Repetitive transcranial magnetic stimulation (rTMS) is a breakthrough treatment that is offering hope to those facing challenging health conditions. In this guide, we’ll break down what rTMS is, how it works, who it can help, and what you can expect from treatment.
Repetitive transcranial magnetic stimulation is a safe and non-invasive treatment that helps relieve symptoms in individuals diagnosed with psychiatric and neurological disorders. It works by delivering recurring magnetic pulses to brain regions responsible for mood and behavior in order to modulate or adjust their activity levels. In other words, rTMS helps “reset” areas of the brain that are overactive or underperforming.
rTMS is FDA-approved for treating several conditions that may not respond to traditional treatments. These include:
Although these are the only disorders approved by the FDA, researchers are continuing to study rTMS for other conditions, such as chronic pain, insomnia, and bipolar disorder.
rTMS is generally considered safe and tolerable; however, some individuals may experience mild and temporary side effects. These may include:
Seizures are rare but possible. Strict safety protocols and patient screenings can help reduce this risk.
One of the effects of rTMS is that it improves neuroplasticity, which is the brain’s ability to adapt and reorganize by forming new connections between neurons. This is important for recovery, learning, and improving brain function. High-frequency rTMS (5 Hz or more) increases neuron activity and excitability, whereas low-frequency rTMS (less than 1 Hz) reduces excitability, thus calming overactive brain areas.
rTMS also changes how different areas of the brain communicate with each other by changing functional connectivity. This means it can adjust how brain regions that are involved in motor, emotional, and cognitive processes work together. For example, rTMS can balance activity within the Default Mode Network (DMN), which is often disrupted in conditions like depression.
Additionally, rTMS influences neurotransmitters such as glutamate, dopamine, and GABA, all of which affect mood, cognition, and motor control. Increased levels of GABA are a result of the calming effects of low-frequency rTMS, while changes in glutamate and dopamine can improve mood and motivation.
If you’ve been struggling with symptoms and feel like you’re out of options, rTMS might be an alternate consideration. This treatment can be beneficial for those dealing with:
While rTMS is safe for most people, there are some cases where it’s not the right choice. You should avoid rTMS if you have:
If you’re pregnant or nursing, rTMS might still be an option in severe cases, but it needs careful consideration and guidance from a doctor. Taking these precautions helps to ensure that rTMS is both effective and safe for the people who need it most.
rTMS comes with several advantages that make it an appealing option for those seeking alternative treatments. Here are some of the benefits:
The effectiveness of rTMS has been backed by numerous studies and has shown improvements in symptoms across several conditions. Below are some findings from recent research:
rTMS is gaining more attention as an alternative treatment for certain conditions due to its effectiveness and growing accessibility. Below are answers to some of the most commonly asked questions about this therapy.
The cost of rTMS can vary depending on the clinic and treatment plan, but a course of 20 to 30 sessions typically costs between $6,000 and $12,000. While this may seem expensive compared to antidepressant treatment, studies have shown that rTMS is more cost-effective for patients with depression who haven’t benefited from medication. As newer devices receive FDA approval, the overall cost of rTMS therapy might change.
Yes, most major insurance companies cover rTMS, but coverage criteria can differ and can sometimes be difficult. For example, some insurers will cover rTMS for patients with moderate symptoms, while others might require more severe symptoms to approve treatment. Insurance providers also use different depression rating scales to determine eligibility. It’s important to work closely with your healthcare provider and insurance company so you understand the requirements that need to be met for treatment approval.
Research suggests that maintenance rTMS can help prevent relapse in treatment-resistant conditions, especially during the first six months following acute treatment. Protocols that taper sessions over time seem to be effective in addressing the high relapse rates that are often seen.
An rTMS session is straightforward and non-invasive. A magnetic coil is placed on your head to deliver targeted pulses, and you remain awake and seated during the treatment. Sessions typically last 20 to 40 minutes, and most people can return to their regular activities immediately afterward. While some may feel mild scalp discomfort, side effects should not interfere with your day.
If you’ve been searching for a new way to deal with your symptoms, rTMS might be the answer. From depression to OCD to migraines, this non-invasive treatment provides real results with minimal side effects. It’s also backed by research and has shown promise for those who haven’t had success with traditional treatments.
Ready to see if rTMS is right for you? Reach out today to learn more. We’re here to help you feel like yourself again.
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.
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.
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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.
