You are viewing the 1st of the 2 courses UPMC Physician Resources permits you to view without registering. To have full access to our FREE courses on our website, please register or log in now.

Join Dr. Robert Howland for a presentation of how far deep brain stimulation (DBS) and transcranial magnetic stimulations (TMS) have taken us in the treatment of depression and anxiety disorders.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • List the advantages and disadvantages of neuromodulation therapies compared to ablative therapeutic procedures for the treatment of psychiatric disorders
  • Discuss the established and investigational uses of deep brain stimulation (DBS)
  • Describe the established and investigational uses of transcranial magnetic stimulation (TMS)

Reading Resources:

  1. Gaynes BN, Lux L, Lloyd S, et al. Nonpharmacologic Interventions for Treatment-Resistant Depression in Adults. Comparative Effectiveness Review No. 33. (Prepared by RTI International-University of North Carolina (RTI-UNC) Evidencebased Practice Center under Contract No. 290-02-0016I.) AHRQ Publication No. 11-EHC056-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2011.
  2. Howland RH, Shutt LS, Berman SR, Spotts CR, Denko T.  The emerging use of technology for the treatment of depression and other neuropsychiatric disorders.  Annals of Clinical Psychiatry, 2011;23(1):48-62.
  3. Rabins P, Appleby BS, Brandt J, et al. Scientific and ethical issues related to deep brain stimulation for disorders of mood, behavior, and thought. Archives of General Psychiatry. 2009;66(9):931-937.


Dr. Howland has financial interests with the following any entity or entities producing health care goods or services as indicated below:

  • Grant/Research Support: Cyberonics; Medtronic; NeoSync

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 CreditsTM. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.1) continuing education units (CEU) which are equivalent to 1 contact hours.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 10/2/2012 | Last Modified On: 11/24/2013 | Expires: 11/24/2014

This course has been expired.