Is TMS Therapy Right for You? TMS Side Effects, and Safety
Medically Reviewed By Dr. Mari Asper 10/27/2024
Transcranial Magnetic Stimulation (TMS) is a non-invasive, FDA-approved treatment for depression that offers hope for patients who haven’t found relief with traditional medication. In this article, we’ll take a close look at TMS therapy, covering common side effects, safety considerations, and whether you might be a good candidate. Whether you’re new to TMS or looking to learn more, this guide will help you make an informed decision.
TMS Side Effects
TMS therapy is generally well-tolerated, but like any medical procedure, it does come with potential side effects. The majority of side effects are mild and temporary, often diminishing as treatment progresses. Side effects may include:
✦ Headaches: One of the most reported side effects, headaches usually occur after initial sessions. Over-the-counter pain relief can help manage this, and headaches typically decrease with ongoing treatment.
✦ Scalp Discomfort: The sensation from the magnetic pulses can cause mild scalp discomfort or tingling during and after treatment, particularly around the treatment site.
✦ Lightheadedness: Some patients report feeling lightheaded after a session, although this is generally mild and short-lived.
Serious side effects are extremely rare but can include seizure, especially in patients with epilepsy or other neurological conditions. According to a study published in the Journal of Clinical Psychiatry, “the incidence of seizure with TMS is extremely low, estimated at approximately 0.1%” (Journal of Clinical Psychiatry).
Is TMS Safe?
TMS therapy is considered a safe and effective treatment for depression, with a proven track record since its FDA approval in 2008. The magnetic pulses used in TMS therapy are similar to those used in MRI machines, and the procedure does not require anesthesia or sedation, allowing patients to remain alert throughout their sessions.
Safety in Long-Term Use
Long-term studies support the safety of TMS therapy for patients with depression, even with extended use. Research conducted by the American Journal of Psychiatry found that “patients undergoing TMS therapy for up to a year reported sustained safety and tolerability, with only minor, manageable side effects” (American Journal of Psychiatry). This makes TMS an attractive option for patients seeking a safe, effective, and sustainable alternative to antidepressants.
TMS Candidate: Who Is Eligible?
TMS therapy is designed for adults with major depressive disorder (MDD), particularly those who have not found sufficient relief through medication or psychotherapy. A good TMS candidate typically:
✦ Struggles with Treatment-Resistant Depression: Patients who have tried two or more antidepressants without significant improvement may find TMS effective.
✦ Cannot Tolerate Antidepressants: For individuals who experience adverse effects from antidepressants or cannot use them due to medical reasons, TMS offers a valuable, non-systemic alternative.
✦ Seeks a Non-Invasive Option: TMS is ideal for those who prefer a non-invasive approach and want to avoid potential medication side effects.
TMS therapy may also benefit patients with anxiety and obsessive-compulsive disorder (OCD), though it is primarily approved for depression.
Who Should Avoid TMS?
While TMS is generally safe, it is not suitable for everyone. Individuals with certain conditions should avoid TMS, including those with a history of seizures, metal implants in the head, or specific types of brain injury. A consultation with a mental health professional will determine if TMS is the right option.
TMS Considerations
Before beginning TMS therapy, there are several considerations to keep in mind:
Time Commitment: A typical TMS treatment course lasts for about 4-6 weeks, with five sessions per week. Each session takes about 20-40 minutes, requiring a commitment to regular appointments.
Insurance Coverage: Many insurance providers now cover TMS therapy, but coverage varies. Patients should confirm their benefits to avoid unexpected costs.
Treatment Outcome Variability: Like all mental health treatments, responses to TMS therapy can vary. While many patients report significant improvement, others may need additional treatments or complementary therapies for optimal results.
Mental Health Therapy and TMS
TMS therapy has gained popularity as an alternative mental health therapy for depression, alongside traditional options like medication and psychotherapy. Unlike medication, which can cause side effects affecting multiple systems in the body, TMS focuses solely on the brain regions involved in mood regulation.
Complementary Therapies
For optimal results, TMS therapy can be combined with other mental health treatments. Cognitive-behavioral therapy (CBT) and counseling may enhance TMS outcomes, helping patients develop tools to manage depression beyond TMS sessions. Studies have shown that “combining TMS with talk therapy may help patients achieve greater symptom relief and long-term stability.”
Depression Treatment Options at Tricounty Behavioral Health
Tricounty Behavioral Health in Charleston, SC, provides a range of depression treatment options to meet each patient’s unique needs. TMS therapy is part of our comprehensive suite of treatments, which also includes medication management, psychotherapy, and group counseling.
TMS Therapy at Tricounty Behavioral Health
If you’re considering TMS therapy, Tricounty Behavioral Health offers cutting-edge TMS treatments in a supportive, professional environment. Our experienced clinicians assess each patient’s needs to create a customized treatment plan, ensuring you receive the best care.
Learn More About TMS Therapy in Charleston, SC
Contact Tricounty Behavioral Health today to schedule a free consultation and find out if TMS therapy is right for you. Visit our website or call us to get started.
Healthcare Disclaimer
This article is for informational purposes only and should not be considered a substitute for medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any medical condition. If you are considering TMS therapy, contact Tricounty Behavioral Health for a new patient appointment to determine if TMS is suitable for you.
References
Journal of Clinical Psychiatry. “Incidence of Seizure in Patients Undergoing TMS Therapy.” Retrieved from Journal of Clinical Psychiatry.
American Journal of Psychiatry. “Long-term TMS Therapy for Depression.” Retrieved from American Journal of Psychiatry.
TMS therapy continues to transform the field of depression treatment by providing an alternative to traditional medication and psychotherapy. If you’re exploring your treatment options, Tricounty Behavioral Health in Charleston, SC, offers state-of-the-art TMS therapy that may help you find the relief you’ve been seeking.
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