Tuesday, May 18, 2021

Simplifying depression

Flow Neuroscience has “truly global ... ambitions” to “make depression treatment simple and accessible”. As an article in the Financial Times, which mentions this Swedish company, says, “Technology to treat the brain has come a long way from the hundreds of volts used in brute-force electric shock therapy in the psychiatric clinics of the 1930s”. Neurostimulation (see previous post) now includes transcranial magnetic stimulation (rTMS) (see previous post), transcranial direct current stimulation (tDCS) and deep brain stimulation (DBS) (see previous post). Flow Neuroscience has introduced the first medically approved tDCS electricity-emitting headset for home use, which it says boosts an app-based behaviour therapy treatment programme. The blobs in their YouTube advertisment seem happier than the sad blob in the original Zoloft advertisement (see previous post).

Not sure how randomised controlled trials can be double-blind when comparing rTMS with sham treatment, as it causes a tingling sensation, which will break the blind. Also not sure how accessible the treatment will be (let alone value for money) as the headset costs £399 (although there’s also a renting option). Still the app is free to download. As I said previously (see post), I just wish that psychiatry could focus its efforts on providing more hope and effective treatment than neurostimulation, which is really exploiting people.

(with thanks to Alex Macauley)

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