Deep Transcranial Magnetic Stimulation (Deep TMS) is an innovative brain stimulation treatment. It is commonly used to manage mental health disorders such as major depressive disorder (MDD) and obsessive-compulsive disorder (OCD).
While Deep TMS is generally considered safe, understanding its potential side effects is essential. In this article, we explore how Deep TMS works, its benefits, and the possible side effects of this FDA-approved therapy.
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What Is Deep TMS Therapy?
Deep TMS is a non-invasive treatment that uses magnetic fields to stimulate brain activity. Unlike traditional Transcranial Magnetic Stimulation (TMS), Deep TMS penetrates deeper into the brain. This method targets specific brain regions linked to mental health disorders.
During a session, magnetic pulses are delivered through a specialized helmet. These pulses activate neurons in areas of the brain that regulate mood, behavior, and thought processes. Deep TMS is FDA-approved to treat major depression and OCD. It is also used for patients with treatment resistance who haven’t responded to medications or psychotherapy.
Conditions Treated with Deep TMS
- Major depressive disorder (MDD)
- Obsessive-compulsive disorder (OCD)
- Anxiety disorders
- PTSD
Deep TMS offers a promising alternative to electroconvulsive therapy for individuals who prefer non-invasive treatment options.
How Does Deep TMS Work?
Deep TMS uses a magnetic coil to deliver repetitive magnetic pulses to targeted brain regions. These pulses alter the electrical activity of neurons. The goal is to regulate brain function and improve mental health and depression symptoms.
Deep TMS treatment sessions usually last around 20 to 30 minutes. Patients sit in a comfortable chair while wearing a helmet. The helmet contains the magnetic coil that emits the pulses.
Unlike electroconvulsive therapy, Deep TMS does not require anesthesia or induce seizures. It is well-tolerated by most patients.
Deep TMS vs. Traditional TMS
Deep TMS penetrates deeper into the brain compared to traditional TMS. This makes it more effective for conditions like OCD and major depression. Traditional TMS uses a figure-eight coil, while Deep TMS uses an H-coil. The H-coil reaches broader brain areas and is more effective for treatment-resistant cases.
Deep TMS for OCD
Deep TMS is FDA-approved to treat OCD. It offers new hope for patients with obsessive-compulsive disorder who have not responded to other treatments. The treatment targets the brain regions responsible for obsessive thoughts and compulsive behaviors. The magnetic pulses help regulate these areas, reducing OCD symptoms.
Deep TMS Side Effects
Like any medical treatment, Deep TMS has potential side effects. Most are mild and temporary. Common side effects include:
- Headache: These are the most common side effect of Deep TMS. They usually occur during or after treatment sessions. They can be managed with over-the-counter pain relievers.
- Scalp Discomfort: Discomfort or irritation is another common side effect. Patients may feel a tapping sensation during treatment. Adjusting the helmet’s fit can help reduce discomfort.
- Muscle Twitching: Facial muscle twitching can occur during Deep TMS sessions. This happens due to the magnetic pulses activating facial nerves. The twitching typically stops after the session ends.
- Fatigue: Some patients report feeling tired after Deep TMS sessions. This fatigue is usually short-lived.
- Dizziness: A small number of patients experience dizziness during or after treatment. Staying seated for a few minutes post-session can help alleviate this sensation
Less Common Side Effects
In addition to the common side effects, some patients may experience:
- Changes in Sleep Patterns: This can include insomnia or an increased need for sleep, often accompanied by more vivid dreams.
- Enhanced Sensitivity to Sound: Some patients report a heightened awareness of ambient noises following treatment.
- Altered Taste Perception: Rarely, individuals may notice changes in how they perceive tastes.
Although rare, some patients may also experience more serious complications from deep TMS, such as:
- Seizures: The risk is approximately 0.1% and is notably lower than the seizure rates associated with antidepressant medications. Factors such as a history of seizures or certain medications can increase this risk.
- Hearing Issues: The loud clicking sounds produced during treatment can potentially lead to hearing loss if ear protection is not used.
- Mood Changes: Some patients may experience increased anxiety or mood changes during the early stages of treatment. These changes are usually temporary.
- Mania: This side effect primarily affects people with bipolar disorder and is less common overall.
How Long Do Side Effects of Deep TMS Last?
The duration of side effects from deep TMS varies among people but is generally transient. Headaches typically resolve within a few hours to a couple of days after treatment sessions. Discomfort and tingling sensations in the scalp usually subside within a few hours. Meanwhile, muscle spasms and jaw pain can be resolved within a few days.
Managing Side Effects of Deep TMS
Managing the side effects of Deep TMS can help patients continue treatment with minimal discomfort. Here are some practical tips to reduce side effects:
Preventing Headaches
Headaches are common during Deep TMS treatment. To minimize them, patients can take over-the-counter pain relievers like ibuprofen before the session. Adjusting the helmet’s fit can also reduce pressure on the scalp, preventing tension headaches.
Reducing Scalp Discomfort
Scalp irritation is often caused by the tapping sensation during treatment. Applying a thin layer of lotion or a cooling gel to the scalp before the session can help. Operators can adjust the helmet to minimize pressure on sensitive areas of the scalp. Additionally, placing foam padding between the coil and a scalp enhances comfort during treatment.
Managing Muscle Twitching
Muscle twitching in the face can be uncomfortable. Patients can ask the technician to adjust the settings on the machine to reduce the intensity of magnetic pulses. This can help minimize twitching while still delivering effective brain stimulation. Ensuring proper posture during sessions can also alleviate muscle strain.
Managing Sleep Disturbances
Maintaining a regular sleep schedule and creating a restful environment can help manage insomnia and other sleep problems. Discussing any changes in sleep patterns with healthcare providers can lead to tailored advice or treatment adjustments.
Other General Recommendations
Regular check-ins and ongoing discussions with healthcare providers are important, especially for any side effects. This allows timely adjustments to treatment protocols.
Patients should also feel comfortable discussing unexpected emotional responses with their providers, as this can be a part of the therapeutic process. Additionally, engaging in supportive therapy or counseling may help process these emotional changes.
Deep TMS Treatment Near Me
Deep TMS is a promising treatment option for those with major depression or OCD. It is especially beneficial for patients with treatment resistance. While side effects are typically mild and temporary, it is essential to discuss potential risks with your healthcare provider.
At Scottsdale TMS Therapy, we’re ready to support you every step of the way. Our personalized treatment plans are tailored to meet your specific needs. Ready to take the first step toward a healthier, happier you? Reach out to our team today, and let’s begin your journey together!