Royal Australian and New Zealand College of Psychiatrists professional practice guidelines for the administration of repetitive transcranial magnetic stimulation

Author:

Hussain Salam123ORCID,Chamoli Suneel34ORCID,Fitzgerald Paul5ORCID,Gandhi Ashu67,Gill Shane8910ORCID,Sarma Shanthi1112ORCID,Loo Colleen131415ORCID

Affiliation:

1. Division of Psychiatry, Faculty of Health and Medical Sciences, The University of Western Australia, Perth, WA, Australia

2. Consultation Liaison Psychiatry and Neuromodulation, Sir Charles Gairdner Hospital Mental Health Service, Perth, WA, Australia

3. Binational Committee, Section of Electroconvulsive Therapy and Neurostimulation, The Royal Australian & New Zealand College of Psychiatrists, Melbourne, VIC, Australia

4. TMS Specialists Clinics, Neuropsytech Pty Ltd, Canberra, ACT, Australia

5. School of Medicine and Psychology, Australian National University, Canberra, ACT, Australia

6. Department of Psychiatry, Monash Health, Melbourne, VIC, Australia

7. Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth Clinic, Melbourne, VIC, Australia

8. Discipline of Psychiatry, School of Medicine, The University of Adelaide, Adelaide, SA, Australia

9. South Australian Psychiatry Training Committee, The Royal Australian & New Zealand College of Psychiatrists, Adelaide, SA, Australia

10. The Adelaide Clinic, Ramsay Mental Health Care, Adelaide, SA, Australia

11. Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Gold Coast, QLD, Australia

12. Medicine Department, Faculty of Health Sciences & Medicine, Bond University, Gold Coast, QLD, Australia

13. School of Psychiatry, University of New South Wales, Sydney, NSW, Australia

14. The Black Dog Institute, Randwick, NSW, Australia

15. The George Institute for Global Health, Barangaroo, NSW, Australia

Abstract

Objectives: To provide guidance for the optimal administration of repetitive transcranial magnetic stimulation, based on scientific evidence and supplemented by expert clinical consensus. Methods: Articles and information were sourced from existing guidelines and published literature. The findings were then formulated into consensus-based recommendations and guidance by the authors. The guidelines were subjected to rigorous successive consultation within the RANZCP, involving the Section of ECT and Neurostimulation (SEN) Committee, its broader membership and expert committees. Results: The RANZCP professional practice guidelines (PPG) for the administration of rTMS provide up-to-date advice regarding the use of rTMS in clinical practice. The guidelines are intended for use by psychiatrists and non-psychiatrists engaged in the administration of rTMS to facilitate best practice to optimise outcomes for patients. The guidelines strive to find the appropriate balance between promoting best evidence-based practice and acknowledging that evidence for rTMS use is a continually evolving. Conclusion: The guidelines provide up-to-date advice for psychiatrists and non-psychiatrists to promote optimal standards of rTMS practice.

Publisher

SAGE Publications

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