Accelerated rTMS for existential distress in palliative care: A report of two cases

Christine L Watt¹, Julie Lapenskie², Monisha Kabir³, Genevieve Lalumiere⁴, Michel Dionne⁵, Jill Rice⁶, Chelsea Noël⁷, Jonathan Downar⁸, James Downar⁹

Affiliations

¹ Bruyère Research Institute, 43 Bruyere St., Ottawa, Ontario, Canada, K1N5C8; University of Ottawa, 75 Laurier Ave. E, Ottawa, Ontario, Canada, K1N 6N5; The Ottawa Hospital, 501 Smyth Rd, Ottawa, Ontario, Canada, K1H 8L6; Bruyère Continuing Care, 43 Bruyere St., Ottawa, Ontario, Canada, K1N5C8.
² Bruyère Research Institute, 43 Bruyere St., Ottawa, Ontario, Canada, K1N5C8; The Ottawa Hospital Research Institute, 1053 Carling Ave, Ottawa, Ontario, Canada, K1Y 4E9.
³ Bruyère Research Institute, 43 Bruyere St., Ottawa, Ontario, Canada, K1N5C8.
⁴ Bruyère Continuing Care, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada.
⁵ University of Ottawa, 75 Laurier Ave. E, Ottawa, Ontario, K1N 6N5, Canada; Bruyère Continuing Care, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada.
⁶ Bruyère Research Institute, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada; University of Ottawa, 75 Laurier Ave. E, Ottawa, Ontario, K1N 6N5, Canada; The Ottawa Hospital, 501 Smyth Rd, Ottawa, Ontario, K1H 8L6, Canada; Bruyère Continuing Care, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada.
⁷ Bruyère Research Institute, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada.
⁸ University of Toronto, 250 College Street 8th Floor, Toronto, Ontario, M5T 1R8, Canada.
⁹ Bruyère Research Institute, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada; The Ottawa Hospital Research Institute, 1053 Carling Ave, Ottawa, Ontario, K1Y 4E9, Canada; University of Ottawa, 75 Laurier Ave. E, Ottawa, Ontario, K1N 6N5, Canada; The Ottawa Hospital, 501 Smyth Rd, Ottawa, Ontario, K1H 8L6, Canada; Bruyère Continuing Care, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada. Electronic address: jdownar@toh.ca.

PMID: 34954083
DOI: 10.1016/j.brs.2021.12.006

Free article

Case Reports

Accelerated rTMS for existential distress in palliative care: A report of two cases

Christine L Watt et al. Brain Stimul. 2022 Jan-Feb.

Free article

. 2022 Jan-Feb;15(1):197-200.

doi: 10.1016/j.brs.2021.12.006. Epub 2021 Dec 22.

Authors

Christine L Watt¹, Julie Lapenskie², Monisha Kabir³, Genevieve Lalumiere⁴, Michel Dionne⁵, Jill Rice⁶, Chelsea Noël⁷, Jonathan Downar⁸, James Downar⁹

Affiliations

¹ Bruyère Research Institute, 43 Bruyere St., Ottawa, Ontario, Canada, K1N5C8; University of Ottawa, 75 Laurier Ave. E, Ottawa, Ontario, Canada, K1N 6N5; The Ottawa Hospital, 501 Smyth Rd, Ottawa, Ontario, Canada, K1H 8L6; Bruyère Continuing Care, 43 Bruyere St., Ottawa, Ontario, Canada, K1N5C8.
² Bruyère Research Institute, 43 Bruyere St., Ottawa, Ontario, Canada, K1N5C8; The Ottawa Hospital Research Institute, 1053 Carling Ave, Ottawa, Ontario, Canada, K1Y 4E9.
³ Bruyère Research Institute, 43 Bruyere St., Ottawa, Ontario, Canada, K1N5C8.
⁴ Bruyère Continuing Care, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada.
⁵ University of Ottawa, 75 Laurier Ave. E, Ottawa, Ontario, K1N 6N5, Canada; Bruyère Continuing Care, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada.
⁶ Bruyère Research Institute, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada; University of Ottawa, 75 Laurier Ave. E, Ottawa, Ontario, K1N 6N5, Canada; The Ottawa Hospital, 501 Smyth Rd, Ottawa, Ontario, K1H 8L6, Canada; Bruyère Continuing Care, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada.
⁷ Bruyère Research Institute, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada.
⁸ University of Toronto, 250 College Street 8th Floor, Toronto, Ontario, M5T 1R8, Canada.
⁹ Bruyère Research Institute, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada; The Ottawa Hospital Research Institute, 1053 Carling Ave, Ottawa, Ontario, K1Y 4E9, Canada; University of Ottawa, 75 Laurier Ave. E, Ottawa, Ontario, K1N 6N5, Canada; The Ottawa Hospital, 501 Smyth Rd, Ottawa, Ontario, K1H 8L6, Canada; Bruyère Continuing Care, 43 Bruyere St., Ottawa, Ontario, K1N5C8, Canada. Electronic address: jdownar@toh.ca.

PMID: 34954083
DOI: 10.1016/j.brs.2021.12.006

No abstract available

Keywords: Anxiety; Depression; End of life care; Existential distress; Palliative care; TMS; Transcranial magnetic stimulation.

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Conflict of interest statement

Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Dr. Jonathan Downar has received research support from the Arrell Family Foundation, the Buchan Family Foundation, Brain Canada, the Canadian Biomarker Integration Network in Depression, the Canadian Institutes of Health Research (CIHR), the Klarman Family Foundation, NIH, the Ontario Brain Institute, the Toronto General and Western Hospital Foundation, and the Weston Family Foundation; his lab has received in-kind equipment support for investigator-initiated trials from MagVenture; he has served as an advisor for BrainCheck, Restorative Brain Clinics, and TMS Neuro Solutions. All other authors have no conflicts of interest to declare.

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Accelerated rTMS for existential distress in palliative care: A report of two cases

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Accelerated rTMS for existential distress in palliative care: A report of two cases

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Conflict of interest statement

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