Transcranial Magnetic Stimulation (TMS)

We offer Magventure TMS with Atlas Neuro Navigation system that significantly enhances the precision and effectiveness of TMS by allowing for individualized and repeatable coil positioning. This approach ensures that each session accurately targets the specific brain region needed, unlike traditional TMS methods that rely on external landmarks for placement, which can result in less accurate treatment. With Neuro Navigation, you can be confident that your therapy is as precise and effective as possible. Patients can trust that our clinic employs evidence-based, cutting-edge technology to support their mental health.

What is TMS?

Transcranial Magnetic Stimulation (TMS) is a non-invasive, non-pharmaceutical treatment designed to help individuals struggling with treatment-resistant major depression. This therapy utilizes targeted magnetic pulses, similar to those in MRI technology, to stimulate underactive synapses in the brain, thereby enhancing its natural functionality. Unlike medications, electroconvulsive therapy, or surgical options, TMS is a safe and effective choice for managing major depressive disorder (MDD) without the usual side effects associated with medication.

When Can You Expect Results?

Many patients start experiencing improvements in mood, reduced depressive episodes, and a renewed interest in social interactions within just 2 to 3 weeks of beginning TMS therapy. These initial changes often build gradually, leading to more significant and lasting improvements over the treatment period.

Addressing Depression at Its Source

While conventional treatments for depression often rely on antidepressants that work indirectly through the body’s systems, TMS targets depression directly at its core: the brain. Certain areas in the brain are essential for regulating mood. When synapses in these areas become underactive, the connections weaken, leading to the symptoms of depression. TMS reactivates these dormant synapses, effectively “waking up” the brain to restore its natural balance and functionality.

The Advantages of Neuronavigation in TMS

Neuronavigation technology significantly enhances the precision and effectiveness of TMS by allowing for individualized and repeatable coil positioning. This approach ensures that each session accurately targets the specific brain region needed, unlike traditional TMS methods that rely on external landmarks for placement, which can result in less accurate treatment. With neuronavigation, you can be confident that your therapy is as precise and effective as possible.

Quick Treatments

TMS sessions are brief, allowing patients to fit treatment into their daily schedules conveniently.

Specializing in Treatment of Advanced Depression with TMS

Who can benefit from TMS Therapy?

  • Have you tried more than one antidepressant medication?
  • Have medications failed to provide sufficient relief from your depression?
  • Do the side effects of medication outweigh their benefits?
  • Has depression led to increased visits to your doctor for other health concerns?
  • Is depression interfering with your ability to work or earn a living?
  • Does depression still feel like it has too much control over your life?

Wide Availability and Accessibility

TMS is broadly accessible, with few contraindications, including:

  • History of seizures or recent brain injury
  • Presence of metal/magnetic implants near the brain (excluding dental fillings)
  • Active psychosis or suicidal behavior
  • Substance abuse or withdrawal
  • Pregnancy (currently under research for safety and efficacy)

Key highlights of TMS

  • Non-Invasive, Non-Systemic, Non-Pharmacological, and Non-Sedating
  • Does not cause cognitive side effects
  • Targeted and Highly Effective
  • Covered by Insurance
  • Proven Efficacy Since FDA Approval

Advantages of TMS

  • High Response and Remission Rates
  • Cost-Effective Long Term
  • Targeted, Non-Systemic Treatment
  • No Major or Prolonged Side Effects
  • FDA Approved
  • Covered by Insurance Plans

Limitations of TMS

  • Time Commitment
  • Temporary Mild Side Effects
  • Low Seizure Risk
  • Insurance Coverage Limitations
  • Accessibility Challenges
  • Lack of Public Awareness

TMS Advantage

1. High Success Rate
TMS therapy has shown consistently high success rates, particularly for Treatment-Resistant Depression (TRD). Research and real-world data indicate:

  • Response Rate (significant symptom improvement): 60-70%
  • Remission Rate (full symptom resolution): 40-50%

These outcomes are particularly impressive given that most TMS patients have failed at least two antidepressant trials. By comparison, the likelihood of success with a third medication is only 15-20%, dropping even further with additional trials.

2. Prolonged Response
TMS offers not only immediate benefits but also sustained improvements:

  • Approximately two-thirds of patients maintain their response a year after treatment.
  • For those who relapse, repeat TMS therapy is highly effective, with more than 75% achieving a positive response.

This contrasts sharply with antidepressant therapies, where only one-third of patients on a third medication remain depression-free after one year, and the likelihood of success drops to 10% or less upon medication reintroduction.

3. Non-Invasive and does not require anesthesia
TMS uses magnetic fields to stimulate brain activity without inducing seizures or requiring anesthesia, unlike Electroconvulsive Therapy (ECT). Key safety features include:

  • Does not affect cognitive function.
  • Targeted Stimulation: Focuses on specific brain circuits linked to depression and anxiety.
  • Minimal Risk of Seizures: Less than 1 in 30,000 treatments.
  • No Recovery Time: Patients remain awake, alert, and can resume daily activities immediately after treatment.
Visit dr Katyal’s tms website