TMS Therapy Is
When the FDA offers its stamp of approval, you can rest assured that the benefits outweigh the risks. Research supports TMS’s efficacy and safety.
No medications, no medication-related side effects—all you get is relief from symptoms and. anew path forward.
Unlike other brain stimulation treatments, TMS is completely noninvasive and pain-free.
Even people who have failed to gain relief from meds achieve a 60% to 70% response rate.
What Is TMS and How Does It Work?
Transcranial magnetic stimulation (TMS) includes rTMS (Repetitive TMS) and theta bursts, which are “protocols” for how pulses are delivered. The terms TMS and rTMS are used interchangeably. It involves delivering repetitive magnetic pulses in targeted areas of the brain to change brain function and relieve feelings of sadness, hopelessness, lethargy, and other depression symptoms.
What to Expect with TMS Therapy
We determine patients’ brain network activation patterns before, during, and after treatment to monitor how the brain is changing.
We want to help lift the burden of depression. First, we need to take a little time to get to know you and determine if TMS will be a good match for you. During a TMS consultation, we will review your medical history, symptoms, and past and current treatments.
TMS has a proven response rate of 50% to 70% in patients who failed to respond to medications.
First Appointment: Mapping Location and Motor Threshold
Your first appointment will last a little longer than typical sessions because we need to calibrate the device. During the first treatment session, we will ask you to remove anything that might interfere with the magnet, such as jewelry.
From there, we will determine the best possible placement of the device, so it can send magnetic pulses to precise locations in the brain. The tool is like a helmet that contains magnetic coils.
As we proceed, we will work to determine the threshold of stimulation that works best for you. To accomplish this, we send multiple pulses to the device, using increasing intensity. Once your fingers or hand start twitching, we know the appropriate threshold and can begin treatment.
Ongoing TMS Treatment
While receiving treatment, you may hear clicking or tapping, but we provide earplugs to help muffle the sounds. You may also feel a tapping sensation on your head that may be a bit uncomfortable; however, you should not feel any pain.
This noninvasive modality doesn’t cause seizures or require any electrodes or anesthesia. You will safely remain awake and alert throughout the process, and you can drive immediately afterward.
TMS Therapy Frequently Asked Questions
Is TMS new?
Although it’s new to many people, TMS has been around for decades. It was invented in 1985 and has been FDA-approved for major depression since 2008.
Is TMS therapy safe?
Although there is a slight risk of mild side effects, TMS has proven to be safe and effective. During the initial consultation, we will go over your history and symptoms to ensure you’re a good match for treatment. We will also determine if any precautions are necessary before or during treatment sessions.
Is TMS only for depression?
Currently, TMS is FDA-approved for treatment-resistant depression. However, growing evidence shows that it may be effective in relieving other conditions too. Off-label use of TMS is typically not covered by insurance.
How long does TMS last?
Does TMS work on all types of depression?
When does relief from depression begin with TMS?
Why do some patients need more TMS therapy sessions than others?
Can I still take my meds?
Want to know more about TMS?
We’d love to discuss TMS Therapy as a treatment option and determine if it may be a good fit for you. Fill out the form below to schedule your TMS consultation with Manuel Astruc, M.D.