TMS therapy has demonstrated successful results in research and in practice for many, especially for individuals with treatment-resistant depression. For instance, results in our clinic have shown that about 75% of our patients were responsive to TMS treatment for depression (ie. they had a reduction in symptoms of at least 50%). 50% of our patients achieved full remission of their depressive symptoms. TMS for OCD has varied results.

While some patients may notice a difference within the first week, for a majority of individuals, the benefits aren’t fully realized until after the 20th session. Unfortunately, there are a small number of individuals for which TMS is not effective.

Some patients may have recurrent episodes of depression following treatment. To cater for as many patients as possible, we offer TMS maintenance sessions. 

This may be covered by your insurance company under specific conditions; please contact us to discuss this.

In the United States, the FDA has only approved TMS for treatment-resistant major depressive disorder and obsessive-compulsive disorder. However, numerous clinical trials provide evidence that TMS can safely and effectively treat other conditions, such as anxiety, PTSD, Parkinson’s disease, and ADHD. Symptoms of these illnesses may improve even when the primary treatment goal is to alleviate symptoms of clinical depression and/or OCD. Currently, our office does not explicitly use TMS to treat Bipolar Disorder, Psychosis, or Schizophrenia.

Although antidepressants are a typical treatment for depression, they can often be associated with mild to serious side effects and may not be effective in up to 33% of patients. TMS can be used to avoid the side effects of medication and has been found to be effective in a majority of people who do not achieve results with antidepressants. 

TMS patients are usually able to take their medication concurrently, as per usual. After completing the TMS treatment, you may be eligible to adjust your dosage as per consultation with your outpatient provider.

Yes. Both treatments have been shown to be helpful for treatment-resistant depression. ECT may be preferred for patients with depression characterized by psychotic features (eg. catatonia, active suicidal thoughts). Unlike TMS, ECT is invasive, requires anesthesia, and electric shocks. TMS uses safe, non-invasive electromagnetic pulses.

We do not specialize in ECT services.

Typically, 1 session is scheduled per day, 5 days a week for 36 total treatment sessions or about 6 to 8 weeks.

If necessary, the treatment schedule can be adjusted slightly, for instance, if there is an unavoidable appointment.

You will be seated in a private room, where you are able to watch TV, read, or use your phone during treatment. A TMS device will be positioned on your head and you will feel a tapping sensation every few seconds throughout the 20-minute session. A TMS technician will remain in the room to ensure your comfort and care. After the session, you will be able to resume daily activities without limitations.

Naturally, we experience daily changes in our bodies and our behavior. Several factors can influence how a TMS session may feel. This includes caffeine intake, hydration, medication timing, humidity, sleep variations, and sinus congestion.

During a session, the TMS machine is aligned with one pre-determined coordinate. It is placed in the same position each day and receives the appropriate dose, however, the superficial and peripheral areas of the scalp, face, jaw, eyelids, and hands may feel slightly different from day to day.

No, a referral is not necessary. If you would like us to, we can collaborate with your existing healthcare providers.

TMS costs are more affordable than you may have heard. Most insurances including Medicare provide coverage for TMS as it is becoming more sought after by patients.

We can help you find out whether your insurance will cover treatment! We can then provide an estimate of your out-of-pocket costs, and discuss flexible payment arrangements, if necessary.