MeRTSM stands for Magnetic e-Resonance Therapy. MeRTSM combines technologies of repetitive Transcranial Magnetic Stimulation (rTMS, an FDA cleared therapy), Electroencephalogram (EEG), and Electrocardiogram (EKG) to deliver repetitive Transcranial Magnetic Stimulation treatments tailored for each individual’s unique brain pattern.
The patient’s EEG and EKG are analyzed to ascertain the brain’s pattern of function, detect current patterns, and determine its state of optimal neural synchronization. The resulting information is used to develop a personalized treatment protocol for each patient, aimed at restoring the brain to its optimal state that can lead to significant improvements.
Definition of Terms:
MeRTSM = Magnetic e-Resonance Therapy
EEG = Electroencephalogram, a non-invasive procedure that records the electrical activity of the brain
EKG = Electrocardiogram, a non-invasive procedure that records the electrical activity of the heart
rTMS = Repetitive transcranial magnetic stimulation
We do not bill insurance for MeRTSM services. Whether you can be reimbursed for treatment depends on your insurance plan and coverage. If you wish to request reimbursement, we can provide supporting documentation.
Unlike standard rTMS therapy, which delivers stimulation to one location at a fixed frequency for all patients, MeRTSM individualizes the treatment frequency and location based on each patient’s quantitative EEG and EKG. This results in a “custom-fit” MeRTSM treatment protocol as opposed to the “one size fits all” approach of rTMS.
MeRTSM delivers magnetic pulses to specifically targeted areas of the brain. A typical appointment consists of 30 trains of electromagnetic stimulation delivered for 5 seconds each with 45 seconds of rest period in between trains, to a specific location on the head.
Functional recovery is the primary objective of treatment. Results are individual in nature, depending on the initial presenting symptoms.
Common benefits of functional recovery include:
Improved sleep quality
Improved clarity of thought
Increased sleep duration
Improvement in mood
Improved attention span
Increased ability to adapt to change
Decreased cravings (e.g. food, drugs and alcohol)
Improved self-confidence and self-esteem
Improved concentration and focus
Increased emotional stability
For patients with a diagnosis of Post-Traumatic Stress (PTS), preliminary results suggest that more than 60% of patients show significant reduction in the Post-Traumatic Stress Disorder (PTSD) Checklist – Military version (PCL-M) scores, after 4 weeks of treatment.
Preliminary results suggest that 40% to 60% of patients with a diagnosis of Autism Spectrum Disorder (ASD) show a significant clinical response, defined as 30% or greater reduction in CARS scores after 10 weeks of treatment.
Current data indicates side effects are few and generally mild. The most commonly reported side effect is a mild tension headache at the site of stimulation which can last 1-2 hours and responds well to over-the-counter analgesics. Other possible side effects are hyperactivity, increased agitation or euphoria. With brain stimulation there is also a risk of seizures; however, the risk is minimal with MeRTSM. At Brain Health Restoration we limit the intensity of stimulation to further reduce any possible risk of seizure activity.
Every individual’s response to treatment is different. Notable response to treatment has been observed during the assessment period.
Recommendations will be specific to your goals and our plan. Typically, we recommend one month of treatment after the assessment period. However, overall duration of treatment is based on an individual’s response rate.
Results will vary by individual. In general, the longer the length of treatment the longer the changes remain, especially if receiving treatment for greater than one month. If a reduction in gains are noted over time patients may return for additional treatments
Consistency of treatment is important especially during the period of assessment. However, outside of the assessment period missing one day of treatment typically does not affect overall results.
A patient’s response to therapy sometimes plateaus even though the brain has not yet reached its optimal state. The patient may be advised to take a break from treatment. During this time, the brain may be able to improve its plasticity or ability to change for future MeRTSM treatments.
Protocol adjustments are implemented based on changes in your EEGs and clinical symptoms.
Since each brain is unique, the MeRTSM protocol will be different for each patient as it is based on the individual’s own EEG/EKG data.
The treatment is most effective when the individual’s brain is in a calm awake state, without receiving and processing too much information. Therefore, the treatment should be administered in a quiet room (reduced auditory input) with the patient sitting awake in a chair with eyes closed (reduced visual info) during stimulation (5 second periods).
Yes, the treatment will still be effective with eyes open, but to maximize the effect we recommend that patients close their eyes during stimulation (6-8 second periods).
During your intake appointment, disclose all medications you are currently taking. Your clinician will address any and all questions regarding medications.
We do not advise making any changes to your normal routine without first seeking the guidance and direction of your primary medical provider.
Notify the clinician if you have a pacemaker or other internal electric device during your intake session. Individual circumstances will be evaluated by your clinician, however, pacemakers usually do not preclude treatment.
It is not necessary to remove eyeglasses, earrings or jewelry. But it is recommended to remove hearing aids during treatment.
You should eat a healthy snack soon after a MeRTSM session in order to replenish your body’s glucose stores that may be decreased during the treatment session. This is especially important if you feel light-headed or tired after treatment.
A change in appetite might be noticed as a byproduct of decreased anxiety or increased energy level and motivation.
Some patients report a re-discovery or awareness of emotions after initial MeRTSM treatments.