TMS
Leaders in Transcranial Magnetic Stimulation (TMS)
TMS
at a Glance
- Indication: Treatment-resistant depression (and certain anxiety conditions)
- Type of treatment: Non-invasive brain stimulation
- Medication required: No anesthesia or sedation
- Session length: Approximately 20–30 minutes
- Treatment schedule: Typically 5 days per week for 4–6 weeks
- Downtime: None — you can resume normal activities
- Next step: Schedule a psychiatric evaluation
What is
TMS
?
TMS is a procedure that uses gentle magnetic pulses to stimulate the prefrontal cortex, a region of the brain involved in mood regulation.
Unlike medications, TMS does not circulate through the bloodstream. Instead, it directly targets specific brain areas associated with depression symptoms.
Patients remain awake and alert during treatment.
Who is this for?
TMS may be appropriate if you:
- Have not experienced sufficient improvement with antidepressant medications
- Cannot tolerate medication side effects
- Have been diagnosed with treatment-resistant depression
- Are seeking a non-medication treatment option
A psychiatric evaluation is required to determine whether TMS is appropriate for your specific situation.
What to Expect
Your TMS treatment process typically includes:
- A comprehensive psychiatric evaluation
- Determination of eligibility
- In-office treatment sessions
- Short daily visits over several weeks
- Ongoing monitoring of symptom improvement
During treatment:
- You will sit comfortably in a treatment chair
- A magnetic coil will be placed gently against your scalp
- You may hear clicking sounds and feel a light tapping sensation
After each session, you may return to work or normal daily activities.
How TMS Works
TMS delivers focused magnetic pulses to targeted areas of the brain. These pulses stimulate neural activity and are believed to help restore healthier patterns of brain function involved in mood regulation.
Unlike traditional antidepressants, which affect brain chemistry systemically, TMS works locally and directly on brain circuits.
Possible Side Effects
TMS is generally well tolerated.
Common side effects may include:
- Mild headache
- Scalp discomfort at the treatment site
- Temporary facial muscle twitching
These effects are typically mild and often improve as treatment continues.
Your provider will review all risks and answer any questions before beginning therapy.
Common Questions
▸ Is TMS painful?
Most patients describe the sensation as tapping on the scalp. Discomfort is usually mild and temporary.
▸ Can I drive after treatment?
Yes. There is no sedation, and patients can typically resume normal activities immediately.
▸ How soon will I see results?
Some patients notice improvement within a few weeks, though results vary.
Ready to Schedule?
A psychiatric evaluation is the first step in determining whether TMS is right for you.
Additional Information
Frequently Asked Questions
What is Transcranial Magnetic Stimulation (TMS)?
- Transcranial Magnetic Stimulation (TMS) is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain, particularly those associated with mood regulation.
How does TMS work for treating resistant depression?
- TMS is thought to work by modulating neural activity in the prefrontal cortex, which is often underactive in individuals with depression. The magnetic pulses induce electrical currents that help regulate mood.
Who is a candidate for TMS?
- TMS is typically recommended for individuals who have not responded well to antidepressant medications—those with treatment-resistant depression. Candidates are assessed by a healthcare professional to determine their suitability.
What is the treatment procedure like?
- TMS sessions involve the placement of an electromagnetic coil on the scalp, targeting specific brain regions. Sessions are usually conducted daily over several weeks, with each session lasting about 20-40 minutes.
Are there any side effects of TMS?
- TMS is generally well-tolerated. Common side effects include mild scalp discomfort or headache during or after the sessions. Serious side effects are rare.
How effective is TMS for depression?
- TMS has shown significant efficacy in treating resistant depression. However, individual responses may vary. A healthcare provider will assess and monitor progress throughout the treatment.
Is TMS covered by insurance?
- Coverage varies, and it’s essential to check with your insurance provider. Many insurance plans do cover TMS for treatment-resistant depression, but pre-authorization may be required.
Can I continue other treatments while undergoing TMS?
- In many cases, individuals can continue other forms of therapy or medication while undergoing TMS. It’s important to discuss this with your healthcare provider for personalized guidance.
How long do the effects of TMS last?
- The duration of symptom relief varies among individuals. Some may experience long-term benefits, while others may need maintenance sessions. Regular follow-ups with a healthcare provider are crucial.
Are there any contraindications for TMS?
- Certain medical conditions or metal implants in the head may be contraindications for TMS. A thorough evaluation by a healthcare professional is necessary to ensure safety and suitability.
Always consult with a qualified healthcare professional for personalized information and advice related to Spravato and its potential benefits for treating Treatment-Resistant Depression (TRD).