What Is the Next Step If TMS Doesn’t Work?

If TMS hasn’t led to meaningful improvement by session 20, I carefully reassess coil position, motor threshold, and dosing, and, if tolerated, increase settings to a clearly therapeutic level. At this point, I also encourage adding psychotherapy and considering...

Is TMS Approved for Depression?

Yes. TMS is FDA-approved for major depressive disorder. Some devices have additional clearances that depend on the indication and coil type. Does Insurance Cover TMS Therapy? In my region, most plans cover TMS for depression when the criteria are met. Medicare and...

Is TMS a Permanent Fix?

Depression behaves like other chronic medical conditions. TMS is an acute treatment that helps many people out of an episode more effectively than medication alone. After remission, I recommend continuing evidence-based medications and psychotherapy for at least one...

Safety, Side Effects, And Who Is A Good Match For TMS

Common, Usually Short-Lived Side Effects Scalp tenderness or headache early in the course. Brief facial or jaw twitching during stimulation. Driving and return to normal activities are allowed immediately. Is Anger a Side Effect of TMS? Not typically. In controlled...