Transcranial magnetic stimulation, often called TMS or repetitive TMS (rTMS), is a noninvasive brain stimulation therapy. It uses magnetic pulses to target specific areas of the brain linked to mood and depression. The therapy involves an electromagnetic coil placed gently against the scalp. This coil sends pulses that stimulate nerve cells, helping regulate brain activity and ease symptoms.
TMS has been studied for years and is FDA-approved to treat major depressive disorder (MDD) and obsessive-compulsive disorder (OCD). It is often recommended when other treatments, like antidepressants and therapy, have not worked well. Many people describe it as a safe, effective way to address depression and OCD. The most common side effect is a mild headache, which usually improves after the first week of sessions.
Who is a candidate for TMS therapy?
TMS therapy is usually recommended for adults aged 18 and older who are living with depression or OCD that has not improved with medications or counseling alone. These individuals are often described as having treatment-resistant depression (TRD), meaning they’ve tried multiple antidepressants without enough relief.
In some cases, people with other conditions, such as generalized anxiety disorder or bipolar disorder, may also be evaluated for TMS. However, not everyone is a candidate. TMS is not recommended for people with certain implanted medical devices or metal in or near the head, such as pacemakers, cochlear implants, or deep-brain stimulators.
People with seizure disorders or severe depression with psychotic symptoms may still be eligible, but they require careful evaluation before beginning treatment. At New Directions Mental Health, our providers conduct thorough assessments to determine if TMS is both safe and appropriate for each client.
How TMS works
TMS sends focused magnetic pulses into the brain, specifically the dorsolateral prefrontal cortex, a region that regulates mood. Depending on the frequency and the client’s needs, these pulses can increase or decrease brain activity.
During treatment, an electromagnetic coil is placed against the scalp. The magnetic energy stimulates nerve cells in a way that helps the brain release neurotransmitters, such as serotonin and dopamine, which improve mood.
Although researchers are still learning exactly how TMS works, evidence shows that these changes in brain activity can bring lasting relief for many people living with depression or OCD. A real-world study of NeuroStar® TMS reported that 83% of clients experienced measurable improvement in their depression symptoms, and 62% achieved full remission. For many people, TMS has significantly reduced symptoms and improved quality of life.
Conditions treated with TMS
TMS is FDA-approved for treating two conditions:
- Major depressive disorder: Especially in cases where medications and therapy haven’t worked.
- Obsessive-compulsive disorder: By targeting brain activity linked to repetitive thoughts and compulsions.
TMS is currently being studied for conditions such as anxiety disorders, bipolar disorder, chronic pain, and PTSD, though more research is needed before it becomes an established treatment for these concerns.
What to expect from TMS treatments
TMS is not a one-time treatment. Depending on your provider’s recommendation, a typical TMS treatment plan includes 36 sessions lasting between 19 and 37 minutes. Completing the full treatment course gives the best chance of delivering long-lasting relief from depression.
- Before treatment: You’ll relax comfortably in the treatment chair while a curved magnetic coil is positioned on your head.
- During treatment: You’ll hear clicking sounds and feel a tapping sensation as the NeuroStar coil targets the area of the brain responsible for depression. Patented Contact Sensing technology ensures the treatment is delivered accurately with every pulse.
- After treatment: With NeuroStar TMS, you remain fully awake and alert throughout the session and can drive home or resume daily activities immediately. There are no negative effects on memory or sleep.
Often, TMS is combined with other treatments like antidepressants or therapy to increase effectiveness and support long-term recovery.
Side effects of TMS
TMS is generally well-tolerated, but like all treatments, it can cause side effects. The most common are mild and temporary:
- Scalp discomfort where the coil is placed
- Headaches
- Light facial twitching during treatment
These effects often lessen as treatment continues and can be managed with over-the-counter medications. Rare but more serious side effects, such as seizures, may occur in people with a history of seizure disorders. This is why thorough screening is essential. TMS is not recommended for those with implanted medical devices or metal in or near the head, since magnetic pulses can interfere with these devices.
Accessing TMS therapy
TMS therapy is offered at specialized clinics, including New Directions Mental Health. Clients interested in treatment can talk with their provider or request a referral, but direct contact with a TMS center is often the quickest way to get started.
Insurance coverage is an important consideration. Many insurance providers cover TMS for depression, but it’s always best to confirm with your plan before beginning treatment. A team member at New Directions Mental Health can walk you through the insurance process and help determine any out-of-pocket costs.
Preparing for a TMS therapy session
Clients meet with their provider before the first TMS session for a detailed evaluation. This includes reviewing medical history, mental health diagnoses, and current medications.
On the day of treatment, it’s important to remove any metal objects, such as jewelry, eyeglasses, or hair clips. Arriving a little early allows time to complete paperwork and prepare.
Consistency is key. To get the most from treatment, clients should plan to attend all scheduled sessions, since missing appointments may reduce effectiveness.
After TMS therapy
Once a TMS session ends, clients can return to normal activities immediately. Some may feel mild discomfort or a headache, but these usually pass quickly. Follow-up appointments are an essential part of the process. Providers check on progress, address side effects, and adjust treatment if needed. For many, the benefits of TMS continue even after sessions end, though booster treatments may sometimes be recommended.
Frequently asked questions about TMS
What is TMS, and how does it work?
TMS is a noninvasive therapy that uses magnetic pulses to stimulate areas of the brain involved in mood regulation.
Is TMS safe and effective?
Yes. TMS is FDA-approved and backed by research showing strong results in treating depression and OCD.
What are the side effects of TMS?
The most common side effects are mild headaches or scalp discomfort. Serious side effects, such as seizures, are rare.
Who is a candidate for TMS?
Adults with depression or OCD who haven’t improved with medications or therapy may be good candidates, depending on their health history.
How long does TMS treatment last?
Each session lasts 30–60 minutes, typically five days a week for four to six weeks.
Is TMS covered by insurance?
Many insurance plans cover TMS for depression. It’s best to check with your provider for details.
Can TMS be used with other treatments?
Yes. TMS is often combined with medication or therapy to improve results.
Taking the next step with TMS at New Directions Mental Health
TMS therapy has opened new doors for people who once felt out of options in their fight against depression and OCD. It offers a safe, effective path forward when other treatments haven’t worked.
New Directions Mental Health is proud to provide NeuroStar TMS, along with therapy and psychiatric medication management, to support your mental health needs. Our team is here to guide you through the evaluation process and build a personalized plan for care. New Directions Mental Health is here to help you manage your mental health. Call us today at 724.374.7414 to learn more about TMS or schedule an appointment.
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