TMS is a non-invasive treatment for stimulating neurons in the brain using a magnetic stimulator to relieve symptoms of treatment resistant depression (TRD).
Transcranial Magnetic Stimulation (TMS) is a noninvasive procedure. It uses magnetic pulses to stimulate nerves in the brain. TMS treatment is well-tolerated and improves the symptoms of depression for most people. It avoids common antidepressant side effects and does not impair cognitive function. TMS is an option when other depression treatments haven't worked.
In this video, Dr. David Eiler explains Transcranial Magnetic Stimulation, or TMS. It is a gentle, noninvasive procedure that uses magnetic fields.
TMS in short
Are you not responding to antidepressants? TMS therapy might be the solution for you.
- Covered by most insurance providers
- Does not affect cognitive function
- Free from common antidepressant drug side effects
- May be used with or without antidepressants (determined by physician)
- Most common side effects from TMS are headache and nausea
- Patients are able to resume daily activities right after treatment
- Safe, with high tolerability
- Series of pulsed magnetic stimuli to the brain
I felt like a cloud was lifted; like I was coming out of a fog. It made me more accessible to my therapy and to my family, and able to engage in my surroundings and with the people that want to support and help me.
TMS patient
TMS treatment schedule
Your first TMS treatment will depend on your specific need and diagnosis. Generally, we will determine how much stimulation is needed during the first session. This session can last about 30 minutes to an hour.
After the first treatment, all other sessions last approximately 5 minutes. Patients will typically receive treatments 5 days per week, Monday through Friday, for 6 to 7 weeks. There will be a total of 35 to 36 treatments.
Safety precautions for TMS patients
In general, TMS is not safe for patients who have metal or magnetic-sensitive implants in their head. TMS also isn't safe for patients who have implants within 12 inches of the treatment coil, such as:
- Aneurism clips or coils
- Brain stents
- Bullet fragments
- Cardiac pacemakers or defibrillators
- Cochlear implants
TMS may also not be safe if you have a history of seizures or other medical conditions. Before starting TMS, we will review your medical history with you.
Possible side effects
Common side effects include:
- Headaches
- Moderate discomfort at the stimulation site
- Twitching of facial muscles
In rare cases, TMS can cause an unintentional seizure, This can occur in less than 0.1% of patients.
TMS medical insurance coverage
Insurance companies have requirements for approving TMS. Adults with major depression disorder (MDD) can be eligible if they have failed treatments in the past. Talk to your doctor to learn more about your specific diagnosis.
For our providers: When referring a patient, place the referral in eDH and indicate the following:
- Refer to the department: "DHMC PSYCH MED MOOD DO"
- Refer to provider: Mehmet E. Dokucu, MD, PhD
- In the comments field: “referring for TMS”
For outside providers: To refer a patient for consultation, contact our Physician Connection Center. Please use our <<Outpatient Referral Form (PDF)>> insert link