What is Transcranial Magnetic Stimulation (TMS)?

Updated
June 29, 2023
Edited by Ben Smith
Last Updated:
May 2, 2024
A woman with closed eyes smiles serenely, her head crowned with fantastical machinery representing the intricate workings of the mind and the potential of psychedelics to unlock its mysteries.

Transcranial magnetic stimulation (TMS) is a non-invasive, FDA-approved therapy used to treat depression and other mental health conditions. Developed in the 1980s, TMS uses targeted magnetic pulses to stimulate areas of the brain that are involved in mood regulation. It has been shown to be effective for some patients who have not responded well to traditional treatments such as medication or psychotherapy. TMS is also being studied for its potential applications in treating other disorders, including Parkinson’s disease and chronic pain. 

This article will explore what TMS is, how it works, its potential benefits and risks, and its future applications.  

Introduction to Transcranial Magnetic Stimulation (TMS)

Transcranial magnetic stimulation (TMS) is a non-invasive treatment option for people with depression or other mental health conditions who have not responded well to traditional treatments such as medication or psychotherapy. During a TMS session, an electromagnet is placed against the scalp near the forehead. The magnet produces short bursts of magnetic energy, which pass through the skull and stimulate nerve cells in the brain that are involved in mood regulation. These pulses can help improve symptoms of depression by altering neural pathways associated with mood control and emotion processing.

How TMS Works: The Science Behind the Treatment 

The exact mechanism behind how TMS works remains unknown; however, it is believed that by stimulating specific regions of the brain associated with depression, it helps to “reset” neural pathways related to mood control and emotion processing. This can help improve symptoms of depression without causing any side effects like those seen with medications or other forms of treatment. 

It has also been suggested that TMS may increase levels of certain neurotransmitters, such as serotonin or dopamine, which can further help alleviate symptoms of depression. 

TMS for Depression and Other Mental Health Conditions

Transcranial magnetic stimulation (TMS) was approved by the U.S. Food & Drug Administration (FDA) for treating major depressive disorder(MDD) in adults who have not responded well to traditional treatments such as antidepressants or psychotherapy. It has also been studied for its potential use in treating other mental health conditions such as anxiety disorders, posttraumatic stress disorder (PTSD), bipolar disorder, obsessive-compulsive disorder (OCD), schizophrenia, and addiction disorders. While more research is needed, initial results suggest that TMS may also benefit some patients suffering from these conditions. 

TMS Risks and Side Effects: What to Expect

While there are no serious risks associated with TMS, some mild side effects may occur during or after a session, including headache, scalp discomfort at the site of stimulation, lightheadedness or dizziness, and tingling sensations in the face or limbs. Most side effects tend to resolve on their own within minutes after treatment ends, but if they persist, you should contact your doctor immediately. 

Additionally, it is important to note that pregnant women should avoid this type of therapy due to a lack of safety data regarding its use during pregnancy. 

The Future of TMS: Potential Applications and Research

The potential uses for TMS continue to expand as new research emerges on its effectiveness in treating various conditions beyond depression, including anxiety disorders, PTSD, bipolar disorder, and even chronic pain syndromes. 

Ongoing studies are looking into whether this therapy could prevent relapse rates for individuals who have already achieved remission from their condition following treatment with medications or psychotherapy alone. 

Frequently Asked Questions About TMS: Answering Common Concerns  

Is transcranial magnetic stimulation safe? 

Yes – when performed by properly trained medical professionals under strict safety protocols, it is considered safe with minimal risk for adverse events compared to other forms of treatment like medication or surgery. 

How long does a typical session last? 

A typical session lasts about 40 minutes. 

Does insurance cover this type of treatment? 

Many insurance companies cover at least part, if not all, costs associated with TMS. 

Are there any long-term side effects? 

While there may be mild, temporary side effects following each session, few long-term adverse effects are associated with this type of therapy. 

Does everyone respond positively? 

While some people experience significant improvement in their symptoms, others may not see any benefit – it depends on each case.

As technology advances, so does our understanding of how best to use this form of therapy, which could lead us down exciting new paths toward improved outcomes for people with mental illness.

At Psychly, we are committed to upholding the highest standards in our content creation process. We strive to ensure that all statements presented in our articles are supported by reliable, high-quality sources, such as peer-reviewed studies and reputable academic journals.

- The Psychly Team

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