{"id":765,"date":"2025-02-06T14:57:02","date_gmt":"2025-02-06T05:57:02","guid":{"rendered":"https:\/\/wako-psy-clinic.com\/kimoto\/?p=765"},"modified":"2025-02-06T14:57:02","modified_gmt":"2025-02-06T05:57:02","slug":"tms%e6%b2%bb%e7%99%82%e3%81%af%ef%bc%92%ef%bc%90%e6%ad%b3%e6%9c%aa%e6%ba%80%e3%81%ae%e3%81%86%e3%81%a4%e7%97%87%e7%8a%b6%e3%81%ab%e5%af%be%e3%81%97%e3%81%a6%e3%82%82%e5%8a%b9%e6%9e%9c%e3%82%92","status":"publish","type":"post","link":"https:\/\/wako-psy-clinic.com\/kimoto\/blog\/765.html","title":{"rendered":"TMS\u6cbb\u7642\u306f\uff12\uff10\u6b73\u672a\u6e80\u306e\u3046\u3064\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u3082\u52b9\u679c\u3092\u767a\u63ee\u3059\u308b\u306e\u304b\uff1f\u795e\u5948\u5ddd\u770c\u539a\u6728\u5e02\u306e\u5150\u7ae5\u7cbe\u795e\u79d1\u533b\u304c\u89e3\u8aac"},"content":{"rendered":"\n
TMS\u6cbb\u7642\u306f\uff12\uff10\u6b73\u672a\u6e80\u306e\u3046\u3064\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u3082\u52b9\u679c\u3092\u767a\u63ee\u3059\u308b\u306e\u304b\uff1f\u795e\u5948\u5ddd\u770c\u539a\u6728\u5e02\u306e\u5150\u7ae5\u7cbe\u795e\u79d1\u533b\u304c\u89e3\u8aac

\u3053\u3093\u306b\u3061\u306f\u3001\u795e\u5948\u5ddd\u770c\u539a\u6728\u5e02\u306e\u5150\u7ae5\u7cbe\u795e\u79d1\u5c02\u9580\u30af\u30ea\u30cb\u30c3\u30af\u3001\u304d\u3082\u3068\u30e1\u30f3\u30bf\u30eb\u30af\u30ea\u30cb\u30c3\u30af\u3067\u3059\u3002

\u4eca\u56de\u306f\u3001TMS\u6cbb\u7642\u306f\uff12\uff10\u6b73\u672a\u6e80\u306e\u3046\u3064\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u3082\u52b9\u679c\u3092\u767a\u63ee\u3059\u308b\u306e\u304b\uff1f\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002

TMS\uff08\u7d4c\u982d\u84cb\u78c1\u6c17\u523a\u6fc0\uff09\u6cbb\u7642\u306f20\u6b73\u672a\u6e80\u306e\u3046\u3064\u75c7\u72b6\u306b\u52b9\u679c\u3092\u767a\u63ee\u3059\u308b\u306e\u304b\uff1f
\u7d50\u8ad6\u304b\u3089\u8a00\u3046\u3068\u3001TMS\uff08\u7d4c\u982d\u84cb\u78c1\u6c17\u523a\u6fc0\uff09\u6cbb\u7642\u306f20\u6b73\u672a\u6e80\u306e\u3046\u3064\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u3082\u52b9\u679c\u3092\u767a\u63ee\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u6210\u4eba\u3088\u308a\u3082\u7814\u7a76\u30c7\u30fc\u30bf\u304c\u5c11\u306a\u304f\u3001\u6cbb\u7642\u306e\u5b89\u5168\u6027\u3084\u52b9\u679c\u306b\u95a2\u3057\u3066\u614e\u91cd\u306a\u691c\u8a0e\u304c\u5fc5\u8981\u3067\u3059\u3002\u73fe\u5728\u3001TMS\u306f\u4e3b\u306b\u6210\u4eba\u306e\u3046\u3064\u75c5\u6cbb\u7642\u3068\u3057\u3066\u627f\u8a8d\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u8fd1\u5e74\u3067\u306f\u9752\u5c11\u5e74\u3078\u306e\u9069\u7528\u3082\u7814\u7a76\u3055\u308c\u3066\u3044\u307e\u3059\u3002

1. TMS\u3068\u306f\uff1f
TMS\uff08\u7d4c\u982d\u84cb\u78c1\u6c17\u523a\u6fc0\u7642\u6cd5\uff09\u306f\u3001\u78c1\u5834\u3092\u5229\u7528\u3057\u3066\u8133\u306e\u7279\u5b9a\u90e8\u4f4d\uff08\u4e3b\u306b\u5de6\u80cc\u5916\u5074\u524d\u982d\u524d\u91ce: DLPFC\uff09\u3092\u523a\u6fc0\u3057\u3001\u795e\u7d4c\u6d3b\u52d5\u3092\u6d3b\u6027\u5316\u3055\u305b\u308b\u975e\u4fb5\u8972\u7684\u306a\u6cbb\u7642\u6cd5\u3067\u3059\u3002\u3046\u3064\u75c5\u60a3\u8005\u3067\u306f\u3001\u3053\u306e\u9818\u57df\u306e\u6a5f\u80fd\u4f4e\u4e0b\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u304f\u3001TMS\u306b\u3088\u3063\u3066\u305d\u306e\u6d3b\u52d5\u3092\u56de\u5fa9\u3055\u305b\u308b\u3053\u3068\u304c\u76ee\u7684\u3067\u3059\u3002

2. 20\u6b73\u672a\u6e80\u306eTMS\u6cbb\u7642\u306b\u95a2\u3059\u308b\u7814\u7a76\u3068\u30a8\u30d3\u30c7\u30f3\u30b9
\u73fe\u5728\u306e\u3068\u3053\u308d\u3001TMS\u306e\u81e8\u5e8a\u8a66\u9a13\u306f\u4e3b\u306b\u6210\u4eba\u3092\u5bfe\u8c61\u306b\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u304c\u300110\u4ee3\u306e\u3046\u3064\u75c5\u60a3\u8005\u306b\u3082\u6709\u671b\u306a\u7d50\u679c\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002

\uff081\uff09\u81e8\u5e8a\u7814\u7a76\u30c7\u30fc\u30bf
\u9752\u5c11\u5e74\uff0812\uff5e18\u6b73\uff09\u306b\u5bfe\u3059\u308bTMS\u306e\u7814\u7a76\u3067\u306f\u3001\u6210\u4eba\u3068\u540c\u69d8\u306b\u3046\u3064\u75c7\u72b6\u306e\u6539\u5584\u304c\u78ba\u8a8d\u3055\u308c\u305f\u30b1\u30fc\u30b9\u304c\u8907\u6570\u3042\u308a\u307e\u3059\u3002
2019\u5e74\u306e\u7814\u7a76\uff08\u30ab\u30ca\u30c0\uff09\u3067\u306f\u300115\uff5e21\u6b73\u306e\u3046\u3064\u75c5\u60a3\u8005\u306b\u5bfe\u3057TMS\u6cbb\u7642\u3092\u5b9f\u65bd\u3057\u305f\u3068\u3053\u308d\u3001\u7d0460\uff05\u304c\u75c7\u72b6\u306e\u6539\u5584\u3092\u793a\u3057\u300130\uff05\u304c\u5bdb\u89e3\uff08\u75c7\u72b6\u304c\u307b\u307c\u6d88\u5931\uff09\u3057\u305f\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002
2021\u5e74\u306e\u30a2\u30e1\u30ea\u30ab\u306e\u8a66\u9a13\u3067\u306f\u300118\u6b73\u672a\u6e80\u306e\u60a3\u8005\u3067\u3082TMS\u306e\u5fcd\u5bb9\u6027\uff08\u526f\u4f5c\u7528\u306e\u5c11\u306a\u3055\uff09\u304c\u9ad8\u304f\u3001\u6210\u4eba\u3068\u540c\u7b49\u306e\u5b89\u5168\u6027\u304c\u793a\u5506\u3055\u308c\u307e\u3057\u305f\u3002

\uff082\uff09\u6210\u4eba\u3068\u306e\u9055\u3044
\u8133\u306e\u53ef\u5851\u6027\u304c\u9ad8\u3044:
20\u6b73\u672a\u6e80\u306f\u8133\u306e\u53ef\u5851\u6027\uff08\u795e\u7d4c\u306e\u9069\u5fdc\u80fd\u529b\uff09\u304c\u6210\u4eba\u3088\u308a\u3082\u9ad8\u3044\u305f\u3081\u3001TMS\u306e\u52b9\u679c\u304c\u3088\u308a\u6301\u7d9a\u3057\u3084\u3059\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002
\u767a\u9054\u4e2d\u306e\u8133\u3078\u306e\u5f71\u97ff:
\u305f\u3060\u3057\u3001\u8133\u304c\u5b8c\u5168\u306b\u6210\u719f\u3059\u308b\u524d\u306bTMS\u3092\u884c\u3046\u3053\u3068\u3067\u3001\u5c06\u6765\u7684\u306b\u3069\u306e\u3088\u3046\u306a\u5f71\u97ff\u304c\u51fa\u308b\u304b\u306f\u4e0d\u660e\u3067\u3042\u308a\u3001\u9577\u671f\u7684\u306a\u5b89\u5168\u6027\u306b\u3064\u3044\u3066\u306f\u614e\u91cd\u306a\u691c\u8a0e\u304c\u5fc5\u8981\u3002

3. 20\u6b73\u672a\u6e80\u306e\u3046\u3064\u75c7\u72b6\u306bTMS\u304c\u9069\u5fdc\u3055\u308c\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u30b1\u30fc\u30b9
TMS\u306f20\u6b73\u672a\u6e80\u306e\u60a3\u8005\u306b\u5bfe\u3057\u3066\u3082\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u5834\u5408\u306b\u52b9\u679c\u3092\u767a\u63ee\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002

\uff081\uff09\u5f93\u6765\u306e\u6cbb\u7642\u304c\u52b9\u679c\u3092\u793a\u3055\u306a\u3044\u5834\u5408
\u6297\u3046\u3064\u85ac\u3084\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u306b\u5bfe\u3057\u3066\u5341\u5206\u306a\u53cd\u5fdc\u304c\u898b\u3089\u308c\u306a\u3044\u5834\u5408\u3001TMS\u304c\u4ee3\u66ff\u6cbb\u7642\u3068\u3057\u3066\u6709\u52b9\u3067\u3042\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002

\uff082\uff09\u85ac\u306e\u526f\u4f5c\u7528\u304c\u5f37\u3044\u5834\u5408
\u4e00\u90e8\u306e\u82e5\u5e74\u60a3\u8005\u306f\u3001SSRI\uff08\u9078\u629e\u7684\u30bb\u30ed\u30c8\u30cb\u30f3\u518d\u53d6\u308a\u8fbc\u307f\u963b\u5bb3\u85ac\uff09\u3084SNRI\uff08\u30bb\u30ed\u30c8\u30cb\u30f3\u30fb\u30ce\u30eb\u30a2\u30c9\u30ec\u30ca\u30ea\u30f3\u518d\u53d6\u308a\u8fbc\u307f\u963b\u5bb3\u85ac\uff09\u306e\u526f\u4f5c\u7528\uff08\u4f53\u91cd\u5897\u52a0\u3001\u6027\u6a5f\u80fd\u969c\u5bb3\u3001\u5410\u304d\u6c17\u3001\u60c5\u7dd2\u4e0d\u5b89\u5b9a\u306a\u3069\uff09\u306b\u8010\u3048\u3089\u308c\u306a\u3044\u3053\u3068\u304c\u3042\u308b\u3002
TMS\u306f\u85ac\u7269\u6cbb\u7642\u3068\u7570\u306a\u308a\u3001\u5168\u8eab\u6027\u306e\u526f\u4f5c\u7528\u304c\u5c11\u306a\u3044\u305f\u3081\u3001\u5b89\u5168\u6027\u304c\u9ad8\u3044\u3002

\uff083\uff09\u3046\u3064\u75c7\u72b6\u304c\u91cd\u5ea6\u3067\u3001\u81ea\u6bba\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u5834\u5408
\u3046\u3064\u75c7\u72b6\u304c\u91cd\u5ea6\u3067\u3001\u81ea\u6bba\u5ff5\u616e\u304c\u5f37\u3044\u60a3\u8005\u306b\u5bfe\u3057\u3066\u3001TMS\u306f\u6bd4\u8f03\u7684\u901f\u3084\u304b\u306b\u75c7\u72b6\u3092\u6539\u5584\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002
\u305f\u3060\u3057\u3001TMS\u5358\u72ec\u3067\u306f\u306a\u304f\u3001\u533b\u5e2b\u306b\u3088\u308b\u7dcf\u5408\u7684\u306a\u6cbb\u7642\u30d7\u30e9\u30f3\uff08\u7cbe\u795e\u7642\u6cd5\u3001\u85ac\u7269\u7642\u6cd5\u306e\u4f75\u7528\uff09\u304c\u5fc5\u8981\u3002

4. 20\u6b73\u672a\u6e80\u306eTMS\u6cbb\u7642\u306b\u304a\u3051\u308b\u5b89\u5168\u6027
\uff081\uff09TMS\u306e\u526f\u4f5c\u7528
TMS\u306f\u3001\u4e00\u822c\u7684\u306b\u6210\u4eba\u306b\u5bfe\u3057\u3066\u5b89\u5168\u3067\u3042\u308a\u300120\u6b73\u672a\u6e80\u306b\u304a\u3044\u3066\u3082\u5927\u304d\u306a\u30ea\u30b9\u30af\u306f\u5c11\u306a\u3044\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u305f\u3060\u3057\u3001\u4ee5\u4e0b\u306e\u526f\u4f5c\u7528\u306e\u30ea\u30b9\u30af\u304c\u3042\u308a\u307e\u3059\u3002

\u8efd\u5ea6\u306e\u982d\u75db\u3084\u982d\u76ae\u306e\u4e0d\u5feb\u611f\uff08\u6700\u3082\u591a\u3044\u526f\u4f5c\u7528\uff09
\u4e00\u6642\u7684\u306a\u6c17\u5206\u5909\u5316\uff08\u591a\u5e78\u611f\u307e\u305f\u306f\u7126\u71e5\u611f\uff09
\u75d9\u6523\uff08\u975e\u5e38\u306b\u307e\u308c\u3060\u304c\u3001\u30ea\u30b9\u30af\u306f\u30bc\u30ed\u3067\u306f\u306a\u3044\uff09
\u97f3\u306b\u5bfe\u3059\u308b\u904e\u654f\u75c7\uff08\u6cbb\u7642\u4e2d\u306e\u300c\u30ab\u30c1\u30ab\u30c1\u300d\u3068\u3044\u3046\u97f3\u304c\u6c17\u306b\u306a\u308b\u5834\u5408\u304c\u3042\u308b\uff09


\u307e\u3068\u3081
TMS\u306f20\u6b73\u672a\u6e80\u306e\u3046\u3064\u75c7\u72b6\u306b\u52b9\u679c\u3092\u767a\u63ee\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u304c\u3001\u614e\u91cd\u306a\u9069\u5fdc\u304c\u5fc5\u8981\u3002
\u6210\u4eba\u306e\u3046\u3064\u75c5\u60a3\u8005\u306b\u6bd4\u3079\u3066\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u5c11\u306a\u3044\u304c\u3001\u521d\u671f\u7814\u7a76\u3067\u306f\u4e00\u5b9a\u306e\u52b9\u679c\u304c\u78ba\u8a8d\u3055\u308c\u3066\u3044\u308b\u3002
\u5f93\u6765\u306e\u85ac\u7269\u6cbb\u7642\u306b\u53cd\u5fdc\u3057\u306a\u3044\u30b1\u30fc\u30b9\u3001\u85ac\u306e\u526f\u4f5c\u7528\u304c\u5f37\u3044\u30b1\u30fc\u30b9\u3067\u306f\u3001TMS\u304c\u6709\u671b\u306a\u9078\u629e\u80a2\u3068\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002
\u526f\u4f5c\u7528\u306f\u6bd4\u8f03\u7684\u8efd\u5fae\u3060\u304c\u3001\u9577\u671f\u7684\u306a\u5f71\u97ff\u306b\u3064\u3044\u3066\u306f\u3055\u3089\u306a\u308b\u7814\u7a76\u304c\u5fc5\u8981\u3002

\u5f53\u6cd5\u4eba\u3067\u306fTMS\u6cbb\u7642\u304c\u65e5\u672c\u306b\u5c0e\u5165\u3055\u308c\u3066\u304b\u3089\u73fe\u5728\u307e\u3067\uff12\uff10\u6b73\u672a\u6e80\u306e\u65b9\u3078\u306e\u6cbb\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002

\u81e8\u5e8a\u30c7\u30fc\u30bf\u3092\u84c4\u7a4d\u3057\u3001\u7d71\u8a08\u5b66\u7684\u306a\u6709\u52b9\u6027\u3092\u8a8d\u3081\u3066\u3044\u308b\u305f\u3081\u8ad6\u6587\u4f5c\u6210\u3082\u3057\u3066\u3044\u307e\u3059\u3002

\u73fe\u5728\u3082\u30e2\u30cb\u30bf\u30fc\u52df\u96c6\u3057\u3066\u304a\u308a\u307e\u3059\u3002

\u85ac\u3092\u4f7f\u308f\u306a\u3044\u3067\u6cbb\u7642\u3057\u305f\u3044\u65b9\u3001\u73fe\u5728\u4f7f\u3063\u3066\u3044\u308b\u85ac\u3092\u6e1b\u3089\u3057\u305f\u3044\u65b9\u3001\u305c\u3072\u5f53\u9662\u3078\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002



1. Can TMS Therapy Be Effective for Depression in Patients Under 20?
Conclusion:
TMS therapy may be effective for depression in individuals under 20, but there is currently limited research data compared to adults. While TMS has been approved primarily for adult depression, recent studies suggest that it may also benefit adolescents. However, careful consideration of safety and long-term effects is necessary before applying it to younger patients.

2. What Is TMS Therapy?
TMS (Transcranial Magnetic Stimulation) is a non-invasive neuromodulation treatment that stimulates specific brain regions, mainly the left dorsolateral prefrontal cortex (DLPFC).

Since depression is often associated with reduced activity in this brain region, TMS helps restore normal brain function, potentially improving depressive symptoms.

3. Research and Evidence on TMS for Patients Under 20
While most TMS studies focus on adults, several promising studies have explored its use in adolescents (ages 12\u201318).

(1) Clinical Studies
A 2019 Canadian study on 15\u201321-year-olds reported that:
\u2705 60% showed symptom improvement.
\u2705 30% achieved remission (symptom-free status).
A 2021 American study indicated that TMS was well tolerated in patients under 18 and demonstrated safety comparable to adult patients.
(2) Differences Between Adolescents and Adults
\u2705 Higher Brain Plasticity in Young Patients

The adolescent brain has greater neuroplasticity (adaptability), meaning that TMS effects may last longer.
\u26a0 Potential Long-Term Effects on Developing Brains

However, since the brain is not yet fully developed, the long-term impact of TMS remains uncertain, requiring further research.
4. When Is TMS Recommended for Patients Under 20?
TMS therapy may be beneficial for young patients in the following cases:

(1) When Conventional Treatments Are Ineffective
If antidepressants or Cognitive Behavioral Therapy (CBT) have not been successful, TMS may be a viable alternative.
(2) When Medication Causes Severe Side Effects
Some young patients experience strong side effects from SSRIs\/SNRIs, including:
\u26a0 Weight gain
\u26a0 Emotional instability
\u26a0 Nausea
\u26a0 Sexual dysfunction
Since TMS is a non-drug therapy, it provides an alternative with fewer systemic side effects.
(3) When Depression Is Severe and Suicide Risk Is High
Severe depression with suicidal ideation may require rapid intervention.
TMS has been reported to provide relatively fast symptom relief in some patients.
However, TMS should not be used alone\u2014a comprehensive treatment plan including therapy and medical supervision is necessary.
5. Safety of TMS in Patients Under 20
TMS is generally considered safe, but potential side effects include:

(1) Common Side Effects
\u2705 Mild headache or scalp discomfort (most common).
\u2705 Temporary mood changes (euphoria or restlessness).
\u2705 Noise sensitivity (patients may find the clicking sounds distracting).

(2) Rare Risks
\u26a0 Seizure Risk (Extremely rare but possible, especially in those with a history of epilepsy).

\ud83d\udca1 TMS is not recommended for individuals with epilepsy or a history of seizures.

6. Summary
\u2705 TMS May Be Effective for Depression in Patients Under 20, but Requires Careful Consideration
Research suggests potential benefits, but studies are still limited.
Patients with treatment-resistant depression or severe side effects from medication may benefit.
Side effects are mild, but long-term safety in adolescents requires further research.
\ud83d\udd2c TMS Research and Monitoring at Our Clinic
At Wako Clinic, we have been treating patients under 20 with TMS therapy since its introduction in Japan.

\u2705 We are actively collecting clinical data and conducting statistical analyses to evaluate its effectiveness.
\u2705 We are also preparing academic papers based on our findings.

\ud83d\udca1 We are currently recruiting monitor patients!
If you are looking for a non-drug treatment option or wish to reduce your current medication, please feel free to consult us.
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