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Transcranial Magnetic Stimulation for Depression After a Traumatic Brain Injury: A Case Study

Fitzgerald, Paul B. MBBS, MPM, PhD, FRANZCP*; Hoy, Kate E. BBNSc (Hons), DPsych (Clin Neuro)*; Maller, Jerome J. BSc, GradDipPsych, MSc, PhD*; Herring, Sally BA (Hons), DPsych (Clin)*; Segrave, Rebecca BA Psychology, BA Psychophysiology (Hons)*; McQueen, Susan DipAppSci (Nursing), GradDip ComEd, MN(Mental Health)*; Peachey, Amy BN, PGCertNurs (Psych)*; Hollander, Yitzchak BSc, MD, FRCP(C), FRANZCP; Anderson, Jacqueline F. BSc (Hons), MPsych (Clin Neuropsychology), PhD; Daskalakis, Zafiris J. MD, PhD, FRCPC§

doi: 10.1097/YCT.0b013e3181eb30c6
Case Reports

Depression after a traumatic brain injury (TBI) is very common, yet there is a lack of evidence-based treatment options for people who experience depression after a TBI. Traditionally, a history of TBI has been considered an exclusion criterion for transcranial magnetic stimulation trials because of the increased risk of seizure after a TBI. We present what we believe to be the first case of a patient with depression after a TBI treated with transcranial magnetic stimulation.

From the *Monash Alfred Psychiatry Research Centre, The Alfred Hospital and the School of Psychology and Psychiatry, Monash University, †Department of Psychiatry, The Alfred Hospital, Melbourne, Australia; ‡Psychological Sciences, The University of Melbourne, Melbourne, Australia and §Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada.

Received for publication April 18, 2010; accepted May 12, 2010.

Reprints: Paul B. Fitzgerald, MBBS, MPM, PhD, FRANZCP, The Monash Alfred Psychiatry Research Centre of the Department of Psychiatry, The Alfred Hospital and the School of Psychology and Psychiatry, Monash University, Commercial Rd, Melbourne, Prahran 3181, Australia (e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.