Advanced TMS Center
Specializing in TMS depression treatment
What is Transcranial Magnetic Stimulation?
As answered by Dr. Kinback
Brainsway's treatment launches a new era in the treatment of Major Depressive Disorder. It has many unique advantages over other treatments for depression. Antidepressants, for instance, fail to provide an adequate solution to many patients, and often entail harsh side effects, from nausea, insomnia, and anxiety to weight gain and sexual dysfcuntion, leading many patients to neglect their medication regime.
Other alternatives, such as electroconvulsive therapy (ECT), require anesthesia and are known to cause memory loss, while Surface TMS (Transcranial Magnetic Stimulation) offers only low efficiency, and the treatment is twice as long as Brainsway's.
As a result, many depression patients have been trapped in their condition with no adequate solution.
The Brainsway Deep TMS is a non-invasive treatment which stimulates the brain region responsible for depression and brings significant improvement to patients. It is an outpatient procedure which doesnot require hospitalization or anesthesia, and entails no memory loss or systemic side effects.
In each session, the patient is comfortably seated on a chair, and a cushioned helmet is gently placed over the head. The helmet generates brief magnetic fields, similar to those used in magnetic resonance imaging (MRI) systems. These magnetic fields briefly stimulate the targeted brain area and improve depressive symptoms. The procedure requires daily sessions of 20 minutes over 4-5 weeks. After each session, patients can return home independently, and follow through their normal daily routine. Flexible scheduling available.
How long will it take to get better?
Treatments generally take 4-5 weeks.
What is the success rate?
The response rate is 75%, and the full remission rate is 50%.
What does TMS feel like?
Patients often describe it as a tapping on their head. Sensitivity does vary from patient to patient, and the feeling can vary from a light tapping to a heavier
What is better about deep TMS compared to traditional TMS?
While both devices have similar outcomes, the published response adn remission rates seem higher for the deep TMS. Most traditional (rTMS) treatments are 38 minutes long, while deep TMS is 21 minutes. The duration of stimulation with deep TMS is 2 seconds every 20 seconds, vs. 4 seconds every 26 seconds for traditional. There is generally more discomfort with longer pulse trains. The deep TMS penetrates 3-5 cm into the head vs 2-3 for traditional, allowing the TMS energy to reach deeper brain structures. Patients with neck problems may tolerate deep TMS better, which can be given with the patient upright with the neck free to move, instead of a 30 degree angle with the head strapped or braced in place.
How does TMS work?
TMS involves brief magnetic fields that stimulate the left prefrontal cortex of the brain, an area that often shows decreased activity in patients with major depressive disorder. It helps "wake up" parts of the brain that are "asleep".
Who administers TMS?
Either Dr. Kinback or a certified EMT/TMS Technician will be in the room during the entire treatment.
Do I need to be hospitalized?
No, the treatment is entirely outpatient and generally lasts 20-30 minutes.
Are there any lifestyle restrictions for patients during TMS treatment?
Patients must avoid all alcohol consumption during TMS treatment. Alcohol consumption greatly raises the risk of seizure. Caffeine should be avoided but a consistent, modest intake is OK.
Can I drive or work after a TMS treatment?
Yes, most patients drive themselves to and from the office and report no inability to work.
What are the side effects of TMS?
Most patients report no side effects. Some patients do report mild headaches when first starting TMS, but this usually disappears after the first few visits. There is a very slight risk of seizure during TMS, but many precautions are taken to carefully monitor and diminish the risk.