Is Therapy TMS for Depression Effective?

treatments

TMS affects brain activity with a magnetic field. It treats depression, OCD, and other brain disorders. It is noninvasive and can help when other treatments fail. The adverse effects are typically mild and transient. This way to treat depression without drugs is called repetitive TMS (rTMS) because it uses hundreds or thousands of short magnetic pulses in a single session. TMS for depression doesn't need any surgery or sedation. TMS is used in interventional psychiatry, a newer field that treats mental health problems.

What is Transcranial Magnetic Stimulation? 

Transcranial magnetic stimulation (TMS) uses a magnetic coil to alter brain electrical activity without surgery. Magnetic therapy for depression  is widely used for mental health and brain conditions. TMS can help when other treatments fail. Its noninvasiveness makes it important. No surgery is needed, and the treatment is done through your skin. TMS for depression can also replace ECT if it's ineffective or not an option. TMS is approved to treat different conditions in different countries. TMS is FDA-approved for four conditions: 

  • Major depression (MDD, including treatment-resistant depression)

  • OCD

  • Migraines

  • Stopping smoking

Investigations into its efficacy beyond the approved conditions are underway. These may include:

  • Addictions

  • Alzheimer's disease

  • Bipolar Disorder

  • BPD—borderline personality. 

  • Chronic ache

  • Eating issues

  • Essential tremor

  • Fibromyalgia

  • Parkinson's disease

  • PTSD Treatment

  • Schizophrenia

  • Stroke complications

  • Hearing loss and hallucinations

  • Traumatic brain injury

Types of TMS 

There are several types of TMS. 

Repetitive Transcranial Magnetic Stimulation

Repetitive TMS clinicians have treated depression, anxiety, and other disorders with rTMS for over 20 years. The majority of research has focused on rTMS for medication-resistant depression. The outpatient procedure requires no sedation, so the patient is awake. Patients can drive to and from treatment without restrictions. About 40 minutes per session. The hand-sized electromagnetic coil sends short electromagnetic pulses to the patient's brain. Small electrical currents from magnetic pulses stimulate brain nerve cells in the targeted area.

rTMS is safe alone or with antidepressants. While studies are ongoing, rTMS may work better with psychotherapy. This area is under study for its potential use in other disorders like OCD. Research from the mid-1990s to today shows no long-term side effects of rTMS.

Theta Burst Stimulation 

TBS is a newer version of rTMS. High-frequency theta bursts are shorter stimulation bursts. The bursts occur five times per second. Theta bursts may repeat the brain's natural rhythm. Continuous (cTBS) and intermittent (iTBS) TBS exist. Each affects brain function differently. Three-minute FDA-approved iTBS treatments produce results similar to rTMS. 

Deep Transcranial Magnetic Stimulation 

Deep transcranial magnetic stimulation (dTMS) stimulates deeper brain regions. The FDA has approved its use for depressed or OCD patients who have not responded to other treatments. Special coils reach 4 centimeters below the skull for dTMS. H coils target different brain regions. Like other TMS treatments, this is an outpatient procedure with few side effects. Over four to six weeks, daily sessions last 20 minutes. People can resume normal activities immediately after therapy.

Does TMS Help Bipolar, Anxiety, and OCD? 

The efficacy of TMS for anxiety is mixed. We do not utilize TMS for the treatment of primary anxiety disorders; however, patients experiencing both anxiety and depression frequently exhibit improvement. We offer TMS for OCD, which works. The FDA does not approve TMS for bipolar disorder.  

What are TMS Benefits?

TMS benefits make it a useful treatment.

  • This procedure is non invasive. Magnetic treatment for depression doesn't require surgery, and you can resume your day afterward. It requires no anesthesia. 

  • It's safe. The most common serious TMS side effect is seizures, which are rare. TMS has a 0.01% seizure risk per session. Some side effects are mild and last a few minutes. 

  • The success rate of TMS varies by condition, but studies have shown that it does work.

  • TMS treatment for depression is effective for major depressive disorder, which can lead to suicide.

  • When depression symptoms improve or go into remission, TMS can save lives. 

  • It complements other treatments. TMS for depression is often used with medications, mental health therapy, and more.

What Does TMS Treat?

Many benefits may come from TMS therapy. Researchers are still studying the procedure, but it may help these conditions:

Depression Treatment with TMS

Most TMS treatments are for major depressive disorder. TMS for depression recommended for those who have not found relief from medication and psychotherapy. This is treatment-resistant depression. As many as 30% of individuals with depression are unresponsive to conventional therapies. Research from 2021 links depression to decreased prefrontal cortex activity. Depression symptoms like low energy and appetite changes involve this brain region. TMS therapy for depression may be enhanced by stimulating nerve cells and increasing activity. 

OCD Treatment with TMS

OCD Treatment may improve with TMS. The FDA approved TMS for OCD in 2018. Like depression, TMS is recommended for OCD patients who haven't responded to medication and psychotherapy. A study found that individuals with OCD exhibit increased prefrontal cortex-striatum activity. Strong OCD symptoms are linked to being too connected all the time. TMS can block this part of the brain, which can help people with OCD. TMS therapy in Dallas may help treat OCD, but it's not widely accepted in medicine and may need more research.

Therapeutic TMS for Anxiety 

The TMS clinic near me treats depression and OCD, which may reduce anxiety. This is because these conditions often cause anxiety. Generalized anxiety disorder may benefit from TMS. Individuals with anxiety have increased prefrontal cortex nerve cell activity. A 2021 study found that TMS may reduce activity here. 

TMS for PTSD

A 2019 research review found TMS effective for PTSD. The prefrontal cortex controls fear and worry, and TMS can target it. A 2018 clinical trial found that TMS and cognitive processing therapy effectively treat PTSD. This combination was therapeutic for 6 months. 

Stroke Rehabilitation TMS

When brain cells die because blood flow is blocked or slow, this is called a stroke. When brain cells die because blood flow is blocked or slow, this is called a stroke. Long-term muscle movement loss may result. TMS may help stroke survivors recover motor skills. Researchers believe magnetic impulses may affect the motor cortex, which controls voluntary movement. TMS stimulates the motor cortex, which may help stroke survivors swallow, according to a 2017 journal article. 

How Long Does TMS Effects Stay?  

Primer Pain Centers patients usually feel better for 6–9 months after treatment. Some people feel better for years, while others return for more treatments after a few months. 

TMS for depression therapeutic effects last longer when people take the right medications and make mood-boosting lifestyle changes. In some cases, "maintenance" TMS for depression near me may help prevent relapse. For therapeutic results, 20–30 sessions over consecutive weekdays are recommended, but patients may see changes earlier. Taking multiple medications helps maintain treatment benefits. The psychiatrist prescribing TMS should customize the best TMS therapy near me

Conclusion

Brain nerve cell activity is targeted by TMS, which may relieve depression. 

People with OCD, anxiety, and PTSD may benefit from it. Parkinson's, multiple sclerosis, and stroke rehabilitation patients may benefit from the procedure's motor dysfunction improvement. Consult a doctor about TMS for depression. Young people with low seizure risk and no antidepressant relief may be good candidates.

Dr. Rao K. Ali M.D.

Dr. Rao Ali, a board-certified pain management physician, leads the clinic, which specializes in nonsurgical treatment. The physician has experience in the emergency room as well as training in pain management and rehabilitation. As a personal physician, he works with each patient to develop a treatment plan that will minimize or eliminate their pain. Providing expert diagnosis and treatment of a wide range of conditions, Pain Management In Dallas, PA provides a comprehensive range of services. These services include neck pain, back pain, hip and knee pain, fibromyalgia, neuropathy, complex regional pain syndrome, headaches, migraines, and many others.