Repeated transcranial magnetic stimulation (rTMS) is a non-invasive brain stimulation method that may be preferred as an augmentation strategy for psychiatric patients who may not have responded well enough to psychotropic drugs. In psychoses rTMS may act via changing cortical excitability, connectivity and plasticity. rTMS may induce transcallosal inhibition and antipsychotic drugs may extend the duration of this inhibition. We present a first episode psychosis patient initially unresponsive to antipsychotic treatment, in whom 20 sessions of right 1Hz rTMS augmentation resulted in clinical response and who remained in remission by the 8th month of treatment. We suggest that rTMS is a well-tolerated treatment that may not be reserved only for treatment resistant patients but may also be considered early on in the management of psychiatric disorders.

Psychiatric disorders are often reflected in physical symptoms. However, nearly all physical illnesses are accompanied by mental symptoms. Also, it is generally argued that mental function disorders and stress underlie the etiology of physical illnesses. Although modern science has defined in details all the functions of the body including the brain, some areas are not fully understood yet. Philosophical answers may shed light into those dark areas while trying to understand the entity and human.

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