June 2014 | Seattle NTC
Monthly Archives

June 2014

Likelihood of Remission from Depression with Medications vs. TMS vs. ECT

By | Uncategorized

Depression is now the leading cause of disability in the world (WHO, 2012), and Transcranial Magnetic Stimulation (TMS) is increasingly recognized as an important treatment option by both clinicians and insurance companies

As such, we are frequently asked about the relative effectiveness of medications vs. TMS vs. ECT for treatment-resistant depression.  While head to head studies of the 3 treatments have not been completed, it is interesting to compare large, multi-site, frequently cited studies of the 3 treatment modalities administered to patients with similar levels of treatment resistance.

These findings are a useful reminder to regularly assess the severity of depression in our patients using depression rating scales, and to be sure that patients with treatment-resistant depression are being progressed through a series of treatment steps including, if appropriate, an evidence-based psychotherapy, additional medication trials, TMS or ECT.


Seattle Neuropsychiatric Treatment Center (SeattleNTC) is committed to providing high quality, evidence-based therapies for depression, anxiety, obsessive compulsive disorder and related conditions that have not responded to first-line treatments such as medications and psychotherapy.


At SeattleNTC:

  • Caring for patients is our passion
  • We feel privileged that patients, families and loved ones ask us for help during the most challenging times of their lives
  • Patients who seek our care have often suffered for months or years
  • We strive to be accessible and can typically schedule an initial consultation within 1-2 weeks
  • We use state of the art brain stimulation procedures to help patients get their lives back on track as quickly as possible
  • We strive to provide the most personalized and the highest quality of care possible


 All patients are seen for one or more initial consultation appointments to:

  • Review their psychiatric treatment history
  • Gather information from significant others, psychiatrists, therapists and primary care physicians
  • Discuss the treatment options in detail
  • Collaboratively establish an initial treatment plan


Depression and other psychiatric conditions are often resistant to treatment

  • After 3 failed medication trials, depressed patients only have a 17% chance of responding to additional medication trials
  • The same patients have a 58% chance of responding to TMS and a 60-80% chance of responding to ECT
  • Patients often suffer through many ineffective medication trials before TMS or ECT is considered

To Contact Us:

Please Call 1-206-467-6300

Our Office Locations:


1600 E Jefferson Street, Suite 401
Seattle, WA 98122


18100 Union Hill Road
Redmond, WA 98052