Transcranial Magnetic Stimulation
Transcranial Magnetic Stimulation As Treatment For Depression
Depression is a serious health concern. The condition is something of a chameleon in that it affects everyone differently and looks dramatically different in every personality it touches.
For this reason, depression often goes undetected – or is misunderstood – which can exacerbate symptoms and endanger lives. Despite more than 300 million people living with depression worldwide, many aspects of depression are still not entirely understood, and treating depression can prove difficult.
Treatment for depression varies widely, based on a person's needs, comfort level, and economic ability. Though there are countless ways to treat depression, ranging from lifestyle alterations to talk therapy, several areas of study have emerged to focus primarily on depression treatment. One of these therapies is Transcranial Magnetic Stimulation, or TMS.
Transcranial Magnetic Stimulation
Transcranial Magnetic Stimulation, or repetitive Transcranial Magnetic Stimulation (rTMS), is a depression treatment that uses a magnetic force to alter the patterns of your brain to decrease the symptoms of depression.
Placing a magnetic coil against the side of a patient's head, practitioners then apply a series of pulses within the magnet to stimulate the nerves in your brain responsible for mood control.
The theory behind this particular type of therapy suggests that stimulating and awakening areas of the brain that are usually less active in depressed individuals will help alleviate the symptoms of depression and improve a patient's quality of life.
Possible Side Effects Of Transcranial Magnetic Stimulation Therapy
Because this procedure is non-invasive and merely utilizes magnetic pulses, TMS is considered a safe treatment for depression, without any dramatic or alarming risks.
That being said, there are some mild possible side effects brought on by TMS sessions, which can include headaches, lightheadedness, facial tingling or numbness, and discomfort during the procedure.
Unlike many other treatment options, however, these side effects usually dissipate immediately after concluding a session or shortly thereafter. While many people use TMS as a last resort, only engaging a TMS therapist after other avenues have been exhausted, its low-risk process could be an ideal alternative for individuals who are sensitive to standard medication or seemingly inoculated against traditional talk therapy.
Qualifications Necessary To Administer TMS Therapy
What's A TMS Session Like?
Next Steps In A TMS Therapy Sessions
During this time, patients are placed in a comfortable chair and given earplugs to deaden some of the sound emitted by the magnetic machine. The magnet will be activated for a few seconds; when activated, patients may hear a clicking or tapping sound and a similar sensation against the skin.
The magnet will then be deactivated for a few beats and reactivated. Sessions continue in this vein for the duration of treatment and are performed on an outpatient basis. Some patients report slight dizziness or headaches immediately following a session.
How Often Do Sessions Have To Occur To Be Effective?
Most practitioners recommend regular treatment with TMS, which usually means five sessions per week, for a 4-6 week period. Treatment can veer outside of this standard but usually requires at least this great a time commitment. Improvement in symptoms can take several weeks, but some patients report feeling changes as early as the first treatment.
Once treatment has concluded, patients typically go on to use traditional treatment methods, such as talk therapy or medication, to maintain TMS results.
TMS Therapy Cost
How Effective Is TMS For Depression?
TMS has a 30% success rate, which places it just below traditional antidepressants, which typically see a 50% success rate. Individuals who seek TMS treatment and do experience improved symptoms are instructed to continue seeking regular "maintenance" therapy via a traditional therapy modality or medication, to make sure the results delivered by TMS remain intact.
Exact Efficacy Of TMS Therapy
Although the exact efficacy of TMS is not known, as it is still a fledgling practice, some studies have shown that it does demonstrate consistency in treating patients with depression. However, though it seems less likely to assist with other psychiatric disorders.
Part of its efficacy may lie in the time commitment required for treatment; reportedly, many depression patients stop using therapeutic techniques as early as one month after diagnosis, and TMS requires a minimum of 4-6 weeks to conclude treatment. The consistency of treatment, then, may be a significant contributor to its use as a depression treatment.
Who Is TMS Not For?
One of the reasons TMS therapy is gaining popularity is its nature as a non-invasive treatment. Though this might be great for some patients, others are considered poor candidates for TMS. These include individuals with pacemakers, stents, aneurysm coils, metallic implants in the upper body, monitoring tools inserted in the head or neck, bullets or shrapnel in the upper body, or tattoos using metallic ink.
Because the technique uses a magnet, there is the possibility of disruption in implanted devices, such as pacemakers, during treatment. Metallic implants are similarly problematic in that the consistent pulse of a powerful magnet could dislodge or otherwise alter the positioning of an implant.
Tourette Syndrome, Schizophrenia, And More
TMS is also not an ideal match for patients seeking to treat Tourette syndrome, schizophrenia, post-traumatic stress disorder, or obsessive-compulsive disorder.
Although many of these occur concurrently with depression, clinical studies demonstrated that TMS was not an effective therapy for these issues, as patients reported little to no changes in symptoms of each of these disorders following treatment. Instead, TMS has shown improvement in depression and major depression disorders specifically.
Lack Of Insurance Coverage
Online TMS Therapy As Treatment
Fortunately, research shows that online therapy can play a significant role in reducing depression and anxiety symptoms. For example, one study found that online therapy was even more effective than traditional in-person sessions, with 100 percent of participants in the online group showing continued symptom reduction three months after treatment.
On the other hand, individuals in the face-to-face group showed “significantly worsened depressive symptoms” over the same period. This study explores how internet-based treatment compares to regular face-to-face therapy.
Conclusion
Online therapy with BetterHelp could be a great solution. And you can be in contact with them on a more regular basis than in a formal office setting, which can be a comfort during the tough times when you may need to speak with a trusted professional. Consider the following reviews of BetterHelp therapists below, from people experiencing similar issues.
Therapist Reviews
“The insight and compassion that Dr. Dougherty has shown me during my treatments sessions has been beyond anything I could ever have imagined. I'm in such a better place now because of her help. I can't imagine having achieved my goals without her help.”
"I’m a therapy newbie, so was feeling incredibly nervous about starting. Katie has been amazing from the get go. Immediately I felt comfortable and safe, she’s warm and kind and I like that we laugh in some of our sessions. It’s early yet but I’m already feeling a change in myself and I’m excited to keep going."
Is TMS Worth It?
TMS is certainly worth looking into if you do not respond to more traditional routes of depression treatment. Although it does not function as a miraculous cure for all symptoms of depression, ongoing studies do suggest that it is a low-risk, non-invasive source of treatment and can be a wonderful option to explore for people who are unable to find relief via standard therapies.
TMS therapy can also be helpful for individuals who do not feel safe or comfortable utilizing talk therapy, as TMS does not require the same amount of vulnerability or discussion that talk-based therapies do and can provide relief without necessarily having to recall painful memories or suppressed information.
TMS can also prove helpful for individuals who experience intense side effects on regular antidepressant medication. While not all antidepressants possess dramatic risk favors, several of the most popular options do run the risk of significant side effects, which can include increased feelings of depression and consideration of self-harm.
The possible side effects of TMS are mild and typically dissipate quickly. While it is not common to experience dramatic side effects of common medications, a history of antidepressant use and subsequent unpleasant side effects could prompt an individual to seek out a qualified TMS practitioner.
While TMS might not be a treatment for everyone, it has shown immense promise in its field and has given researchers some hope for establishing useful, effective treatments for mental disorders using biological alterations to the brain. While it has not shown any sort of application for other mental health ailments, TMS could be a great option for men and women trying to seek out alternatives to the tried-and-true methods of depression treatment.
Commonly Asked Questions
Does TMS work forever?
How long do TMS results last?
How long does it take TMS to work?
What happens if TMS doesn't work?
Can TMS worsen anxiety?
How many sessions of TMS are needed?
Can TMS cause brain damage?
Will TMS cure my depression?
Does TMS help with anxiety?
Can TMS change personality?
Frequently Asked Questions (FAQs):
How Long Do The Effects Of TMS Treatment Last?
Does TMS Work Long Term?
Although TMS therapy shows long term impact in reducing symptoms in most individuals with major depressive disorder, the effects are not permanent. According to an article in the Harvard Health Blog, many individuals experience reduced depression symptoms for anywhere between 6 months to a little over a year
Can TMS Make You Worse?
TMS is a form of brain stimulation therapy that has shown impressive success rates in a series of randomized controlled trials. High frequency TMS works by creating changes in the left dorsolateral prefrontal cortex, the part of the brain involved in mood regulation. There has not been any proof of high frequency TMS exacerbating depressive symptoms.
Is TMS Therapy Effective?
TMS therapy has proved successful in 70-80% of individuals with treatment resistant depression, as they experience significant decrease in depression symptoms after treatment. 50% of individuals enter remission as depressive symptoms vanish after only one session.
How Do You Know If TMS Is Working?
How Long Does It Take For TMS Therapy To Start Working?
Why Is TMS So Expensive?
What Are The Risks Of TMS?
Rare side effects include seizures and mania (particularly in individuals with bipolar disorder).
Can You Drink Alcohol While Doing TMS?
No. Due to the increased risk of seizure, alcohol must be avoided during Transcranial Magnetic Stimulation treatment.
Is TMS Therapy Permanent?
Who Is A Good Candidate For TMS?
People who have not experienced significant relief in their symptoms from psychotherapy and/or medication, or experience decreased quality of life due to side effects of medications may be a good candidate for TMS.
Can TMS Make You Manic?
Does TMS Help Bipolar?
Yes. Clinical research has revealed the positive effects of Transcranial Magnetic Stimulation on individuals living with bipolar disorder. There is a small risk of Transcranial Magnetic Stimulation treatment triggering mania, but this outcome has been proven to be rare. In fact, TMS was shown to be most effective in depressed patients with a bipolar diagnosis.