Akademik Veri Yönetim Sistemi
VI. International X. National Psychiatric Nursing Congress, İzmir, Türkiye, 20 - 23 Ekim 2021, ss.230
Introduction
Obsessive
Compulsive Disorder (OCD) is a psychiatric disorder of intense, repetitive
disturbing thoughts and intellectual or behavioral actions taken to relieve
this disorder. According to the neurobiological model, it is associated with
the motor area, cortico-striato-thalamo-cortical pathways, prefrontal cortex
and orbifrontal cortex (1,5).
Although there are different treatment options in the
treatment of OCD, Deep Trans Magnetic Stimulation (dTMS) therapy, which is one
of the neuromodulation treatments, has started to be applied as an option in
recent years (1).
dTMS
is used in Addiction, Schizophrenia, OCD, Adult Attention Deficit Hyperactivity
Disorder and some other psychiatric diseases. Thanks to the features of the
head used in the device, different brain regions can be stimulated in different
diseases (1,2).
Although various treatments are applied in the treatment of
OCD; Since 2018, the FDA (Food and Drug Administration) has approved the dTMU
application. dTMS targets the middle prefrontal cortex and anterior cingulate
cortex in the treatment of OCD. Thanks to the deep stimulation of these
regions, emotional and cognitive processes are integrated, and the patient's
control, attention, planning and short-term memory functions improve (1,2).
Purpose
In this
study, it is aimed to explain the application of dTMS treatment applied in the
treatment of OCD.
Discussion - Conclusion
dTMS treatment protocols applied in the treatment of OCD
vary from patient to patient. dTMS treatment causes the reconsolidation of the
fear or distressing processes inherent in OCD. Reconsolidation helps transfer
new information into long-term memory. Therefore, during dTMS treatment, the
patient is given instructions by the healthcare professional regarding their
symptoms. Before treatment, the patient's symptoms are studied. The symptom
list is created by the health professional by conducting a pre-session
interview.
When provocations are
applied with dTMU; it showed positive results for depression, smoking
cessation, and post-traumatic stress disorder (PTSD) (3,4).
Provocation
and dTMS applied with a symptom list can be managed by observing the patient's
physiological responses during the session (1,2).