TMS Information for Doctors
What to Tell Your Patients
Transcranial magnetic stimulation (TMS) therapy is safe, side-effect-free and approved by the FDA to help treat depression and obsessive-compulsive disorder. It has also been shown effective for the treatment of post-traumatic stress disorder and anxiety. TMS has been the subject of numerous clinical studies and is currently used at some of the most trusted and respected clinics, hospitals, and universities in North America.
Top Hospitals and Universities Using TMS Therapy
One outpatient treatment session lasts 18 to 19 minutes. It does not involve medication of any kind: no antidepressants, no sedatives, and no anesthesia. It’s a completely non-invasive procedure that lets you relax comfortably through the duration.TMS treatment proceeds as follows:
Step 1: An HPR Treatment Center technician gently places the magnetic coil on your head.
Step 2: The coil delivers focused transcranial magnetic stimulation to directly target specific areas of the brain.
Step 3: You sit comfortably, awake and alert, until the treatment is fully administered—about 18 to 19 minutes.Once complete, you can resume normal activities immediately. You can drive home, go back to work, and enjoy the rest of your day.TMS side effects are minimal. The most common side effect is temporary discomfort at the treatment site, which typically subsides after the first week of treatment. In clinical trials, fewer than 5% of patients discontinued TMS therapy due to side effects. TMS therapy is a drug-free treatment option that has proven to be effective.
Types of TMS Therapy
TMS therapy is a groundbreaking and innovative treatment process. Our primary goal at HPR Treatment Centers is always optimal patient care. In our treatment process, we utilize both market leaders: BrainsWay and NeuroStar. They both specialize in TMS treatment that we tailor to your patient’s particular needs.
NeuroStar® TMS (rTMS)
NeuroStar is the original, FDA-approved rTMS (repetitive transcranial magnetic stimulation) treatment, which uses a figure-eight coil to deliver a series of rapid magnetic pulses 1.5 centimeters deep into the dorsolateral prefrontal cortex (DLPFC). The magnetic pulses are focused on either:
- The left DLPC, if a high frequency is used (5Hz or greater), or
- The right DLPC, if a low frequency is used (1 Hz)
Clinical trials have found that high-frequency magnetic pulses increase cortical excitability and metabolism, whereas low-frequency pulses produce the opposite effect. Studies have shown that rTMS produces a significantly greater reduction in the sympathetic:parasympathetic ratio, which suggests a real improvement in the sympathovagal balance. Treatments not only produced effects that were comparable—but superior—to those of antidepressant medications, and also corrected the autonomic imbalance.
BrainsWay® TMS (dTMS)
In 2007, BrainsWay created what’s known as dTMS therapy, or deep transcranial magnetic stimulation therapy. It uses the H-coil to deliver a significantly deeper magnetic pulse into the designated area of the brain. Typically, the pulses are delivered at a higher frequency (18Hz), although that can be adjusted depending on the patient.
With dTMS, areas such as the limbic, subcortical, and cortical can be treated. These areas are recognized as being involved in clinical depression, as well as a multitude of other psychiatric and physical conditions. When there is dysfunction in the integrated neural pathways, having the ability to combine treatment targets improves remission rates dramatically.
Studies have seen dTMS produce positive results for patients who are treatment-resistant to both medications and ECT treatments. BrainsWay is currently developing additional coils for different applications, such as the treatment of autism, Alzheimer’s disease, attention deficit hyperactive disorder (ADHD), and obsessive-compulsive disorder (OCD). These would be able to better reach the cortico-striato-thalmocortical circuits affected by these disorders.
Why Choose HPR Treatment Centers
When you refer your patients to Hope Peace Recovery Treatment Centers, you are guaranteed special services and conveniences not found at smaller treatment facilities. In fact, we expect you to hold us accountable for providing the quality treatment and care your patients deserve—no matter what. That’s why we offer nationwide accessibility and a step-by-step TMS treatment plan, including regular updates regarding your patient’s progress.
Your patient can continue with their current psychopharmacologist while undergoing TMS treatment. They will be prepared and ready to continue on to the next phase of their depression treatment plan once finished with their course of TMS treatment.
Patient Protocol Summary
After the initial consultation with your patient, our psychiatrist will outline the best treatment plan for their situation. Before TMS therapy begins, you will be informed of the treatment protocol and schedule. You will know when the initial evaluation was conducted, as well as how long the course of treatment is expected to last.
During your patient’s course of treatment, we will send regular updates about their progress, including:
- A reminder of the treatment start date
- The number of sessions completed thus far
- Current PHQ-9 score and the change in PHQ-9 since the beginning of treatment
Upon completion of the treatment plan, we will send you a synopsis of the treatment outcome. This synopsis will include:
- The patient’s treatment completion date
- The patient’s total number of sessions
- The reduction of PHQ-9 compared to your patient’s initial score
Please contact us to schedule your patient's first visit or with any questions you might have:
Several clinical trials and randomized studies confirm the benefits of TMS therapy. It is especially useful in treatment-resistant patients. When other modalities have failed, TMS has shown promising results for depression, anxiety, obsessive compulsive disorder and post-traumatic stress disorder (PTSD), among others.
A multisite observational report proves TMS to be an effective therapy for major depression.
Evidence-based, open-label analysis finds TMS a long-lasting depression treatment one year after therapy.
Limited Side Effects
Study determines TMS therapy is effective, safe, and free of major side effects.
High doses of rTMS are safe for treatment of acute depression and are shown to produce rapid reductions in suicidality.