It is often an Aha moment for both patient and doctor when they stumble upon a treatment that finally clicks after months or years of trying different combinations We sometimes ask ourselves, Why didn’t we think of this before? The answer to this question is not that simple.
Clinically we might say that if treatment A hasn’t worked, treatment B should work, but it often turns out otherwise. This is because our understanding of treatment is based on conclusions derived from group of individuals and not from individuals per se. In simple words this means, what works for one person might not work for others. Fortunately, there are ways to foretell with a degree of certainty as to what medication(s) a person may respond preferentially and which medications won’t work at all.
Precision psychiatry, a branch of Personalized medicine, aims to provide individualized treatment of psychiatric conditions based on precise recommendations. One of the ways to do this is by using qEEG biomarkers. Predictions based on qEEG are made possible by recent advancements in EEG and computer technologies, and this particular type of investigation is known as Pharmaco-EEG.
A related discipline called Pharmaco-genomics deals with how different genetic variants of enzymes effects human ability to processes medications. Pharmacogenomic tests look for these gene variants which determine whether a particular medication could be an effective treatment for you or whether you could have side effects. This test is are commercially available and increasingly being used by medical professionals.
In addition, specific brainwave patterns on qEEG can precisely indicate the nature of dysfunction in brain circuits, improving the diagnosis. This information, in conjunction with reported clinical symptoms, can be used to target specific brain areas via various neuromodulation techniques, such as Neurofeedback, Transcranial Magnetic Stimulation (TMS),Transcranial Direct Current Stimulation (tDCS), etc.
We at Zen Waves Clinic are embracing these newer modalities of assessment and treatment to help the clients. To know more, contact us on 02 8881 5550