It’s Called TMS, Not PMS

Actually, the specific type of TMS I’m being administered is called rTMS– short for Repetitive Transcranial Magnetic Stimulation. At 7AM every weekday, I’m sitting like this in the treatment chair at the Treatment Resistant Mood Disorders Clinic, located in SLC at the U of U’s University Neuropsychiatric Institute . Even that early, and even for a medical treatment, I wear my trademark Neckwear o’ the Day. It reminds me exactly who I am, and it amuses the doctors, nurses, and technicians. The patients and staff in the waiting room are always more interested in The Purse though.

Some of you have expressed concern for me about doing rTMS. I hadn’t heard of it until two months ago. But rest assured, I did my research. It is a relatively new treatment for depression. It is a treatment which is only used in cases of depression where standard treatments have not worked. It is not generally used to treat bipolar individuals, but my wacko head lives mostly on the depressive side of my bipolarity. And that’s where I’ve been in quicksand for the last year. I needed to try something new.

So I am officially “treatment resistant” and I, therefore, qualify for rTMS. “Treatment resistant,” in terms of rTMS, means meds and/or therapy have not worked well enough to level out my mental situation, or to at least stabilize the moods.

Meds have always “worked” for me, sort of. Each med I’ve been prescribed has helped me stay more level to some degree– for a while, sometimes even for years, but it would eventually lose its effectiveness. When it quit working, my docs would switch me to a different anti-depressant or mood-leveler. Again, the drug would definitely help me, but not for the duration. In addition to taking meds, I have simultaneously been in some kind of talk therapy since I was diagnosed bipolar. Therapy has helped, but clearly not enough. I was 36 when I got my diagnosis, although I have no doubt I have been bipolar my entire life.

In future posts, I’ll write more specifically about my diagnosis; about what TMS is and how safe it is; about what it means to be bipolar; and about the idea of being “mentally ill”.

Posts about these topics and issues are tougher for me to write than I thought they would be. But I figure things out by writing about them, and I need to figure out this complex stuff. Stay tuned, as always.

16 TMS sessions down, 20 to go.