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Each piece begins with a chaotic sound which represents the severity of the patient’s illness prior to starting dTMS treatment based on the Clinical Global Impression- Severity scale (CGI-S scale). The sound then morphs through beats and pitches with each dTMS treatment session the patient received. The sound becomes lower and lower in pitch as the patient’s rating on the CGI-S scale goes down. At the end of the piece, there are long, obvious swells in the sound which represent the number of medications the patient exhausted before trying dTMS treatment. The piece then concludes with the stagnant sound of the patient’s severity after completing dTMS treatment based on the CGI-s scale. This release from long swells to stagnant sound represents the relief of finding something that works for you after a long road of persistence.

Patient 1

CGI-S Scale Ratings: Start: 7 Finish: 1

Number of Treatments: 19

Number of Failed Medications: 4

Patient 2

CGI-S Scale Ratings: Start: 7 Finish: 2

Number of Treatments: 35

Number of Failed Medications: 5

Patient 3

CGI-S Scale Ratings: Start: 7 Finish: 6

Number of Treatments: 12

Number of Failed Medications: 12

Patient 4

CGI-S Scale Ratings: Start: 7 Finish: 3

Number of Treatments: 46

Number of Failed Medications: 6

Patient 5

CGI-S Scale Ratings: Start: 7 Finish: 2

Number of Treatments: 42

Number of Failed Medications: 12

Patient 6

CGI-S Scale Ratings: Start: 7 Finish: 1

Number of Treatments: 72

Number of Failed Medications: 5

Patient 7

CGI-S Scale Ratings: Start: 6 Finish: 2

Number of Treatments: 35

Number of Failed Medications: 11 

Patient 8

CGI-S Scale Ratings: Start: 5 Finish: 2

Number of Treatments: 51

Number of Failed Medications: 10

Patient 9

CGI-S Scale Ratings: Start: 7 Finish: 3

Number of Treatments: 117

Number of Failed Medications: 2

Patient 10

CGI-S Scale Ratings: Start: 7 Finish: 1

Number of Treatments: 37

Number of Failed Medications: 5 

Patient 11

CGI-S Scale Ratings: Start: 6 Finish: 1

Number of Treatments: 30

Number of Failed Medications: 7 

Patient 12

CGI-S Scale Ratings: Start: 3 Finish: 5

Number of Treatments: 33

Number of Failed Medications: 3

Patient 13

CGI-S Scale Ratings: Start: 5 Finish: 5

Number of Treatments: 18

Number of Failed Medications: 4

Patient 14

CGI-S Scale Ratings: Start: 7 Finish: 3

Number of Treatments: 36

Number of Failed Medications: 4

Patient 15

CGI-S Scale Ratings: Start: 7 Finish: 2

Number of Treatments: 45

Number of Failed Medications: 4

Patient 16

CGI-S Scale Ratings: Start: 7 Finish: 3

Number of Treatments: 37

Number of Failed Medications: 5

Patient 17

CGI-S Scale Ratings: Start: 6 Finish: 3

Number of Treatments: 36

Number of Failed Medications: 3

Patient 18

CGI-S Scale Ratings: Start: 6 Finish: 2

Number of Treatments: 29

Number of Failed Medications: 4

Patient 19

CGI-S Scale Ratings: Start: 7 Finish: 1

Number of Treatments: 36

Number of Failed Medications: 4

Patient 20

CGI-S Scale Ratings: Start: 7  Finish: 2

Number of Treatments: 21

Number of Failed Medications: 7

Patient 21

CGI-S Scale Ratings: Start: 7 Finish: 2

Number of Treatments: 61

Number of Failed Medications: 4

Patient 22

CGI-S Scale Ratings: Start: 7 Finish: 5

Number of Treatments: 29

Number of Failed Medications: 4

Patient 23

CGI-S Scale Ratings: Start: 6 Finish: 2

Number of Treatments: 35

Number of Failed Medications: 6

Patient 24

CGI-S Scale Ratings: Start: 6 Finish: 4

Number of Treatments: 17

Number of Failed Medications: 5

Patient 25

CGI-S Scale Ratings: Start: 2 Finish: 1

Number of Treatments: 19

Number of Failed Medications: 4

Patient 26

CGI-S Scale Ratings: Start: 7 Finish: 5

Number of Treatments: 25

Number of Failed Medications: 5

Patient 27

CGI-S Scale Ratings: Start: 5 Finish: 4

Number of Treatments: 9

Number of Failed Medications: 7

Patient 28

CGI-S Scale Ratings: Start: 7 Finish: 2

Number of Treatments: 35

Number of Failed Medications: 5

Patient 29

CGI-S Scale Ratings: Start: 6 Finish: 4

Number of Treatments: 36

Number of Failed Medications: 12

Patient 30

CGI-S Scale Ratings: Start: 7 Finish: 3

Number of Treatments: 64

Number of Failed Medications: 4

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