Transcranial Magnetic Stimulation (TMS): TMS Therapy
Transcranial magnetic stimulation (TMS) represents an exciting non-medication and noninvasive option for treatment of some brain health conditions, specifically TMS for depression.
At our center we provide compassionate, comprehensive, and state-of-the art care for patients with depression. TMS works by using magnetic therapy in the form of magnetic field pulses to stimulate the brain’s nerve cells to alleviate the symptoms associated with depression. In addition, there is growing research exploring the effectiveness of TMS in other neurological conditions, including Alzheimer’s disease and other memory disorders.
At Pacific Brain Health Center, Dr. David Merrill offers TMS for depression using a MagVenture device. It offers a unique, short, 3 minute TBS (theta burst) protocol for the treatment of Major Depressive Disorder in adult patients who have failed to receive satisfactory improvements from prior antidepressant medication in the current episode. The team also offers standard TMS for depression.
Scientific background of TMS Therapy and comparison with existing therapies
TMS has grown out of scientific evidence that mood disorders, such as depression, arise from deficiencies in chemical and electrical function in the brain. These conditions are disorders in the same way that diabetes and hypertension are, and getting the neurological pathways and functions working properly can relieve the symptoms of depression and other conditions. TMS is generally used after other treatment options are no longer helping the patient.
While the exact ways TMS works are still being established, it looks as if the magnetic pulses activate more communication between nerve pathways in the brain and lead to the release of activating chemicals (neurotransmitters) that are important for mood and memory.
Benefits of Transcranial Magnetic Stimulation
There are many benefits to using TMS for depression and other indicated neurological disorders.
- TMS is a noninvasive, focused treatment option and does not require surgery.
- Unlike medications, TMS does not have effects on the rest of the body in the way antidepressant medications do, such as causing side effects like weight gain and sexual dysfunction.
- It does not require anesthesia or cause memory dysfunction the way that electroconvulsive therapy (ECT) does.
The Patient Experience with TMS Treatment
TMS is almost always an entirely outpatient experience and does not affect the patient’s ability to engage in regular activities. In the initial visit, the patient comes into a doctor office and sits in a comfortable chair. The physician holds or places the TMS coil against the scalp and apply pulses (which patients often describe as feeling like small taps) to the scalp in various places to identify proper location and intensity.
The patient will then return most weekdays for 2-5 weeks for magnetic pulse treatments with a technician. Patients are able to resume normal activities immediately (although it is recommended that individuals have someone drive them home from their first visit to see how they adjust).
Side Effects/Risks of Transcranial Magnetic Stimulation
Transcranial magnetic stimulation side effects are minimal and the treatment is usually very well tolerated. There are common, mild side effects, often an achiness in the scalp or face that usually resolves quickly.
There are rare reports of seizures. Therefore, providers conduct detailed conversations with prospective patients regarding any factors that might increase risk of seizures, such as an individual or family history of seizures or use of certain medications.
Before each session, the technician will review safety factors, such as whether an individual is sleep-deprived or has drunk alcohol recently, factors that might require a delay of that day’s treatment. Hearing loss has been reported as a potential side effect but is avoided with use of earplugs.
The situations in which patients cannot receive TMS mostly relate to metal in the head or neck area such as aneurysm clips.
FAQs about of Transcranial Magnetic Stimulation Treatment
What are the pros and cons of TMS?
Transcranial Magnetic Stimulation (TMS) therapy offers a non-invasive alternative to traditional treatments for depression and other neurological disorders. Utilizing magnetic fields to stimulate nerve cells in the brain, TMS has been shown to effectively enhance mood and cognitive function in patients resistant to medications.
Pros:
- Non-Invasive: Unlike surgery, TMS doesn’t require incisions or anesthesia, which minimizes risks and recovery time.
- Minimal Side Effects: Most patients experience only mild discomfort or headache during and shortly after sessions.
- Effective for Treatment-Resistant Depression: TMS can be a lifeline for patients who have not responded to other therapies.
Cons:
- Time Commitment: Treatment typically involves multiple sessions each week over several weeks, requiring significant time investment.
- Accessibility and Cost: Not all insurance plans cover TMS therapy, and it can be expensive if paid out-of-pocket.
- Varied Response: While many benefit from TMS, others may not see as significant an improvement, and additional research is needed to fully understand who is most likely to benefit.
Overall, TMS therapy provides a promising alternative with potential benefits that often outweigh its drawbacks, particularly for those seeking relief from persistent symptoms.
Who is not a good candidate for TMS?
Transcranial Magnetic Stimulation (TMS) is a revolutionary treatment for depression and certain neurological conditions, but it is not suitable for everyone. Patients with any type of magnetic-sensitive metal implants in their head, except for braces or dental fillings, should avoid TMS due to the strong magnetic fields used during therapy.
Additionally, individuals with a history of seizures are typically not good candidates for TMS, as the procedure could potentially increase the risk of a seizure. The presence of other neurological devices such as vagus nerve stimulators, deep brain stimulators, or cochlear implants also makes TMS unsafe due to possible interference from the magnetic pulses.
People considering TMS should consult with their healthcare provider to discuss their medical history and any potential risks. Ultimately, a thorough evaluation by a specialist at an institute like Pacific Neurological Institute is essential to determine if TMS is a safe and effective option for their treatment plan.
How quickly does TMS work?
Transcranial Magnetic Stimulation (TMS) is a promising treatment for depression, with many patients beginning to notice improvements relatively quickly. The timeline for experiencing benefits can vary, but typically, improvements are observed within the first two to four weeks of starting treatment.
Each session of TMS involves delivering magnetic pulses to specific areas of the brain involved in mood regulation. Patients often report initial changes such as enhanced mood, increased energy levels, and better sleep patterns. Full treatment effects, however, generally become more apparent and stable after four to six weeks of regular sessions.
It’s important for patients to maintain consistent treatment sessions as prescribed to achieve the best results. While some may respond sooner, others might require a bit more time to experience the full benefits of TMS. Discussing individual health conditions and expectations with a specialist at Pacific Neurological Institute can provide a clearer expectation of how quickly TMS might work for you.
More information:
Clinical TMS Society
TMS Treatment Clinic Location
1301 20th Street, #150
Sant Monica, CA 90404
310-582-7641