TMS uses the energy of magnets to stimulate a specific region in the brain and is indicated for treatment resistant depression.
For most insurances, TMS requires a referral from your doctor after you’ve tried multiple medications for depression.
If you need to try additional medications and do not have a healthcare provider, let one of our specialists assist you.
Some insurances also require a trial of talk therapy. Once you start TMS, we often recommend that you continue talk therapy. If you do not have a therapist, we can make a recommendation.
On your first visit, one of our Victory Clinic healthcare providers will go over your medical history, allergies, and medications to determine if TMS is safe for you. If TMS therapy is not right for you, then SPRAVATO® may be an option.
After your TMS initial consultation, you will return to Victory Clinic for brain mapping of the site where you will receive treatment, and to determine your unique motor threshold (MT). Mapping your brain consists of making measurements while wearing a cap. Getting your MT checked is painless and feels much like checking your reflexes. Our clinician then calculates your unique dosage of stimulation based on your MT and creates a protocol tailored to your needs.
After brain mapping and motor threshold determination, you will be scheduled for your daily treatments on our state-of-the-art MagVenture® TMS system. Your treatments may either be rapid (3 minute theta burst) or standard (19 minute treatment).
During treatments you will be asked to wear earplugs, as the TMS machine makes a pitter-patter sound. The TMS stimulator itself feels like a tapping sensation. The butterfly shaped coil will be snug on your head, and a cozy air inflated pillow (which we all agree we’d like on a long flight) will hold your head in place during your treatment.
You will be able to recline and put your feet up in our power-controlled recliner. You may read, watch your phone or one of our tablets, or simply relax. You may eat or drink before or after a treatment. Some patients note feeling tired afterwards, but most people return to regular activities with no issues.
Once a week you will complete a questionnaire to track your progress. TMS treatment duration depends on your response and insurance, but usually lasts 5 days a week for 6 weeks. Tell your healthcare provider right away if you have any change in your health, medications, or lifestyle. Once in remission, patients rarely need maintenance TMS.