Neuromodulation as an Augmenting Strategy for Behavioral Therapies for Anxiety and PTSD: a Narrative Review View Full Text


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Article Info

DATE

2022-09-14

AUTHORS

Crystal Lantrip, Yvette Z. Szabo, F. Andrew Kozel, Paul Holtzheimer

ABSTRACT

Purpose of ReviewPost-traumatic stress disorder (PTSD) is a prevalent problem. Despite current treatments, symptoms may persist, and neuromodulation therapies show great potential. A growing body of research suggests that transcranial magnetic stimulation (TMS) is effective as a standalone treatment for PTSD, with recent research demonstrating promising use when combined synergistically with behavioral treatments. In this review, we survey this literature including data suggesting mechanisms involved in anxiety and PTSD that may be targeted by neurostimulation.Recent FindingsEvidence suggests the mechanism of action for TMS that contributes to behavioral change may be enhanced neural plasticity via increased functionality of prefrontal and subcortical/limbic structures and associated networks. Some research has demonstrated a behavioral change in PTSD and anxiety due to enhanced extinction learning or improved ability to think flexibly and reduce ruminative tendencies. Growing evidence suggests TMS may be best used as a therapeutic adjunct, at least acutely, for extinction-based exposure therapies in patients by accelerating therapy response.SummaryWhile TMS has shown promise as a standalone intervention, augmentation with psychotherapy is one avenue of interest. Non-responders to current EBPs might particularly benefit from this sort of targeted approach, and it may shorten treatment length, which would help the successful completion of a course of therapy. More... »

PAGES

406-418

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s40501-022-00279-x

DOI

http://dx.doi.org/10.1007/s40501-022-00279-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1150997959


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