چکیده:
In this study, the authors reported a case of woman with severe compulsion who became pregnant during the Repetitive transcranial magnetic stimulation. We carried out Repetitive transcranial magnetic stimulation and behavior therapy simultaneously after repeated medications' refraction. The patient received 20 sessions 1 Hz Repetitive transcranial magnetic stimulation in right dorsolateral prefrontal cortex and behavior therapy at the same time in repetitive transcranial magnetic stimulation room. We asked the patient to exposure her fear and without permission of doing usual behavior (washing), she was receiving repetitive transcranial magnetic stimulation. Repetitive transcranial magnetic stimulation and Behavior Therapy could reduce her symptoms significantly. Although her baby was healthy physically but some areas of Age and Stage Questionnaire were below than the average. Repetitive transcranial magnetic stimulation with an additional psychotherapy as behavior therapy could accelerate the improvement of Obsessive compulsive disorder's symptoms. Furthermore, using Repetitive transcranial magnetic stimulation during the first of trimester probably couldn’t be safe for pregnant woman.
خلاصه ماشینی:
Iranian Rehabilitation Journal, Vol. 13, Issue 1, Spring 2015 Case Report Safety and Therapeutic Effects of Repetitive Transcranial Magnetic Stimulation and Behavior Therapy in a Pregnant Woman: Case Report Sanaz Khomami* Ahwaz University, Ahvaz, Iran Reza Rostami Tehran University, Tehran, Iran Reza Kazemi Lorestan University, Khorram Abad, Iran In this study, the authors reported a case of woman with severe compulsion who became pregnant during the Repetitive transcranial magnetic stimulation.
Repetitive transcranial magnetic stimulation with an additional psychotherapy as behavior therapy could accelerate the improvement of Obsessive compulsive disorder's symptoms.
While SRIs and psychotherapy like Cognitive Behavioral Therapy (CBT) are the effective first line treatments of OCD (8), there are some stimulation methods which apply for normalization of CSPT circuits.
Repetitive transcranial magnetic stimulation (rTMS) is a probe procedure for obsessive compulsive disorde.
So we hypothesized that stimulation of cortex (by rTMS) and subcortical regions (by Behavior Therapy - BT) simultaneously might associate with faster improvement of compulsions.
We described a pregnant woman with obsessive compulsive disorder which received her acute treatment during the first trimester.
Nevertheless some findings have been shown rTMS as fourth line bio treatment for obsessive compulsive disorder can induce therapeutic effects.
To our knowledge this is the first report of therapeutic effects of rTMS in obsessive compulsive disorder with a method of psychotherapy simultaneously.
Effects of behavior therapy on regional cerebral blood flow in obsessive-compulsive disorder.
Transcranial magnetic stimulation for the treatment of obsessive-compulsive disorder.
Effect of prefrontal repetitive transcranial magnetic stimulation in obsessive-compulsive disorder: a preliminary study.