UC San Diego Depression Research Study

Your Information

First name

Last name

Phone number

Please enter a 10-digit US mobile number. We will text a code to it to confirm your submission.

Email address

What is your gender?

Male Female Other

What city do you live in?

What state do you live in?

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming I live outside the United States

Which of the following best describes you? (select all that apply)

American Indian or Alaska Native Asian Black or African American Hispanic, Latino, or Spanish origin Middle Eastern or North African Native Hawaiian or Other Pacific Islander White Prefer not to say

How old are you?

Please enter your age in years, as a number.

Depression History

Have you been diagnosed with bipolar disorder, schizophrenia or a related condition, borderline personality disorder, or antisocial personality disorder?

Yes No

Do you currently go through periods where you consistently feel down or depressed for most of the day?

Yes No

Have you lost interest or pleasure in activities you usually enjoy?

Yes No

Are you currently taking any medications for depression (for example, antidepressants, mood stabilizers, antipsychotics, or stimulants)?

Yes No

If you are taking medication for depression: have you been taking stable doses in the last month?

Yes No

If you are not currently taking medication for depression: have you taken any medications for depression in the past that didn't work well for you?

Yes No

Medical and Safety

Have you been diagnosed with any neurological condition, such as Alzheimer's disease, dementia, mild cognitive impairment (MCI), Parkinson's disease, epilepsy, stroke, traumatic brain injury (TBI), or seizures?

Yes No

Which of the following best describes your pregnancy status or experience?

Not pregnant / Not applicable Currently pregnant Recently gave birth Currently breastfeeding Planning to become pregnant in the near future

Do you have any limitations that would prevent you from safely undergoing an MRI scan, such as non-removable metal objects in your body (implants, pacemakers, etc.) or claustrophobia?

Yes No

Are you able to participate in up to 24 study visits, including 20 TMS treatment sessions, at UC San Diego?

Yes Unsure No

Consent to Share

Do you agree that your information may be shared with the UC San Diego research site to help determine whether you are eligible for this study?

Yes No

Are you willing to be contacted about future research studies?

Yes No

What types of studies would you be interested in?

List comma separated keywords