Transcranial Magnetic Stimulation (TMS)
What is TMS?
Transcranial Magnetic Stimulation (TMS) is a state-of-the-art, medication-free treatment for those who have not had success with conventional medication treatment for Major Depression and Obsessive Compulsive Disorder.
TMS is a highly effective therapy, first approved by the FDA in 2008 to treat depression. Research has identified specific circuits of the brain that are typically not functioning as they ideally should in patients with depression (and other conditions). In a manner of speaking, TMS can provide a gentle “reboot” to these circuits. TMS does not require invasive intervention — instead, it uses a powerful magnetic field to stimulate the targeted areas. While mild temporary side effects can occur, it is generally considered one of the safest therapies available.
With TMS, you can receive symptom relief quickly and comfortably. The purpose is to activate neurons that are not functioning properly. According to research evidence, nearly 80% of patients who have not achieved success with medications have experienced significant symptom relief with TMS. Remarkably, 50% of those people have had their symptoms disappear completely.
Frequently Asked Questions
TMS stands for transcranial magnetic stimulation. This therapy uses magnetic fields to stimulate or activate certain nerve cells in your brain that are related to depression.
To understand how this treatment works, imagine that your brain’s signals are like your favorite website on the internet. Normally, all types of signals should reach you, including feelings of happiness and satisfaction. When you have depression, however, it’s like your favorite website crashes, and any happy signals fade.
TMS therapy helps to “wake up” areas of your brain that are underactive. This is like getting your favorite website up and running again. When things in the brain are working smoothly, it’s possible to feel more happiness, energy, and a positive outlook.
We usually recommend TMS when other therapies haven’t have been as effective as you want or need. Some people simply don’t respond to antidepressant medications or psychotherapy as much as desired, sometimes because of genetic factors.
TMS has helped many people resistant to traditional treatments for depression, schizophrenia, PTSD, and other mental health disorders. It may also help people with substance abuse addictions to have greater success in breaking free from cravings.
Every individual is different when it comes to treatment for mental health disorders. Some people experience more prominent changes than others. That said, TMS therapy has a good track record. According to the latest research, nearly 80% of people who have treatment-resistant depression experience significant benefits with TMS.
Each TMS session lasts 3-20 minutes. The specific amount of time needed depends on physical factors (the intensity of stimulation required) and the type of disorder you’re receiving treatment for.
When receiving treatment, you will need to visit our clinic five days a week. The total course of treatment lasts between 4 and 6 weeks, depending on the type and severity of the disorder.
TMS is non-invasive, so there are no needles, anesthesia, or sedatives to worry about. You can be in and out of our clinic relatively quickly. TMS doesn’t make you feel drowsy, and you can return to work or other activities right away.
Every patient has a different physical and emotional makeup. Some people notice results more quickly than others. On average, patients should start to notice results after 2–4 weeks of treatment.
Many people experience significant relief from symptoms for many months after finishing treatment. Their symptoms may disappear entirely during that time. Other people notice an improvement in symptoms for years.
The average time the effects of TMS therapy last is about one year. Sometimes, follow-up sessions are scheduled every few months to help maintain results. We customize treatment to your needs so it’s as effective as possible for you.
Many patients take along items to help them feel comfortable, such as headphones. It’s OK to listen to music during TMS therapy, and we encourage it if it helps you relax.
If you’ve gotten headaches before from TMS, you may want to take along a bottle of water and some OTC pain medication. You’ll need to remove any hearing aids, hair clips, or facial piercings when you arrive.
Any type of medical treatment for mental health issues has some side effects. This is true for antidepressant medications and TMS depression treatment. Unlike medications, TMS treatment doesn’t cause weight gain, sexual dysfunction, or digestive problems.
Many people tolerate TMS therapy well and don’t notice any issues. There can be some minor side effects with this type of therapy:
Headaches: According to Johns Hopkins Medicine, about 50% of TMS patients experience mild headaches when beginning treatment. These headaches usually go away after a few sessions.
Scalp discomfort or temporary facial twitches: Some patients notice uncomfortable or tingling sensations with the scalp or facial muscles. These feelings generally lessen as treatment continues, but we can also adjust the amount of stimulation to help patients feel more comfortable.
Hearing issues: During treatment, you wear earplugs to protect your hearing from any loud noises generated by the TMS. For most people, this is sufficient to prevent any hearing discomfort.
An exceedingly small number of people have a risk of seizures with TMS therapy. This situation is extremely rare. We take steps to check patients before approving treatment to minimize the risk even further. Our priority is to take care of your physical, mental, and emotional wellbeing.
Patients who have metal objects embedded in their heads or faces can’t receive TMS treatment. A few examples are bullet fragments, shrapnel, metallic face tattoos, stents, aneurysm clips, embedded brain electrodes, and deep brain stimulators. The strong magnetic pulses used during therapy could cause metal objects to move or heat up. You don’t have to worry about braces or dental fillings, however.
How does TMS stimulate the brain?
Transcranial magnetic stimulation takes advantage of state-of-the-art technology and modern mental health science. Here’s how it works:
Positioning: A small magnetic coil is placed gently against your scalp. It’s positioned near the forehead to stimulate the brain’s frontal lobe. The TMS device has an ergonomic design to ensure that you’re comfortable.
Stimulation: The coil is activated in short pulses. It gradually stimulates neurons, similar to how a gentle tap on your knee causes a reflex action. The pulses help activate the brain’s natural neurotransmitters, encouraging the release of serotonin and other brain chemicals related to positive mood.
- Treatment: Each treatment session generally lasts between 5 and 20 minutes. Some are shorter and some longer. The total amount of time needed depends on the specific disorder being treated and how your neurons respond. TMS treatment is always personalized to your needs.
Every patient is different, but TMS therapy usually lasts 4–6 weeks. You receive treatment five days a week at a time that works best for you. For most people, transcranial magnetic stimulation provides long-lasting results. Some people need follow-up sessions, later on, to keep enjoying relief from depression and anxiety symptoms.