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Case Report of a 24-Year-Old Man With Resolution of Treatment-Resistant Major Depressive Disorder and Comorbid PTSD Using rTMS

Nakama, Helenna MD; Garcia, Alissa MD; O'Brien, Kendra PhD; Ellis, Nathan MD

doi: 10.1097/YCT.0b013e182a2705d
Brief Clinical Report Letters

Although there is a large amount of literature indicating the effectiveness of repetitive transcranial magnetic stimulation (rTMS) for treatment-resistant major depressive disorder (trMDD),1 the authors did not find any literature supporting rTMS for MDD with the comorbid condition of posttraumatic stress disorder (PTSD). Here, we report an original case of a patient whose trMDD and PTSD remitted using rTMS at the left dorsolateral prefrontal cortex.

From the Department of Behavioral Health, Tripler Army Medical Center, Tripler AMC, Honolulu, HI.

Received for publication April 26, 2013; accepted June 13, 2013.

Reprints: Helenna Nakama, MD, Tripler Army Medical Center, 1 Jarrett White Rd, Tripler AMC, Honolulu, HI (e-mail:

The views expressed in this manuscript are those of the authors and do not reflect the official policy or position of the department of the Army, Department of Defense, or the US Government.

The authors have no conflicts of interest or financial disclosures to report.

© 2014 by Lippincott Williams & Wilkins