Services we provide:
We provide wide range of adult psychiatric services on outpatient basis. The consultant psychiatrist from Oxford Brain and Mind will talk to you to understand your need and appropriate management plan will be discussed with you. Some time your consultation could be with a multidisciplinary team led by the consultant psychiatrist to understand your need and support needed for you from multiple perspectives. You can contact us for any concerns you have about your psychological wellbeing. Some of the common psychiatric conditions that we treat are:
- Anxiety Disorders
- Bipolar Disorder
- Obsessive Compulsive Disorder (OCD)
- Post Traumatic Stress Disorder (PTSD)
The treatment options we offer are tailored to your needs. These include
Psychopharmacological treatments ( medication)
rTMS (if appropriate and indicated in your mental health condition).
A detailed summary of the assessment will be provided to you and your GP.
Oxford Brain and Mind is a specialised service for Repetitive Transcranial Magnetic Stimulation (rTMS). We have the expertise of Dr Sanjay Kumar (Senior Lecturer at Oxford Brookes University and Director of Oxford Brain and Mind) who has an extensive scientific background in rTMS research.
We have clinical expertise from our Consultant Psychiatrist Dr Tina Malhotra, who will do an initial assessment and decide whether rTMS is an appropriate treatment option for you.
We also take referrals from other private Psychiatrists if they recommend rTMS for you. In that case we will still do a brief psychiatric consultation to assess for a suitable rTMS protocol, safety screening, medical history and check for any contraindications.
We will offer a bespoke rTMS protocol for you depending upon your schedule and clinical indication.
What is rTMS?
rTMS is a non-invasive treatment for depression, anxiety disorders and various other psychiatric conditions. It can be used in conjunction with medication and psychotherapy or as a standalone option.
Based on randomised controlled trials, rTMS has proven to be an effective treatment. The National Institute of Clinical Excellence (NICE, UK) has included rTMS as a proven treatment for depression in its guidance since 2015. We use MagVenture rTMS system who has received CE approval for non-invasive treatment of addiction, OCD and comorbid anxiety.
How does rTMS work? Recent advances in understanding brain based mechanisms in psychiatric conditions has led to significant advancement in treatments directly stimulating the brain. rTMS is an innovative treatment that uses repetitive pulses of magnetic field to target abnormal brain circuits implicated in psychiatric conditions. Over the course of treatment with rTMS, there is a neuroplastic effect on the brain, which means that it restores and improves the brain’s ability to repair and build new connections between the nerve cells, thereby improving clinical symptoms.
What we offer?
We offer an initial comprehensive assessment by the Consultant Psychiatrist to make a decision regarding your suitability and clinical need for rTMS. They will also discuss an appropriate rTMS protocol with you. The clinical conditions we treat with rTMS are Depression , Anxiety disorders and OCD (hyper link to these conditions)
A typical protocol for the full course of rTMS treatment involves 20 to 30 sessions over 4 to 6 weeks. There are other protocols that can be shorter but with more frequent treatments in a day. Depending upon the clinical need and your schedule we can offer a bespoke rTMS protocol for you.
At Oxford Brain and Mind, we also offer an additional scientifically based, short computer based cognitive task before every rTMS session. The use of cognitive tasks is designed to pre-activate the brain circuits associated with the psychiatric disorder so that the effect of rTMS is enhanced. This task is on top of the NICE approved rTMS protocol for treatment of depression. Preliminary scientific understanding points that it is a useful adjunct to rTMS treatment.
Is rTMS safe?
rTMS is a non-invasive treatment which has proven to be safe in all clinical trials. The minimal side effects reported with rTMS are short lasting mild headache and mild fatigue.
It does not have side effects associated with medication and is sometimes preferred over medication if the response to medication is poor or you can’t tolerate side effects of the medication.
There are certain conditions where the application of rTMS should be avoided. Your clinician will discuss about the suitability of rTMS with you.
The aviation industry places a lot of importance on the mental health of their professionals, especially pilots, flight attendants, first officers, control tower officials, and others. Psychological assessments is also undertaken to identify psychological attributes and suitability of the flight crew in the context of their work environment and to reduce the likelihood of negative interference with the safe operations of aircrafts.
The Oxford Brain and Mind is one of the leading mental healthcare providers offering adequate psychological assessment services for professionals in the aviation sector. We utilize updated and modern approaches to carry out these evaluations. Psychological evaluations include personality, assessment of cognitive functions, assessments related career events and the cultural fit to the industry. Assessment will also include a detailed psychological interview.
At Oxford Brain and Mind, we provide Adult Neuropsychological Assessments , which are done by Dr Sanjay Kumar. We offer evaluations and assessments of the brain functioning in patients with various neurological and psychiatric conditions such as memory problems, dementia, traumatic and brain injury.
A neuropsychological assessment helps to determine and understand changes in cognitive, emotional and behavioural process of an individual. These changes could results from a range of factors such as aging process, dementia, stroke, infection to the brain, traumatic brain injury, stress and sleep and mood changes.
Our adult neuropsychological assessments service includes testing the general intellect, attention and concentration, language, memory and learning, problem solving and reasoning tailored for the individual’s condition. During the assessment we will also gather A typical neuropsychological assessment at our clinic usually takes around 2-4 hours. Although some sessions can be shorter or longer.
We provide a detailed neuropsychology report and treatment recommendations to you and the referrer.
Cognitive Behaviour Therapy (CBT) is an evidence based psychotherapeutic treatment. It helps
individuals to identify and learn about thoughts and actions that have a negative influence on their
behaviour and emotion. In a CBT treatment programme, a cognitive behaviour therapist tries to
empower individuals identify their maladaptive way of thinking and then restructure and replace
with more objective, realistic and positive thoughts and behaviour. CBT is a collaborative therapy
process where the therapist work closely with an individual towards a mutually agreed goal.
CBT practitioners at Oxford Brain and Mind are highly experienced and accredited with professional
bodies such as the British Association of Behavioural and Cognitive Psychotherapies (BABCP). They
are experienced in dealing with varied psychological problems such as:
- Grief or Loss
- Low Self- Esteem
- Obsessive Compulsive Disorders
- Panic Disorders
- Relationship problems
Ms Annette Robinson is a BABCP certified Cognitive Behaviour Therapist working in our team.