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ABSTRACT. Transcranial magnetic stimulation (TMS) is a safe and effective treatment of resistant major depressive disorder (MDD). However, MDD is a chronic disorder and relapse is common. The leading method of managing those cases of MDD who respond to TMS, but continue to relapse, is to provide maintenance TMS – short courses of 5 treatments over 2.5 days, repeat at monthly (or greater) intervals. The strategy is to increase the interval between treatment clusters and for patients to be discharged when they have been able to remain well for a couple of months. However, patients and doctors are both frequently apprehensive about increasing the between cluster interval, and patients tend to remain in treatment programs for long periods. We present a protocol and instrument to assist in moving from treatment to discharge, which we have found helpful.

Keywords: major depressive disorder; transcranial magnetic stimulation; neuromodulation; relapse prevention

How to cite: Pridmore, S., Erger, S., Rybak, M., and Pridmore, W. (2020). “The Mood Log – A Tool for Clustered Maintenance TMS,” American Journal of Medical Research 7(2): 15–21. doi:10.22381/AJMR7220202

Received 16 April 2020 • Received in revised form 28 June 2020
Accepted 30 June 2020 • Available online 3 July 2020

Saxby Pridmore
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School of Medicine, University of Tasmania,
Hobart, Tasmania, Australia;
TMS Department, Saint Helen’s Hospital,
Hobart, Tasmania, Australia
(corresponding author)
Sheila Erger
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TMS Department, Saint Helen’s Hospital,
Hobart, Tasmania, Australia
Marzena Rybak
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TMS Department, Saint Helen’s Hospital,
Hobart, Tasmania, Australia
William Pridmore
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Launceston General Hospital,
Launceston, Tasmania, Australia

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