Dr. Sarkhel of Living Mind now has three TMS practices in the UK. First one opened on Harley Street in London in 2013. Dr. Sarkhel of Living Mind now has three TMS practices in the UK. First one opened on Harley Street in London in 2013.

Integrated TMS proves successful at London practice

Living Mind i London offers TMS treatment

London is widely known and recognized for the large number of private specialists in medicine and surgery, dating back to the 19th century. One such privately owned practice is “Living Mind” at Harley Street no 10. Here, Dr. Arghya Sarkhel and wife Malini Sarkhel have taken on a holistic approach to treating mental illness, offering what they describe as “integrated and personalised care” for the patients. Part of this care has, since 2018, included TMS.

Dr. Arghya Sarkhel greets us in the door with a warm, but apologetic smile: He is between two patient appointments and on his way to see another patient at his clinic in Essex. Just over a year ago he had one clinic and no TMS equipment – he now has three clinics, each with a TMS device. A fourth one may even be on the way soon. When asked why he decided to venture into TMS, he explains that he simply wished to optimize his treatment options, especially for those of his severely depressed patients who were not responding well to antidepressants. Being open to new technology, he had therefore also become acquainted with TMS, which has been approved by NICE (National Institute for Health Care and Excellence) since 2015.

Excellent remission rates
Dr. Sarkhel looked at different TMS solutions before finally investing in his first TMS device in the early spring of 2018. He admits that since his treatment portfolio was more based within conventional treatment offerings such as antidepressants, he was initially rather sceptic of TMS, even referring to it as “mumbo-jumbo”. However, that conception has now been changed: By now, he has treated numerous patients suffering from treatment-resistant depression with TMS. The results have astounded him: Almost all of them have achieved full remission, he says, adding that he “really wasn’t expecting this”.

Essential: Training and ongoing support
Dr. Sarkhel has both attended the CME accredited Clinical TMS Course offered by Maastricht University and also received inhouse training by one of MagVenture’s inhouse application experts who also provides ongoing support. This has, in Dr. Sarkhel’s opinion, not only been vital for his good results, but has also given him more confidence and knowledge of the technology and has encouraged him to expand his TMS practice. 

Integrated TMS 
Living Mind offers what they call Integrated TMS to their patients. This means that TMS is part of a larger treatment package which also include complementary therapies such as  mindfulness, medical acupuncture, and reflexology. With this approach, Arghya and Malini Sarkhel are able to offer individualized treatment protocols for each of their patients. In Dr. Sarkhel’s experience, this concept also attracts patients who may have otherwise been reluctant to try TMS. Most of his patients find him through his website and pay for the treatment themselves.   

Very limited side effects
Some patients also receive maintenance TMS – whether this is needed is based on Dr. Sarkhel’s psychiatric assessment. Dr. Sarkhel ends the interview with explaining that the treatment tolerance of his patients has been very high with, as he puts it, only “minor to no side effects”. We wave goodbye to Dr. Sarkhel, as he dashes off in the pouring London rain: another patient is waiting in Essex. 

Living Mind
Living Mind’s first private practice in mental health started in 2013 at Harley Street, London, and has offered integrated TMS since April 2018. Living Mind has since then expanded and now has three integrated TMS clinics in the UK – London, Essex, and Birmingham.

More info:
Website: www.livingmind.co.uk
Facebook: @livingminduk
Instagram: @livingminduk

 TMS and acupuncture
Dr. Arghya Sarkhel: “Acupuncture is an incredibly effective tool when it comes to complimentary therapy in mental disorders i.e depression and anxiety as well as in pain management. I have already been practicing Acupuncture in my outpatient clinics for a number of years and observed many successful outcomes. More recently when I became familiar with rTMS, I realized that during rTMS treatment, if more neurons are recruited in the brain, outcome of rTMS would be better and secondly synergistic beneficial effects (i.e anxiolytic and antidepressant in particular) could only make the recovery easier and perhaps faster. These are the principles behind my application of acupuncture during rTMS. This is not too dissimilar to using one antidepressant or mood stabilizer as an augmenting agent to boost the effect of another antidepressant; the only difference is in this case both types of interventions are non-pharmacological ones. “

Please note: 
The views and opinions expressed in this article do not necessarily reflect the official policy or position of MagVenture or any of its affiliates. The usage of rTMS for any other purpose than the cleared indication, in the country in which the product is intended to be used, is considered investigational.   

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