frequently asked questions

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What is MeRT and how does it work?

MeRT stands for Magnetic e (EEG/ECG) Resonance Therapy. MeRT combines technologies of repetitive

Transcranial Magnetic Stimulation (rTMS, an FDA cleared therapy), Quantitative Electroencephalogram (qEEG), and Electrocardiogram (ECG/EKG) to deliver treatments tailored for each individual’s unique brain pattern. The patient’s EEG and ECG are analyzed to ascertain the brain’s pattern of function, detect any possible abnormalities, and determine its state of optimal neural synchronization. The resulting information is used to develop a personalized treatment protocol for each patient, aimed at restoring the brain to its optimal state. This can lead to

significant clinical improvements.

How is MeRT treatment different from rTMS?

Unlike standard rTMS therapy, which delivers stimulation to one location of the brain at a fixed frequency for all patients, MeRT treatment individualizes the treatment frequency and location based on each patient’s Quantitative EEG and ECG. This results in a “custom-fit” MeRT treatment protocol as opposed to the “one-size-fits-all” approach of rTMS.

What takes place during a typical MeRT treatment session?

While the patient sits comfortably on a recliner, a magnetic wand rests again the patients head and delivers therapy. Cortical MeRT treatment delivers magnetic pulses to specifically targeted areas of the brain. A typical appointment of MeRT consists of 36 trains of electromagnetic stimulation delivered for 5 seconds each with 45 seconds of rest period in between trains to a specific location on the head. The session lasts approximately thirty minutes each day.

What are the side effects?

From our current data, side effects are few and generally mild. The most commonly reported side effect is a mild tension headache at the site of stimulation, which can last 1-2 hours and responds well to over-the- counter analgesics. Other possible side effects are hyperactivity, increased agitation, or euphoria. With brain stimulation there is also a risk of seizures; however the risk is minimal with MeRT. At Making It Possible, we also limit the intensity of stimulation to further reduce any possible risk of seizure activity.

How soon after starting MeRT treatment should someone expect to see a response?

Every individual’s response to treatment is different. However, some response is typically observed after the first or second week of therapy.

How long should a patient receive MeRT to achieve the best results?

We recommend at least one month of treatment (20 MeRT treatment sessions) after the assessment period. However, overall duration of treatment is based on an individual’s response rate. Length of treatment will be decided by the clinician and patient after reviewing clinical and EEG changes.

What is the success rate with MeRT treatment for different diagnosis treated?

Preliminary results suggest that 40 to 60 % of patients with a diagnosis of Autism Spectrum Disorder (ASD) show a significant clinical response, defined as 30% or greater reduction in CARS scores, after 10 weeks of treatment. For patients with a diagnosis of Post-Traumatic Stress (PTS), preliminary results suggest that over 60% of patients show significant reduction in the Post-Traumatic Stress Disorder (PTSD) Checklist – Military version (PCLM) scores, after 4 weeks of treatment.

How long will the effects of MeRT treatment last?

Results can vary per individual. In general, the longer the length of treatment, the longer the changes remain, especially if receiving treatment for greater than one month. If a reduction in positive gains are noted after leaving MIP, patients may return for additional treatment.

Why do patients have to keep their eyes closed during MeRT stimulation?

The treatment is most effective when the individual’s brain is in a calm awake state, without receiving and processing too much information. Thus the treatment should be administered in a quiet room (reduced auditory input) with the patient sitting awake in a chair with his/her eyes closed (reduced visual info) during the MeRT treatment stimulation (6 second periods).

Do kids still get the benefits of MeRT if he does not close his eyes?

Yes, the treatment will still be effective with eyes open but to maximize the effects we recommend that patients close their eyes during the MeRT treatment stimulation (5 second periods).

Should patients be concerned about the medications they are taking?

During your intake appointment, disclose all medications you are currently taking. Your clinician will address any and all questions regarding medications. We do not advise making any changes to your normal medications without first seeking the guidance and direction of your primary medical provider.

What are the contraindications for MeRT ?

Absolute contraindications for cortical MeRT.

Patients with these will NOT be able to do MeRT: Pacemaker, Defibrillator, Vagal Nerve Stimulator, VP Shunt/Magnetic intracranial shunts, Deep Brain Stimulator, Epidural Cortical stimulator, Steel shunts/stents, Cranial metal fragments (i.e. shrapnel, excluding titanium), Cochlear implant, Aneurysm clips, coils, pipelines flow diversion, Pregnant or breastfeeding, Primary brain cancer / metastatic legions in brain (unless palliative care), Magnetic dental implants, Implanted cardio-verter defibrillators (ICD), Ocular implants. Relative contraindication: Require closer protocol attention and may or may not disqualify someone from receiving cortical MeRT treatment, depending on the doctor’s discretion and the person’s individual condition. History of Seizure or seizure disorder, Titanium shunts/stents, Spinal Cord Stimulator, Implanted Hearing aids, Ferrous cortical implants, Magnetic ink tattoo, Bipolar Disorder Type I/II, Baha Implant.

Why is it important to eat after treatment session?

You should eat a healthy snack soon after a MeRT session in order to replenish your body’s glucose stores that may be decreased during the treatment session. This is especially important if you feel light-headed or tired after treatment.

Is it common to become more emotional after initial MeRT treatments?

Some patients report a re-discovery or awareness of emotions after initial MeRT treatments.

How does morning light help?

Exposure to morning blue light regulates your circadian rhythm by suppressing melatonin to keep you alert & awake during the day, & releasing melatonin at night to help you sleep well. Blue light exposure from electronic gadgets after sunset delays the release of melatonin which is counterproductive. It’s highly recommended to limit the use of electronic devices 1-2 hrs prior to bedtime. It is also especially important to get deep sleep which most often occurs from 10pm-2pm because it allows your body to rest, regenerate, and recharge.

How do find out more information about Making It Possible and MeRT?

Please visit our website at www.mipcare.com or call us at 832-219-8536.