Effects of rTMS on Food Choice in Anorexia Nervosa

Who can take part

• DSM-5 Diagnosis of Anorexia Nervosa
• Age 18-35 years
• Female
• Right-handed
• Body Mass Index (BMI) ≥ 16.0
• Voluntarily admitted to inpatient eating disorders unit at NYSPI
• Competent to provide informed consent
• English-speaking
• Medically stable

Who cannot take part

• Prior exposure to TMS
• Hearing loss (e.g., currently undergoing treatment with ototoxic medications or those with cochlear implants)
• Current substance use disorder or other co- morbid psychiatric condition requiring specialized treatment (e.g., psychosis)
• Diagnosis of major medical or neurological problem or taking medication that significantly increases risk for seizure or affects interpretation of findings (e.g., unstable hypertension, seizure disorder)
• Food restrictions (e.g., allergies) which impact greater than 30% of food choice task's choice options
• History of seizure
• Diagnosis of epilepsy, stroke, multiple sclerosis, traumatic brain injury, Alzheimer's and other neurodegenerative diseases, meningoencephalitis or intracerebral abscess, or parenchymal or leptomeningeal cancers
• High risk of suicide
• Indwelling ferromagnetic metallic object (e.g., pacemaker, pump), non- removable metal jewelry, medicinal patch or recent metallic ink tattoo
• Pregnancy
• Currently breast-feeding
• Significant claustrophobia
• Implanted devices or stimulators