How Does TMS Work?

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How Does TMS Work?
How does TMS therapy work?
The TMS procedure involves placing a magnetic coil near the scalp, typically over the left prefrontal cortex, an area associated with mood regulation. This coil emits short bursts of magnetic energy, similar in strength to those used in MRI machines, which penetrate approximately 2–3 centimeters into the brain tissue. These magnetic pulses generate small electrical currents that stimulate nerve cells, potentially enhancing the brain’s natural ability to regulate mood and alleviate symptoms of depression.

How Long Does TMS Last?

A typical TMS session lasts between 10 to 20 minutes, depending on the specific protocol and individual response to treatment. The initial session may take slightly longer to allow for brain mapping and coil positioning. The duration and effectiveness of the transcranial magnetic stimulation procedure can vary among individuals. Typically, a full course of TMS treatment consists of five sessions per week over four to six weeks, totaling approximately 40 sessions. Many patients experience significant improvement in symptoms during this period. The positive effects of TMS can last for several months to a year or more. However, some individuals may benefit from maintenance sessions to sustain the therapeutic effects.

Before and After TMS Therapy

Embarking on transcranial magnetic stimulation is a significant step toward improving mental health. Here’s what patients can expect before and after TMS therapy.

Before TMS Therapy

Prior to initiating TMS sessions, patients undergo a comprehensive evaluation to determine suitability for the treatment. This includes a review of medical history, current medications, and mental health assessments. Patients are advised to remove any metallic accessories and remain relaxed during the procedure.

After TMS Therapy

Post-TMS sessions, most individuals can resume their daily activities immediately, as the procedure is non-invasive and doesn’t require anesthesia. Some patients might experience mild TMS after effects such as headaches or scalp discomfort, which typically diminish over time.

Following a course of TMS therapy, many patients report noticeable improvements in mood, energy levels, and overall functioning. The brain before and after TMS therapy shows changes in neural activity, particularly in areas involved in mood regulation. These alterations may contribute to the alleviation of depressive symptoms and improvement in overall mental health.

TMS vs. ECT: Differences and Effectiveness

When exploring advanced treatments for depression, Transcranial Magnetic Stimulation (TMS) and Electroconvulsive Therapy (ECT) are two prominent options. Both are FDA-approved and have demonstrated efficacy in managing treatment-resistant depression. However, they differ significantly in their methodologies, side effect profiles, and patient experiences.

Mechanism of Action

  • TMS: Utilizes magnetic fields to non-invasively stimulate specific regions of the brain, particularly the prefrontal cortex, which is associated with mood regulation. This stimulation aims to enhance neural activity and alleviate depressive symptoms.
  • ECT: Involves the application of controlled electrical currents to the brain under general anesthesia, inducing brief seizures. This process is believed to cause changes in brain chemistry that can rapidly reverse symptoms of certain mental health conditions

Procedure and Patient Experience

  • TMS: Sessions are conducted on an outpatient basis, with patients remaining awake and alert. Each session typically lasts between 20 to 30 minutes, and no anesthesia is required. Patients can resume normal activities immediately post-treatment.
  • ECT: Administered in a hospital setting, ECT requires general anesthesia and muscle relaxants. The procedure involves a recovery period, and patients may need assistance post-treatment due to temporary cognitive effects.

Side Effects

  • TMS: Generally well-tolerated, with the most common side effects being mild scalp discomfort or headaches, which usually diminish over time.
  • ECT: While effective, ECT is associated with more pronounced side effects, including short-term memory loss, confusion, and physical side effects related to anesthesia.

Effectiveness

  • TMS: Studies indicate that TMS can lead to significant improvement in depressive symptoms, especially in individuals who have not responded to traditional treatments.
  • ECT: Often considered when rapid response is necessary, ECT has a high efficacy rate, particularly in severe cases of depression, but the potential for cognitive side effects must be considered.

At Mind Your Mind NJ, we specialize in TMS therapy, offering a non-invasive and effective option for individuals battling depression. Our dedicated team is committed to providing personalized care to help you achieve optimal mental health.

Please contact us for more information or fill out the form below to request an appointment.

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