Neurostimulation & rTMS

Patient James R. completes baseline assessment. PHQ-9 score of 22 indicates severe depression. MindCODE matches his clinical profile — age, symptom cluster, medication history, prior treatment response — against the response cohort database. The system suggests a standard 10Hz left-DLPFC protocol based on his demographics and severity, with a predicted response probability of 68%.

PHQ-9 drops to 19. A 3-point reduction at session 10 represents modest improvement. MindCODE compares this trajectory against similar responder profiles in the database. Patients with this trajectory pattern at the 2-week mark have a 72% probability of achieving response (50% reduction) by session 30. The system recommends continuing the current protocol with no parameter changes.

PHQ-9 reaches 14 — an 8-point reduction from baseline, crossing from severe to moderate range. The trajectory is consistent with a "steady responder" pattern: gradual, consistent improvement without the early dramatic drop seen in rapid responders. Motor threshold has remained stable at 62% maximum stimulator output across all sessions. No side effects beyond mild transient headache reported in 3 of 20 sessions.

PHQ-9 of 9 represents a 59% reduction from baseline — exceeding the 50% threshold for treatment response and dropping below the clinical cutoff of 10. MindCODE generates a comprehensive outcome report for the patient record and payer documentation. The system recommends a maintenance protocol: twice-weekly sessions for 2 weeks, then weekly for 4 weeks, with PHQ-9 monitoring at each visit to detect early signs of relapse.