Transcranial Magnetic Stimulation (TMS) is an innovative approach for treating depression and other behavioral health conditions. As part of a comprehensive treatment program, TMS can be particularly beneficial for those who do not experience significant results from individual therapy or antidepressants alone. TMS is sometimes a tenable option to use independently, but it may be most effective when administered in combination with other depression-management strategies.
At Bishop Health in Delray Beach, FL, we provide holistic, evidence-based therapies, including TMS, to those seeking help for a wide range of behavioral health issues. Our experienced professionals tailor treatment plans to meet the specific needs of each individual and strive to ensure they receive the most effective care and support possible.
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What is Transcranial Magnetic Stimulation (TMS)?
TMS is a relatively new therapy in which a qualified clinical uses a metal coil designed to stimulate the brain’s neurochemicals by delivering magnetic pulses to the scalp. During this noninvasive procedure, several pulses are administered to the brain in succession via electric currents transmitted through the coil.Â
This approach is significantly different from the use of antidepressant medication because it directly (versus indirectly) activates the brain’s messaging center believed to be dysfunctional among those with behavioral health disorders such as depression.
Mental Health Disorders That May Be Treated With TMS Include:
Currently, the Food and Drug Administration allows TMS to be marketed as a treatment for major depression, obsessive-compulsive disorder (OCD), and certain types of migraine headaches.1 However, its off label uses have included:
- Anxiety disorders
- Bipolar disorder (BD)
- Post-traumatic stress disorder (PTSD)
- Neurological disorders
- Substance use disorders
- Schizophrenia and schizoaffective disorders
- Other mood, anxiety, and trauma-related disordersÂ
What is Treatment-Resistant Depression (TRD)?
TMS is often considered a first-line approach for treatment-resistant depression. TRD is a condition in which a person’s depressive symptoms are not adequately treated by antidepressants or other common approaches. Moreover, despite having received appropriate treatment, symptoms persist or only partially improve.
Those diagnosed with TRD have typically undergone at least two trials of antidepressant treatment (e.g., selective serotonin reuptake inhibitors aka SSRIs) without experiencing significant relief from their symptoms.Â
Symptoms of Depression or TRD Include:
- Persistent feelings of sadness or low mood
- Irritability or agitation
- Loss of interest or pleasure in activities
- Fatigue and low energy
- Adverse changes in sleep patterns
- Changes in appetite leading to weight loss or gain
- Suicidal thoughts or behaviors
TRD can also result in significant impairments in daily functioning, including relationship strain, social withdrawal, or occupational difficulties. Those with TRD may also be at a heightened risk of relapse, as it can be particularly challenging to manage this condition.
Benefits of TMS Treatment in Delray Beach, FL
TMS may be beneficial for individuals who have not responded positively to behavioral therapy or antidepressants alone. Its noninvasive nature means it does not require surgery or anesthesia, and those who’ve been treated can resume their normal daily activities shortly after completing a brief session.Â
TMS has been associated with mild and temporary side effects, such as headaches or minor scalp discomfort. It can also be administered in combination with other therapies to increase the overall effectiveness of all treatments. In regard to depression, it may also reduce the risk of relapse compared to other approaches.
What To Expect in TMS Treatment at Our Delray Beach, FL, Clinic
TMS treatment sessions are fairly simple and brief. During the procedure, the metal coil is placed against the scalp close to the forehead. The coil transmits multiple magnetic pulses to the brain region being targeted. Sessions last around 20 to 40 minutes and can be performed daily or as needed over several weeks based on the individual’s response to treatment.
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Frequently Asked Questions
Who is a Candidate for TMS?
While TMS is a viable option for many individuals struggling with certain conditions, it may not be suitable for everyone. If you are interested in TMS treatment, the behavioral health professional performing your assessment will determine if you are a candidate.
How Does TMS Treatment Feel?
TMS sessions are generally reported as painless, although some individuals report a sensation of tapping or knocking during the procedure.
Is TMS Treatment Safe?
Generally speaking, TMS treatment is considered safe and well-tolerated by patients. When administered by a qualified behavioral health professional, such as a psychiatrist, few known side effects during or after TMS that warrant concern. Rarely, seizures can occur, and the risk is low. The safety of TMS during pregnancy or breastfeeding is not entirely known, but research is ongoing.
Can I Drive Home After Treatment?
Following treatment, you are free to drive yourself home and resume your regular activities, as side effects are brief, mild, and not expected to cause any significant impairments.
How Long is TMS Treatment?
The length of TMS treatment plans can vary depending on your specific condition and response to treatment. But they typically last between 20 to 30 sessions.Â
How Long are TMS Sessions?
In general, TMS sessions last from 20 to 40 minutes, but some newer TMS treatments use a technique known as theta burst stimulation, which may shorten the session to no more than 10 minutes.Â
Does Insurance Cover TMS Therapy?
Many types of insurance cover TMS treatment, but this will depend on your insurer, your policy, and what condition you are seeking to address. TMS is most commonly covered by insurance when prescribed for depressive disorders such as treatment-resistant depression (TRD). Contact your insurance provider or Bishop Health to determine if your coverage includes TMS and if pre-authorizations, co-pays, or deductibles apply.
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Learn More About TMS Today
If you are seeking help for depression or other behavioral health conditions, contact Bishop Health today to receive a free, no-obligation health insurance benefits check. You can also learn more about TMS, our streamlined admissions process, and intensive outpatient programs. Using TMS and other evidence-based therapies, we aim to provide those we treat with the tools and support they need to manage their condition effectively and experience long-lasting healing and recovery.
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Disclaimer: Does not guarantee specific treatment outcomes, as individual results may vary. Our services are not a substitute for professional medical advice or diagnosis; please consult a qualified healthcare provider for such matters.
- U.S. Food and Drug Administration. (2018). FDA Permits Marketing of Transcranial Magnetic Stimulation fo rTreatment of Obsessive Compulsive Disorder.