TMS treatment is an outpatient procedure that is conducted daily for 20 minutes over a span of 4-6 weeks. Clinical results from TMS can be observed in as little as 2-4 weeks.

On the day of the appointment, patients will come in to the office and sign in. Once they are ready, patients will be taken to the Deep TMS room, seated in a chair and fitted with a special cap. The cap aids in the coil positioning and is also for hygienic purposes. It helps the TMS technician in situating the helmet on the patient in order to ensure optimal treatment. Once the cap is secure, the TMS helmet is put over it and turned on. The patient then sits for approximately 20 minutes while the machine operates. This will occur for 5 days for a span of 4 weeks. Patients then receive treatment twice a week for an additional 12 weeks. The patient’s progress is monitored weekly via questionnaires that assess response to the treatment. This helps gauge the patient’s response to the treatment on a weekly basis.

TMS is different from most alternative MDD therapies because the only preparation required is to abstain from alcohol, caffeine and other stimulants four hours prior to the treatment.

Deep TMS – No Systemic Side Effects

Unlike alternative therapies to major depressive disorder, TMS is not associated with any systemic effects, and does not require sedation or hospitalization. Headache and local pain are the most common side effects of Deep TMS, observed in approximately 47% and 25%, respectively, within the first week. These symptoms usually disappear after subsequent sessions. Over-the-counter medications can be used to help alleviate symptoms. A small number of patients will experience side effects that include local pain, muscle twitches, back pain, anxiety or insomnia. Similar to many other antidepressant therapies, Deep TMS carries a risk of exacerbating patients’ depressive signs and symptoms. During the treatment, patients may experience mild involuntary movements of the face and arms. These are relatively minor and pose no threat to the patient. Patients are assessed immediately after the procedure for any side effects before being discharged from the clinic.

Clinical studies have shown that patients receiving and tolerating 16 weeks of Deep TMS therapy have not shown any residual effects during 3-month follow-up periods. Further studies are being conducted in monitoring for long-term adverse effects of Deep TMS therapy. The Deep TMS technology is quite similar to that of other magnetic medical devices, such as MRIs. Long-term safety studies of these devices have not been linked with any major post-procedural effects.

Who is eligible for Deep TMS?

The Deep TMS treatment is not meant for everyone. Some medical conditions will preclude patients from being eligible for this type of treatment for their Major Depressive Disorder. Patients with any sort of metal implants will not suitable for the TMS machine. Patients on high-dose antidepressants or those who have consumed alcohol the previous night are at risk of developing seizures due to the procedure. Some of other contraindications for Deep TMS include:

·        Patients who never received antidepressant medications

·        Patients who are currently taking antidepressants

·        Patients who have recently attempted or have plans for suicide

·        Patients with signs and symptoms of psychosis

·        Patients who are nursing or pregnant

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