TMS for Autism: Can it Help?

Finding new ways to support those with autism is a top priority for families and healthcare providers. Treatments that were once considered unconventional, like Transcranial Magnetic Stimulation (TMS), are now being studied for their potential in autism treatment. TMS for autism is a non-invasive treatment option that has been used for mental health conditions such as depression and is showing promise in treating people who are on the autism spectrum.

Why Brain Stimulation may be Beneficial for Autism

Brain stimulation treatments like TMS could be a potential way to help patients with autism by focusing on how the brain works. People with autism often have atypical brain connections that can affect things like how they communicate and how they process emotions. TMS can help improve these connections, which might lead to better social skills, emotional balance, and thinking patterns. 

What makes TMS appealing to those with autism is that it’s a non-invasive treatment. There’s no need for medication or sedation. Instead, it uses magnetic pulses to stimulate certain areas of the brain. However, TMS is not yet FDA-approved for autism. Because of this, many insurance companies won’t cover it, which could make it difficult for some families to access the treatment. 

Neurological Pathways and Autism Symptoms

Research has proven that four areas in the brain – the amygdala, orbitofrontal cortex (OFC), temporoparietal cortex (TPC), and insula – contribute to autism symptoms. These specific areas help us: 

  • Process social cues,
  • Control emotions,
  • And manage behaviors.

For people with autism, these parts of the brain don’t always communicate well with each other. This can lead to difficulties in social situations and repetitive behaviors. 

TMS has the potential to improve how these brain regions function together. By stimulating these areas, it might help people with autism engage better in social interactions, reduce repetitive actions, and improve communication skills. It may also address challenges with sensory processing or daily tasks like self-care. 

What are the Potential Benefits of TMS for Autism?

TMS is currently being explored as a promising option for addressing some of the core challenges associated with autism. While it’s not a cure, TMS could help relieve certain symptoms that make daily life harder for those on the autism spectrum. The benefits of TMS are still being studied, but early research offers hope. 

Improve Social Skills and Communication

One of the areas of TMS research for autism is its potential to improve social skills. Many people with autism struggle with understanding social cues and interpreting emotions in others. TMS could help by targeting areas of the brain involved in these functions. For example, some studies have shown improvements in recognizing facial expressions and engaging in social interactions after TMS treatment. 

Specifically, six different studies found notable progress in language and social behavior in which individuals became more responsive and less withdrawn. While the effects of TMS are considered moderate, these changes can make a difference in how someone with autism functions in social situations.  

Reduce Repetitive Behaviors

Repetitive behaviors, like hand flapping or repeating phrases, are common in autism and can sometimes interfere with one’s daily routine. These behaviors are often tied to issues with executive functioning. Executive functioning includes skills like task management and self-regulation. When these functions don’t work as they should, a person on the autism spectrum can adopt repetitive or rigid behaviors that are difficult to break. 

TMS shows potential in reducing these behaviors by stimulating the brain regions responsible for executive control. By improving how the brain monitors and regulates tasks, TMS may help those with autism become more flexible and less likely to engage in repetitive actions. 

Address Sensory Processing Issues

Many people with autism experience sensory sensitivities like feeling overwhelmed by loud noises, bright lights, or crowded spaces. For some, even everyday sensory input can lead to discomfort or distress. TMS could help regulate how the brain processes sensory information, potentially making it easier to handle these sensory challenges. 

Early research has shown that TMS might reduce sensory overload by targeting the brain circuits involved in sensory integration. This could help patients become more comfortable with sounds, lights, and textures that previously felt overwhelming. 

One study found that TMS increased alpha frequency in the brain. Alpha frequency is connected to cognitive function which suggests TMS might help individuals on the spectrum process sensory input better. 

TMS Treatment Protocols for Autism

TMS protocols can vary based on age and individual needs. Things like brain development, the intensity of stimulation, and the length of treatment sessions matter when formulating a treatment plan for someone on the autism spectrum. 

Differences in Treatment for Children vs. Adults

Children’s brains are still growing, so TMS protocols for younger individuals tend to be more cautious compared to adults. Here are some of the differences: 

  • For children, lower stimulation intensity and shorter sessions are recommended because their brains are still developing. Also, their thinner skulls can lead to stronger than expected stimulation effects, so TMS treatment is adjusted carefully to ensure safety. 
  • For adults, higher intensity and longer sessions may be required due to the thicker skull and reduced brain plasticity. Adults often need more stimulation compared to children. 
  • For the elderly, the treatment changes due to their thicker skulls weakening TMS effects. This may require an increase in stimulation to ensure effectiveness. 

Long-Term vs. Short-Term Results

TMS can offer both short-term and long-term benefits for those with autism; however, results can vary depending on the person and their response to treatment. Here’s what to expect: 

  • Some people may experience immediate improvements in communication and social interaction. 
  • Sensory processing issues might also improve after just a few sessions. 
  • Sustained improvements may develop over months, especially with regular follow-up treatments. 
  • Repeated sessions could be necessary for lasting benefits. 
  • Some people see positive changes early on while others need a longer treatment plan.

Possible Side Effects in Individuals with Autism

Although TMS is generally considered safe, it’s not without potential side effects. Here are some side effects that could occur in those with autism:

  • Headaches, scalp discomfort, or slight dizziness are common. 
  • People with heightened sensory processing may find the physical sensations of TMS uncomfortable, like the feeling of the pulses. 
  • As TMS affects brain activity, it’s important to watch for any unexpected shifts in mood or behavior. 
  • While extremely rare, seizures are a potential risk, especially in those with epilepsy or other neurological conditions. 

How TMS Can Complement Other Autism Treatments

TMS can be a great addition to other therapies for autism. Here’s how it can work alongside common autism therapies: 

  • In speech and language therapy, patients may be able to see improvements in communication skills, as TMS helps with language processing
  • Occupational therapy might be more effective with better sensory processing and motor control, which TMS can support. 
  • Physical therapy could be boosted with TMS as the brain experiences an increased ability to manage movement and coordination. 
  • Behavioral therapy, like Applied Behavior Analysis (ABA), may help individuals see better results as TMS reinforces the brain’s ability to regulate behaviors. 
  • Medication might be needed in lower doses since TMS can help manage some of the same symptoms that medication targets. 

Families may find that combining TMS with other traditional autism treatments can lead to better, more noticeable progress. However, keep in mind that TMS is not yet FDA-approved for autism, and more research is needed to fully understand its long-term effects and benefits. If you’re curious about how TMS could support someone with autism, it’s a good idea to speak to a healthcare provider to see if it’s a good fit.  

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.