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Updated: Feb 13, 2026

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MRI-guided dmPFC-rTMS as a Treatment for Treatment-resistant Major Depressive Disorder
Published on: August 11, 2015
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Improving Remission Rates in Major Depressive Disorder: A Case-Based Approach
1University of Toronto, Toronto, Ontario, Canada.
The Journal of Clinical Psychiatry
|March 6, 2018
Summary
Many patients do not achieve depression remission with initial treatment. This activity explores strategies for managing inadequate treatment response based on current evidence-based guidelines.
Area of Science:
- Psychiatry
- Clinical Medicine
- Pharmacotherapy
Background:
- Initial antidepressant treatment efficacy varies significantly among patients with major depressive disorder.
- A substantial proportion of patients exhibit an inadequate response to the first-line pharmacotherapy for depression.
Observation:
- This Continuing Medical Education (CME) activity simulates a virtual clinical setting to examine two patient cases.
- The cases focus on scenarios involving patients who have not achieved adequate therapeutic benefit from their initial depression treatment.
Findings:
- Expert clinicians discuss and present evidence-based strategies for optimizing depression treatment.
- The activity emphasizes management approaches for patients with treatment-resistant or treatment-emergent depression.
Implications:
- Healthcare providers can enhance their clinical decision-making for patients with inadequate depression treatment response.
- Implementing guideline-directed interventions can improve patient outcomes and accelerate remission in major depressive disorder.
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