Transcranial Direct Current Stimulation Treatment for Warriors Experiencing Chronic Pain (Warriors)
Chronic Pain, Post Traumatic Stress Disorder (PTSD), Depression
About this trial
This is an interventional treatment trial for Chronic Pain focused on measuring Transcranial direct current stimulation (tDCS), Veterans
Eligibility Criteria
Inclusion Criteria:
- Male or Female, 18 -89 years old
- Treated on site for EHVP IOP
- For long-term follow-up, must live in Georgia or Florida
- Eligible for EHVP-IOP PTSD or Unified Protocol tracks
- Willing to self-administer tDCS and complete the measures
- DVPRS pain intensity of 4 or more for most of the day at least 3 days per week
- Have an established PCP (Primary Care Provider) or pain management provider
Exclusion Criteria:
- Implanted pacemaker
- Seizure Disorder
- Pregnancy, if applicable
Any new onset of the following:
- Balance problems
- Difficulty walking
- Bladder incontinence
- Bowel incontinence
- Numbness
- Tingling
- Weakness
Medical contraindications:
Current use of sodium channel blockers
- Lidocaine (OTC/transdermal delivery is ok)
- Mexiletine
- Amitriptyline; other tricyclic antidepressants
- Anti-epileptic medications
Phenytoin, carbamazepine, lamotrigine, oxcarbazepine, rufinamide, lacosamide and eslicarbazepine acetate
- Current use of calcium channel blockers
Current use of N-Methyl-D-aspartate receptor antagonists
- Ketamine
- Dextromethorphan
- Felbamate
- History of brain surgery
- History of brain tumor
- History of seizure disorder
- History of stroke
- Intracranial metal implantation
- Adults unable to consent
- Individuals who are not yet adults
- Prisoners
- Non-English speaking
Sites / Locations
- Emory Division of PsychiatryRecruiting
Arms of the Study
Arm 1
Experimental
Transcranial Direct-Current Stimulation (tDCS)
Participants will be assigned to tDCS intervention. Starting Day 1 of EHVP-IOP, remote-based tDCS will be administered with a constant current intensity for 20 min per session for up to 10 sessions over 2 weeks (one session per day) using a Soterix 1x1 tDCS mini-CT Stimulator with headgear and saline-soaked surface sponge electrodes. Therapy sessions will be performed over Zoom. With the exception of day one when the session will occur on its own, the sessions will occur within one hour of the start of the daily therapy session.