The FDA has granted SAINT breakthrough status, and the National Institutes of Health is funding a pivotal trial. The Transcranial Magnetic Stimulation (TMS) clinic at Washington University offers this novel brain stimulation treatment for clinical depression. I started TMS three weeks ago (a session each weekday) for chronic major. 2819 NW Kitsap Place, Suite 2B Silverdale, WA 98383. These include depression, obsessive compulsive disorder (OCD), and anxiety disorders. . Again, I can primarily speak for those with depression, but I would tell anyone who’s dealing with mental health issues: SeattleNTC is on the cutting edge. Her focus includes:In transcranial magnetic stimulation, electric currents from a magnetic coil placed on the scalp excite a region of the brain implicated in depression. Washington. “Breakthrough in Brain Stimulation. Food and Drug Administration (FDA). Not all patients will have improvement of depression symptoms. In this article, we discuss TMS-related. This article reviews recent research that supports Stanford’s revolutionary approach, which may improve the effectiveness and accessibility of TMS for depression. Rachid F. The. J Clin Psych 71(7):873-84. S. Mayo Clinic experts have. Mon - Fri: 8:00 am - 5:00 pm. Are you struggling with depression in your daily life? Find treatment for depression in Kitsap and get professional help. These prices vary by provider, but TMS is typically in the range of $400-$500 per session for a total cost of. Ours is the only clinic in Washington state offering all major FDA-approved treatment options – TMS, Esketamine, IV Ketamine, ECT and others – for disorders that have not improved with medications and therapy. A psychiatrist in Kitsap County can help with post partum depression, feeling depressed, depression anxiety as well as teen depression. Adams is a pediatric neuropsychiatrist drawn to the intersection between neurology and psychiatry. Since 1985, research has been conducted with TMS to understand and treat a number of neurological conditions (i. Thu, 09/22/2022 - 16:28. , is a leader in the research and use of repetitive transcranial magnetic stimulation (rTMS) for treatment-resistant depression. Transcranial Magnetic Stimulation. Published in Brain Wise - BrainWise Winter 2023. 6% of the participants in the treatment group were no longer depressed, according to several standard methods of evaluation. Although rare, seizures are a potential adverse event of TMS treatment. (112 N. a brain region involved in depression. A psychiatrist in Kitsap County can help with post partum depression, feeling depressed, depression anxiety as well as teen depression. Source: Stanford. Neuropsychiatric Treatment Center. Ben Spielberg, MS, neuroscientist, and founder of TMS & Brain Health, says SAINT can provide life-changing results for people suffering from severe depression. In a study on 21 participants diagnosed with severe depression, SAINT caused 90 PERCENT TO EXPERIENCE RELIEF. CBS News. To summarize the current evidence for its efficacy, we reviewed clinical trials from the last 20 years that investigated TMS for positive symptoms. It could also help for OCD, anxiety, and PTSD. However, a recent study at Stanford University, entitled Stanford Accelerated Intelligent Neuromodulation Therapy for Treatment-Resistant Depression (SAINT-TRD), demonstrated that when TMS was delivered in a more intensive schedule and accelerated pace, it provided remission. Dr. Depression Transcranial Magnetic Stimulation. Search . (2010) Repetitive transcranial magnetic stimulation treats postpartum depression. This form of neuromodulation , which uses non-invasive magnetic fields to stimulate nerve cells in the brain, can produce a long-lasting improvement in depressive. Dr. The new SAINT TMS protocol is a revolutionary new solution for helping those with Treatment-Resistant Depression. Appointments. TMS is a highly effective, FDA-approved, proven and non-sedating treatment for patients who haven’t responded to antidepressants or other treatments. 19 January 2022. The Northgate location phone number is (206) 620-1665. 1-855-940-4867. (415) 231-7407. Washington. Introduction. , we have over 20 years of experience. At the planned interim analysis, results showed that patients treated with SAINT achieved a 52. The process to be considered depends on one’s insurance carrier. Mine is not going so well. Camsari DD, Nandakumar AL, et al. Carpenter LL, Janicak PG, Aaronson ST, et al. Safety Information. Depression; Anxiety Disorders; Bipolar Disorders; Obsessive-Compulsive Disorder; PTSD; External Links; Insurance; ABOUT US. Beat your Depression with Dr. Purpose Transcranial magnetic stimulation (TMS) is an evidence-based treatment for pharmacoresistant major depressive disorder (MDD). Efficacy varies; for example, about 30 percent of people with treatment-resistant depression achieve remission after a round of TMS, while for ECT, the success rate is closer to 80 percent. 741 to −0. Watch the short video below for a tour through one of. Sackeim HA, Aaronson ST, Carpenter LL, Hutton TM, Mina M, Pages K, Verdoliva S, West WS. A preliminary study achieved a 90-percent remission. NeuroStim TMS Everett. K122288. TMS stands for “transcranial magnetic stimulation. Free Consultation. However, a recent study at Stanford University, entitled Stanford Accelerated Intelligent Neuromodulation Therapy for Treatment-Resistant Depression (SAINT-TRD), demonstrated that when TMS was delivered in a more intensive schedule and accelerated pace, it provided remission from depression in 90% of patients in as little as. Food and Drug Administration for the treatment of treatment-resistant depression but is limited by suboptimal efficacy and a 6-week duration. The Northgate location phone number is (206) 620-1665. Patients in TMS therapy will meet with their treatment team and a psychiatrist on a regular basis. Remission is difficult to achieve and relapse frequently occurs (). Download TMS Brochure. S. Davey is excited about the opportunity to learn more about using TMS for treatment-resistant. The Pacific Neuroscience medical and editorial team. ppt - Download as a PDF or view online for free. Research Your Options SAINT or SNT stands for Stanford Accelerated Intelligent Neuromodulation Therapy. Take the test here to see if it is right for you. CTMSS Press Release: Regarding FDA Clearance of SAINT Neuromodulation System. Transcranial magnetic stimulation has now been an FDA-approved treatment for depression for 14 years. FDA approved, TMS has become a popular treatment for major depressive disorder (MDD) and obsessive-compulsive disorder (OCD) but practitioners also find it helpful for several other mental health conditions such as post-traumatic stress disorder (PTSD), anxiety, bipolar depression, chronic pain, insomnia, and more. To make an appointment, text or call (717) 709-7933. Language. A completed referral form is required prior to. Dr. TMS is not FDA approved to treat anxiety. CBS News. Dr. This method offers temporal and spatial resolution and can be combined with other neurocognitive and neuro-experimental techniques. As a graduate student at Washington University in Saint Louis, in the lab of Mark Raichle, MD, he developed a mathematical tool to analyze functional magnetic resonance imaging, or fMRI —. SAINT) protocol which consists of five days of. TMS is a noninvasive procedure using magnetic fields to stimulate nerve cells, or neurons, in the brain. Finally an alternative to standard Drug Therapy. e. The rest were given a placebo treatment. Usefulness of repetitive transcranial magnetic stimulation as a maintenance treatment in patients with major depression. The efficacy of transcranial magnetic stimulation (TMS) in treatment-resistant depression (TRD) is well established and based on randomized sham-controlled trials, 17–19 meta-analyses, 20–22 and studies of real-world outcomes across diverse clinical settings. Depression is a complex illness that can keep a person from living a full, productive life. Other studies suggested that accelerating the treatment. Saint Augustine, FL 32086. If future research replicates these astonishing results, SAINT could be a game-changing therapy for. Though these could be helpful for patients suffering from mild to moderate depression. TMS is a form of brain stimulation in which targeted magnetic pulses are sent to stimulate activity in key areas of the brain that are known to be underactive in people suffering from depression. Magnus’ SAINT Neuromodulation System receives 510(k) clearance from FDA for treatment of major depressive disorder. Bruce Luber, a staff scientist at the National Institute of Mental Health Intramural Research Program, provides an overview of the basic. Begin with your doctor that diagnosed your depression. Regular TMS has only 1 treatment a day, with longer sessions, 20 to 45 minutes. TMS therapy for teens and young adults is effective at reducing the severity of depression by over 50%—with scores on the Hamilton Depression (Ham-D) Rating Scale also decreasing by 50% in as little as three weeks [4]. Specialties: NeuroStim TMS Centers offer TMS Therapy for patients in 7 locations across the Puget Sound. 190 - 197 , 10. (904) 495-7103. SAINT is 90,000 pulses to the brain in one week, spaced precisely to ensure that your brain learns the lesson most robustly. Daily left prefrontal transcranial magnetic stimulation (TMS) for several weeks was first proposed as an acute treatment for depression in the early 1990’s, and was FDA approved in 2008. It is a safe, effective, and non-invasive medical treatment prescribed by a psychiatrist for the treatment of depression. Some TMS facilities can do bilaterial treatment (meaning both sides of your head, LDPFC and RDPFC). If you have questions related to Florida Accelerated TMS, please call 813-867-2378. KETAMINE TREATMENTS Now providing esketamine, IV ketamine, and ketamine assisted psychotherapy. A psychiatrist in Kitsap County can help with post partum depression, feeling depressed, depression anxiety as well as teen depression. Risks. 5% mean reduction from baseline in the Montgomery-Åsberg Depression Rating Scale (MADRS) score at 4. Zahid Awan, our Chief Medical Officer. 3238 phone. Transcranial magnetic stimulation (TMS) has emerged over the past several decades as a noninvasive neuromodulatory. 206-467-6300, extension 11. They call it Stanford Accelerated Intelligent Neuromodulation Therapy or SAINT. Anna Kielak offers services to all age groups. Studies are underway to assess. Book a Free Phone Consult. It has been found that SAINT significantly reduced depressive symptoms and suicidal ideation in patients with treatment-resistant depression within 5 days, without negative cognitive side effects and the remission rate. We’re here to help! To contact a member of our team fill out the form and we will get back to you within one business day. Depression Transcranial Magnetic Stimulation. Some of the alternative herbal treatments for depression include Curcumin, Saffron, St. This is an effective. The SAINT™ Neuromodulation system has recently received FDA clearance, marking a significant milestone in the field of medical technology. 012] than those of the control group. Dr. . Ours is the only clinic in Washington state offering all major FDA-approved treatment options – TMS, Esketamine, IV Ketamine, ECT and others – for disorders that have not improved with medications and therapy. Ketamine is a proven, reliable, and powerful support to people suffering from depression, anxiety, PTSD, or neuropathic pain. It’s noninvasive and can help when other treatment approaches aren’t effective. Transcranial Magnetic Stimulation Transcranial magnetic stimulation (TMS), introduced in 1985 as a new method of noninvasive stimulation of the brain, involves placement of a small coil over the scalp, passing a rapidly alternating current through the coil wire, which produces a magnetic field that passes unimpededSAINT is a specific version of Transcranial Magnetic Stimulation (TMS) therapy that leverages well-established Intermittent Theta-Burst Stimulation (iTBS, established early 2000s), and is approved by the FDA for the treatment of depression, now available at TMS Health and Wellness in Costa Mesa, California. TMS directly targets areas of the brain responsible for mood, stimulating activity that has been. Featured Neuroscience Psychology. Location. SAINT reported an impressive success rate of 90% but dropped to 60% after a month. Facebook Instagram (833) 867-2329Kaizen Brain Center’s Accelerated TMS Program is an accelerated form of TMS. The SAINT neuromodulation system, which previously received Breakthrough Device. Former CNN news anchor shares her story of beating depression with TMS. Psychiatrists provide Kitsap County depression counseling. This. Two versus one high-frequency repetitive transcranial magnetic stimulation session per day for treatment-resistant depression: a randomized sham-controlled trial J. 6300. 125 130th ST SE, Suite 204 Everett, WA 98208. Transcranial magnetic stimulation (TMS) is a safe and effective therapeutic modality for a rapidly e. ¹. In the past year several important studies have been published that extend our understanding of this novel treatment approach. Magnus’ first FDA-cleared product is the SAINT Neuromodulation System, which received FDA Breakthrough Device Designation for its novel, rapid-acting therapy for treatment-resistant depression. You can resume your usual activities immediately and drive yourself to and from your appointment. org (Yes, we're in Seattle, but we are NOT NAMI Seattle!) *Free NeuroStar consultations are at the discretion of the provider. SAINT’s five-day protocol might expand options for patients who are hospitalized and/or present to the emergency room, as well as outpatients unable to commit to a six-week treatment regimen. edu. Most studies evaluating the application of TMS in bipolar depression have focused on repetitive transcranial magnetic stimulation (rTMS) which involves repeated magnetic doses at a set intensity level to a specified brain area (Mishra et al. Blue Cross Blue Shield TEC Assessments. Petersburg, FL 33703. Suite 870. Learn more about benefits and side effects of Transcranial Magnetic Stimulation (TMS), a non-invasive treatment for depression and mood disorders. After five days, 78. TMS is a noninvasive procedure that uses magnetic fields to stimulate certain parts of the brain to improve symptoms of depression. Objective: New antidepressant treatments are needed that are effective, rapid acting, safe, and tolerable. Williams is a 2018 and 2016 BBRF Young Investigator and winner of the 2019 BBRF Klerman Prize for. However, less is known about rTMS’s use in patients who have undergone ≤1. Transcranial magnetic stimulation (TMS) is a different way to treat depression without relying on pharmaceuticals. Locations. It is a non-invasive, drug-free therapy that can be used alone or with. Recent methodological advances suggest that the current iTBS protocol might be improved through 1. Overview. Anna specializes in psychiatric evaluation and psychopharmacology (management of psychiatric medications). West Virginia. Our Bellevue clinic offers consultation for severe or treatment-resistant depression, with options including TMS, esketamine (Spravato), and ECT. 467. Agape Unlimited. harvard. TMS is a non-invasive FDA approved outpatient therapy for Treatment Resistant Depression. It can treat depression, obsessive-compulsive disorder and other brain-related conditions. Tomorrow: 8:00 am - 5:00 pm. 11733. Welcome to Naval Base Kitsap · October 5, 2021 · October 5, 2021 ·Fibromyalgia Syndrome (FMS), is a chronic pain disorder with poorly understood pathophysiology. TMS Therapy (Transcranial Magnetic Stimulation); Psychiatric Evaluation & Medication Management Specialized Services. A Certified TMS Therapy Specialist, under the care and supervision of the physician, will be with. . Lynn Smith, Jennifer Connors and Dr. These services include Conventional rTMS, HOPE-TMS℠, SAINT™ Neuromodulation System, Theta Burst TMS (iTBS), TEAM-CBT high impact psychotherapy, Medication. SeattleNTC offers dTMS at our Seattle clinic using the BrainsWay device. Ours is the only clinic in Washington state offering all major cutting-edge FDA-approved treatment options, including TMS, esketamine, ECT and other options for hard. (559) 227. Cole, Katy H. Dr. Methods: Participants with treatment-resistant depression currently experiencing moderate to severe depressive episodes were randomly assigned to receive active or sham SNT. Since 2008, when transcranial magnetic stimulation, or TMS, was approved by the U. 6300. Now, scientists claim they've developed a targeted, faster form of TMS for severe depression. TMS is a non-invasive form of brain stimulation that involves using a magnetic coil to stimulate the brain. Transcranial magnetic stimulation (TMS) has been proposed as a potential treatment add-on for positive symptoms in schizophrenia. transcranial magnetic stimulation (TMS), psychological testing and counseling. Introduction. TMS targets the activity of nerve cells in your brain, which may help with depression. Williams uses an MRI to pinpoint. TMS is the safest option out of the four treatment options for TRD or Treatment Resistant Depression. The treatment uses precise targeting. Your clinician will work with you to determine an appropriate treatment plan. There are several different coils which are referred to as dTMS. 7525 SE 24th St . Our reputation, results, and standard of care make us the obvious choice, even for patients with longstanding, stubborn depression and anxiety that is resistant to other forms of treatment. BrainsWay Deep TMS is indicated by the FDA for the treatment of depressive episodes in adult patients suffering from Major Depressive Disorder, who failed to achieve satisfactory improvement from previous anti-depressant medication treatment in the current episode. Substantial research efforts over the. Dr. In addition to the standard protocols, Dorsal Medial, Theta Burst, and SAINT protocols have also been cleared by the FDA. Services. Nolan Williams, M. Adams also treats children, adolescents and adults with comorbid neurological and psychiatric illnesses. TMS can be an effective neurostimulation option for people with treatment-resistant depression. Regular Hours. During TMS therapy, a device that generates a magnetic field is used to induce electrical currents in the brain. Nolan R. 8079 E Main St Port Orchard, WA 98366 (360) 440-8030. Dr. The Port Orchard office phone number is (360) 616-0543. Reading time: 5 minutes. They call it Stanford Accelerated Intelligent Neuromodulation. On September 6, 2022, the U. Suite 102. Our Edina and Woodbury locations offer TMS therapy for depression near you, with appointment availability between 8:00 am to 4:00 pm. . Food and Drug Administration for treatment-resistant depression. ” The American Journal of Psychiatry (First published online: April 07, 2020) DOI: 10. A technology like SAINT might be the key to help inpatients with severe depression rapidly return to a life free from the symptoms of depression. Here, the authors report the results of a sham-controlled double-blind trial of SNT for treatment-resistant depression. The authors addressed these limitations by. Each plan is unique to the individual’s crisis. The Kitsap Mental Health Services Youth Inpatient Unit is a 10-bed residential treatment facility for youth 8 to 17. By Paula Dobbyn / March 6, 2023. (Transcranial Magnetic Stimulation) therapy began to offer a safe, non. 2819 Northwest Kitsap Place Silverdale, WA 98383 (360) 200-6167. Uses fMRI targeting, figure 8 coil TMS, 10 treatments per day x 5 days. Jefferson St. Each location has a dedicated psychiatrist who oversees the transcranial magnetic stimulation therapy treatment plan. 3238 phone. TMS is non-invasive; it is administered at the doctor’s office and does not require anesthesia. “I would say that SeattleNTC is an incredible partner for anyone suffering any kind of mental health issue. Neuromodulation Therapy (SAINT), an accelerated, high-dose resting-state functional connectivity MRI (fcMRI)– guided iTBS protocol for treatment-resistant depression. The first TMS helmet approved by the FDA, NeuroStar, was for treatment of major depressive disorder, in 2008. Last updated: January 19, 2021. 973-706-2008. ” Johns Hopkins Medicine: “Frequently Asked Questions About TMS. Transcranial magnetic stimulation (TMS) is a noninvasive treatment that stimulates nerves in the brain with magnetic pulses. Transcranial magnetic stimulation (TMS) for major depression: a multisite, naturalistic, observational study of acute treatment outcomes in clinical practice. Featured Neuroscience Psychology. 2018. Magnus Medical is working hard on producing a SAINT TMS device. SAINT) protocol which consists of five days of. The aim of the study is to explore the early. , Assistant Professor of Psychiatry and Behavioral Sciences at the Stanford University Medical Center, led a. Dr. S. TMS is an FDA-cleared, non-drug, non-invasive therapy for the treatment of Major Depressive Disorder (MDD) and Obsessive-Compulsive Disorder (OCD). The data clearly shows that more pulses in a shorter time frame have a more dramatic effect. Also in December, the team traveled south for the Camas SO Invitational. Get Relief from Depression Without Taking a Pill! TMS Therapy in Millburn. Find Reviews, Ratings, Directions, Business Hours, Contact Information and book online appointment. 805 Madison St #401 Seattle, WA 98104. Food and Drug Administration for the treatment of depression in. SAINT TMS Pasadena. Accelerated TMS is an emerging application of Transcranial Magnetic Stimulation (TMS) aimed to reduce treatment length and improve response time. Reminder: If your clinician is planning to perform TMS for a patient with major depression or for any other behavioral conditions, it is best to check with the payer if they are providing coverage for the treatment. Stanford accelerated intelligent neuromodulation therapy (SAINT)—a novel, high-dose intermittent theta-burst stimulation (iTBS)—was found to be safe and more effective than sham stimulation in a recent. Transcranial magnetic stimulation (TMS) is a treatment for major depressive disorder. Mid City TMS offers premier NYC TMS services for all your depression treatment needs. SAINT uses a resting functional connectivity MRI to specify the treatment target. 3604 Shannon Rd, Ste 200, Durham, NC 27707. NeuroStim TMS Kitsap ( 11 Reviews ) 450 S Kitsap Blvd Suite 160 Port Orchard, Washington 98366 360-616-0543; NeuroStim is. Research is also underway for its use in various other psychiatric and medical disorders. 2819 Northwest Kitsap Place Silverdale, WA 98383 (360) 200-6167. The SAINT Protocol takes TMS therapies a step further by tailoring the treatment to each individual’s unique neurobiology. SeattleNTC is the Northwest’s leading clinic for treatment-resistant depression and other hard-to-treat psychiatric conditions like bipolar disorder, OCD and PTSD. Williams uses an MRI to pinpoint. A magnetic therapy for depression gains precision. Transcranial magnetic stimulation (TMS) is an established, noninvasive, and nonconvulsive neuromodulation technique initially developed in the mid. (559) 227. Haesebaert F, Moirand R, Schott-Pethelaz AM, Brunelin J, Poulet E. transcranial magnetic stimulation (TMS), psychological testing and counseling. The department offers: Experience. org or call 920-831-1533. Among them, repetitive transcranial magnetic stimulation (rTMS) has undergone intensive research leading to its approval by the FDA as a therapy for treatment-resistant depression (TRD) in 2008. Please fill out this short form today for a free phone consultation with NeuroStim TMS. 8916 77th Terrace E, Suite 105, Lakewood Ranch, FL 34202. “In the U. (845) 392. It may be used in people who have symptoms such as delusions, hallucinations, or suicidal thoughts. FOR IMMEDIATE RELEASE: Ashleigh Servadio, MSC. Appointments. One day SAINT might be used in inpatient settings to treat “depression brain emergencies. info@clinicaltmssociety. The Port Orchard office phone number is (360) 616-0543. Find Top TMS Transcranial Magnetic Stimulation Doctors by State. Neuropsychiatric Treatment Center. Transcranial Magnetic Stimulation (TMS) is a safe, gentle and effective FDA-approved treatment for patients suffering from depression who haven’t improved with antidepressants. The treatment, known as Stanford neuromodulation therapy (SNT), modifies brain activity related to depression, with effects seen after 10. At Acacia Clinics, we have performed more Accelerated TMS treatments than any clinic in the world. Transcranial Magnetic Stimulation (TMS) is a revolutionary treatment for mental health conditions that uses a. , with offices in Poulsbo, Bainbridge Island, and Seattle WA, is a locally owned business that provides patients with comprehensive mental health services in a comfortable and supportive atmosphere. TMS is an FDA-approved, non-invasive therapy that utilizes repetitive, short. Florida TMS Clinic is reaching out to Magnus Medical to obtain the most advanced TMS therapy options for our patients in Tampa Bay and internationally. Saint Augustine, FL 32092. Background The clinical efficacy of repetitive transcranial magnetic stimulation (rTMS) in treatment resistant patients (at least 4 medication trials) appears to be well accepted and forms the coverage policies and rTMS’s use in many of the largest US payers. —SEATTLE— 805 Madison Street, Suite 401 Seattle, WA 98104 —BELLEVUE— 1450 114th Avenue SE, Suite 110The Food and Drug Administration (FDA) has cleared the SAINT Neuromodulation System for the treatment of refractory depression in adults, Magnus Medical Inc. Williams and his colleagues have published the results of the RCT in The American Journal of Psychiatry. Wencker. Dr. SAINT protocol is 1800 pulses of iTBS done every hour, 10 times a day, for 5 days. Dr. Anna Kielak offers services to all age groups. 109 Austin Dr Bremerton, WA 98312 (360) 478-5262. For the 30 percent of clinically depressed. Address: 17791 Fjord Dr NE, Suite 110. NAMI Washington 1107 NE 45th Street, Suite 330 | Seattle, WA 98105 (206) 783-4288 | office@namiwa. 727-577-1203. NeuroStim TMS Kitsap. Resting-state functional MRI was used to. TMS Providers by Location 3 . 4199 Campus Drive, Suite #550 Irvine CA, 92612What is the SAINT TMS Depression Treatment? Transcranial Magnetic Stimulation […] Read more. In 1985, Anthony Barker and his team developed transcranial magnetic stimulation (TMS) when they produced a motor response by noninvasively applying a magnetic field to the human motor cortex. Repetitive TMS (rTMS) has been investigated as treatment for pharmacoresistant depression (CMS L34869, L37086, L37088). NeuroStar Transcranial Magnetic Stimulation is a groundbreaking depression therapy treatment. : Transcranial magnetic stimulation (TMS) for major depression: a multisite, naturalistic, observational study of acute treatment outcomes in clinical practice. During the treatment, you will relax in a reclining treatment chair that resembles that of a dental chair. Courtesy of Bre HUSHAW. TMS therapy is an intensive treatment option requiring sessions that occur five days a week for several weeks. A core feature of this program is the precise targeting of the depression area, identified using. Forms. SAINT) protocol which consists of five days of. They call it Stanford Accelerated Intelligent Neuromodulation Therapy or SAINT.