Transcranial Magnetic Stimulation (TMS) has emerged as a promising, FDA-approved treatment option for individuals struggling with treatment-resistant depression and other mental health conditions.
If you or a loved one has not found relief through antidepressant medication or psychotherapy, you may wonder: Who is a candidate for TMS therapy?
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TMS is a noninvasive brain stimulation therapy. It involves placing a magnetic coil against the scalp, usually over the left prefrontal cortex. This coil sends magnetic fields into the brain to stimulate underactive nerve cells that contribute to depressive symptoms.
The Food and Drug Administration (FDA) has approved TMS for:
TMS is often considered after other treatments, such as antidepressant medication or electroconvulsive therapy (ECT), have failed. Unlike electroconvulsive therapy (ECT), TMS does not require anesthesia or induce seizures, making it a safer and more comfortable option for many patients.
TMS offers hope for those who continue to suffer from persistent depressive symptoms despite these efforts. Ideal TMS therapy candidates include:
TMS therapy candidates must usually have a clinical diagnosis of MDD. It is most commonly used in adults aged 18 and older.
If you have tried two or more types of antidepressant medication without improvement, you may have treatment-resistant depression. TMS is often recommended for this group. It’s a treatment option that doesn’t involve drugs or anesthesia.
TMS is also FDA-approved for adults with obsessive-compulsive disorder (OCD). Candidates typically have not responded to at least one medication and cognitive behavioral therapy.
Determining if you are a candidate for TMS begins with a thorough medical and psychiatric assessment. This evaluation reviews your diagnosis, treatment history, and overall health to ensure TMS is appropriate and safe.
Diagnosis: Confirmed major depressive disorder or OCD, typically diagnosed by a psychiatrist or qualified mental health professional.
Certain conditions may exclude individuals from being candidates for TMS therapy:
TMS usually involves daily treatment sessions five days a week. A typical course lasts four to six weeks.
During each session:
There is no need for sedation or recovery time. You can return to normal activities after each visit. While this treatment is well-tolerated by patients, some may experience scalp discomfort, headaches, lightheadedness, and tingling sensations.
TMS is an exciting treatment option for people struggling with depressive symptoms that don’t respond to medication. If you have treatment-resistant depression, or if you cannot tolerate medication side effects, you may be a strong candidate.
However, TMS therapy eligibility depends on many factors, including your health history, current medications, and the presence of metal implants.
If you think you may qualify, talk to your doctor or a mental health specialist. They can assess whether transcranial magnetic stimulation (TMS) is a good fit for your needs.
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