{"id":871,"date":"2025-04-13T14:37:40","date_gmt":"2025-04-13T05:37:40","guid":{"rendered":"https:\/\/wako-psy-clinic.com\/kimoto\/?p=871"},"modified":"2025-04-13T14:37:40","modified_gmt":"2025-04-13T05:37:40","slug":"%e5%bc%b7%e8%bf%ab%e7%97%87%e7%8a%b6%e3%80%81%e4%b8%8d%e5%ae%89%e7%97%87%e7%8a%b6%e3%81%ab%e5%af%be%e3%81%97%e3%80%81tms%e6%b2%bb%e7%99%82%e3%81%ae%e5%b7%a6%e5%89%8d%e9%a0%ad%e8%91%89%e3%81%b8","status":"publish","type":"post","link":"https:\/\/wako-psy-clinic.com\/kimoto\/blog\/871.html","title":{"rendered":"\u5f37\u8feb\u75c7\u72b6\u3001\u4e0d\u5b89\u75c7\u72b6\u306b\u5bfe\u3057\u3001TMS\u6cbb\u7642\u306e\u5de6\u524d\u982d\u8449\u3078\u306e\u9ad8\u983b\u5ea6\u523a\u6fc0\u306f\u52b9\u679c\u7684\u304b\uff1f\u795e\u5948\u5ddd\u770c\u539a\u6728\u5e02\u306e\u5150\u7ae5\u7cbe\u795e\u79d1\u533b\u304c\u89e3\u8aac"},"content":{"rendered":"\n
\u5f37\u8feb\u75c7\u72b6\u3001\u4e0d\u5b89\u75c7\u72b6\u306b\u5bfe\u3057\u3001TMS\u6cbb\u7642\u306e\u5de6\u524d\u982d\u8449\u3078\u306e\u9ad8\u983b\u5ea6\u523a\u6fc0\u306f\u52b9\u679c\u7684\u304b\uff1f\u795e\u5948\u5ddd\u770c\u539a\u6728\u5e02\u306e\u5150\u7ae5\u7cbe\u795e\u79d1\u533b\u304c\u89e3\u8aac

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\u4eca\u56de\u306f\u3001\u5f37\u8feb\u75c7\u72b6\u3001\u4e0d\u5b89\u75c7\u72b6\u306b\u5bfe\u3057\u3001TMS\u6cbb\u7642\u306e\u5de6\u524d\u982d\u8449\u3078\u306e\u9ad8\u983b\u5ea6\u523a\u6fc0\u306f\u52b9\u679c\u7684\u304b\uff1f\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002


\u5f37\u8feb\u75c7\u72b6\u3084\u4e0d\u5b89\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u3001TMS\uff08\u7d4c\u982d\u84cb\u78c1\u6c17\u523a\u6fc0\uff09\u6cbb\u7642\u306b\u3088\u308b\u5de6\u524d\u982d\u8449\uff08\u7279\u306b\u5de6\u80cc\u5916\u5074\u524d\u982d\u524d\u91ce\uff1a\u5de6DLPFC\uff09\u3078\u306e\u9ad8\u983b\u5ea6\u523a\u6fc0\u306f\u3001\u4e00\u5b9a\u306e\u52b9\u679c\u304c\u3042\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002

TMS\u306f\u4e3b\u306b\u3046\u3064\u75c5\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u6cd5\u3068\u3057\u3066\u78ba\u7acb\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u8fd1\u5e74\u3067\u306f\u5f37\u8feb\u6027\u969c\u5bb3\uff08OCD\uff09\u3084\u4e0d\u5b89\u969c\u5bb3\uff08\u7279\u306b\u5168\u822c\u6027\u4e0d\u5b89\u969c\u5bb3\u30fb\u793e\u4ea4\u4e0d\u5b89\u969c\u5bb3\uff09\u306b\u5bfe\u3057\u3066\u3082\u3001\u88dc\u52a9\u7684\u6cbb\u7642\u3068\u3057\u3066\u6ce8\u76ee\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002

\u25a0 \u306a\u305c\u5de6DLPFC\u3078\u306e\u9ad8\u983b\u5ea6\u523a\u6fc0\u304c\u6709\u52b9\u306a\u306e\u304b\uff1f
1. \u524d\u982d\u524d\u91ce\u306e\u50cd\u304d\u3068\u4e0d\u5b89\u30fb\u5f37\u8feb\u306e\u95a2\u4fc2
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\u4e0d\u5b89\u969c\u5bb3\u3084OCD\u3067\u306f\u3001\u904e\u6d3b\u52d5\u306e\u6241\u6843\u4f53\uff08\u6050\u6016\u3084\u4e0d\u5b89\u306e\u611f\u60c5\u3092\u51e6\u7406\u3059\u308b\u90e8\u4f4d\uff09\u306b\u5bfe\u3057\u3001\u524d\u982d\u524d\u91ce\u304c\u5341\u5206\u306b\u6291\u5236\u3067\u304d\u3066\u3044\u306a\u3044\u72b6\u614b\u304c\u307f\u3089\u308c\u307e\u3059\u3002

\u2192 \u9ad8\u983b\u5ea6\uff0810Hz\u306a\u3069\uff09\u306eTMS\u3067\u5de6DLPFC\u306e\u6d3b\u52d5\u3092\u6d3b\u6027\u5316\u3055\u305b\u308b\u3053\u3068\u3067\u3001\u904e\u5270\u306a\u4e0d\u5b89\u3084\u5f37\u8feb\u601d\u8003\u3092\u6291\u3048\u308b\u795e\u7d4c\u56de\u8def\u3092\u5f37\u5316\u3059\u308b\u72d9\u3044\u304c\u3042\u308a\u307e\u3059\u3002

2. \u5de6DLPFC\u523a\u6fc0\u306f\u3001\u3046\u3064\u75c7\u72b6\u30fb\u4e0d\u5b89\u75c7\u72b6\u306e\u4e21\u65b9\u306b\u52b9\u679c\u304c\u3042\u308b\u3053\u3068\u304c\u591a\u3044
\u4e0d\u5b89\u75c7\u72b6\u306f\u3046\u3064\u75c5\u3068\u3057\u3070\u3057\u3070\u4f75\u5b58\u3059\u308b\u305f\u3081\u3001TMS\u306b\u3088\u3063\u3066\u4e0d\u5b89\u3068\u6291\u3046\u3064\u304c\u540c\u6642\u306b\u8efd\u6e1b\u3055\u308c\u308b\u30b1\u30fc\u30b9\u304c\u591a\u3044\u3002

\u5b9f\u969b\u306b\u3001\u3046\u3064\u75c5\u306eTMS\u6cbb\u7642\u4e2d\u306b\u300c\u5f37\u8feb\u89b3\u5ff5\u304c\u548c\u3089\u3044\u3060\u300d\u300c\u4e0d\u5b89\u304c\u8efd\u304f\u306a\u3063\u305f\u300d\u3068\u3044\u3046\u81ea\u899a\u3092\u8a34\u3048\u308b\u60a3\u8005\u306f\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002

\u25a0 \u5f37\u8feb\u6027\u969c\u5bb3\u306b\u5bfe\u3059\u308bTMS\u306e\u30a2\u30d7\u30ed\u30fc\u30c1
\u5f37\u8feb\u75c7\u72b6\u304c\u4e3b\u306a\u5834\u5408\u3001\u88dc\u8db3\u7684\u306b\u300c\u88dc\u8db3\u904b\u52d5\u91ce\uff08SMA\uff09\u300d\u3084\u300c\u5185\u5074\u524d\u982d\u524d\u91ce\uff08mPFC\uff09\u300d\u300c\u524d\u5e2f\u72b6\u76ae\u8cea\uff08ACC\uff09\u300d\u306a\u3069\u3078\u306e\u523a\u6fc0\u304c\u4f7f\u308f\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001
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\u25a0 \u5b9f\u969b\u306e\u81e8\u5e8a\u3067\u306e\u4f7f\u308f\u308c\u65b9
\u5f37\u8feb\u6027\u969c\u5bb3\uff1aSMA\u3084\u524d\u5e2f\u72b6\u76ae\u8cea\u3078\u306e\u4f4e\u983b\u5ea6\u523a\u6fc0\uff0b\u5de6DLPFC\u3078\u306e\u9ad8\u983b\u5ea6\u523a\u6fc0\u3068\u3044\u3046\u7d44\u307f\u5408\u308f\u305b\u3082\u8a66\u307f\u3089\u308c\u3066\u3044\u307e\u3059\u3002

\u4e0d\u5b89\u969c\u5bb3\uff1a\u5de6DLPFC\u3078\u306e\u9ad8\u983b\u5ea6\u523a\u6fc0\u304c\u5358\u72ec\u3067\u884c\u308f\u308c\u308b\u3053\u3068\u3082\u591a\u304f\u3001\u793e\u4ea4\u4e0d\u5b89\u969c\u5bb3\u30fb\u5168\u822c\u6027\u4e0d\u5b89\u969c\u5bb3\u306b\u6709\u52b9\u3060\u3063\u305f\u3068\u3044\u3046\u5831\u544a\u3082\u591a\u6570\u3042\u308a\u307e\u3059\u3002

\u25a0 \u5b89\u5168\u6027\u3068\u526f\u4f5c\u7528
\u975e\u4fb5\u8972\u7684\u3067\u3042\u308a\u3001\u85ac\u5264\u306b\u6bd4\u3079\u3066\u526f\u4f5c\u7528\u304c\u975e\u5e38\u306b\u5c11\u306a\u3044\u6cbb\u7642\u3067\u3059\u3002

\u4e00\u6642\u7684\u306a\u982d\u76ae\u306e\u9055\u548c\u611f\u3084\u7b4b\u8089\u306e\u30d4\u30af\u3064\u304d\u3001\u8efd\u5ea6\u306e\u982d\u75db\u304c\u5831\u544a\u3055\u308c\u308b\u7a0b\u5ea6\u3067\u3001\u91cd\u7be4\u306a\u526f\u4f5c\u7528\u306f\u307e\u308c\u3067\u3059\u3002

\u25a0 \u307e\u3068\u3081
\u2705 TMS\u6cbb\u7642\u306b\u3088\u308b\u5de6DLPFC\u3078\u306e\u9ad8\u983b\u5ea6\u523a\u6fc0\u306f\u3001\u5f37\u8feb\u75c7\u72b6\u30fb\u4e0d\u5b89\u75c7\u72b6\u306e\u6539\u5584\u306b\u4e00\u5b9a\u306e\u52b9\u679c\u304c\u3042\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002
\u2705 \u7279\u306b\u3001\u611f\u60c5\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u96e3\u3057\u3044\u65b9\u3001\u85ac\u7269\u6cbb\u7642\u3067\u52b9\u679c\u304c\u4e4f\u3057\u3044\u65b9\u3001\u526f\u4f5c\u7528\u304c\u5f37\u3044\u65b9\u306b\u3068\u3063\u3066\u6709\u52b9\u306a\u9078\u629e\u80a2\u306b\u306a\u308a\u307e\u3059\u3002
\u2705 \u6cbb\u7642\u306f\u8907\u6570\u56de\uff08\u90313\u301c5\u56de \u00d7 \u6570\u9031\u9593\uff09\u304c\u57fa\u672c\u3068\u306a\u308b\u305f\u3081\u3001\u7d99\u7d9a\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u5fc5\u8981\u3067\u3059\u3002

TMS\u6cbb\u7642\u306f\u85ac\u304c\u52b9\u679c\u306a\u3044\u3001\u526f\u4f5c\u7528\u3067\u4f7f\u3048\u306a\u3044\u3001\u85ac\u3092\u4f7f\u308f\u305a\u6cbb\u7642\u3057\u305f\u3044\u3001\u4eca\u4f7f\u3063\u3066\u3044\u308b\u85ac\u3092\u96e2\u8131\u3057\u306a\u3044\u3088\u3046\u306b\u6e1b\u91cf\u3057\u305f\u3044\u3001\u65b9\u306b\u3068\u3063\u3066\u6709\u52b9\u306a\u9078\u629e\u80a2\u3068\u306a\u308a\u307e\u3059\u3002

\u5f53\u6cd5\u4eba\u3067\u306f\u65e5\u672c\u306bTMS\u6cbb\u7642\u304c\u5c0e\u5165\u3055\u308c\u3066\u304b\u3089\u3053\u308c\u307e\u3067\u591a\u304f\u306e\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3057TMS\u6cbb\u7642\u3092\u3057\u3066\u304d\u307e\u3057\u305f\u3002

\u3053\u308c\u307e\u3067\u306e\u81e8\u5e8a\u30c7\u30fc\u30bf\u3092\u89e3\u6790\u3057\u3001\u3044\u304f\u3064\u304b\u306e\u8ad6\u6587\u3082\u767a\u8868\u3057\u3066\u3044\u307e\u3059\u3002

\u73fe\u5728\u3082TMS\u6cbb\u7642\u306e\u30e2\u30cb\u30bf\u30fc\u7d99\u7d9a\u3057\u3066\u52df\u96c6\u3057\u3066\u304a\u308a\u307e\u3059\u3002

TMS\u6cbb\u7642\u3054\u5e0c\u671b\u306e\u65b9\u306f\u30af\u30ea\u30cb\u30c3\u30af\u307e\u3067\u304a\u554f\u5408\u305b\u304f\u3060\u3055\u3044\u3002



Today, I\u2019d like to explain whether high-frequency TMS (Transcranial Magnetic Stimulation) to the left prefrontal cortex is effective in treating obsessive-compulsive and anxiety symptoms.

TMS is a non-invasive brain stimulation technique that has been widely used for treating depression, but in recent years, it has also been increasingly recognized as a supplemental treatment for obsessive-compulsive disorder (OCD) and anxiety disorders such as generalized anxiety disorder and social anxiety disorder.

\u25a0 Why Is High-Frequency Stimulation to the Left DLPFC Effective?
1. The Role of the Prefrontal Cortex in Obsession and Anxiety
The left dorsolateral prefrontal cortex (DLPFC) plays a key role in emotional regulation, cognitive flexibility, and self-control. In OCD and anxiety disorders, hyperactivity in the amygdala (which governs fear and anxiety) is often seen, and the prefrontal cortex may fail to adequately regulate this overactivity.

\u27a1 High-frequency TMS (e.g., 10 Hz) to the left DLPFC is believed to enhance prefrontal activity, helping to suppress obsessive thoughts and excessive anxiety.

2. Dual Benefits for Depression and Anxiety
Many patients with anxiety also experience depressive symptoms. TMS to the left DLPFC can often relieve both depression and anxiety. In fact, many patients undergoing TMS for depression report improvements in obsessions and anxious feelings as well.

\u25a0 TMS Approaches for OCD
While treatment for OCD often targets areas like the supplementary motor area (SMA), medial prefrontal cortex (mPFC), and anterior cingulate cortex (ACC) using low-frequency stimulation, the left DLPFC is also an important target. Stimulating this region can help improve cognitive flexibility and reduce rigid thinking and compulsive behaviors.

In some protocols, clinicians combine:

Low-frequency stimulation to the SMA or ACC

With high-frequency stimulation to the left DLPFC

This combined approach has shown promise in OCD treatment.

\u25a0 TMS for Anxiety Disorders
In anxiety disorders, high-frequency stimulation to the left DLPFC is commonly used and has shown positive outcomes in both generalized anxiety disorder and social anxiety disorder.

\u25a0 Safety and Side Effects
TMS is non-invasive and generally very well tolerated.

Possible side effects include:

Mild scalp discomfort

Transient muscle twitching

Occasional mild headaches

Serious side effects are rare.

\u25a0 Summary
\u2705 High-frequency TMS to the left DLPFC has been shown to help improve both obsessive-compulsive symptoms and anxiety symptoms.

\u2705 It is especially suitable for patients who:

Do not respond well to medications

Experience strong side effects from psychiatric drugs

Wish to reduce or avoid medication

\u2705 TMS typically requires multiple sessions, often 3\u20135 times per week over several weeks, for best results.

At our clinic, we have been providing TMS treatment since its early introduction in Japan and have accumulated extensive clinical data, some of which we have published in academic papers.

We are currently recruiting TMS treatment monitors.

If you are interested in TMS as a treatment option, please feel free to contact our clinic.
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