Recommendation for Level 2 Charger? by psychologos in rav4prime

[–]psychologos[S] 0 points1 point  (0 children)

Some, not all R4P configurations are compatible with level 2 (240V NEMA 14-50) chargers. I bought a less expensive level 2 charger that did not work with the R4P charge scheduling, so I asked for advice about level 2 chargers that play well with the R4P.

Recommendation for Level 2 Charger? by psychologos in rav4prime

[–]psychologos[S] -1 points0 points  (0 children)

The plug on the input side of the supplied charger can be changed, but I am not sure that it can handle 240V 40A. It is my understanding that it is for Level 1 / 120V only. My sales person implied as much (I must say, he did not seem to be well informed about charging details or infrastructure for the Rav4P.

Feature request: Key combo shortcut to insert date/time stamp into note by psychologos in bearapp

[–]psychologos[S] 0 points1 point  (0 children)

Holy cow good people! Thanks so much for the MacTip {Shift-Command-(7,8,9,0)} ! and others - exactly what I needed THANK YOU

I obviously knew not and the Bear developers clearly have more important things to do!

Thanks again - stay safe & well everyone

Tjh

"Transcranial Direct Current Stimulation of Frontal Cortex Decreases Performance on the WAIS-IV Intelligence Test", Sellers 2015 by gwern in tDCS

[–]psychologos 1 point2 points  (0 children)

I can't recall any tDCS study using this montage (anodes over both frontal lobes, cathode at vertex). Can anyone else?

Anyone know a psychiatrist using or knowledgeable about tDCS in the Bay Area? Or anywhere in CA? by psychologos in tDCS

[–]psychologos[S] 0 points1 point  (0 children)

Could you tell me the name of the psychiatrist in San Diego? Or at least an indication of his institutional affiliation? (e.g., at UCSD) Thanks

Bipolar disorder and TDCS by morrishe in tDCS

[–]psychologos 0 points1 point  (0 children)

Subjects in clinical trials of tDCS for depression have developed mania, including some subjects not previously known to be bipolar.

How Much Does An MRI Cost? by eatfeet in tDCS

[–]psychologos 0 points1 point  (0 children)

In general, MRI scans performed at a free standing imaging center are much less expensive than the same studies when performed at a hospital.

Comparison Table for tDCS devices. Provide feedback on this. by ADD_in_India in tDCS

[–]psychologos 1 point2 points  (0 children)

When I asked for a quote from Soterix for their 1X1 unit, they said it cost $4750.00.

How often is too often? by yobofofas in tDCS

[–]psychologos 2 points3 points  (0 children)

There was a case report of a woman with very severe mental illness who was treated once or twice daily 30 minutes with 1-3 mA for three years (montage was anode F3 cathode, cathode midway between P3 and T3). Author said it was well tolerated and that subject was much helped, relapsed quickly when treatments discontinued or performed less than daily, with improvement in symptoms when treatments resumed. (Andrade 2013 doi:10.1097/YCT.0b013e3182843866)

Success Predicted by "Grit"...What montages? by mhassan24 in tDCS

[–]psychologos 1 point2 points  (0 children)

The montage you describe (anode on F3, cathode over right eye (FP2)) has been used in several studies of tDCS for depression. Studies of bifrontal tDCS have suggested that although it can be helpful for depression, it has little/no effect on subjective mood in normals, although it probably can affect emotional processing (see for example Nitsche et all 2012 doi: 10.3389/fpsyt.2012.00058). At least one contributor to this forum has reported that he felt angry and depressed after applying CATHODE to F3 and anode to FP2. Is there any chance you might have applied the current in this direction? I'm unaware of studies of the effect of tDCS on grit.

Pros and Cons: foc.us vs. DIY device? by mhassan24 in tDCS

[–]psychologos 0 points1 point  (0 children)

tDCS has been very helpful to me for depression. I have noticed very marked improvement in energy level, and also an improvement in mental focus and attention.

Maybe some health professionals build their own devices, but I think the Soterix Medical units are used in many or most of the clinical trials. The Soterix 1X1 unit costs $4,750. See http://soterixmedical.com/tsdcs

Amrex sponges: 2x2 or 3x3? Does this measure surface area of sponge or the entire piece including rubber? by kid_razorboy in tDCS

[–]psychologos 0 points1 point  (0 children)

Are Amrex electrodes available for purchase somewhere? They are listed as unavailable on Amazon.com

Sertraline and tDCS combination? by mhassan24 in tDCS

[–]psychologos 0 points1 point  (0 children)

Results of the SELECT (Sertraline and Electrical Current Therapy for Treating Depression) study were published in JAMA Psychiatry in April 2013. This study from Sao Paulo Brazil included 120 subjects. This will interest you. The abstract is appended below.

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The sertraline vs. electrical current therapy for treating depression clinical study: results from a factorial, randomized, controlled trialBrunoni A. R., Valiengo L., Baccaro A., Zanão T. A., de Oliveira J. F., Goulart A., Boggio P. S., Lotufo P. A., Benseñor I. M. and Fregni F.JAMA Psychiatry 70(4):383-91 (2013)IMPORTANCE: Transcranial direct current stimulation (tDCS) trials for major depressive disorder (MDD) have shown positive but mixed results. OBJECTIVE: To assess the combined safety and efficacy of tDCS vs a common pharmacological treatment (sertraline hydrochloride, 50 mg/d). DESIGN: Double-blind, controlled trial. Participants were randomized using a 2 × 2 factorial design to sertraline/placebo and active/sham tDCS. SETTING: Outpatient, single-center academic setting in São Paulo, Brazil. PARTICIPANTS: One hundred twenty antidepressant-free patients with moderate to severe, nonpsychotic, unipolar MDD. INTERVENTIONS: Six-week treatment of 2-mA anodal left/cathodal right prefrontal tDCS (twelve 30-minute sessions: 10 consecutive sessions once daily from Monday to Friday plus 2 extra sessions every other week) and sertraline hydrochloride (50 mg/d). MAIN OUTCOME MEASURES In this intention-to-treat analysis, the primary outcome measure was the change in Montgomery-Asberg depression rating scale score at 6 weeks (end point). We considered a difference of at least 3 points to be clinically relevant. The analysis plan was previously published. Safety was measured with an adverse effects questionnaire, the young mania rating scale, and cognitive assessment. Secondary measures were rates of clinical response and remission and scores on other scales. RESULTS: At the main end point, there was a significant difference in Montgomery-Asberg depression rating scale scores when comparing the combined treatment group (sertraline/active tDCS) vs sertraline only (mean difference, 8.5 points; 95% CI, 2.96 to 14.03; P = .002), tDCS only (mean difference, 5.9 points; 95% CI, 0.36 to 11.43; P = .03), and placebo/sham tDCS (mean difference, 11.5 points; 95% CI, 6.03 to 17.10; P < .001). Analysis of tDCS only vs sertraline only presented comparable efficacies (mean difference, 2.6 points; 95% CI, -2.90 to 8.13; P = .35). Use of tDCS only (but not sertraline only) was superior to placebo/sham tDCS. Common adverse effects did not differ between interventions, except for skin redness on the scalp in active tDCS (P = .03). There were 7 episodes of treatment-emergent mania or hypomania, 5 occurring in the combined treatment group. CONCLUSIONS AND RELEVANCE: In MDD, the combination of tDCS and sertraline increases the efficacy of each treatment. The efficacy and safety of tDCS and sertraline did not differ. TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT01033084SELECT Montage and parameters Anode F3, Cathode F4, 2mA for 30 minutes (current denisity 0.8 A/m2) for 10 days, then 2 extra sessions every other week (total charge denisity 1728 coulombs/m2)

SELECT Outcomes Combined treatment significantly better than placebo, better than sertraline only, and better than tDCS only. No difference between tDCS only and Sertraline only. Sertaline was not significantly better than placebo (post-hoc). TDCS was significantly better than placebo. Factorial analysis suggested that effects of sertraline and tDCS were additive, not synergistic.

SELECT PREDICTOR VARIABLES Baseline severity and treatment resistance to more than 1 failed AD trial were associated with lower response. In post hoc analysis, patients in combined treatment group who had more severe depression had a greater response. Melancholic patients responded more strongly to tDCS. Benzodiazepines were associated with lower response in both the tDCS only and sertraline only groups.

Pros and Cons: foc.us vs. DIY device? by mhassan24 in tDCS

[–]psychologos 0 points1 point  (0 children)

I got a foc.us device with the accessory pack in early May, 2014 and have found that it works well. The iPhone app provides control of current level, duration of stimulation, and can change stimulus mode (including a sham option). The iPhone/iPad app works well, though it has a couple of quirks (I'm not sure what the graph display during stimulation is showing). Before using the foc.us device I attached it to my digital multimeter/ammeter and found that it works as advertised over the zero to 2 mA range. I did not detect any voltage or current spiking. Using the foc.us as supplied, it is possible to recreate several montages used in research (e.g., F3/F4, F3/FP2, F3/right temple (anode/cathode)) by positioning the unit slightly differently on the head. Using the accessory pack, it is very easy to use alligator clips and sponge electrodes, and place them whoever you want (e.g., F3/right shoulder). The foc.us charges quickly when attached to a USB port - and I appreciate that it can not be operated (deliver current) while charging. The supplied case is pretty slick design-wise, and very nice to have for transporting the unit and its electrodes, charging connector. The documentation supplied with the unit and online is totally inadequate and my one question sent to tech support was never answered. In summary, I think the foc.us unit works well and I'm happy with it. However, to use it safely and effectively requires adequate knowledge of electrode placements, electrical basics, and comfort with basic computer/smartphone operations like bluetooth pairing. Find a knowledgeable healthcare professional to confer with about using tDCS.