Dr. Mann writes "An antidepressant strengthens the barrier against the repressed but threatening emotions. Even though people with paroxmsymal hypertension are not depressed, these agents work extremely well. I suspect it is because paroxysmal hypertension shares many features in common with panic disorder, which also responds extremely well to these agents." Does this mean that there is no hope in dealing with TMS if you are taking an antidepressant?