What transformations can you expect from TMS therapy?
From mood improvements to symptom relief in depression and obsessive-compulsive disorder (OCD), this article explores how this non-invasive treatment can make a difference and what to expect during your sessions.
Key Takeaways
- TMS therapy is a non-invasive, FDA-approved treatment targeting nerve cells in the brain to alleviate symptoms of depression and other mood disorders, offering a viable alternative to traditional medications.
- Successful TMS therapy begins with a thorough assessment, including initial consultations and pre-treatment evaluations, to ensure personalized and effective treatment plans for patients.
Understanding TMS Therapy
Transcranial Magnetic Stimulation (TMS) therapy uses magnetic fields to stimulate brain nerve cells, particularly those linked to mood regulation. Unlike traditional treatments, TMS is pain-free and has been FDA-approved for:
- Major depression
- OCD
- Migraines
- Smoking cessation
Since its approval in 2008 for depression, TMS has provided relief to patients who found little success with medications. TMS alleviates symptoms by targeting underactive brain regions linked to depression, avoiding the adverse effects commonly associated with antidepressants. This therapy is a beacon of hope for those who have struggled with traditional treatment methods.

How TMS Works
TMS involves using an electromagnetic coil to deliver magnetic pulses that stimulate nerve cells in the brain regions associated with mood, particularly the left dorsolateral prefrontal cortex. This stimulation activates neurons, promoting the release of neurotransmitters and enhancing communication between brain cells, which can significantly improve mood and alleviate depressive symptoms.
Additionally, TMS therapy enhances neuronal plasticity, allowing the brain to adapt and reorganize itself. The initial session is critical as it involves mapping to determine the optimal coil placement and energy dose for effective treatment. This precise targeting makes TMS a highly effective treatment option for those with mood disorders.
Types of TMS
TMS therapy comes in different forms, each tailored to specific needs and conditions. Repetitive Transcranial Magnetic Stimulation (rTMS) involves delivering a series of magnetic pulses to the brain, which has been found effective in treating depression and other conditions.
Another variant is Deep TMS, which uses a different coil for deep brain stimulation compared to rTMS. This approach can be beneficial for patients who require more extensive stimulation to achieve the desired therapeutic effects. Both types of TMS offer unique advantages, making them versatile tools in the treatment of various mental health conditions.
Preparing for TMS Treatment
Preparing for TMS therapy is a crucial step in ensuring its success. At American Psychiatric Care, the process begins with an initial consultation where board-certified psychiatrists evaluate the patient’s medical history and suitability for TMS therapy. This comprehensive evaluation helps determine whether TMS is the right treatment option and sets the stage for a personalized treatment plan.
Pre-treatment assessments play a vital role in ensuring the therapy’s safety and effectiveness. These assessments may include adjustments to current medications and a thorough physical examination to rule out any health issues that could interfere with the treatment. Being well-prepared can significantly enhance the outcomes of TMS therapy.
Initial Consultation
The initial consultation is a pivotal step in the TMS journey. During this session, the psychiatrist will delve into your psychiatric history and discuss the appropriateness of TMS as a treatment option. This is the time for patients to voice any concerns and ask questions about the procedure, ensuring they are fully informed and comfortable with the process.
This comprehensive evaluation aids in crafting a treatment plan tailored to the patient’s specific needs. It also sets realistic expectations and provides a clear understanding of what the treatment entails, paving the way for a successful therapy course.
Pre-Treatment Assessments
Pre-treatment assessments include reviewing the patient’s medical history and ruling out conditions such as seizures or metal implants that may interfere with TMS. This process ensures that the treatment plan is both safe and personalized.
What to Expect During TMS Therapy
Understanding what to expect during TMS therapy can ease concerns and set realistic expectations. Patients typically notice improvements in their depression symptoms within the first few weeks of treatment, with some experiencing significant relief.
The process is designed to be seamless and comfortable. Patients remain fully awake and alert during the sessions, as there is no need for anesthesia. This makes TMS a convenient and patient-friendly option for those seeking relief from depression and other mental health conditions. Here’s an overview of what to expect during a typical TMS session.

The First Session
The first TMS session is crucial for setting the foundation of the treatment. It involves mapping the magnet placement and determining the appropriate dose of magnetic stimulation. This session usually lasts about an hour and is performed with the patient fully conscious.
Patients often report feeling alert and awake during the session, with no need for anesthesia. This initial mapping ensures that the magnetic pulses are precisely targeted to the areas of the brain associated with brain activity and mood regulation, setting the stage for effective treatment.
Daily Sessions
TMS sessions are typically conducted daily, five times a week, with each session lasting around 20 to 30 minutes, depending on the stimulation pattern used. This consistent schedule helps build the cumulative effects necessary for symptom improvement. After the initial session, subsequent treatments involve placing the magnet in the predetermined position for optimal results.
Patients often begin to see results after a few weeks of treatment. This gradual improvement can significantly enhance mood and overall quality of life, making the daily commitment worthwhile.
Post-Treatment Activities
One of the advantages of TMS therapy is the minimal disruption to daily life. Patients can return to their normal activities immediately after each session. While some may experience mild headaches, these can often be managed with over-the-counter pain medications or adjustments in stimulation levels.
Benefits of TMS Therapy
TMS therapy offers numerous benefits, making it a preferred option for many patients. Unlike oral antidepressants, TMS does not cause systemic side effects, providing a safer alternative for those who cannot tolerate medication. Patients often report significant improvements in their quality of life after undergoing TMS therapy.
Additionally, TMS therapy does not require surgery, making it a more accessible treatment option. Its non-invasive nature and minimal side effects make TMS a highly effective and patient-friendly treatment.

Common Side Effects
While TMS therapy is generally well-tolerated, some patients may experience mild side effects. The most common is a mild headache, which typically decreases over time with continued treatment. These headaches can often be managed with over-the-counter pain medications.
Discomfort at the site of the magnets is another short-term side effect. However, these side effects are generally mild and transient, making TMS a comfortable option for most patients.
Long-Term Results and Maintenance
The long-term benefits of TMS therapy are promising. Most patients who achieve remission maintain significant symptom improvement over time. The effects of TMS therapy can persist for months or even longer after the treatment course is completed.
However, some patients may experience a relapse in depressive symptoms weeks to months after completing acute TMS therapy. Establishing maintenance protocols post-treatment is crucial to reducing relapse rates and maintaining the benefits of TMS therapy.
Sustaining Symptom Improvement
Periodic TMS sessions after the initial treatment can help sustain symptom improvement in patients who responded well to the therapy. Maintenance TMS therapy may involve gradually reducing the frequency of sessions over time to maintain mental health benefits.
Ongoing care and tailored maintenance treatments are essential to uphold the benefits achieved through TMS therapy and prevent relapse.
Repeat Treatments
Relapse among patients is a common occurrence, often necessitating repeat TMS treatments to regain symptom control. Patients with a history of recurrent depression might need to return for repeat TMS sessions if symptoms resurface.
Implementing maintenance TMS may depend on various factors, including medical reimbursement and patient preferences. Repeat treatments can help ensure long-term effectiveness and sustained relief from depressive symptoms.
Unlock a Brighter Future with Personalized TMS Therapy At American Psychiatric Care
At American Psychiatric Care, we provide life-changing Transcranial Magnetic Stimulation (TMS) therapy, a cutting-edge solution for mood disorders like depression and OCD. Our board-certified psychiatrists offer personalized care, starting with a thorough initial assessment to ensure your treatment is tailored to your specific needs.
Our convenient locations in Bel Air, White Marsh, and Silver Spring, combined with advanced brain-stimulation technology, make your journey toward better mental health as seamless as possible. Whether you’re seeking relief from depression, OCD, or migraines, we are committed to guiding you every step of the way with compassionate, expert care. Our goal is to provide effective results that can transform your life.
Schedule a consultation today to experience the benefits of TMS therapy. Let us help you rediscover happiness and reclaim control over your mental health.
Frequently Asked Questions
What conditions can TMS therapy treat?
TMS therapy is primarily FDA-approved for treating major depression, OCD, migraines and aiding in smoking cessation. It may also be effective for anxiety and fibromyalgia.
What should I expect during a TMS therapy session?
During a TMS therapy session, you can expect to stay awake and alert, while the initial session focuses on mapping the magnet placement and establishing the correct dose. Subsequent sessions are typically shorter, lasting between 20 to 40 minutes, and are scheduled daily, five times a week.
What changes can I expect before and after TMS therapy for major depressive disorder?
Before TMS therapy, individuals with major depressive disorder may experience persistent symptoms, while after treatment, many patients report significant improvements in mood and brain network function. This treatment enhances the neural network connections involved in mood regulation, providing relief without systemic side effects.
How does electroconvulsive therapy affect brain networks in treating depression, and how does it compare to TMS?
Electroconvulsive therapy (ECT) affects brain networks by inducing controlled seizures that reset neural connections related to mood regulation. While effective, ECT can have more side effects. In contrast, Transcranial Magnetic Stimulation (TMS) is a non-invasive alternative that also targets brain networks but uses magnetic pulses to stimulate neurons without inducing seizures, making it a safer option for many patients.
Conclusion
Transcranial Magnetic Stimulation (TMS) therapy stands as a beacon of hope for those struggling with mental health conditions, offering a non-invasive, effective treatment option that has transformed many lives. From its precise mechanism of action to the various types and advancements in technology, TMS therapy continues to evolve, providing significant symptom relief and improving the quality of life for countless individuals.
Whether it’s through initial consultations, daily sessions, or long-term maintenance, the journey with TMS therapy at American Psychiatric Care is one toward better mental health and well-being. Book a consultation today to start your path to transformation.