MAKING MENTAL HEALTH ASSESSMENTS ACCESSIBLE TO ALL
If you have registered for the Wellometer, click Login to access to the wellbeing site.
Opening Minds to Better Mental Health
Welcome To TranQuality
TranQuality specializes in mental wellness, promoting awareness and openness through understanding, monitoring, and healthy practices. We offer Transcranial Magnetic Stimulation (TMS) therapy for anxiety and depression as an effective alternative to traditional medication.
CALLUM KYNASTON
Clinical Services Manager
As the Clinical Services Manager for TranQuality, I oversee patient care and treatment in the north east Lincolnshire area. Depression and Anxiety affect so many, and yet the medical interventions surrounding them are slow to advance. I joined TranQuality 2021, with the goal of bringing the more modern technique of TMS to those who need it most. I strive to use my masters in cognitive science to provide the best outcomes for patients via the use of TMS therapy.
At TranQuality, we are dedicated to ensuring patient comfort above all else. From the calming atmosphere to attentive staff, every detail is tailored to make patients feel at ease. Whether through waiting areas or gentle reassurance during treatment, the clinic prioritizes the well-being of those in its care.
Prioritsing Patient
Comfort
What is TMS Therapy?
Transcranial magnetic stimulation (TMS) is a scientific approach to the treatment of depression and anxiety disorders, focussing on the brain's natural electrical activity.
​
Electricity is the language of the brain and problems with mental health occur when regions of the brain are not communicating properly. By analysing the electrical activity in your brain, it tells us what and where any problems lie.
TMS employs magnetic pulses to regulate the activity of neurons associated with mood and anxiety. By adjusting the electrical activity in these neurons, TMS promotes more balanced communication between brain regions, leading to improved mood and reduced anxiety.
The National Institute for Health and Care Excellence (NICE), approved TMS. It is as a non-invasive, painless and minimal side effect treatment.
Treatment Process
Comfort Above All: Ensuring Seamless, Stress-Free Patient Care
Ensuring patient comfort is paramount at TranQuality, and we have tailored each stage of the treatment process with this in mind. We use a TMS protocol called Theta Burst Stimulation (TBS), this significantly reduces both the overall treatment duration and individual daily sessions.
Commitment Free Consultation
Meet with our clinician to discuss your symptoms, medical history and upcoming treatment.
HAM-D Assesments
Take the The Hamilton Depression Rating Scale (HAM-D) Assessment to provide us with a baseline of your mental health before and after treatment.
QEEG Scans
Pre and post treatment QEEG scan to measure electrical brainwave patterns to diagnose neurological conditions and improvements.
TMS Treatment
Transcranial Magnetic Stimulation (TMS), involves using magnetic fields to stimulate specific areas of the brain.
HAM-D & QEEG Assessment
HAM-D scale is currently administered at 4 points. Initial review, end of treatment, 1-month follow up and 3-month follow up. It is the primary method of evaluating if the individual subjectively experiences a successful treatment.
During a QEEG assessment, we measure electrical brain activity which is gathered as data and then computer processed into maps, graphs and images that help us understand how a brain is functioning.
These brain map readings give us vital information to help identify areas, if any, of over or under-activity within the brain.
​
Combining this with our expert clinical experience and analysis of how a person is feeling, we can fully understand how their brain is functioning and, if needed, advise on appropriate interventions according to their specific results.
​
The results are then reviewed and explained in a private feedback session with our Clinical Services Manager.
HAM-D & QEEG Assessment
Is a widely used clinical depression assessment scale, a change of 4-6 points is seen to be clinically meaningful; a point change of 7+ is clinical substantial On completion of the assessment the score suggests category of severity. Mild depression 8–13, Moderate 14–18, Severe 19–22, Very severe 23.ific areas of the brain.
QEEG - Quantitative Electroencephalography
A QEEG measures brain activity through electrical patterns, providing objective data for brain function. Unlike structural brain imaging, it focuses on activity. The assessment is non-invasive, painless, quick, and convenient for everyone, correlating results with our patients feelings and HAM-D scores
Theta Burst (TBS) vs rTMS
Theta Burst Stimulation
(TBS)
Theta Burst Stimulation (TBS) is delivered using intermittent theta burst stimulation (iTBS) for the purpose of activation, or continuous theta burst stimulation (cTBS) to reduce activation.
Repetitive Transcranial
Magnetic Stimulation (rTMS)
Theta Burst Stimulation (TBS) is delivered using intermittent theta burst stimulation (iTBS) for the purpose of activation, or continuous theta burst stimulation (cTBS) to reduce activation.
Visual displaying TBS vs rTMS average total treatment sessions and time per session*
iTBS delivers 600 pulses, taking 3 min and 9s. cTBS delivers 200 bursts uninterrupted for 40s to give 600 pulses. Thus, TBS is a targeted and accelerated TMS treatment with significant gains in efficiency, as the time per session reduced by almost half in comparison to rTMS. Prioritising patient comfort with fewer days in the clinic.
rTMS typically uses trains pulses for a 1s duration for 4s intervals, with 50 repeated trains to give a set of 500 pulses. Each. This is then repeated multiple times resulting in one session with a typical run time of 20 minutes. Sessions will take place daily for 4-6 weeks.
Description :
TranQuality and NAVIGO participated in a study consisting of 210 male and female patients that were treated: regions and frequencies of TMS were guided by quantitative EEG analysis (qEEG) to elicit recognisable phenotypes, neuromarkers integral to the genesis of major depression
and anxiety disorder, dictating treatment parameters.
​
TMS is virtually free of side effects and compliance issues, relatively brief, and requires no patient effort. Nevertheless, remission rates are only about 1 in 3 with standard left frontal rapid (rTMS) stimulation, and up to 30 treatment sessions may be required. Our
aim was to improve the effectiveness of TMS treatment using bespoke as opposed to standard left frontal rTMS,
including theta burst stimulation (TBS).
Case Study
