Non-invasive Brain Stimulation

Transcranial Magnetic Stimulation (TMS)

  • No memory effect like ECT

  • No weight gain

     

  • Insurance covered

  • Safe in Pregnancy

  • FDA approved

  • No Effect on Libido

     

  • No Effect on Driving

TMS certificate .jpg

Dr Bhalavat

MD D.F.A.P.A.(Psychiatry)

After completing his medical education at the Medical College, Bhavnagar India, Dr. Bhalavat completed his training in general psychiatry at Louisiana state university Health Sciences Center, Shreveport, Louisiana.  He Worked with Upper Cheasapeake medical center, the University of Maryland Health as a Psychiatrist.

He Treated various psychiatric patients of all ages in inpatient, Outpatient, Consultation-Liaison, and Emergency psychiatric Services.

He is working with American Psychiatric Care since 2015. 

Dr. Bhalavat is Board certified in Psychiatry by the American Board of Psychiatry and Neurology and American Board of Addiction Medicine. 

Dr. Bhalavat has been certified by Harvard Medical School for an Intensive course on Transcranial magnetic stimulation. Dr. Bhalavat has a special interest in treating with Depression and anxiety diagnosis.

Dr. Bhalavat Has been affiliated with the University of Maryland Health System, John Hopkins Health, and Adventist Health Hospital. 

Dr. Bhalavat is a Distinguished fellow of the American Psychiatric Association, a Member of the Maryland Psychiatric Society. He also serves as an executive board member of the Maryland American Association of Indian origin Physician. 

WHAT IS TMS?

TMS stands for transcranial magnetic stimulation. TMS uses non-invasive electromagnetic fields, similar to those produced by an MRI machine, to stimulate or inhibit the brain. During TMS therapy, a magnetic field is administered in very short pulses to a specific part of the head to activate or inhibit those underlying brain cells. The course of treatment may vary depending on target symptoms; it may be about 3 min to 19 minutes per session, 3-5 times a week, over 6 weeks.

WHAT CONDITION TMS TREATS?

The FDA approves TMS for treating major depressive disorder. It’s particularly useful for treatment-resistant depression that isn’t responding to other approaches. The TMS Therapy team also achieves excellent results in treating other conditions, including:

  • Anxiety

  • Addiction

  • Post-traumatic stress disorder (PTSD)

  • Obsessive-compulsive disorder (OCD)

  • Chronic pain

  • Fibromyalgia

  • Migraines

HOW TMS WORK?

At your initial TMS appointment, we will determine the ideal stimulation intensity (often referred to as the “motor threshold”) and anatomical target for placement of the magnetic coil. This electromagnetic coil creates a magnetic field that is specifically targeted over the left dorsolateral prefrontal cortex (DLPFC) which is the area of the brain responsible for mood regulation. Through a treatment coil, the TMS Therapy system generates highly concentrated magnetic fields which turn on and off very rapidly. These magnetic fields are similar to those produced by a magnetic resonance imaging (MRI) machine. These magnetic fields do not directly affect the whole brain; they only reach about 2-3 centimeters into the brain directly beneath the treatment coil. As these magnetic fields move into the brain, they produce very small electrical currents. These electrical currents activate cells within the brain which are thought to release neurotransmitters like serotonin, norepinephrine, and dopamine. Since depression is thought to be the result of an imbalance of these chemicals in the brain, TMS can restore that balance and, thus, relieve depression. Though one session may be enough to change the brain’s level of excitability, symptom relief isn’t usually noticeable until at least the third week of treatment.

WHAT HAPPEN DURING MY TMS TREATMENT?

You don’t need any anesthetics or sedation for your TMS therapy, as it’s entirely noninvasive. You sit in a comfortable treatment chair, and the TMS coil is above your head, sending the magnetic pulses to your brain.

You might hear the TMS coil making a clicking noise and feel a slight tapping against your head during the treatment.

TMS treatment isn’t painful, but afterward, you might experience mild scalp irritation or get a headache. A TMS treatment session takes about 30 minutes, and you’re free to talk or watch TV throughout the session.

Your TMS Therapy specialist is present during the treatment, monitoring the CloudTMS machine and ensuring you’re comfortable.

Most patients need an average of five TMS treatment sessions per week over a six-week period. This could vary depending on your condition and how well you progress during the treatment.

AM I A GOOD CANDIDTATE FOR TMS

We conduct thorough evaluations to determine if TMS therapy is right for you. In most cases, you need to be in good health, aside from your mental health condition. There are some situations in which TMS therapy isn’t appropriate, including if you have:

  • Metal in or around your head (braces and dental fillings are safe)

  • Pacemakers

  • Implanted cardioverter defibrillators

  • Vagus nerve stimulators

  • Epilepsy

CAN I CONTINUE MY MEDICATION WHILE I RECIEVE TMS?

The clinicians will carefully review your treatment regimen and work with you to help optimize your treatment and reduce any risks associated with psychiatric medications. In general, you can continue to take your regular medications during your TMS series. However, some medications may need to be stopped or reduced prior to initiating TMS to avoid the risk of seizure.

HOW LONG WILL IT BENEFIT OF TMS LAST IF I RESPOND?

TMS is a durable treatment for depression with sustained responder rates of 50% up to 1 year after a successful induction course of treatment. All known antidepressant treatments require a maintenance regimen to sustain initial responses. TMS also follows this general rule. The research on TMS as a maintenance therapy is very limited. After your initial TMS series and a short TMS taper, you will be advised to monitor symptoms closely with your primary psychiatrist and therapist to evaluate for any worsening mood. If you and your providers determine that maintenance TMS is warranted, we will work with you on creating a maintenance schedule that meets your needs.

IS TMS COVERED BY MY INSURANCE

Most of the insurances including Medicaid, Medicare, care first, Tricare, and other private insurances are covering TMS services nowadays. Our office staff will assist you. Out of pocket cost is affordable for most of the patients.