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Such modern and emerging therapies include: Electroconvulsive Therapy (ECT), Vagus Nerve Stimulation (VNS), and functional neurosurgical procedures.
In addition to VNS, psychiatic neurosurgical treatments, offered in conjunction with the Departments of Neurosurgery and Neurology at MGH, include both ablative (lesion) procedures (such as, anterior cingulotomy, limbic leucotomy, and anterior capsulotomy, collectively termed "limbic system surgery [LSS]") and non-ablative methods using deep brain stimulation (DBS).
At this time, the principal indications for these types of device-based treatments include major mood disorders (as indications for ECT, VNS, LSS) and obsessive compulsive disorder (as an indication for LSS). It should be emphasized that, at this time, DBS remains an experimental treatment for both mood disorders and obsessive compulsive disorder.
Of note, transcranial magnetic stimulation (TMS) represents another emerging experimental device-based treatment for severe resistant psychiatric disorders. The MGH Somatotherapies Unit provides assessment, treatment and follow-up in the context of ECT and VNS. The MGH Psychiatric Neurosurgical Committee reviews all cases referred for ablative procedures and DBS. Treatment and research with respect to these neurosurgical procedures is carried out in a coordinated fashion with oversight by the Psychiatric Neurotherapeutics Program and The Psychiatric Neurosurgical Committee.
Darin Dougherty, MD MScDepartment of PsychiatryMassachusetts General Hospital-East 149 Thirteenth Street, Room 2612 Charlestown, MA 02129 Tel: (617)-724-6143; Fax: (617)726-4078Publications by Dr. Dougherty
MGH Somatotherapies UnitElectroconvulsive Therapy (ECT) - Michael E. Henry, MD, Director of ECT
MGH Psychiatric Neurosurgery UnitVagus Nerve Stimulation (VNS) - Darin Dougherty, MD, Director of VNSPsychiatrists: Ned Cassem, MDDarin Dougherty, MDNeurosurgeon: Emad Eskandar, MDNeurologists:Alice Flaherty, MD, PhD Bruce Price, MD
Psychiatric Neurotherapeutics Program
Wang Ambulatory Center
Valerie Giorgione Coordinator, Psychiatric Neurosurgery Committee Massachusetts General Hospital WAC331 15 Parkman St. Boston, MA 02114 (617) firstname.lastname@example.org
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