rTMS for depression in people with spinal cord injury

You may qualify if

• Age 18 - 70;
• At least 6 months post incomplete cervical or incomplete or complete thoracic level SCI;
• Have at least partial active movement of the right thumb (abductor pollicis brevis) to allow for FDA approved rTMS dosing;
• Major depressive disorder, as identified through screening tools;
• No antidepressant medications or no change in doses of psychotropic medication(s) for at least 4 weeks prior to the study (6 weeks if newly initiated medication).

You can't join if

• Concomitant neurologic diseases/disorders or dementia;
• Cognitive impairment, as identified through a screening tool (Montreal Cognitive Assessment);
• History of major head trauma as identified through a screening tool (Ohio State University Traumatic Brain Injury Identification Method);
• History of psychosis or other Axis I disorder that is primary;
• Positive screen for bipolar disorder, as identified through a screening tool (The Mood Disorder Questionnaire);
• Life expectancy <1 year;
• Attempt of suicide in the last 2 years;
• Electronic or metallic implants (i.e. metal in the head, cochlear implant, or pacemaker);
• History of seizures or currently prescribed anti-seizure medications;
• Taking medication that increases the risk of seizures;
• Pregnancy as identified through a positive pregnancy test;
• Inability or unwillingness of subject or legal guardian/representative to give informed consent.