Question for the clinicians/researchers here — is the funded course a budget limit rather than a clinical maximum?

So in Australia we get 35 funded sessions (~36 in a lot of US protocols), and from what I've read that number seems to be a funding decision, not where the evidence says benefit stops. A few things I came across:

  • The standard research protocol was 30 sessions plus a taper.

  • One study found 15.7% only started responding after session 30.

  • A big registry (7,000+ patients) found benefit kept climbing past 36 with no plateau.

  • Among non-responders who continued past 36, over half eventually responded.

So for those who do this clinically: do you tell patients the funded course is a floor, not a ceiling? And how do you tell a likely late responder (worth extending) from someone who needs a protocol change?

Asking because I suspect a lot of people read a non-response as "TMS doesn't work for me" and stop — when for some it might just be under-dosing.

(Happy to link the studies.)

reddit.com
u/yeah_nah2024 — 2 days ago
▲ 14 r/perth

Anyone else in Perth with a cold right now?

I am going to have a whinge. Feel free to join in!

I currently have a cold and I feel like paracetamol and ibuprofen is only taking a bit of the edge off.

This is great! Yipee! Woo hoo!

I'm curious about how many people in Perth have a cold/virus and what areas in Perth?

🤧 🤢 🤮

reddit.com
u/yeah_nah2024 — 4 days ago

If I dont get 7-9 hours sleep each night, will it hinder my progress?

I'm halfway through my course and trying to get 7-9 hours of sleep each night during my TMS treatment. But some nights I only get about 5-6 hours. Could this mess with my progress?

reddit.com
u/yeah_nah2024 — 6 days ago
▲ 210 r/australia

How criminals have been laundering dirty money through Australia's property market | The Business

Whaaaaat?! This is a revelation....

Money laundering in Australia's property market. If its stopped I wonder what will happen with house prices?

Stopping this might be like removing the thorn thats been hurting us for years

youtu.be
u/yeah_nah2024 — 6 days ago
▲ 75 r/perth

Bird flu - anyone with chooks?

In light of the bird flu that's reached WA, I'm taking action by protecting my chooks. There's a huge cape lilac tree canopy over the backyard where wild birds hang out and eat, shit and party on. 🥳 🪩

I might need to reduce the size of the chooks' roaming area and cover it with fine netting maybe?

Anyone got any advice?

reddit.com
u/yeah_nah2024 — 14 days ago

Cheapest way to feed dogs and cats

I have 2 dogs and 1 cat. I need to save money. What recipes do you make or products do you buy?

reddit.com
u/yeah_nah2024 — 15 days ago

Can't see whole title

This happens a lot on my Galaxy S23 Ultra phone. I can't see the whole title of a book/podcast and tapping on it doesn't expand it either.

Bit annoying, considering its Spotify on a Samsung phone. Anyone else?

u/yeah_nah2024 — 21 days ago

‘Learn respect’: Pauline Hanson snaps at a journalist over ‘stupid’ questions

Wow - Sky News bulletin is critical of Pauline Hanson!!!

youtu.be
u/yeah_nah2024 — 24 days ago
▲ 8 r/perth

Insurance claims after storm

Anyone else claiming insurance for damage caused by the big storm? I wonder how many insurance claims there are. Must be thousands.

I'm still waiting for my electricity to be assessed and fixed. Lucky insurance has covered temporary accommodation.

reddit.com
u/yeah_nah2024 — 26 days ago

True Haunting "This House Murdered Me"

Hey all. Please let me know if this is inappropriate as I am mindful of rule #4 about doxxing.

I am wondering where the house is located. If it is confidential, please don't write it here.

This is a fascinating show. The people being interviewed seem undeniably genuine. My heart goes out to them as they went through so much 😭.

reddit.com
u/yeah_nah2024 — 28 days ago

Mackenzie Shirilla pot use and mental health

I am watching the doco on Netflix, currently up to the episode titled 'The Crash'. Part of my professional role is to work with people with mental health conditions. There is so much research highlighting that frequent pot use in the teenage years greatly increases the chances of either depression, anxiety, anger issues, psychosis, all of these as well as other conditions. Psychedelics may also do this.

I am wondering if this was the case for Mackenzie Shirilla. Now perhaps she had an underlying personality disorder, but I am speculating that her heavy pot use caused significant mental health issues that begun in the years leading up to the accident. Her behaviour towards other kids at school and then the interactions between herself and Dominic seem to reflect this.

What I have seen so far in this documentary, there is absolutely no mention of this. Is it because the general belief in the US is that pot is considered a harmless drug? So many US TV shows and movies have normalised pot use, which really worries me, particularly when it comes to teenagers receiving this message. It makes me really sad.

Now, there is absolutely NO excuse for the reckless, deliberate act of driving her car into a wall, killing her boyfriend and their friend. It is utterly devastating and has destroyed the lives of the families involved.

However, I see her frequent, heavy use of pot as a contributing factor towards her headspace.

Her parents seemed to be clueless to this fact. They condoned her pot use. There needs to be a lot more public education about the damage that pot can cause, particularly on the teenage brain.

God it makes me so bloody sad.

reddit.com
u/yeah_nah2024 — 1 month ago

What to do between sessions to help my brain rewiring?

Hey fellow brain-zappers.

I had my first session today. I figured that since my brain is getting rewired, I want to help guide it by getting out of habits that have perpetuated my depression. Does anyone have any evidence based resources I can read/watch/hear?

reddit.com
u/yeah_nah2024 — 1 month ago
▲ 38 r/ufo

Giant Triangular UFO/UAP Filmed Over Williamsburg, Brooklyn, New York 25th May 2021, 11.10pm.

Anyone seen this one before? Just stumbled upon it on YouTube.

youtube.com
u/yeah_nah2024 — 1 month ago

Meet the microbiologist and science advocate who’s headed to Congress | Science | AAAS

This is so cool. I'm an Australian observing US politics. My heart goes out to my US brothers and sisters.

science.org
u/yeah_nah2024 — 1 month ago

Is this dumbphone mode?

I often have my Samsung Galaxy S23 Ultra on the highest battery saver mode. I've just wondered - is this "dumbphone" mode?

u/yeah_nah2024 — 2 months ago