth, which describes her practice and treatment methods. She is also a recovered TMS patient herself, and a previous member of Dr. Sarno's Alumni Panels, where she would tell Dr. Sarno's new patients about her own experience with TMS. In 2013, the PTPN recorded an interview with Nicole Sachs, where she again described her battle with chronic pain, and her success with the TMS approach.

Available via Phone meaningoftruth@gmail.com Website Survey Response / Profile Page / Forum Threads Nicole Sachs's Recovery Story (video)

Dr. Leonard-Segal graduated with honors from the George Washington University Medical School and is Board Certified in Internal Medicine and Rheumatology. She has practiced medicine since 1982 and has devoted the past twenty years to helping patients overcome back and neck pain, fibromyalgia, chronic tendon complaints and similar conditions. She emphasizes the mind-body connection and is one of a handful of physicians nationally who uses an approach that closely parallels the pioneering work of John E. Sarno, MD at the New York University Medical Center and the Rusk Institute. She brings her interest and expertise in mind-body medicine to the Center for Integrative Medicine. (Source1, Source2)

George Washington University Center for Integrative Medicine 908 New Hampshire Avenue, N.W. Suite 200 Washington, D.C. 20037 (202) 833-5055 (202) 833-5755 fax Website Contributed the article, "A Rheumatologist's Experience with Psychosomatic Disorders," in The Divided Mind, by Dr. John Sarno. 2006. Insurance Accepted: none

Dr. Brady is no longer accepting new patients. (Source) Dr Brady is the founder and Director of the Brady Institute for Health at Florida Hospital in Celebration, Florida. Dr. Brady has practiced Emergency Medicine and Urgent Care Medicine throughout Central Florida for over fifteen years and is board certified in Internal Medicine. He is the Administrator and Senior Medical Director of Florida Hospital's sixteen Centra Care urgent care clinics. (Source)

With William Proctor, he has written a book entitled Pain Free for Life. In it, Dr. Brady describes how he overcame his own pain:

"Turn on your TV!" she said. "John Stossel is interviewing Dr. John Sarno,who says he can cure back pain like yours." the Stossel interview of Dr. Sarno can be viewed for free here.

I wasn't optimistic ... But the more he talked, the more I listened--and the more intrigued I became. Following the show, I remembered that a friend had given me one of Sarno's books, and after a little rummaging around, I managed to find it. ... His ideas set me on a journey of healing that eventually cured my pain, and led me to where I am today. (p. 33)

Dr. Brady refers to TMS as Autonomic Overload Syndrome (AOS), but the explanation that he gives for AOS is fundamentally the same explanation that Dr. Sarno gives for TMS. (Scott Brady. Pain Free for Life. New York: Hachette Book Group. 2006.)

The Brady Institute for Health P.O. Box 2982 Windermere, FL 34786 (407) 876-1888 DrBrady@BradyInstitute.com Website

Board Certified in Psychiatry, Addiction Psychiatry, Forensic Psychiatry, Internal Medicine and Nutrition 3188 Atlanta Road Smyrna, GA 30080 (770) 319-6000 Insurance Accepted: US Healthcare, Blue Cross Blue Shield, Humana HMO, Humana PPO, Blue Choice Senior, Cigna HMO, Cigna PPO, One Health Plan of Georgia, Inc HMO / POS / Choice/ PPO

Pocatello, Idaho 208 234-1099

Dr. Stracks believes that the mind and body are intimately connected and that almost all disease processes involve an interplay between the two. His training in integrative medicine has taught him that all treatment plans must include not only a mind and body component but a social and spiritual component as well. In addition, Dr. Stracks believes that the most powerful interventions involve changes in nutrition, activity level, and other lifestyle areas, and he works to partner with patients to effect these changes. Dr. Stracks believes that many conditions can be controlled or even reversed with mind-body techniques, lifestyle changes, and other integrative therapies, and he likes working with patients and their primary physicians to safely reduce medication use whenever possible. (Source)

Northwestern Memorial Physicians Group Center for Integrative Medicine and Wellness 1100 E. Huron Street Suite 1100 Chicago, IL 60611 312-926-DOCS (3627) jstracks@yahoo.com Co-host of first TMS conference. TMS Wiki Profile / Survey Response / Q&A Answers / Website Insurance Accepted: Aetna, Blue Cross Blue Shield, Cigna, Humana, Medicaid, Medicare, TriCare, Unicare, UnitedHealthcare, and other PPO network plans

Dr Herzog has extensive training in Physical Medicine and Rehabilitation, and has managed thousands of impairments and disabilities from common soft tissue injuries to spinal cord injury, traumatic brain injury, joint replacement, amputation and stroke. He now focuses on outpatient musculoskeletal and neurologic conditions, frequently occupational in nature. He has delivered such care to patients throughout Maine since 1993.

Read this article:

Find a TMS Doctor or Therapist - The TMS Wiki

Have antidepressants failed to help you? Have you had multiple side effects from antidepressants? The Brainsway Deep TMS device may be able to help.

DTMS has been approved by the FDA for treating Major Depressive Disorder, including patients who failed to benefit from any number of antidepressant treatments

Convenient outpatient treatment No anesthesia or hospitalization

Safe - No long-term side effects, no systemic effects

Patented by the U.S. National Institutes of Health (NIH)

Over 60 clinical trials in leading institutions worldwide

Why Texas TMS Center? - Texas TMS Center is the most experienced provider of TMS Therapy in central Texas. We have treated patients with TMS Therapy for over five years.

-Texas TMS Center has been a major US research site for the past four years for TMS Therapy.

-Texas TMS Center was a major research site for two years helping to obtain FDA approval of Deep TMS Therapy in the US.

__________________________

Brainsway Deep TMS has gained CE approval in Europe for the following indications:

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We are in-network providers for Medicare and Blue Cross Blue Shield of Texas(PPO).

Please click here for more information on insurance coverage of Deep TMS

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* Attention Members:

Please remember that your scheduled non-emergency medical transports may be canceled due to inclement weather across Iowa. Please check with the transportation provider scheduled for your ride.

TMS is honored to be selected as the statewide brokerand we believe in order to ensure the most seamless transition possible, all partners should be involved throughout the entire process. Our philosophy is that the proposed brokerage service can only achieve maximum success if all forms of transportation systems and stakeholders in Iowa are part of the solution.

TMS has earned a reputation throughout the NEMT industry as a "provider-friendly" broker, and we are determined to make good on that reputation in the state of Iowa. We will give you 24 hours advance notice of trips though our Internet based trip dispatching system. This system will also help generate an invoice for you to pay you for your work twice a month.

If you are a transit provider or a transportation company, please complete the Transportation Provider Application.

For more information, feel free to visit the Iowa Medicaid Enterprise Provider website at http://www.ime.state.ia.us/Providers/index.html to view the Final Administrative Rule as proposed by the Iowa Department of Human Services.

For Frequently Asked Questions (FAQs) about the Iowa Medicaid Non-Emergency Transportation Program, Click Here

OnOctober 1, 2010, TMS became responsible for all parts of the Non-Emergency Medical Transportation service. When you have a need for Non-Emergency Medical Transportation, TMS is just one phone call away. Once you have provided all the necessary information, a TMS operator will explain how your trip request will be met.

To request a ride please call 1-866-572-7662.

Medical Transportation and Waiver Services

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TMS Management Group :: Iowa Medicaid

NeuroStar TMS Therapy is an FDA-cleared safe and effective non-drug depression treatment for patients who are not satisfied with the results of standard drug therapy. This novel treatment option provides benefits without the side effects often associated with antidepressant medication.2,3,4

NeuroStar TMS (transcranial magnetic stimulation) Therapy2:

Facts about NeuroStar TMS Depression Treatment

With over 650 NeuroStar physicians providing therapy, and more than 25,000 patients treated, this novel treatment approach to achieving remission is bringing new hope to patients every day.2

NeuroStar TMS Therapy may not be right for everyone. Talk to a NeuroStar physician about how this proven depression treatment can help and whether it is right for you.

Watch the video to learn how NeuroStar TMS Therapy has helped reduce symptoms in people living with depression.

NeuroStar TMS Therapy is indicated for the treatment of Major Depressive Disorder in adult patients who have failed to receive satisfactory improvement from prior antidepressant medication in the current episode.

NeuroStar TMS Therapy is only available by prescription. A doctor can help decide if NeuroStar TMS Therapy is right for you.

Click here for Full Safety and Prescribing Information.

The most common side effect is pain or discomfort at or near the treatment site. These events are transient; they occur during the TMS treatment course and do not occur for most patients after the first week of treatment. There is a rare risk of seizure associated with the use of NeuroStar TMS (<0.1% per patient).

NeuroStar TMS Therapy should not be used with patients who have non-removable conductive metal in or near the head.

NeuroStar TMS Therapy has not been studied in patients who have not received prior antidepressant treatment.

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About NeuroStar TMS Depression Treatment | NeuroStar

If you are suffering from depression, you are not alone.1

NeuroStar TMS Therapy may be able to help, with effective, non-drug treatment for depression that is bringing new hope to patients every day.

NeuroStar TMS Therapy is an FDA-cleared safe and effective treatment for adult patients with depression who have not benefited from prior antidepressant medication. It works by stimulating areas of the brain that are underactive in patients with severe depression.

Because it is not a depression drug, NeuroStar TMS Therapy is free from the side effects that patients often experience when they take antidepressant medication.2, 3, 4

NeuroStar TMS Therapy may not be right for everyone. Ask a NeuroStar physician if TMS Therapy may be right for you.

Learn More About NeuroStar TMS Therapy

NeuroStar TMS Therapy is indicated for the treatment of Major Depressive Disorder in adult patients who have failed to receive satisfactory improvement from prior antidepressant medication in the current episode.

NeuroStar TMS Therapy is only available by prescription. A doctor can help decide if NeuroStar TMS Therapy is right for you.

Click here for Full Safety and Prescribing Information.

The most common side effect is pain or discomfort at or near the treatment site. These events are transient; they occur during the TMS treatment course and do not occur for most patients after the first week of treatment. There is a rare risk of seizure associated with the use of NeuroStar TMS (<0.1% per patient).

NeuroStar TMS Therapy should not be used with patients who have non-removable conductive metal in or near the head.

NeuroStar TMS Therapy has not been studied in patients who have not received prior antidepressant treatment.

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NeuroStar TMS Therapy Depression Treatment

SINGLE SIGN-ON Internal (SSOi) If you are using a government computer and are logged onto the VA network, look for the TMS-SSOi link in your browsers Favorites list in the VA Shortcuts folder. After establishing the connection between TMS and SSOi, you will be able to launch TMS without having to remember or reenter your TMS user name and password, and instead can sign in using your VA network logon information.

Building Ethical Environments at VA Get an overview of VA ethical standards, how to apply these standards throughout your career at VA, and how to encourage others and lead by example.

Fostering an Inclusive Culture Explore methods for seeking out diverse ideas and alternative viewpoints. This course examines ways to involve people in the problem-solving process and presents techniques to resolve conflict through communication.

If you need assistance with the VA Talent Management System (TMS) contact the VA TMS Help Desk at vatmshelp@va.gov or via phone every day, 24X7, at 1 (866) 496-0463. Minimum screen resolution for optimal use is 1024 x 768.

The VA Talent Management System web site is intended for employees and staff of the Department of Veterans Affairs. Veteran-related information about education, benefits, and other services are available on the VA Home Page.

Security Notice: This U.S. Government computer system is for official use only. The files on this system include Federal records that contain sensitive information. All activities on this system may be monitored to measure network performance and resource utilization; to detect unauthorized access to or misuse of the system or individual files and utilities on the system, including personal use; and to protect the operational integrity of the system. Further use of this system constitutes your consent to such monitoring. Misuse of or unauthorized access to this system may result in criminal prosecution and disciplinary, adverse, or other appropriate action.

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VA Learning University - Talent Management System

Transcranial magnetic stimulation (TMS) is a magnetic method used to stimulate small regions of the brain. During a TMS procedure, a magnetic field generator, or "coil", is placed near the head of the person receiving the treatment.[1]:3 The coil produces small electric currents in the region of the brain just under the coil via electromagnetic induction. The coil is connected to a pulse generator, or stimulator, that delivers electric current to the coil.[2]

TMS is used diagnostically to measure the connection between the brain and a muscle to evaluate damage from stroke, multiple sclerosis, amyotrophic lateral sclerosis, movement disorders, motor neuron disease and injuries and other disorders affecting the facial and other cranial nerves and the spinal cord.[3]

Evidence suggests it is useful for neuropathic pain[4] and treatment-resistant major depressive disorder.[4][5] A 2015 Cochrane review found not enough evidence to make any conclusions in schizophrenia.[6] For negative symptoms another review found possible efficacy.[4] As of 2014, all other investigated uses of rTMS have only possible or no clinical efficacy.[4]

Matching the discomfort of TMS to distinguish true effects from placebo is an important and challenging issue that influences the results of clinical trials.[4][7][8][9] The greatest risks of TMS are the rare occurrence of syncope (fainting) and even less commonly, induced seizures.[7] Other adverse effects of TMS include discomfort or pain, transient induction of hypomania, transient cognitive changes, transient hearing loss, transient impairment of working memory, and induced currents in electrical circuits in implanted devices.[7]

The use of TMS can be divided into diagnostic and therapeutic uses.

TMS can be used clinically to measure activity and function of specific brain circuits in humans.[3] The most robust and widely accepted use is in measuring the connection between the primary motor cortex and a muscle to evaluate damage from stroke, multiple sclerosis, amyotrophic lateral sclerosis, movement disorders, motor neuron disease and injuries and other disorders affecting the facial and other cranial nerves and the spinal cord.[3][10][11][12] TMS has been suggested as a means of assessing short-interval intracortical inhibition (SICI) which measures the internal pathways of the motor cortex but this use has not yet been validated.[13]

For neuropathic pain, for which there is little effective treatment, high-frequency (HF) repetitive TMS (rTMS) appears effective.[4] For treatment-resistant major depressive disorder, HF-rTMS of the left dorsolateral prefrontal cortex (DLPFC) appears effective and low-frequency (LF) rTMS of the right DLPFC has probable efficacy.[4][5] The Royal Australia and New Zealand College of Psychiatrists has endorsed rTMS for treatment resistant MDD.[14]

The FDA approved use of a single-pulse TMS device for treating migraine with aura on the basis of a randomized, double-blinded study in 164 people; 39% of the treatment arm were pain free two hours after treatment vs 22% of people in the control arm.[15]

Although TMS is generally regarded as safe, risks increase for therapeutic rTMS compared to single or paired TMS for diagnostic purposes.[16] In the field of therapeutic TMS, risks increase with higher frequencies.[7]

The greatest immediate risk is the rare occurrence of syncope (fainting) and even less commonly, induced seizures.[7][17]

Other adverse short-term effects of TMS include discomfort or pain, transient induction of hypomania, transient cognitive changes, transient hearing loss, transient impairment of working memory, and induced currents in electrical circuits in implanted devices.[7]

During a transcranial magnetic stimulation (TMS) procedure, a magnetic field generator, or "coil" is placed near the head of the person receiving the treatment.[1]:3 The coil produces small electric currents in the region of the brain just under the coil via electromagnetic induction. The coil is positioned by finding anatomical landmarks on the skull including, but not limited to, the inion or the nasion.[18] The coil is connected to a pulse generator, or stimulator, that delivers electric current to the coil.[2]

Nexstim obtained 510(k) FDA clearance of Navigated Brain Stimulation for the assessment of the primary motor cortex for pre-procedural planning in December 2009.[19]

Nexstim obtained FDA 510K clearance for NexSpeech navigated brain stimulation device for neurosurgical planning in June 2011.[20]

MagVenture received FDA 510K clearance to market its MagVita Therapy System as a medical device for the delivery of repetitive Transcranial Magnetic Stimulation as a treatment for major depressive disorder in July 2015.[21]

Neuronetics obtained FDA 510K clearance to market its NeuroStar System for use in adults with treatment-resistant major depressive disorder (December 2008).[22]

The use of single-pulse TMS was approved by the FDA for treatment of migraines in December 2013.[23] It is approved as a Class II medical device under the "de novo pathway".[24]

In 2013, several commercial health insurance plans in the United States, including Anthem, Health Net, and Blue Cross Blue Shield of Nebraska and of Rhode Island, covered TMS for the treatment of depression for the first time.[25] In contrast, UnitedHealthcare issued a medical policy for TMS in 2013 that stated there is insufficient evidence that the procedure is beneficial for health outcomes in patients with depression. UnitedHealthcare noted that methodological concerns raised about the scientific evidence studying TMS for depression include small sample size, lack of a validated sham comparison in randomized controlled studies, and variable uses of outcome measures.[26] Other commercial insurance plans whose 2013 medical coverage policies stated that the role of TMS in the treatment of depression and other disorders had not been clearly established or remained investigational included Aetna, Cigna and Regence.[27]

Policies for Medicare coverage vary among local jurisdictions within the Medicare system,[28] and Medicare coverage for TMS has varied among jurisdictions and with time. For example:

The United Kingdom's National Institute for Health and Care Excellence (NICE) issues guidance to the National Health Service (NHS) in England, Wales, Scotland and Northern Ireland. NICE guidance does not cover whether or not the NHS should fund a procedure. Local NHS bodies (primary care trusts and hospital trusts) make decisions about funding after considering the clinical effectiveness of the procedure and whether the procedure represents value for money for the NHS.[33]

NICE evaluated TMS for severe depression (IPG 242) in 2007, and subsequently considered TMS for reassessment in January 2011 but did not change its evaluation.[34] The Institute found that TMS is safe, but there is insufficient evidence for its efficacy.[34]

In January 2014, NICE reported the results of an evaluation of TMS for treating and preventing migraine (IPG 477). NICE found that short-term TMS is safe but there is insufficient evidence to evaluate safety for long-term and frequent uses. It found that evidence on the efficacy of TMS for the treatment of migraine is limited in quantity, that evidence for the prevention of migraine is limited in both quality and quantity.[35]

TMS uses electromagnetic induction to generate an electric current across the scalp and skull without physical contact. A plastic-enclosed coil of wire is held next to the skull and when activated, produces a magnetic field oriented orthogonally to the plane of the coil. The magnetic field passes unimpeded through the skin and skull, inducing an oppositely directed current in the brain that activates nearby nerve cells in much the same way as currents applied directly to the cortical surface.[36]

The path of this current is difficult to model because the brain is irregularly shaped and electricity and magnetism are not conducted uniformly throughout its tissues. The magnetic field is about the same strength as an MRI, and the pulse generally reaches no more than 5 centimeters into the brain unless using the deep transcranial magnetic stimulation variant of TMS.[37] Deep TMS can reach up to 6cm into the brain to stimulate deeper layers of the motor cortex, such as that which controls leg motion.[38]

From the BiotSavart law

it has been shown that a current through a wire generates a magnetic field around that wire. Transcranial magnetic stimulation is achieved by quickly discharging current from a large capacitor into a coil to produce pulsed magnetic fields between 2 and 3 T.[39] By directing the magnetic field pulse at a targeted area of the brain, one can either depolarize or hyperpolarize neurons in the brain. The magnetic flux density pulse generated by the current pulse through the coil causes an electric field as explained by the Maxwell-Faraday equation,

This electric field causes a change in the transmembrane current of the neuron, which leads to the depolarization or hyperpolarization of the neuron and the firing of an action potential.[39]

The exact details of how TMS functions are still being explored. The effects of TMS can be divided into two types depending on the mode of stimulation:

MRI images, recorded during TMS of the motor cortex of the brain, have been found to match very closely with PET produced by voluntary movements of the hand muscles innervated by TMS, to 522mm of accuracy.[42] The localisation of motor areas with TMS has also been seen to correlate closely to MEG[43] and also fMRI.[44]

The design of transcranial magnetic stimulation coils used in either treatment or diagnostic/experimental studies may differ in a variety of ways. These differences should be considered in the interpretation of any study result, and the type of coil used should be specified in the study methods for any published reports.

The most important considerations include:

With regard to coil composition, the core material may be either a magnetically inert substrate (i.e., the so-called air-core coil design), or possess a solid, ferromagnetically active material (i.e., the so-called solid-core design). Solid core coil design result in a more efficient transfer of electrical energy into a magnetic field, with a substantially reduced amount of energy dissipated as heat, and so can be operated under more aggressive duty cycles often mandated in therapeutic protocols, without treatment interruption due to heat accumulation, or the use of an accessory method of cooling the coil during operation. Varying the geometric shape of the coil itself may also result in variations in the focality, shape, and depth of cortical penetration of the magnetic field. Differences in the coil substance as well as the electronic operation of the power supply to the coil may also result in variations in the biophysical characteristics of the resulting magnetic pulse (e.g., width or duration of the magnetic field pulse). All of these features should be considered when comparing results obtained from different studies, with respect to both safety and efficacy.[45]

A number of different types of coils exist, each of which produce different magnetic field patterns. Some examples:

Design variations in the shape of the TMS coils allow much deeper penetration of the brain than the standard depth of 1.5-2.5cm. Circular crown coils, Hesed (or H-core) coils, double cone coils, and other experimental variations can induce excitation or inhibition of neurons deeper in the brain including activation of motor neurons for the cerebellum, legs and pelvic floor. Though able to penetrate deeper in the brain, they are less able to produce a focused, localized response and are relatively non-focal.[7]

Early attempts at stimulation of the brain using a magnetic field included those, in 1896, of Jacques-Arsne d'Arsonval in Paris and in 1910, of Silvanus P. Thompson in London.[47] The principle of inductive brain stimulation with eddy currents has been noted since the 20th century[citation needed]. The first successful TMS study was performed in 1985 by Anthony Barker and his colleagues at the Royal Hallamshire Hospital in Sheffield, England.[48] Its earliest application demonstrated conduction of nerve impulses from the motor cortex to the spinal cord, stimulating muscle contractions in the hand. As compared to the previous method of transcranial stimulation proposed by Merton and Morton in 1980[49] in which direct electric current was applied to the scalp, the use of electromagnets greatly reduced the discomfort of the procedure, and allowed mapping of the cerebral cortex and its connections.

TMS research in animal studies is limited due to early FDA approval of TMS treatment of drug-resistant depression. Because of this, there has been no specific coils for animal models. Hence, there are limited number of TMS coils that can be used for animal studies.[50] There are some attempts in the literature showing new coil designs for mice with an improved stimulation profile.[51]

Areas of research include:

It is difficult to establish a convincing form of "sham" TMS to test for placebo effects during controlled trials in conscious individuals, due to the neck pain, headache and twitching in the scalp or upper face associated with the intervention.[4][7] "Sham" TMS manipulations can affect cerebral glucose metabolism and MEPs, which may confound results.[61] This problem is exacerbated when using subjective measures of improvement.[7] Placebo responses in trials of rTMS in major depression are negatively associated with refractoriness to treatment, vary among studies and can influence results.[62]

A 2011 review found that only 13.5% of 96 randomized control studies of rTMS to the dorsolateral prefrontal cortex had reported blinding success and that, in those studies, people in real rTMS groups were significantly more likely to think that they had received real TMS, compared with those in sham rTMS groups.[63] Depending on the research question asked and the experimental design, matching the discomfort of rTMS to distinguish true effects from placebo can be an important and challenging issue.[4][7][8][9]

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Golf events are complicated, requires the top-of-the-line transportation planning provided by TMS.

Transportation Management Services moves people safely and reliably, delivering a personal and positive experience by valuing and supporting our customers and each other.

TMS specializes in design, planning and operation of parking and transportation solutions for complex events nationwide.

We are professionals with a passion to provide the best possible experience for both attendees and event organizers. We are a one-stop shop for your transportation needs with over 40 years of national and international experience moving over 65 million passengers.

Transportation Management Services (TMS) Platinum will have your clients feeling like they just stepped off the red carpet. Our Platinum service guarantees that your key executives,guests and presenters are where they need to be, when they need to be. Delivering the highest level of service requires the ultimate attention to detail. From the

TMS Sells Cruise Services Division to Intercruises; Renews Focus on Events Business

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Tension myositis syndrome (TMS), also known as tension myoneural syndrome, is a name given by John E. Sarno to a condition he describes as characterized by psychogenic musculoskeletal and nerve symptoms, most notably back pain.[1][2][3] Sarno, a Professor of Clinical Rehabilitation Medicine at New York University School of Medicine and Attending Physician at The Rusk Institute of Rehabilitation Medicine at New York University Medical Center, has described TMS in four books,[4][5][6][7] and has stated that the condition may be involved in other pain disorders as well.[2] The treatment protocol for TMS includes education, writing about emotional issues, resumption of a normal lifestyle and, for some patients, support meetings and/or psychotherapy.[1][8] In 2007, David Schechter (a medical doctor and former student and research assistant of Sarno's) published a peer-reviewed study of TMS treatment showing a 54% success rate for chronic back pain. In terms of statistical significance and success rate, the study outperformed similar studies of other psychological interventions for chronic back pain.[1]

The TMS diagnosis and treatment protocol are not accepted by the mainstream medical community.[9][10] However, TMS and Sarno's treatment methods have received national attention, including a segment on ABC's 20/20;[10] an episode of Larry King Live;[11] an interview with Medscape;[2] and articles in Newsweek,[12]The Seattle Times,[13] and The New York Times.[9] Prominent medical doctors who support TMS treatment include Andrew Weil[14][15] and Mehmet Oz.[16] Notable patients treated for tension myositis syndrome include Senator Tom Harkin, John Stossel,[3]Howard Stern,[17] and Anne Bancroft.[9]

Back pain is frequently mentioned as a TMS symptom,[1][8][18][19] but Sarno defines TMS symptoms much more broadly than that:

Below is a list of criteria for diagnosing TMS, according to Schechter and Sarno:

Schechter and Sarno state that if a patient is unable to visit a medical doctor who is trained in TMS, then the patient should see a traditional medical doctor to rule out serious disorders, such as fractures, tumors and infections.[13][20]

The treatment protocol for TMS includes education, writing about emotional issues and resumption of a normal lifestyle. For patients who do not recover quickly, the protocol also includes support groups and/or psychotherapy.[1][8]

Sarno's protocol for treatment of TMS is used by the Harvard RSI Action Group, a student volunteer organization, as part of their preventative education and support program for people with repetitive strain injury, also referred to as "RSI".[21]

Education may take the form of office visits, lectures and written and audio materials. The content of the education includes the psychological and physiological aspects of TMS.[1][8] According to Schechter, the education allows the patients to "learn that their physical condition is actually benign and that any disability they have is a function of pain-related fear and deconditioning, not the actual risk of further 're-injury.'"[1]

Sarno states that each patient should set aside time daily to think and write about issues that could have led to the patient's repressed emotions. He recommends the following two writing tasks:

Schechter developed a 30-day daily journal called "The MindBody Workbook" to assist the patient in recording emotionally significant events and making correlations between those events and their physical symptoms. According to Sarno and Schechter, daily repetition of the psychological process over time defeats the repression through conscious awareness.[22]

To return to a normal lifestyle, patients are told to take the following actions:

Sarno uses support meetings for patients who do not make a prompt recovery. Sarno states that the support meetings (a) allow the patients to explore emotional issues that may be causing their symptoms and (b) review concepts covered during the earlier education.[8]

Sarno says that about 20% of his patients need psychotherapy. He states that he uses "short-term, dynamic, analytically oriented psychotherapy."[8] Schechter says that he uses psychotherapy for about 30% of his patients, and that six to ten sessions are needed per patient.[1]

Alan Gordon, LCSW has created a TMS recovery program on the TMS Wiki, which includes various articles, exercises, and segments from sessions exemplifying therapeutic concepts.

While psychogenic pain and pain disorder are accepted diagnoses in the medical community, the TMS modality is more controversial.

A non-peer-reviewed 2005 study by Schechter at the Seligman Medical Institute (SMI), co-authored with institute director Arthur Smith, found that treatment of TMS achieved a 57% success rate among patients with chronic back pain.[23]

A peer-reviewed[24] 2007 study with Schechter, Smith and Stanley Azen, Professor and Co-Director of Biostatistics in the Department of Preventative Medicine at the USC Keck School of Medicine, found a 54% success rate for treatment of TMS (P<.00001). The treatment consisted of office visits, at-home educational materials, writing about emotional issues and psychotherapy. The average pain duration for the study's patients was 9 years. Patients with less than 6 months of back pain were excluded to "control for the confounder that most back pain episodes typically resolve on their own in a few weeks."[1]

Schechter, Smith and Azen also compared their results to the results of three studies of other psychological treatments for chronic back pain. The three non-TMS studies were selected because of (a) their quality, as judged by the Cochrane Collaboration, and (b) the similarity of their pain measurements to those used in the TMS study. Of the three non-TMS studies, only one (the Turner study) showed a statistically significant improvement. Compared to the 2007 TMS study, the Turner study had a lower success rate (26%-35%, depending on the type of psychological treatment) and a lower level of statistical significance (P<.05).[1]

Schechter, et al. state that one advantage of TMS treatment is that it avoids the risks associated with surgery and medication, but they caution that the risks of TMS treatment are somewhat unknown due to the relatively low number of patients studied so far.[1]

According to Sarno, TMS is a condition in which unconscious emotional issues (primarily rage) initiate a process that causes physical pain and other symptoms. His theory suggests that the unconscious mind uses the autonomic nervous system to decreases blood flow to muscles, nerves or tendons, resulting in oxygen deprivation, experienced as pain in the affected tissues.[2][8][25] Sarno theorizes that because patients often report that back pain seems to move around, up and down the spine, or from side to side, that this implies the pain may not be caused by a physical deformity or injury.[7]

Sarno states that the underlying cause of the pain is the mind's defense mechanism against unconscious mental stress and emotions such as anger, anxiety and narcissistic rage. The conscious mind is distracted by the physical pain, as the psychological repression process keeps the anger/rage contained in the unconscious and thereby prevented from entering conscious awareness.[19][26] Sarno believes that when patients recognize that the symptoms are only a distraction, the symptoms then serve no purpose, and they go away. TMS can be considered a psychosomatic condition and has been referred to as a "distraction pain syndrome".[20]

Sarno is a vocal critic of conventional medicine with regard to diagnosis and treatment of back pain, which is often treated by rest, physical therapy, exercise and/or surgery.[5]

Notable patients who have been treated for TMS include the following:

The TMS diagnosis and treatment protocol are not accepted by the mainstream medical community.[9][10] Sarno himself stated in a 2004 interview with Medscape Orthopaedics & Sports Medicine that "99.999% of the medical profession does not accept this diagnosis."[2] Although the vast majority of medical doctors do not accept TMS, there are prominent doctors who do. Andrew Weil, a notable medical doctor and alternative medicine proponent, endorses TMS treatment for back pain.[14][15]Mehmet Oz, a television personality and Professor of Surgery at Columbia University, includes TMS treatment in his four recommendations for treating back pain.[16] Richard E. Sall, a medical doctor who authored a book on worker's compensation, includes TMS in a list of conditions he considers possible causes of back pain resulting in missed work days that increase the costs of worker's compensation programs.[29]

Critics in mainstream medicine state that neither the theory of TMS nor the effectiveness of the treatment has been proven in a properly controlled clinical trial,[6] citing the placebo effect and regression to the mean as possible explanations for its success. Patients typically see their doctor when the pain is at its worst and pain chart scores statistically improve over time even if left untreated; most people recover from an episode of back pain within weeks without any medical intervention at all.[30] The TMS theory has also been criticized as too simplistic to account for the complexity of pain syndromes.[10] James Rainville, a medical doctor at New England Baptist Hospital, said that while TMS treatment works for some patients, Sarno mistakenly uses the TMS diagnosis for other patients who have real physical problems.[31]

Sarno responds that he has had success with many patients who have exhausted every other means of treatment, which he says is proof that regression to the mean is not the cause.[10]

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Tension myositis syndrome - Wikipedia, the free encyclopedia

Dowiadczenie na rynku Forex oraz transakcjach na giedzie polskiej i zagranicznych

TMS Brokers to pierwszy dom maklerski na rynku walutowym (Forex) w Polsce. Od 18 lat dokadamy wszelkich stara, by oferowa Klientom najwyszy poziom usug wprowadzajc innowacyjne produkty oraz oferujc dostp do inwestycji na rnych rynkach (gieda, waluty, akcje, indeksy, surowce i towary). Wierzymy, e w tym czasie zyskalimy wrd naszych Klientw opini zaufanych partnerw w inwestycjach oferujcych eksperck wiedz poczon z doskona znajomoci rynku lokalnego.

Obecnie szeroka oferta TMS Brokers umoliwia inwestycje na:

Klienci swoje inwestycje mog realizowa na nowoczesnych platformach transakcyjnych, w tym na nagrodzonym tytuem Najlepszej platformy Forex w Polsce - TMS Trader.

TMS Trader umoliwia dostp do wszystkich inwestycji (Forex, gieda, indeksy, surowce i towary), pozwalajc na dokonywanie transakcji przez ca dob na aktualnie otwartych rynkach.

TMS Trader to dostp poprzez:

Dom Maklerski TMS Brokers starajc si wyj naprzeciw oczekiwaniom swoich Klientw umoliwia skuteczn dywersyfikacj portfela inwestycyjnego.

Na jednym rachunku maklerskim Klienci mog realizowa inwestycje na rynku walutowym (Forex), na rynku surowcw i towarw oraz giedzie polskiej i zagranicznych. A to wszystko za jednym klikniciem, na jednym, wsplnym rachunku maklerskim, bez koniecznoci przewalutowania rodkw i ponoszenia z tego tytuu kosztw.

Wyrniony w rankingach rachunek maklerski TMS Trader dostpny jest w atrakcyjnej ofercie:

Dom Maklerski TMS Brokers oferuje opiek dowiadczonych maklerw, ktrzy pomog w dokonywaniu inwestycji, zarwno dla pocztkujcych, jak i zaawansowanych traderw.

Licencjonowani maklerzy s do dyspozycji naszych Klientw, wspierajc ich wiedz i dowiadczeniem w inwestycjach na rynku walutowym (Forex), giedzie polskiej i zagranicznych oraz na rynku surowcw i towarw.

Opieka maklerska dostpna jest zarwno telefonicznie, mailowo, jak i osobicie podczas spotka w siedzibie Domu Maklerskiego TMS Brokers.

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Dom Maklerski TMS Brokers - Gieda, akcje, inwestycje i ...