john herr psychologist los gatos saratoga california

On Sabbatical

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TITLE: Daily repetitive transcranial magnetic stimulation (rTMS) improves mood in depression.
AUTHOR: George MS; Wassermann EM; Williams WA; Callahan A; Ketter TA; Basser P; Hallett M; Post RM
AUTHOR AFFILIATION: Biological Psychiatry Branch, National Institute of Mental Health, Charleston, SC, USA.
SOURCE: Neuroreport 1995 Oct 2;6(14):1853-6
NLM CIT. ID: 96107701
ABSTRACT: Converging evidence points to hypofunction of the left prefrontal cortex in depression. Repetitive transcranial magnetic stimulation (rTMS) activates neurons near the surface of the brain. We questioned whether daily left prefrontal rTMS might improve mood in depressed subjects and report a pilot study of such treatment in six highly medication-resistant depressed inpatients. Depression scores significantly improved for the group as a whole (Hamilton Depression Scores decreased from 23.8 +/- 4.2 (s.d.) at baseline to 17.5 +/- 8.4 after treatment; t = 3.03, 5DF, p = 0.02, two-tailed paired t-test). Two subjects showed robust mood improvement which occurred progressively over the course of several weeks. In one subject, depression symptoms completely remitted for the first time in 3 years. Daily left prefrontal rTMS appears to be safe, well tolerated and may alleviate depression.
Depressive Disorder/*THERAPY
Prefrontal Cortex/*PHYSIOLOGY
Case Report
Case-Control Studies
Double-Blind Method
Middle Age
Pilot Projects
REGISTRY NUMBERS: 298-46-4 (Carbamazepine)

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On Sabbatical!

When my office lease expired at the end of 2004, I decided to turn it into a "sabbatical" from my private practice. Many years ago, in my grandfather's 89th year of life, he told me, "John, it is important to smell the roses while you can still smell them." His life gave living a very good reputation. It is also true that the pursuit of that philosophy required my grandfather to to re-open his assay office/ore market in Wickenburg, Arizona as a 75-year-old because he had run a little short of retirement money. Thus, if blessed with his luck and health, I'll be back.. --jjh

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