Can Brain Stimulation Aid Memory and Brain Health?
According to the Harvard Women’s Health Watch, the jury is still out but magnetic fields or mild electric currents may aid learning and help several conditions that affect women in particular.
Stimulating your brain doesn’t just mean spending an evening at the theater or reading a good book. These days it can involve sitting with your head against a magnet or wearing electrodes that transmit a low-voltage current through your scalp to activate—or suppress—certain neurons in your brain. The prospect of regulating brain signals responsible for mood, pain, and learning is so compelling that scores of studies are under way to see if, and how, the approach can be used to sharpen mental skills and treat symptoms of several mind-body disorders. “Brain stimulation, if used carefully and safely, looks promising, especially if combined with other therapies,” says Dr. Daniel Press, a neurologist with the Berenson-Allen Center for Noninvasive Brain Stimulation at Harvard-affiliated Beth Israel Deaconess Medical Center. Dr. Press has used noninvasive brain stimulation for almost a decade.
How do the devices work?
Two types of brain stimulation are available today. Each has FDA clearance for at least one medical purpose but is being used in clinical trials and “off label” to treat several medical conditions.
Transcranial magnetic stimulation (TMS) uses a magnetic field generated by a coil in a paddle that is held against the patient’s head to stimulate specific areas of the brain. This form of therapy is also called repetitive TMS or rTMS because the magnet is turned on and off rapidly, creating an effect that feels as though someone is tapping on your head. The magnet emits loud noises as it is turned on and off, which requires people undergoing TMS therapy to wear earplugs during the 40-minute sessions. Side effects are usually limited to headaches and ringing in the ears.
Transcranial direct current stimulation (tDCS) transmits a weak current from a 9-volt battery (the size used in a smoke detector) through electrodes on the forehead or scalp. People who undergo tDCS may feel their scalp tingle and hear a humming noise. Each session lasts about 20 minutes.
Both TMS and tDCS are being used to treat the following:
Depression. TMS stimulates neurons in the prefrontal cortex, a region of the brain that is underactive in people with depression. TMS received FDA clearance in 2008 for treating people with depression for whom drugs haven’t been effective. It may also be an alternative for women with depression who are pregnant or breastfeeding and thus may not want to take antidepressants. Unlike electro-convulsive therapy, which is also approved for depression that isn’t alleviated by medication, TMS isn’t likely to cause seizures or memory loss. Insurance may cover TMS therapy.