What to Know About TMS Treatment for Depression

Dr. Jack Castro • December 23, 2023

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Welcome to Brandywine Valley TMS, a leading mental health clinic in Wilmington Delaware, offering TMS therapy as an effective depression treatment. In this article, we will explore the key aspects of TMS treatment and how it can benefit individuals struggling with depression.

What is TMS Therapy?

TMS therapy, short for Transcranial Magnetic Stimulation, is a highly effective and innovative treatment option for various mental health conditions. It involves the use of magnetic fields to stimulate specific areas of the brain, resulting in symptom improvement and overall well-being. You may have heard of it as magnet therapy or magnetic therapy for depression.


One of the key advantages of TMS therapy is that it is non-invasive. Unlike other treatment methods that may involve surgery or medication with potential side effects, TMS therapy does not require a surgical procedure or the ingestion of medication. Instead, it utilizes magnetic pulses to stimulate the brain's nerve cells, assisting to restore normal brain function.


The treatment process involves the use of a TMS device that delivers magnetic pulses to the targeted areas of the brain. These pulses create small electrical currents that activate the nerve cells, promoting the release of neurotransmitters and enhancing communication between different regions of the brain.


TMS therapy has been approved by the Food and Drug Administration (FDA) for the treatment of various mental health conditions, including major depressive disorder (MDD). It is an effective alternative for individuals who have not responded well to traditional methods such as antidepressant medications or psychotherapy.


During a TMS session, the patient sits in a comfortable chair while a coil or light helmet is precisely positioned on the scalp, allowing the magnetic pulses to reach the targeted areas of the brain. The procedure is painless, and the patient can resume their normal activities immediately after each session.


A typical TMS session lasts about 20 to 30 minutes and the treatment plan usually consists of several sessions spread over a few weeks. The number of sessions required may vary depending on the individual and the condition being treated. In fact, we have an excellent case study from James, one of our patients. You can read about his TMS sessions and results here.

Explore the Benefits of TMS

  • FDA-approved for depression, OCD, bipolar depression, and smoking cessation
  • New research has begun for treating chronic pain with TMS
  • Can serve as a standalone treatment or complement medication usage
  • Generally covered by most insurance plans for depression treatment (there may be limited coverage for OCD or other conditions)
  • Highly effective and swift in-office appointments
  • No downtime involved and non-invasive
  • Very different from electroconvulsive therapy (ECT)
  • Medication-free option as an alternative to antidepressants
  • No need for anesthesia, and no systemic side effects
  • Safe for all, including pediatric patients; studies indicate that children as young as 12 tolerate TMS therapy similarly to adults, with no side effects
  • Yields long-term results, offering relief for at least 24 months for up to 90% of patients; 35% of these patients may require additional maintenance TMS
  • Demonstrates a high success rate, approximately 70-80% with TMS compared to 27.5% for the first medication, decreasing to 6.9% for the fourth

Numerous studies have demonstrated its success in reducing depressive symptoms, with some individuals experiencing a complete remission of depression. TMS therapy has also shown promise in treating other mental health conditions, such as anxiety disorders and post-traumatic stress disorder (PTSD).


For patients who may experience relapse, TMS maintenance supports the growing interest in utilizing TMS to maintain remission in patients with severe, relapsing depression. The concept involves sustaining the achieved remission over time. A particular protocol involves administering a series of 5 TMS sessions spaced over 3 or 5 days at approximately monthly intervals. Ask Dr. Castro at Brandywine Valley TMS about rTMS to see if repeat or repetative sessions will support your success rate with TMS.


TMS therapy is a safe and well-tolerated treatment option for individuals struggling with depression. It offers a non-invasive and non-medication-based approach that can provide lasting relief from depressive symptoms. If you or someone you know is seeking an alternative treatment for depression, TMS therapy may be a suitable option to consider.

What to Expect During TMS Treatment

If you are considering undergoing TMS treatment, it is natural to have questions about what to expect during the process. In this section, we will provide you with an overview of what typically happens during TMS treatment sessions along with a few frequently asked questions.


TMS Treatment Sessions

TMS treatment sessions are usually conducted in a specialized depression treatment center or local mental health clinic. These centers are equipped with state-of-the-art TMS machines and staffed by experienced healthcare professionals who specialize in mental health. Brandywine Valley TMS in Wilmington Delaware uses MagVenture technology to conduct TMS treatment sessions.


Duration of Sessions

The individual undergoing TMS remains awake throughout the treatment and can resume normal activities immediately afterward, without the need for medication or anesthesia. The duration of the treatment can vary, ranging from five to 60 minutes, depending on the specific therapy. Typically, a course of treatment spans approximately six weeks.


Immediate Resumption of Daily Activities

One of the key advantages of TMS treatment is that it does not require any downtime. As soon as the session is completed, you can immediately resume your daily activities without any restrictions. This means that you can go back to work, drive a car, or engage in any other regular activities without any interruption.


Painless and Non-Invasive

TMS treatment is a painless procedure. You may experience mild tapping or tingling sensations on your scalp during the session, but it is generally well-tolerated by most individuals. Unlike other treatment options, such as electroconvulsive therapy (ECT), TMS does not require any anesthesia or sedation.


Number of Sessions

The number of TMS treatment sessions required depends on various factors, including the severity of your condition and your response to the treatment. Typically, a standard course of TMS treatment consists of several sessions spread over a few weeks. Your local TMS clinic or doctor will work with you to recommend a personalized treatment plan.


While some individuals may experience improvement in their symptoms after a few sessions, others may require additional sessions to achieve the desired results. We closely monitor your progress and adjust your treatment plan accordingly.


TMS therapy enhances neural pathways in the brain that impact thoughts, emotions, and behaviors. FDA clearance has been granted for TMS in the treatment of depression and OCD. In the presence of a mental health condition or mood disorder, the brain's capacity to regulate emotions may be compromised, leading to disruptions in the proper functioning of signals along the neural pathways responsible for mood, emotions, and thoughts.

Is TMS Therapy Right for You?

Chances are, if you’ve struggled with multiple medications to manage your depression or have experienced medication side-effects, TMS therapy, may be ideally suited for you. If you are already on medication, talk to your PCP or prescriber about leveraging TMS as an alternative. OF course, you can always schedule an appointment at your local TMS clinic and speak to an expert there as well for advice or guidance.

Evaluation by our Local Psychiatrist

Before starting TMS therapy, it is essential to consult with a local psychiatrist or certified mental health practitioner who will evaluate your condition. This evaluation is crucial to determine if TMS therapy is suitable for you. They will consider various factors, such as your medical history, current medications, and the severity of your depression symptoms.


During the evaluation, they will discuss your treatment history and assess your response to other depression treatments. If you have not responded well to previous treatments like medication or therapy, TMS therapy might be recommended as an alternative option.

TMS Therapy for Treatment-Resistant Depression

TMS therapy is often recommended for individuals who have not responded well to other depression treatments. This group of individuals is often referred to as having treatment-resistant depression.


It is important to note that TMS therapy is not a first-line treatment for depression. It is typically considered when other treatment options have been unsuccessful or have caused undesirable side effects.


This therapy is particularly beneficial for those who cannot tolerate the side effects of medication or have not experienced significant improvements with traditional treatments. TMS therapy offers hope to individuals who have been struggling with depression and provides an alternative path to recovery. If you have been experiencing treatment-resistant depression (TRD) and have not responded well to other depression treatments, TMS therapy may be a viable option for you.

In Conclusion

TMS therapy is a safe and effective option for depression treatment. Our TMS clinic in Wilmington Delaware offers this innovative therapy, which involves the use of magnetic pulses to stimulate specific areas of the brain associated with mood regulation. Unlike other treatments, TMS therapy does not cause serious side effects and can provide lasting relief from depressive symptoms. Contact our local TMS clinic to schedule a consultation with our experienced psychiatrist and learn more about this effective treatment option.

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man and woman tms therapy patient sitting on couch

TMS THERAPY SUPPORTS MENTAL WELLNESS

  • Depression
  • Lack of Joy
  • Sadness and Despair
  • Low Mood
  • Lethargy
  • Insomnia
  • Oversleeping
  • Social Isolation
  • Self-Harm
  • Substance Abuse
  • Suicidal Ideation
  • Alcoholism

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