TMS for Anxiety: How It Works and What to Expect

Living with anxiety can feel like a constant uphill battle that you can’t conquer, especially when traditional treatments don’t bring the relief you need. Fortunately, there may be other options to treat your anxiety, like transcranial magnetic stimulation (TMS). TMS for anxiety is a non-invasive therapy that directly targets the brain to reduce symptoms. Let’s take a closer look at how it works and what you can expect during treatment. 

How is Anxiety Typically Treated?

Anxiety is commonly treated with therapy, medication, or a combination of the two. Therapy helps patients discover the underlying causes of their anxiety and teaches them practical coping skills. On the other hand, medication can help regulate the brain’s chemical imbalances that may contribute to anxiety symptoms. 

Psychotherapy

Psychotherapy is a structured treatment method that helps people understand their triggers and build tools to manage them. Different therapies work for different people, depending on their needs and goals. Here are some common ones: 

  • Cognitive Behavioral Therapy (CBT) helps patients identify and change negative thought patterns and behaviors. 
  • Exposure therapy helps people gradually face their fears in a controlled and supportive environment. 
  • Dialectical Behavior Therapy (DBT) teaches mindfulness, distress tolerance, and emotional regulation skills. 
  • Acceptance and Commitment Therapy (ACT) helps patients accept difficult emotions and commit to actions that align with personal values. 
  • Art therapy uses creative expression that allows patients to process emotions and reduce anxiety in a hands-on way.    

Medication

When therapy alone is not enough for managing anxiety symptoms, doctors may prescribe medication. There are several types of medications that are used in treating anxiety, including ones specifically for anxiety and ones that are used off-label. Here are some commonly prescribed options: 

  • Selective serotonin reuptake inhibitors (SSRIs) such as Citalopram (Celexa), Escitalopram (Lexapro), Fluoxetine (Prozac), Fluvoxamine (Luvox), Paroxetine (Paxil), and Sertraline (Zoloft)
  • Serotonin-norepinephrine reuptake inhibitors (SNRIs) such as Venlafaxine (Effexor XR), Duloxetine (Cymbalta), and Levomilnacipran (Fetzima)
  • Azapirones including Buspirone 
  • Mixed antidepressants such as Mirtazapine (Remeron)
  • Antipsychotics including Risperidone (Risperdal) and Quetiapine (Seroquel)
  • Antihistamines such as Hydroxyzine (Vistaril, Atarax)
  • Alpha- and beta-adrenergic medications such as Propranolol (Inderal) and Clonidine (Catapres)
  • GABAergic medications including Benzodiazepines such as Lorazepam (Ativan) and Alprazolam (Xanax), along with Pregabalin (Lyrica) and Gabapentin (Neurontin)   

Using TMS to Treat Anxiety

Anxiety disorders, like generalized anxiety disorder (GAD), affect millions of people in the United States each year. While therapy and medication work for some people, these methods don’t work for everyone. This has led researchers and healthcare providers to explore other options, including TMS. 

TMS works by targeting the brain’s activity without the use of medications. By applying magnetic pulses to specific areas of the brain that are associated with mood and anxiety, TMS rewires the brain’s circuits and helps to reduce symptoms. For those with treatment-resistant anxiety, TMS offers hope as a safe and non-invasive alternative. 

Can TMS Help Anxiety?

Research shows promising results for TMS as a treatment for anxiety. While the technology was initially developed for treating depression, studies show its potential to reduce anxiety symptoms. Here’s what recent research has uncovered: 

Can TMS Make Anxiety Worse?

While there’s no evidence that TMS can make anxiety worse, some people may still experience mild and temporary side effects during or after treatment. Per a recent study, here are some of the most common TMS side effects that were reported: 

  • Headache (35.43%)
  • Treatment site discomfort (29.92%)
  • Muscle spasm (5.91%)
  • Jaw pain (5.71%)
  • Neck pain (4.53%)
  • Discomfort while chewing (2.76%)
  • Dental pain (2.56%)
  • General discomfort (2.56%)

Most of these effects go away quickly, and patients will be able to resume their normal day-to-day activities right after their treatment session.  

Is TMS FDA-Approved to Treat Anxiety? 

TMS is not FDA-approved specifically to treat anxiety disorders on their own; however it has been approved to treat anxiety symptoms when they occur alongside major depressive disorder (MDD). That being said, some providers may offer TMS as an off-label treatment for anxiety, especially for individuals who haven’t found relief with traditional anxiety treatments. Research is ongoing to explore its full potential in treating anxiety.   

What to Expect During TMS Therapy

TMS therapy is an outpatient procedure that doesn’t require anesthesia or sedation. Patients remain fully awake and comfortable throughout the session as they are seated in a reclined position. Here’s what you can expect: 

  1. Upon arrival, you’ll be greeted by staff who will guide you to the treatment area. A clinician will review your treatment plan, answer questions, and make sure you’re comfortable. 
  2. A TMS technician will place a magnetic coil on your head that targets a specific area of your brain. This placement is predetermined by prior mapping for accuracy. 
  3. During the session, you may feel a tapping or tingling sensation on your scalp where the coil is placed. Some describe this as mild and tolerable and is similar to a pencil tapping against your skin. 
  4. Sessions usually last about 20 to 40 minutes, depending on your treatment plan. 
  5. After your session, you can immediately go about your day. This includes driving, working, or running errands. 
  6. Most treatment plans involve a few sessions per week, usually over the course of 4 to 6 weeks. 

Studies have shown the number of sessions can range from 6 to 36 for patients with GAD, depending on the severity of symptoms. Most studies report significant improvements in anxiety symptoms after 20 to 30 sessions, and follow-up assessments show sustained benefits long after the treatment period.   

When Will You See Results From TMS for Anxiety? 

The timelines for seeing results from TMS therapy can vary. While some people may notice positive changes early on in their treatment, others might need the full course before they notice a difference. Research has shown that during the first two weeks, a noticeable decrease in Hamilton Anxiety Rating Scale (HAM-A) scores was observed for both the TMS group and the placebo group. However, the psychic subscale (symptoms like worry and fear) showed considerable improvement in the TMS group. 

By the end of four weeks, total HAM-A scores continued to drop with greater reductions seen in the TMS group. At this stage, 63% of patients responded to TMS therapy, and 42% saw a remission in depressive and anxiety symptoms. 

Try TMS for Anxiety Today at Cura Behavioral Health

If you haven’t seen improvement in your anxiety symptoms from traditional treatments, TMS therapy could be another potential option to explore. Based on ongoing research, TMS has successfully been proven to reduce anxiety symptoms and offers hope to those with treatment-resistant anxiety. 

At Cura Behavioral Health, we provide expert care and guidance to help you determine if TMS is right for you. Contact us today to schedule a consultation and take control of your anxiety once and for all. 

Is TMS Therapy Right for You?

Determining if TMS therapy suits your mental health journey should involve consultation with a qualified professional. At Cura Behavioral Health, we provide comprehensive assessments to help you make informed treatment decisions.

Begin Your Transformation Today

Don’t let a mental health condition hold you back any longer. Schedule a consultation with Cura Behavioral Health today. Our experienced team is ready to answer your questions and create a personalized treatment plan tailored to your unique needs.

Dr. Kevin Simonson

Dr. Kevin Simonson, an esteemed Medical Director at Cura Behavioral Health, brings over 15 years of experience in psychiatry. A graduate from a top medical school, he specializes in the treatment of mood disorders and anxiety, employing a patient-centered approach. His dedication to evidence-based care and his commitment to advancing mental health practices have made him a respected figure in the field. Dr. Simonson’s leadership ensures the highest standard of care for the community at Cura Behavioral Health.