A Psychiatrist Discusses TMS for Depression

Depression is a mental condition that millions of people live with. Luckily, it is a treatable condition. Common treatments include psychotherapy and medication. However, transcranial magnetic stimulation or TMS for depression is an alternative when one is not responding to traditional treatment methods. This article will provide insight into depression, TMS, what to expect during treatment, and how TMS compares to traditional therapies.

The ultimate guide for undergoing TMS for depression from a psychiatrist

Understanding depression

Depression is a mental health condition that affects people of all ages. It deeply influences an individual's mood, thoughts, and behavior. It can be caused by a combination of genetic, environmental, psychological, and chemical factors. Symptoms of depression include persistent sadness, fatigue, difficulty sleeping, loss of interest in activities, feelings of hopelessness, drastic change in appetite and weight, indecisiveness, and difficulty concentrating.

Depression can be fleeting, stubborn, and persistent, requiring treatment from a psychiatrist. A psychiatrist usually begins with more traditional treatments, such as anti-depressant medication. However, for patients experiencing severe symptoms or treatment-resistant depression, a psychiatrist may recommend TMS for depression.

What is TMS?

TMS is a non-invasive treatment option for depression that uses magnetic pulses to stimulate the brain's nerve cells. It targets the prefrontal cortex, an area of the brain that regulates mood and emotions. The magnetic pulses stimulate the nerve cells, which release neurotransmitters such as serotonin and dopamine, essential for regulating one's mood.

Deep transcranial magnetic stimulation (Deep TMS) is a newer form of TMS that uses a different coil design to target deeper brain regions. While TMS and deep TMS magnetic pulses stimulate the brain, the main difference is the type of coil used. TMS uses a figure-eight coil, which targets the smaller brain area. Deep TMS, on the other hand, uses H-coil.

Ideal candidates for TMS

A psychiatrist typically recommends TMS for depression in those with treatment-resistant depression who are not responding to medication and psychotherapy. However, one must meet certain criteria for a psychiatrist to determine eligibility. The psychiatrist will determine eligibility over multiple appointments, during these appointments, and after reviewing full medical histories, physical examinations, and lab tests.

Patients who are pregnant or with a history of seizures, brain tumors, or metal implants in the head are not eligible for TMS. Additionally, those with a history of substance abuse or bipolar disorder (BPD) may not be suitable candidates, but this does not automatically disqualify a patient. 

TMS treatment process

The TMS for depression process involves a series of sessions, typically lasting 30-60 minutes each. During a TMS session, the patient sits in a comfortable chair while the psychiatrist places a magnetic coil on their scalp. The magnetic pulses are then delivered to the prefrontal cortex, stimulating the nerves. Patients may feel tapping on their scalp during this time, but the treatment is generally painless.

The exact duration of treatment and frequency of sessions depends on the patient's response to treatment. It is normal for patients to undergo TMS treatment five days a week for four to six weeks. However, some may require longer treatment periods.

Potential side effects of TMS include mild headaches, scalp discomfort, and muscle twitching. However, these effects are typically mild-mannered and resolve on their own. If they do not resolve or become severe during or after treatment, patients are encouraged to share these concerns with the psychiatrist.

Advantages of TMS for depression vs. other treatments

Compared to traditional depression treatments, TMS has several advantages. It is a non-invasive treatment that does not require anesthesia or sedation, and patients are free to resume their normal activities immediately after each session. TMS also offers fewer side effects compared to medication, which can cause nausea, dizziness, and weight gain.

While TMS has proven effective in several studies, the psychiatrist may combine it with traditional treatment methods, such as psychotherapy. Patients are encouraged to share these concerns with the psychiatrist if they do not resolve or become severe during or after treatment.

Consult a psychiatrist today

TMS for depression is a promising treatment option, particularly for those who have not responded well to traditional treatments. It is safe and effective, offering fewer side effects than its alternatives. However, TMS is not suitable for everyone. If you are struggling with depression, consult a qualified psychiatrist in the New York area by contacting our office. NYC Psychiatric Associates can develop a personalized treatment plan that may include TMS to help you get back to enjoying life.

Request an appointment here: https://nycpsychiatricassociates.com or call NYC Psychiatric Associates at (917) 391-0076 for an appointment in our New York office.

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