- Transcranial Magnetic Stimulation: High Tech Help For Treatment Resistant Mood Disorders
- What Is Transcranial Magnetic Stimulation Used For?
- How Does A TMS Work?
- Does TMS Therapy Hurt?
- Is Transcranial Magnetic Stimulation Safe?
- We Can Help
- This is a dangerous post to write
- Transcranial magnetic stimulation (TMS): Hope for stubborn depression
- What is transcranial magnetic stimulation?
- Does TMS work?
- What is TMS therapy ?
- Can TMS help with other conditions?
- Adjunctive Low-frequency Repetitive Transcranial Magnetic Stimulation over the Right Dorsolateral Prefrontal Cortex in Patients with Treatment-resistant Obsessive-compulsive Disorder: A Randomized Controlled Trial
- 9 Patients Share an Honest Review of TMS Therapy
- 1. Robert
- 2. Kim
- 3. Craig
- 4. Martha
- 5. Marie*
- 6. Benjamin
- 7. Cindy
- 8. Sarah*
- 9. Kristi
- How Does Transcranial Magnetic Stimulation Effectively Treat OCD?
- TMS – Non-invasive depression treatment without medication in Sheffield
Transcranial Magnetic Stimulation: High Tech Help For Treatment Resistant Mood Disorders
Despitetherapy and the use of medications, we occasionally find that the effects of amental health disorder persist in some people. For these individuals, brainstimulation therapies transcranial magnetic stimulation (TMS) may providerelief from their symptoms. TMS may also be an alternative for those who cannottolerate mood stabilizing medications.
The NationalInstitute of Mental Health (NIMH) reports that TMS and other brain stimulation therapies “involveactivating or inhibiting the brain directly with electricity.” TMS is the most noninvasiveof these treatments and is given via energy pulses that are generated by anelectromagnetic coil held near or against the person’s head.
Because thesemagnetic pulses are given over and over in a repetitive rhythm, the mosttechnically correct term for TMS is repetitive transcranial magneticstimulation (rTMS).
What Is Transcranial Magnetic Stimulation Used For?
In 2008, theFood and Drug Administration (FDA) approved repetitive transcranial magneticstimulation to treat major depressive disorders and their associated cases ofsevere depression and anxiety.
It has also been studied as atherapy for psychosis and researchers are looking into how it may help conditions post traumatic stress disorder (PTSD).
Additionally, another form of rTMS,called deep transcranial magnetic stimulation (dTMS), has been FDA-approved forthe treatment of obsessive compulsive disorder (OCD).
In 2010, theNIMH funded a clinicaltrial on the effectivenessof transcranial magnetic stimulation. Initial results showed that theeffectiveness of rTMS was around 14 percent compared with a placebo-typeprocedure, which was only 5 percent effective. However, when participants wereput into a second-phase trial, the remission rate of rTMS increased to 30percent.
How Does A TMS Work?
When you gothrough a session of rTMS, you will be fully awake. Each session lasts between40 and 60 minutes and no anesthesia is required. It is an outpatient procedureso you can drive yourself to the appointment and back home again. Typically, aperson is treated four to five times per week for between four and six weeks.
During therTMS session, an electromagnetic coil, which is about the size of your hand,will be passed over your forehead and scalp along the region of the brainthought to regulate mood.
This coil produces short electromagnetic pulsessimilar in strength to the ones generated by a magnetic resonance imaging (MRI)machine.
According to the Anxiety and Depression Association ofAmerica (ADAA), “The magnetic pulses cause small electrical currentsthat stimulate nerve cells in the targeted region of the brain.”
As scientists gainmore knowledge about how rTMS can help people, they are developing new treatmentmethods. In fact, the FDA has sanctioned the use of theta burst stimulation,which is a variation of rTMS. In the theta burst procedure, the person onlyreceives transcranial stimulation for about 10 minutes per session, howeverthey still need to have daily sessions for several weeks.
In addition, anotherform of rTBS, called iTBS or intermittent theta burst stimulation, is now beinggiven in 3 minute treatments. iTBS (also FDA-approved) gives intensive burstsof high frequency stimulation and has shown results comparable to the customaryrTMS therapy.
Does TMS Therapy Hurt?
While rTMStherapy doesn’t hurt, the person may feel some mild sensations as theelectromagnetic pulses are administered. These sensations might include:
- Alight knocking or a mild tapping feeling on their skull.
- Themuscles in their face, jaw, or scalp tingling when the magnet is applied.
- Thesesame muscles contracting while the magnet is in use.
Is Transcranial Magnetic Stimulation Safe?
Althoughmost people do very well with it, rTMS does have some temporary, mild sideeffects for a small number of people. They can include:
Rare, butpossible, is the chance of a seizure, however no seizures were reported duringthe two large studies that have been done on the safety of rTMS, according tothe NIMH.
Additionally,JohnsHopkins reports that people who have non-removable metal objects in theirhead (for example: stents or aneurysm clips) should not receive rTMS. This isbecause the magnets can cause these objects to move or heat up, which could producea serious injury or even death.
It’s worthnoting that because transcranial magnetic stimulation is relatively new, wehaven’t been able to study its long term effects. That said, treatment data hasbeen compiled and studied since the mid-1990s and there have been no long term complicationsfrom its use, to date.
We Can Help
Ifyou are struggling with anxiety, depression, or other mental health concerns,consider speaking with the professionals at The Center for Treatment of Anxietyand Mood Disorders in Delray Beach, Florida. For more information on how we canhelp, contact us or call us today at 561-496-1094.
This is a dangerous post to write
Updated 4-24-17: Holy crap, y’all. I love you. Not only did you listen but you gave me honest advice and reminded me how incredibly difficult but also how worthwhile it is to keep looking for the unique treatment that works for each person.
You also reminded me that I’m not alone in continuing to search for tools that will make my mental illness more manageable, and sometimes it’s enough to know that so many of us are fighting this battle together, even if it seems we’re doing it alone.
Here is my plan as of today: I saw my doctor and this afternoon I had many vials of blood taken to rule out hormonal issues, deficiencies, etc. If nothing physical turns up then I’ll try to get my insurance to cover TMS and see if it works.
From what I can see the overall verdict is that it depends on the person and that it’s either incredibly helpful when it works, or it doesn’t work at all, or sometimes it works for a while but not forever, which is sort of the exact same verdict I’ve had with every other medication and therapy I’ve ever tried, so I suppose I should be used to it at this point. Nevertheless, thank you. I will always feel broken but you continue to remind me that I am so not alone. I’ll keep you posted.
This is a dangerous post to write, mostly because I’m opening myself up to something that every person who deals with mental illness dreads…well-meaning advice from others. But this is specific and I’d really to hear from you. Not about how I should “just cheer up” or “stop eating anything but air” or similar.
What I want to know is this…have you ever had Transcranial Magnetic Stimulation (TMS) and if so, did it work for you? My doctor has been recommending that I do it for years but I’ve always been worried about the side-effects.
It’s supposed to be a good option for people me with major depressive disorder who have tried multiple antidepressants but still have long periods of depression.
I’m lucky because, as a writer, I can often work around the schedule my depression sets for me…sometimes working long days and nights full of inspiration and sometimes just surviving weeks where my mind is a fog and I can’t get bed.
I have a support system of family and of strangers-who-are–family around the world. I could probably continue to live this for the rest of my life, and I’m prepared to.
Although depression can be hell and I know that it lies and I could continue to live through the bad weeks waiting for the good to inevitably come back.
But what if TMS works? It’s not as invasive as electroconvulsive therapy. Some people my shrink has treated with it have been able to get completely off their meds, which is something I can’t even imagine. I’ve been on so many different medications, regimens, vitamins, compounds, injections, therapies, etc.
and some were helpful and some weren’t and some were until they weren’t. Some saved my life and others made it miserable. That’s the thing about treating chronic illness…different things work for different people and the exhausting process of finding a cure for your symptoms usually never completely goes away.
So after this latest b depression I’ve been thinking more about trying TMS. Victor is not a fan but he respects that it’s my decision ultimately. I still need to research more and to make sure my insurance will cover at least some of it but I thought maybe one of my first steps should be to ask here.
Have you had it? Did it work? Was it worth it?
And if you haven’t and you just want to share something that actually did work in treating your mental illness feel free to. I know that just medication and therapy aren’t enough.
Music, meditation, exercise, sun, vitamins, sleep…they all can make a difference. If something in particular makes a difference for you, share.
(But if you tell me to stop taking meds and take up jogging I will find you and punch you in the junk with a cactus. Just saying.)
PS. Turnabout is fair play, so here’s a small tool that I use when I’m feeling anxious. It’s just a gif. But whatever works, right?
Transcranial magnetic stimulation (TMS): Hope for stubborn depression
Depression is the leading cause of disability in the United States among people ages 15 to 44. While there are many effective treatments for depression, first-line approaches such as antidepressants and psychotherapy do not work for everyone.
In fact, approximately two-thirds of people with depression don’t get adequate relief from the first antidepressant they try.
After two months of treatment, at least some symptoms will remain for these individuals, and each subsequent medication tried is actually less ly to help than the one prior.
What can people with depression do when they do not respond to first-line treatments? For several decades, electroconvulsive therapy (ECT or “shock therapy”) was the gold standard for treatment-resistant depression.
In fact, ECT is still considered to be the most potent and effective treatment for this condition, and it continues to be used regularly across the country. For many people with depression, however, ECT can be too difficult to tolerate due to side effects on memory and cognition.
For those individuals and the many others who have had an inadequate response to medications and therapy alone, there is a newer treatment option called transcranial magnetic stimulation (TMS).
What is transcranial magnetic stimulation?
Transcranial magnetic stimulation, or TMS, is a noninvasive form of brain stimulation. TMS devices operate completely outside of the body and affect central nervous system activity by applying powerful magnetic fields to specific areas of the brain that we know are involved in depression.
TMS doesn’t require anesthesia and it is generally exceptionally well tolerated as compared to the side effects often seen with medications and ECT. The most common side effect is headache during or after treatment.
A rare but serious side effect is seizures, and TMS may not be appropriate for people at high risk such as those with epilepsy, a history of head injury, or other serious neurologic issues.
Does TMS work?
Approximately 50% to 60% of people with depression who have tried and failed to receive benefit from medications experience a clinically meaningful response with TMS. About one-third of these individuals experience a full remission, meaning that their symptoms go away completely. It is important to acknowledge that these results, while encouraging, are not permanent.
most other treatments for mood disorders, there is a high recurrence rate. However, most TMS patients feel better for many months after treatment stops, with the average length of response being a little more than a year. Some will opt to come back for subsequent rounds of treatment.
For individuals who do not respond to TMS, ECT may still be effective and is often worth considering.
What is TMS therapy ?
TMS therapy is an intensive treatment option requiring sessions that occur five days a week for several weeks. Each session may last anywhere from 20 to 50 minutes, depending on the device and clinical protocol being used. When patients arrive, they may briefly check in with a technician or doctor and then begin the stimulation process.
The technician will determine the ideal stimulation intensity and anatomical target by taking advantage of a “landmark” in the brain called the motor cortex.
By first targeting this part of the brain, the team can determine where best to locate the stimulation coil as it relates to that individual’s brain and how intensely it must “fire” in order to achieve adequate stimulation.
Calculations are then applied to translate this data toward finding the dorsolateral prefrontal cortex, the brain target with the greatest evidence of clinical effectiveness and an area known to be involved in depression. Though one session may be enough to change the brain’s level of excitability, relief isn’t usually noticeable until the third, fourth, fifth, or even sixth week of treatment.
Can TMS help with other conditions?
TMS is being studied extensively across disorders and even disciplines with the hope that it will evolve into new treatments for neurological disorders, pain management, and physical rehabilitation in addition to psychiatry.
There are currently large clinical trials looking at the effectiveness of TMS in conditions such as pediatric depression, bipolar disorder, obsessive-compulsive disorder, smoking cessation, and post-traumatic stress disorder.
While promising avenues for research, TMS for these conditions is not yet approved and would be considered “off-label.”
Adjunctive Low-frequency Repetitive Transcranial Magnetic Stimulation over the Right Dorsolateral Prefrontal Cortex in Patients with Treatment-resistant Obsessive-compulsive Disorder: A Randomized Controlled Trial
Karno, M, Golding, JM, Sorenson, SB, and Burnam, MA (1988). The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatry. 45, 1094-1099.
Weissman, MM, Bland, RC, Canino, GJ, Greenwald, S, Hwu, HG, and Lee, CK (1994). The cross national epidemiology of obsessive compulsive disorder. The Cross National Collaborative Group. J Clin Psychiatry. 55, 5-10.
Abramowitz, JS, Taylor, S, and McKay, D (2009). Obsessive-compulsive disorder. Lancet. 374, 491-499.
DuPont, RL, Rice, DP, Shiraki, S, and Rowland, CR (1995). Economic costs of obsessive-compulsive disorder. Med Interface. 8, 102-109.
Stein, DJ, Koen, N, Fineberg, N, Fontenelle, LF, Matsunaga, H, and Osser, D (2012). A 2012 evidence-based algorithm for the pharmacotherapy for obsessive-compulsive disorder. Curr Psychiatry Rep. 14, 211-219.
Abudy, A, Juven-Wetzler, A, and Zohar, J (2011). Pharmacological management of treatment-resistant obsessive-compulsive disorder. CNS Drugs. 25, 585-596.
Simpson, HB, Huppert, JD, Petkova, E, Foa, EB, and Liebowitz, MR (2006). Response versus remission in obsessive-compulsive disorder. J Clin Psychiatry. 67, 269-276.
Pallanti, S, Hollander, E, Bienstock, C, Koran, L, Leckman, J, Marazziti, D, and International Treatment Refractory OCD Consortium (2002). Treatment non-response in OCD: methodological issues and operational definitions. Int J Neuropsychopharmacol. 5, 181-191.
George, MS, Nahas, Z, Kozel, FA, Li, X, Denslow, S, and Yamanaka, K (2002). Mechanisms and state of the art of transcranial magnetic stimulation. J ECT. 18, 170-181.
Aouizerate, B, Guehl, D, Cuny, E, Rougier, A, Bioulac, B, and Tignol, J (2004). Pathophysiology of obsessive-compulsive disorder: a necessary link between phenomenology, neuropsychology, imagery and physiology. Prog Neurobiol. 72, 195-221.
Teneback, CC, Nahas, Z, Speer, AM, Molloy, M, Stallings, LE, and Spicer, KM (1999). Changes in prefrontal cortex and paralimbic activity in depression following two weeks of daily left prefrontal TMS. J Neuropsychiatry Clin Neurosci. 11, 426-435.
Rauch, SL, Jenike, MA, Alpert, NM, Baer, L, Breiter, HC, and Savage, CR (1994). Regional cerebral blood flow measured during symptom provocation in obsessive-compulsive disorder using oxygen 15-labeled carbon dioxide and positron emission tomography. Arch Gen Psychiatry. 51, 62-70.
Hoehn-Saric, R, and Benkelfat, C (1994). Structural and functional brain imaging in obsessive compulsive disorder. Current insights in obsessive compulsive disorder, Hollander, E, Zohar, J, and Marazzati, D, ed. Chichester, NY: John Wiley & Sons, pp. 183-211
George, MS, Wassermann, EM, Williams, WA, Steppel, J, Pascual-Leone, A, and Basser, P (1996). Changes in mood and hormone levels after rapid-rate transcranial magnetic stimulation (rTMS) of the prefrontal cortex. J Neuropsychiatry Clin Neurosci. 8, 172-180.
Greenberg, BD, George, MS, Martin, JD, Benjamin, J, Schlaepfer, TE, and Altemus, M (1997). Effect of prefrontal repetitive transcranial magnetic stimulation in obsessive-compulsive disorder: a preliminary study. Am J Psychiatry. 154, 867-869.
Jaafari, N, Rachid, F, Rotge, JY, Polosan, M, El-Hage, W, and Belin, D (2012). Safety and efficacy of repetitive transcranial magnetic stimulation in the treatment of obsessive-compulsive disorder: a review. World J Biol Psychiatry. 13, 164-177.
Mansur, CG, Myczkowki, ML, de Barros Cabral, S, do Sartorelli, MC, Bellini, BB, and Dias, AM (2011). Placebo effect after prefrontal magnetic stimulation in the treatment of resistant obsessive-compulsive disorder: a randomized controlled trial. Int J Neuropsychopharmacol. 14, 1389-1397.
Prasko, J, Paskov?, B, Z?lesk?, R, Nov?k, T, Kopecek, M, and Bares, M (2006). The effect of repetitive transcranial magnetic stimulation (rTMS) on symptoms in obsessive compulsive disorder. A randomized, double blind, sham controlled study. Neuro Endocrinol Lett. 27, 327-332.
Sachdev, PS, Loo, CK, Mitchell, PB, McFarquhar, TF, and Malhi, GS (2007). Repetitive transcranial magnetic stimulation for the treatment of obsessive compulsive disorder: a double-blind controlled investigation. Psychol Med. 37, 1645-1649.
Sachdev, PS, McBride, R, Loo, CK, Mitchell, PB, Malhi, GS, and Croker, VM (2001). Right versus left prefrontal transcranial magnetic stimulation for obsessive-compulsive disorder: a preliminary investigation. J Clin Psychiatry. 62, 981-984.
Sarkhel, S, Sinha, , and Praharaj, SK (2010). Adjunctive high-frequency right prefrontal repetitive transcranial magnetic stimulation (rTMS) was not effective in obsessive-compulsive disorder but improved secondary depression. J Anxiety Disord. 24, 535-539.
Alonso, P, Pujol, J, Cardoner, N, Benlloch, L, Deus, J, and Mench?n, JM (2001). Right prefrontal repetitive transcranial magnetic stimulation in obsessive-compulsive disorder: a double-blind, placebo-controlled study. Am J Psychiatry. 158, 1143-1145.
Saxena, S, Brody, AL, Ho, ML, Alborzian, S, Maidment, KM, and Zohrabi, N (2002). Differential cerebral metabolic changes with paroxetine treatment of obsessive-compulsive disorder vs major depression. Arch Gen Psychiatry. 59, 250-261.
Kang, DH, Kwon, JS, Kim, JJ, Youn, T, Park, HJ, and Kim, MS (2003). Brain glucose metabolic changes associated with neuropsychological improvements after 4 months of treatment in patients with obsessive-compulsive disorder. Acta Psychiatr Scand. 107, 291-297.
Swedo, SE, Schapiro, MB, Grady, CL, Cheslow, DL, Leonard, HL, and Kumar, A (1989). Cerebral glucose metabolism in childhood-onset obsessive-compulsive disorder. Arch Gen Psychiatry. 46, 518-523.
Goodman, WK, Price, LH, Rasmussen, SA, Mazure, C, Fleischmann, RL, and Hill, CL (1989). The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry. 46, 1006-1011.
Goodman, WK, Price, LH, Rasmussen, SA, Mazure, C, Delgado, P, and Heninger, GR (1989). The Yale-Brown Obsessive Compulsive Scale. II. Validity. Arch Gen Psychiatry. 46, 1012-1016.
Guy, W (1976). ECDEU assessment manual for psychopharmacology, revised. Rockville, MD: National Institute of Mental Health
Hamilton, M (1960). A rating scale for depression. J Neurol Neurosurg Psychiatry. 23, 56-62.
Hamilton, M (1959). The assessment of anxiety states by rating. Br J Med Psychol. 32, 50-55.
Beck, AT, Steer, RA, and Brown, GK (1996). BDI-II Beck depression inventory. San Antonio, TX: Psychological Corporation
Lapidus, KA, Stern, ER, Berlin, HA, and Goodman, WK (2014). Neuro-modulation for obsessive-compulsive disorder. Neurotherapeutics. 11, 485-495.
Baxter, LR, Schwartz, JM, Mazziotta, JC, Phelps, ME, Pahl, JJ, and Guze, BH (1988). Cerebral glucose metabolic rates in nondepressed patients with obsessive-compulsive disorder. Am J Psychiatry. 145, 1560-1563.
Nordahl, TE, Benkelfat, C, Semple, WE, Gross, M, King, AC, and Cohen, RM (1989). Cerebral glucose metabolic rates in obsessive compulsive disorder. Neuropsychopharmacology. 2, 23-28.
Deng, ZD, Lisanby, SH, and Peterchev, AV (2013). Electric field depth-focality tradeoff in transcranial magnetic stimulation: simulation comparison of 50 coil designs. Brain Stimul. 6, 1-13.
Kunde, W, Reuss, H, and Kiesel, A (2012). Consciousness and cognitive control. Adv Cogn Psychol. 8, 9-18.
Nakao, T, Nakagawa, A, Yoshiura, T, Nakatani, E, Nabeyama, M, and Yoshizato, C (2005). Brain activation of patients with obsessive-compulsive disorder during neuropsychological and symptom provocation tasks before and after symptom improvement: a functional magnetic resonance imaging study. Biol Psychiatry. 57, 901-910.
Bais, M, Figee, M, and Denys, D (2014). Neuromodulation in obsessive-compulsive disorder. Psychiatr Clin North Am. 37, 393-413.
Cho, SS, and Strafella, AP (2009). rTMS of the left dorsolateral prefrontal cortex modulates dopamine release in the ipsilateral anterior cingulate cortex and orbitofrontal cortex. PLoS One. 4, e6725.
Strafella, AP, Paus, T, Barrett, J, and Dagher, A (2001). Repetitive transcranial magnetic stimulation of the human prefrontal cortex induces dopamine release in the caudate nucleus. J Neurosci. 21, RC157.
Knoch, D, Treyer, V, Regard, M, M?ri, RM, Buck, A, and Weber, B (2006). Lateralized and frequency-dependent effects of prefrontal rTMS on regional cerebral blood flow. Neuroimage. 31, 641-648.
Adler, CM, McDonough-Ryan, P, Sax, KW, Holland, SK, Arndt, S, and Strakowski, SM (2000). fMRI of neuronal activation with symptom provocation in unmedicated patients with obsessive compulsive disorder. J Psychiatr Res. 34, 317-324.
Rauch, SL, Dougherty, DD, Malone, D, Rezai, A, Friehs, G, and Fischman, AJ (2006). A functional neuroimaging investigation of deep brain stimulation in patients with obsessive-compulsive disorder. J Neurosurg. 104, 558-565.
Mantovani, A, Rossi, S, Bassi, BD, Simpson, HB, Fallon, BA, and Lisanby, SH (2013). Modulation of motor cortex excitability in obsessive-compulsive disorder: an exploratory study on the relations of neurophysiology measures with clinical outcome. Psychiatry Res. 210, 1026-1032.
George, MS, Wassermann, EM, Williams, WA, Callahan, A, Ketter, TA, and Basser, P (1995). Daily repetitive transcranial magnetic stimulation (rTMS) improves mood in depression. Neuroreport. 6, 1853-1856.
Schutter, DJ, van Honk, J, d’Alfonso, AA, Postma, A, and de Haan, EH (2001). Effects of slow rTMS at the right dorsolateral prefrontal cortex on EEG asymmetry and mood. Neuroreport. 12, 445-447.
Pascual-Leone, A, Catal?, MD, and Pascual-Leone Pascual, A (1996). Lateralized effect of rapid-rate transcranial magnetic stimulation of the prefrontal cortex on mood. Neurology. 46, 499-502.
Grisaru, N, Chudakov, B, Yaroslavsky, Y, and Belmaker, RH (1998). Transcranial magnetic stimulation in mania: a controlled study. Am J Psychiatry. 155, 1608-1610.
Gershon, AA, Dannon, PN, and Grunhaus, L (2003). Transcranial magnetic stimulation in the treatment of depression. Am J Psychiatry. 160, 835-845.
Cohen, LG, Roth, BJ, Nilsson, J, Dang, N, Panizza, M, and Bandinelli, S (1990). Effects of coil design on delivery of focal magnetic stimulation. Technical considerations. Electroencephalogr Clin Neurophysiol. 75, 350-357.
George, MS, Wassermann, EM, Kimbrell, TA, Little, JT, Williams, WE, and Danielson, AL (1997). Mood improvement following daily left prefrontal repetitive transcranial magnetic stimulation in patients with depression: a placebo-controlled crossover trial. Am J Psychiatry. 154, 1752-1756.
Wassermann, EM (2002). Variation in the response to transcranial magnetic brain stimulation in the general population. Clin Neurophysiol. 113, 1165-1171.
Singh, R, Macdonell, RA, Scheffer, IE, Crossland, KM, and Berkovic, SF (1999). Epilepsy and paroxysmal movement disorders in families: evidence for shared mechanisms. Epileptic Disord. 1, 93-99.
Palmieri, MG, Iani, C, Scalise, A, Desiato, MT, Loberti, M, and Telera, S (1999). The effect of benzodiazepines and flumazenil on motor cortical excitability in the human brain. Brain Res. 815, 192-199.
9 Patients Share an Honest Review of TMS Therapy
TMS & Other Therapies
According to Dr. Adam Stern of Harvard University, two-thirds of people with depression aren’t relieved after trying an antidepressant. If you’ve tried antidepressants and/or psychotherapy to treat your depression and been unsuccessful, you may want to consider Transcranial Magnetic Stimulation (TMS) therapy to help with your symptoms.
At transformations, we use NeuroStar, an FDA-approved system of TMS therapy.
TMS specializes in targeting underactive brain areas associated with depression by sending magnetic pulses to stimulate the brain in those areas.
NeuroStar is a noninvasive treatment method as well as non-systemic, meaning that because it is not consumed orally, NeuroStar doesn’t course through the bloodstream.
If you’re nervous about trying TMS for your depression, it’s important to speak with a healthcare professional to address any questions you may have and to see if TMS is a good fit for you. But in terms of honest patient TMS therapy reviews, we got you covered. Read on to find out what real life patients have to say about their experience with TMS.
Image courtesy of MedGadget. Read NeuroStar TMS therapy reviews to see what real people have to say about this newer form of treatment.
Robert had been suffering from depression for years before trying TMS, with symptoms spanning back into his teens. It greatly interfered with his quality of life, causing problems with his work and the way he engaged in relationships with others, adding that his depression basically defined who he was.
Fortunately, Robert reported that TMS therapy has allowed him to feel better and work better. He first noticed symptom improvement within three weeks of treatment. Better yet, Robert explained that side effects were minimal and the treatment process was easy.
“If I could go back and talk to my depressed self, I would say ‘Do not hesitate. Get the NeuroStar TMS Therapy and make that change.’”
In order to qualify as a candidate for TMS, a patient must have tried more than one antidepressant without success. Kim was such a candidate.
She had tried four antidepressants, none of which adequately helped her depression symptoms, which included decreased interest and an overall negative impact on her daily life.
Furthermore, Kim was unhappy with some of the systemic side effects from antidepressants, which can include nausea, drowsiness, and irritability.
Kim was impressed with how well TMS therapy improved her symptoms in as little as 5 weeks after starting treatment. She noted the experience was painless in comparison to the side effects she experienced with antidepressants. After TMS therapy, Kim said she started feeling joy and motivation and that she stopped isolating herself from loved ones.
“After NeuroStar TMS Therapy, I am motivated and looking forward to the future.”
Craig suffered from depression for nearly 20 years before NeuroStar treatment.
His depression greatly impacted with his quality of life in that it kept him from finishing college and succeeding in work.
After trying many types of medication, Craig saw no symptom improvement in addition to suffering from the side effects that came with increasing the amount of medication he was taking.
After NeuroStar treatment, Craig reported his progress as “phenomenal” and that he is now able to work again and enjoy spending time with his children. He appreciated how simple TMS treatment is, in addition to its benefits, such as being a quick and relaxing process.
“Now, I feel better than I have in years. I have my life back.”
Image courtesy of NeuroStar. Many patients report frustration with the systemic side effects of antidepressants, which are much less severe (almost nonexistent) with TMS.
Similar to previous examples, Martha suffered from depression for three decades. She wasn’t diagnosed until she was 40, which is when she began taking antidepressants. For Martha, the side effects were unbearable, causing her to gain weight and feel disconnected from herself and the world around her.
After TMS therapy, Martha saw a dramatic improvement in her depression, as she started to reconnect with loved ones and had better control of herself and her life. As opposed to the antidepressants, Martha felt no side effects with TMS and was impressed by how basic and noninvasive treatment was.
“Today I feel clear, light and happy. NeuroStar TMS changed my life.”
Marie had been going to therapy on and off for about 40 years before trying TMS. She had been on four different combinations of medication over the course of five or six years without long-lasting symptom relief. She suffered from many symptoms of depression, such as excessive sleeping and feelings of hopelessness.
After one month of TMS therapy, Marie reported that her feelings of depression had subsided and she felt a different person.
“It’s been worth every penny. Absolutely worth every penny. I don’t know what else I could have done… This has saved my life. I have no doubt about that.”
When Benjamin first discussed TMS therapy with a psychiatrist, Benjamin said he had definitely heard about this new form of treatment but never thought he would be one to try it. At the time, he was working as a restaurant cook in Seattle. The intensity and fast pace of his job brought his anxiety symptoms to the surface, which caused him to seek therapy and medication.
As his anxiety became under control, Benjamin noticed his depression was becoming more severe. He spoke with his psychiatrist about how different types and doses of antidepressants weren’t working as well as Benjamin hoped, and his psychiatrist recommended TMS.
Benjamin was certainly hesitant about treatment. He was nervous about the time commitment—about 30 minutes a day five days a week—but was excited about the noninvasive and non-systemic qualities of TMS. After a difficult first session, Benjamin reported he felt “ a newer person.” He started feeling happier and consequently being and looking happier—a result he is happy about.
“After these treatments, I feel I'm more connected with myself and the world around me, and I can truly say that I'm happy with myself.”
Before being diagnosed with Major Depressive Disorder and anxiety, Cindy was not sure why she consistently felt so sad and felt she shouldn’t be feeling this way. Her symptoms were on and off with the use of antidepressant medication. When an illness caused her to go off of the antidepressants, Cindy began TMS therapy.
After a few weeks, Cindy’s depression symptoms began drastically improving. This resulted in her feeling better overall, now engaged in life and in her relationships with her family.
“I really d how I was starting to feel better, and I feel I got my life back from it. It has been missing for a long time.”
TMS is advised for patients ages 18 and older, and Sarah was on the younger side of this age group. Sarah dealt with depression in high school, resulting in a difficult home life and trouble in school before she stopped schooling because of her mental health.
Sarah noticed improvement in as little as two to three weeks after TMS therapy, with progress only going up from there.
One interesting thing Sarah said was that she called TMS “self-accomplishing,” because as opposed to taking medication daily and relying on it, TMS allows the patient to feel they are taking control of their mental health by committing to get a procedure done and receive treatment five days a week. She reported that her mood and well-being greatly improved after treatment.
“[TMS therapy is] enlightening, because it’s almost a whole weight is lifted off you because you feel lighter and you have a whole lot more to look forward to.”
Kristi is a wife, mother, and real estate broker who suffered from depression for 45 years by the time she sought out TMS therapy. Having tried a handful of different antidepressants, Kristi reported that she still had a persistent “underlying” sense of depression, even while she thought the medications were working.
While undergoing treatment, Kristi began looking forward to the next session. She reported TMS therapy sessions as being relaxing and that she quickly became used to treatment.
Everyone around her noticed how well her symptoms improved after TMS.
In addition to Kristi’s positive results, multiple friends with depression heeded her advice and tried TMS therapy with similarly successful results.
“It’s coming a shell.”
Image courtesy of HS Design. Be sure to speak with a healthcare professional if you are thinking about undergoing TMS therapy.
Ultimately, speaking with a healthcare professional is the best way to see if TMS therapy via NeuroStar is right for you. It is definitely worth a conversation, especially after hearing all of the positive things these patients had to say about TMS.
If you think you or someone you know may be suffering from anxiety or depression, speak to a mental healthcare provider as soon as possible. If it is a mental health emergency, call 911. Try not to let thoughts of how you should be feeling get in the way of taking care of yourself and your mental health.
What is your experience with TMS therapy? Let us know in the comments!
*Name has been changed for privacy reasons
How Does Transcranial Magnetic Stimulation Effectively Treat OCD?
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Although there are currently a number of effective medical and psychological treatments for obsessive-compulsive disorder (OCD), if you have treatment-resistant OCD you may be looking for new ways to treat your symptoms.
Transcranial magnetic stimulation, or TMS, has received considerable attention as a possible alternative treatment to reduce OCD symptoms.
Although first developed nearly 30 years ago as a tool to treat major depression, TMS has now been widely investigated for effectiveness in treating a variety of mental illnesses.
The two types commonly used for mental illness are repetitive transcranial magnetic stimulation (rTMS) and deep transcranial magnetic stimulation (dTMS).
Repetitive TMS is the predecessor to dTMS and is a relatively non-invasive procedure that involves placing a small device directly on the skull. This sealed device contains a coil of wire that carries electricity through the magnetic field that it generates. It's called repetitive because it pulses rather than remaining steady.
The flow of electricity through the device stimulates cells in the brain called neurons, changing their activity levels. The activity level of neurons has been linked to symptoms of mental illness, OCD.
How many rTMS treatments you would need depends on the treatment protocol, and would be discussed by you and your doctor prior to starting your treatment.
While there have been some reports of rTMS being effective in reducing OCD symptoms, the majority of research findings indicate that rTMS is not effective in reducing OCD symptoms alone or in combination with medication.
Repetitive TMS may indirectly improve the psychological well-being of people coping with OCD by reducing the symptoms of depression that often go along with OCD.
rTMS, deep transcranial magnetic stimulation also uses a coil placed directly on the skull, which creates a magnetic field penetrating the brain. The biggest difference between the two types is that the coil used with dTMS, called an H-coil, allows the pulse to penetrate more deeply into the brain.
Deep TMS is showing a lot of potential over rTMS in treating mental illness. The Food and Drug Administration (FDA) has approved both rTMS and dTMS for the treatment of major depressive disorder and studies are being done on their efficacy for OCD and other mental illnesses, bipolar disorder, as well.
Deep TMS might have the most to offer in cases where OCD is difficult to treat. One study showed that people with treatment-resistant OCD who received dTMs had significant improvements in their symptoms. The results were steady for three months.
TMS is generally considered safe when used in accordance with established guidelines. After undergoing TMS, you may have headaches, feel sleepy, and experience other mild, short-term symptoms. Epileptic seizures are a more serious, although rare, side effect of rTMS.
Although TMS for OCD has been looked at in a number of studies, the stimulation parameters used, the brain areas targeted, and the length of treatment has varied from study to study, making it difficult to compare results. While research continues to look at the effect of TMS on OCD, a standard protocol will help researchers determine the effectiveness of rTMS for OCD more conclusively.
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Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Additional Reading
- Ruffini, C., Locatelli, M., Lucca, A., Benedetti, F., Insacco, C., Smeraldi, E. “Augmentation effects of repetitive transcranial magnetic stimulation over the orbitofrontal cortex in drug-resistant obsessive-compulsive disorder patients: A controlled investigation. Primary Care Companion to The Journal of Clinical Psychiatry 2009 11: 226-230.
- Slotema, C.W., Blom, J.D., Hoek, H.W., Sommer, I.E.C. “Should we expand the toolbox of psychiatric treatment methods to include Repetitive transcranial magnetic stimulation (rTMS)? A meta-analysis of the efficacy of rTMS in psychiatric disorders. er, I.E.C. “Should we expand the toolbox of psychiatric treatment methods to include Repetitive transcranial magnetic stimulation (rTMS)? A meta-analysis of the efficacy of rTMS in psychiatric disorders. Journal of Clinical Psychiatry 2010 (e-published ahead of print).
TMS – Non-invasive depression treatment without medication in Sheffield
Nima has been excellent. he responds quickly to requests and if he misses your call he calls you back promptly.
He is polite, patient and explains things clearly.
His good customer care skills definitely played a part in our booking with the centre rather than another company.
Very satisfied and I would highly recommend the centre.
My initial consultation through the RTMS Centre was, welcoming, informative and most of all, a warming experience. This was due to the caring, sensitive approach by both, Nima and Dr Matta.
Nima, my initial contact, settled my anxiety with a light-hearted conversation and caring manner, this put me at ease before meeting Dr Matta.
Dr Matta thoroughly went through my previous and past health conditions, followed by an informative talk about the treatment. All my questions were answered clearly, leaving me positive and looking forward to starting the treatment.
A big thank you to, Nima and Dr Matta.
I had been suffering from depression all my life, over 30 years. I didn’t get a lot of success from medication throughout my illness. Living with depression has been difficult and a constant struggle, but I had to live with it. I believed that there was no way the depression until I started the rTMS treatment at the rTMS Centre in Sheffield.
rTMS treatment has given my life back and now it is wonderful to live without depression. I enjoyed my 5 weeks at the rTMS Centre; the treatment has been very successful and effective.
I decided to go with TMS Therapy, and what I noticed was that after about 2-3 weeks, I felt I was young again. 20-years old. Things about my life that were bothering me sort of just unconsciously fade into the background now.
I have interest in other things, simple things picking up a book, actually reading it, and enjoying… rather than just seeing the words on the page and thinking about other things in my life that were bothering me.
Before TMS I had nervous energy and stayed active to keep my mind off things, but my anxieties were not under control. Now they are better.
I am lively and willing to do more things – I don’t isolate as much as I used to. I had no side effects. Meds made me feel sluggish and blah. I would say, Do it if you are thinking about TMS.
I was so sceptical, but by the third week, I could start to tell a difference.
Dr Matta and Nima were both welcoming and understanding about my personal situation.
Nima was always very pleasant, caring and helpful throughout the course of my treatment. He was very informative and was able to answer my questions in a supportive manner.
I have no hesitation in recommending the rTMS centre. Nima and Dr Mata genuinely care about what they do and put you at the centre of everything. If you are thinking about having rTMS then you won’t find a better place to go.
I have been on medication for anxiety since I was 15 and antidepressants since I was 19. Though they helped I never felt things were managed. I began to notice a change by the 3rd week of treatment.
I no longer feel on edge or worried all the time and have already reduced my anxiety medication drastically and am working on decreasing my antidepressants. Close family and friends have even commented that I seem more “chipper”.
Dr Matta and Nima were really friendly and helpful throughout the entire process.