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