KETAMINE + TMS
For selected patients with difficult-to-treat depression, CNY Psychiatry may consider combining IV ketamine with TMS.
Ketamine and TMS influence the brain through different but potentially complementary mechanisms. The evidence for combined treatment is promising but preliminary. Published reports, observational studies, pilot studies, and reviews have described improvement in some patients, but available evidence does not establish that the combination is consistently more effective than either treatment alone.
We do not routinely add ketamine to every TMS course or TMS to every ketamine treatment.
The objective is not to provide more treatment. It is to determine whether combining treatments offers a better path toward recovery.
