Dr. Bruno Gomes
Dr. Bruno Gomes is an Internal Medicine physician and clinical director of AlmaraClinic. He oversees the clinical side of neuromodulation at the clinic, from the initial assessment to defining the protocol.
Licence no. OM 60263 · Portuguese Medical Association
Background and approach
Internal Medicine looks at the person as a whole. That is how Dr. Bruno works: understanding what is happening in the body and mind before deciding what to do.
Areas of interest
- Neuromodulation with ExoTMS®
- Physical health in people with depression or OCD
- Metabolic health and weight management
- Diabetes, hypertension and cardiovascular risk
- Comprehensive clinical assessment
- Patients with multiple conditions
- Metabolic effects of medication
Body and mind
Depression and obsessive-compulsive disorder (OCD) affect the brain, but they rarely stay there. They often coexist with sleep problems, chronic pain, excess weight, diabetes or cardiovascular disease.
The relationship works both ways. A long-term physical illness can weigh on emotional wellbeing. And depression can change how a person sleeps, eats and looks after themselves.
Some symptoms also overlap. Tiredness, lack of energy or difficulty concentrating may have physical causes that need to be assessed.
That is why, before ExoTMS® is considered, there is a medical assessment. Dr. Bruno works together with psychiatry, led by Dr. João Francisco Cunha, and with nutrition. Only then is it clear whether neuromodulation makes sense for that person and what the protocol should be.
Technology is part of the treatment. Assessment is the starting point.
ExoTMS® assessment consultation
Before the treatment cycle, there is an assessment consultation with Dr. Bruno Gomes.
This is where we establish whether ExoTMS® may be suitable for you. The doctor reviews your clinical history, symptoms, previous treatments and current medication. He also assesses whether there is any factor that might rule out neuromodulation.
What happens next
Initial motor threshold session
The intensity is tailored to you.
Treatment sessions
According to the protocol set for your case.
Follow-up consultation
To monitor progress.
Not everyone is eligible. When ExoTMS® is not the best option, the doctor explains why and refers you to the most appropriate path.
Book an appointment
Would you like to know whether ExoTMS® may be suitable for you?
Book your assessment consultation.