Information about Transcranial Magnetic Stimulation (TMS)

  • What is TMS?

    • TMS, or Transcranial Magnetic Stimulation, is an innovative new treatment in the Behavioral Health field that has revolutionized the treatment of Major Depression. For many
    • of our patients at Redemption Psychiatry, TMS has been life-changing after experiencing decades of severe depression.
    • TMS is an FDA-approved, non-medication based therapeutic procedure, commonly used to treat Major Depression.
      • * TMS can also be used to treat other disorders, commonly referred to as “off-label,” as they are not FDA approved, and therefore not covered by insurance. This can
      •    include treatments for Anxiety, OCD and PTSD. Please ask your TMS coordinator for additional information.
    • TMS is non-invasive, and patients experience little to no side effects. Little to no discomfort is involved during the procedure.
    • A full treatment course, as recommended by the FDA, typically includes 30 daily sessions, each approximately 20 minutes in duration. Daily treatment consists of patients
    • being reclined in a treatment chair with a magnetic coil placed closely atop their head. This is done by a trained medical technician based on precise measurements
    • determined by a certified TMS Psychiatrist on the first day of treatment.


  • How Does it work?
  • TMS works similarly to an MRI but in a much smaller scale and is significantly safer. TMS modulates activity in targeted cortical neurons by applying a pulsatile magnetic current on the surface of the head which in turn induces focal depolarization.
    • In short, TMS works by reactivating the area of the brain that has become underactive due to depression.
  • The mechanism of TMS therapy is believed to act in several concurrent ways. The magnetic current from TMS produces lasting stimulation in the prefrontal cortex, which is involved in mood regulation and targets the treatment of Major Depressive Disorder. TMS may increase monoamine turnover and normalize the hypothalamic pituitary axis (HPA). Research has shown that clinically depressed patients have experienced normalization back to baseline of prefrontal cortical serotonin after TMS treatment.
  • * To sum up, TMS benefits the patient by inducing a long-lasting stimulation in the brain, allowing patients to return to a pre-depressive baseline.





  • Benefits of TMS
  • 1.  2 in 3 patients experienced significant improvement in their depression symptoms.
  • 2.  1 in 3 patients experienced no depression symptoms after treatment.
  • 3.  Each FDA approved TMS session only takes about 19 minutes daily.
  • 4.  Because no anesthesia is needed, patients are able to drive themselves home after treatment sessions.

  • Who Qualifies for TMS?
  • Patients that have not responded to depression medication.
  • Patients who want to be free from the side effects of depression medication.
  • Patients who want a safe, effective therapy with minimal side effects.

  • Is TMS for you?
  • We have a questionnaire HERE that will give you a better idea if you are a good candidate for TMS. It is a short questionnaire with no difficult questions.


  • Comparison of Treatment Adverse Effects
    Transcranial Magnetic Stimulation (TMS)
    Electroconvulsive Thereapy (ECT)
    Systematic effects from antidepressant medication
    • Minimal Side Effects
      •   Mild headache
      •   Transient localized skin irritation
      •   Transient seizure

      •   33% probability of remission
      •   Patients able to drive themselves to and from appointments
    • Severe Side Effects Including:
      •   Death (cardiopulmonary)
      •   Aspiration Pneumonia
      •   Fracture
      •   Dental injury
      •   Nausea
      •   Headache
      •   Myalgia

    •   Requires Sedation
    •   Highly Invasive
    •   Requires pre and post-treatment care
    • Systemic Side Effects Including:
      •   Anticholinergic effects
      •   Fatigue
      •   Drowsiness
      •   Insomnia
      •   Orthostatic hypotension
      •   QTc prolongation
      •   Gastrointestinal toxicity
      •   Weight gain
      •   Sexual dysfunction

      •   Less than 8% chance of effectiveness on 3rd medication trial
      •   High rate of discontinuation due to severe side effects commonly experienced

    American Board of Psychiatry and Neurology    American Academy of Child & Adolescent Psychiatry    American Psychiatric Association