TMS therapy at home - GIA Miami (2023)

EMT therapy at home

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Author:GIA Miami

Released:February 1, 2022

TMS therapy at home - GIA Miami (1)

Unfortunately, medications and therapies are not successful in treating depression in some people. However, an alternative and reliable method offers them hope - transcranial magnetic stimulation therapy (TMS).

TMS treatment is an alternative lifeline to better mental healthbecause of its effectiveness in treating drug- and therapy-resistant depression. By using a repetitive magnetic pulse to stimulate nerve cells in the brain, transcranial magnetic stimulation can reduce mental health symptoms.

Previously, TMS therapy was only available in a clinical setting where a physician conducted treatment sessions. Now several tech companies have created a more convenient replica for home use.

TMS home devices are becoming increasingly popular among people suffering from depression, anxiety and insomnia because of their ability to implement home brain stimulation in a safe and cost-effective environment. Before purchasing a TMS device, it is important to understand how self-guided treatment works to ensure it is appropriate.

What is repetitive transcranial magnetic stimulation (rTMS)?

Repetitive transcranial magnetic stimulation is a noninvasive treatment that is commonly used to relieve treatment-resistant depression. While depression is a treatable condition, standard treatments such as psychotherapy (psychotherapy) and medication do not work for some. In such cases, repetitive TMS is a suitable alternative.

TMS uses magnetic energy to stimulate parts of the brain responsible for mood regulation that are less active due to a mental illness such as major depression, anxiety or obsessive-compulsive disorder (OCD). The Food and Drug Administration (FDA) approved the TMS therapy in 2008, twenty years after clinical trials began.

Unlike electroconvulsive therapy, which treats major depression, TMS does not require sedation of treated patients. TMS can also reduce the risk of memory loss and seizures.

What happens during a TMS session?

Repetitive TMS is typically performed in a doctor's office or clinic. A typical course of treatment is five sessions per week for four to six weeks. Before TMS therapy can begin, aPsychiatristwill determine if it is suitable for the person.

During the first rTMS session, doctors determine where to place the magnets on the head while ensuring the correct dose of magnetic energy is delivered. Earplugs are available for comfort and hearing protection during a TMS session as the device produces a loud clicking sound.

(Video) TMS treatment for drug and alcohol addiction, a patient story, Smart TMS

An electromagnetic coil is then placed over the scalp before being switched on and off to produce repeated pulse stimulation. The coil creates a stream of low-amplitude magnetic pulses that are sent to the brain, where they help improve brain activity by stimulating slow-moving cells. It is normal to feel a touch on the forehead during the treatment. Likewise, it is common to hear multiple clicks.

How does brain stimulation work?

Research has found that people with depression have reduced activity in their prefrontal cortex. Because rTMS uses a magnetic field to stimulate electrical activity in the prefrontal cortex, its effectiveness has been proven, as results show changes in neural activity in areas of the brain concerned with mood regulation.

The device creates a powerful penetrating magnetic field that induces the generation of currents in the brain that help modulate nerve activity. After twenty to thirty sessions, TMS therapy creates new synaptic connections, improves microcirculation and increases oxygen uptake.

side effects

There are no serious side effects of transcranial magnetic stimulation therapy - most are mild to moderate and improve soon after one session. They can include:

  • Headache -Headaches are the most common side effect, occurring in about half of people who complete treatment. Over-the-counter medications can treat them.
  • Spasms or spasms of the facial muscles -About a third of customers report facial twitching. Although they decrease over the course of treatment, adjustments to the coil and stimulation settings can reduce seizures.

Dizziness and scalp discomfort are also common during treatment.

Who can receive TMS therapy?

Research suggests that TMS therapy is most effective for those who are resistant to treatment. Unfortunately, if a person has unremovable metal objects on their mind, they should not receive rTMS treatment as it can result in serious injury or death.

rTMS is not available for people with metallic implants such as:

  • bullet fragments
  • Aneurysm Clips
  • Devices for deep brain stimulation
  • electrodes
  • Stents in the neck or brain

brain stimulation at home

In the past seven years, at least a dozen companies in the US have sold home-use brain stimulation devices. Many of these devices use a variant of TMS called transcranial direct current stimulation, which produces smaller, safer currents.

ÖFisher-Wallace-Stimulatoruses a gentle electrical current to trigger serotonin production in the brain. This is a one-size-fits-all home appliance that attaches to the head with an elastic band. The elastic band holds the electrodes on each temple. The Fisher Wallace Stimulator is designed to produce brain changes that lead to improvements in mental health. It is recommended that customers use this device for at least a month before evaluating its effectiveness.

(Video) Brain treatment helps autism patients in Aventura

NPXhas also developed an award-winning, smaller and more affordable rTMS device for home use. This has not yet been approved by the FDA to treat depression symptoms. It uses superficial pain relief technology to provide a comfortable and safe home device. Also, this device helps direct energy to the right area of ​​the brain. Services such as telemedicine, meditation training, and outpatient medical care will be available through the device. Future plans for the device include artificial intelligence and brainwave measurement.

Benefits of brain stimulation at home

Sixteen million people in the United States suffer from major depressive disorder. According to the World Health Organization, depression and anxiety disorders are the most common workplace health problems in the United States. Although rTMS therapy is effective, some people may not live in areas where rTMS therapy is available. Home devices offer an inexpensive means that is accessible to a wider geographic population.

For more information, see:Advantages and disadvantages of TMS therapy

Most outpatient treatments for depression involve the use of medications, which often have a slow response curve. Prolonged use can produce side effects such as gastrointestinal upset, dry mouth, sexual dysfunction, weight gain, and sedation. In contrast, TMS is less invasive and allows clients to undergo treatment in a comfortable, natural environment with fewer side effects.

Disadvantages of brain stimulation at home

Before TMS was recognized as a treatment for depression, it was studied in clinical trials for twenty years. Although many home devices have FDA clearance, they have not undergone the same clinical trials and verification studies that allow for approval of their effectiveness in treating depression.

Home brain stimulation uses low electrical energy that is not as effective or powerful as TMS therapy. Home devices were identified asless effective and often create a placebo effect.Studies have shown that more research is needed to study the effectiveness of home brain stimulation and to determine the clinical applicability of the device.

TMS therapy is often modified and individualized to find the right treatment for each person. Devices used at home tend to be a one-size-fits-all treatment, making it difficult to account for individual differences in the brain.


Home brain stimulation devices are an effective treatment for relieving the symptoms of depression. While it may not be efficient in long-term use, it is still uncertain whether it will become a clinically applicable device.

For more information, see:depression counseling

(Video) Can transcranial magnetic stimulation (TMS) help treat addiction?

Still, TMS home devices are on the rise and could be the best alternative for those suffering from treatment-resistant depression. As technology advances, these devices could be a breakthrough in the treatment of depression and other mental illnesses.

(Video) Does Brain Stimulation Work Better Than Medication?

Read other blog posts in this category:

«What are the differences between Transcranial Magnetic Stimulation (TMS) and Electroconvulsive Therapy (ECT)?

TMS Therapy for Adolescents and Children - Can It Help?»

(Video) How TMS Therapy Pulled Britney Out of Depression | Hear Her NeuroSpa TMS® Story


Can TMS therapy be done at home? ›

TMS home devices are becoming popular among those suffering from depression, anxiety, and insomnia as they can implement home brain stimulation in a cost-effective and safe setting. Before purchasing a TMS device, it is essential to understand how the self-guided treatment works to ensure it is suitable.

Who is not a good candidate for TMS? ›

You may not be a candidate for TMS if:

You have implants controlled by physiological signals. This includes pacemakers, implantable cardioverter defibrillators (ICDs), and vagus nerve stimulators (VNS) You are at high risk such as those with epilepsy, a history of head injury, or other serious neurologic issues.

What is the success rate for TMS? ›

Does TMS work? Approximately 50% to 60% of people with depression who have tried and failed to receive benefit from medications experience a clinically meaningful response with TMS. About one-third of these individuals experience a full remission, meaning that their symptoms go away completely.

What are the downsides of TMS? ›

Facial twitching during the treatment. Skin redness at site of coil placement. Anxiety before and during treatment.

How much does a TMS unit cost? ›

Although the price will vary depending on where it is administered, one TMS therapy session typically costs approximately $300.

Can TMS reset your brain? ›

TMS helps to stimulate those areas, effectively “resetting” the brain and reducing the symptoms of depression. The TMS treatment process involves placing a small electromagnetic coil lightly onto the patient's head. Magnetic pulses are then delivered to a specific area of the brain to stimulate the nerve cells there.

What mental illnesses does TMS treat? ›

Transcranial magnetic stimulation (TMS) is a treatment technique that uses a magnetic field to influence brain activity. It can treat depression, obsessive-compulsive disorder and other brain-related conditions. It's noninvasive and can help when other treatment approaches aren't effective.

What is the age limit for TMS? ›

Are there age restrictions for TMS? TMS is currently approved for adults, aged 18 and older.

How many times can you have TMS? ›

During a typical course, you'll receive around 36 treatments over a nine week period. You'll undergo five treatment sessions per week for the first six weeks, and then taper down the remaining six sessions over the following three weeks.

What is the failure rate in TMS? ›

Many patients considering TMS therapy want to know the chances of success and what they can expect by undergoing the procedure. Based on the data available from most TMS providers, the success rate stands between 70% and 80%, meaning that most people who undergo treatment experience relief after the treatment.

How many sessions does it take for TMS to work? ›

TMS therapy sessions range from 30 to 36 treatments over a 6-9 week period, but when do patients start noticing a change? Because every patient is different, reaction to treatment can vary. Some patients may notice small changes after week 2 and others not until week 4 or 5.

What happens if TMS doesn't work? ›

If the first round of TMS doesn't provide full symptom relief, this doesn't mean that nothing will work. Many people with depression require a long-term treatment plan that involves trying multiple treatments. It's common to combine antidepressants with talk therapy and/or lifestyle changes like an exercise regimen.

Can TMS cause brain tumors? ›

The good news is that Transcranial Magnetic Stimulation (TMS) therapy does not cause brain tumors. The magnetic fields used in TMS therapy are similar to the magnetic energy produced by MRI (magnetic resonance imaging) machines.

Can TMS cause memory loss? ›

Does TMS Therapy cause memory loss? No, the NeuroStar TMS Therapy system was systematically evaluated for its effects on memory. Clinical trials demonstrated that NeuroStar TMS Therapy does not result in any negative effects on memory or concentration.

How long do the benefits of TMS last? ›

Most patients who complete TMS treatment experience relief from symptoms of depression for six months to a year. Your results could also last for more than a year.

What is the best TMS therapy? ›

NeuroStar is a great quality machine, and in general, they have the most recognition among patients and practitioners alike, thanks to commercials like these where individuals are told to “ask for NeuroStar by name.” NeuroStar is the first of many Surface TMS machines, meaning that they stimulate the outer cortex of ...

What is the difference between TMS and TMS? ›

Difference Between TMS And Deep TMS Treatment

As treatments for mental health disorders, the difference between TMS and deep TMS comes from the following: Coil type. The traditional transcranial magnetic stimulation uses a figure 8 coil, while deep TMS uses an H-shaped coil that is inside a helmet.

Which is better NeuroStar vs Brainsway? ›

The Outcomes

After four weeks of procedures, 9% of patients achieve remission with NeuroStar. In contrast, effective in even the most severe cases of depression, New Brain Institute's Brainsway Deep TMS has been shown to induce remission in as much as 32% of patients after four weeks of treatment.

What are the signs that TMS is working? ›

You will know if TMS is working if you start to notice small increases in your mood. It will happen gradually, and it won't feel monumental at the time. Slowly and surely, you may notice that your increased mood continues to improve over an extended period of time. You may also notice a lighter feeling.

Does TMS rewire your brain? ›

Enter transcranial magnetic stimulation (TMS). This treatment relies on magnetic stimulation to “rewire” portions of the brain. It sounds like science fiction, but it's actually real, proven medical science. The treatment targets very specific parts of the brain and does so in a noninvasive manner.

Does TMS improve brain fog? ›

TMS is an FDA-approved depression treatment that is often a great option for treating depression, a common cause of brain fog.

Can TMS change your personality? ›

Because of the way that TMS interacts with the brain, many patients worry that it will change their personalities. Fortunately, that isn't the case. TMS will not change a person's personality either permanently or temporarily.

Can TMS reduce anxiety? ›

TMS is an effective treatment for people living with mental health issues due to targeting the activity of nerve cells in the brain, which may alleviate depression symptoms. It is also a promising treatment for anxiety conditions and other disorders, like OCD and PTSD.

Can TMS worsen anxiety? ›

Some People Experience a “Dip” During TMS Treatment

During a dip, a patient may experience a temporary worsening of depression or anxiety symptoms. In our clinic, roughly 20% of our patients experience a temporary dip around week two or three of treatment.

Can you do TMS 3 times? ›

A 2012 randomized clinical trial demonstrated that a TMS schedule of three sessions/week was not inferior to the standard five/week regimen on final treatment outcomes, though the group assigned to daily sessions achieved symptom reduction in a shorter period of time.

Does TMS work for older adults? ›

BOSTON – Transcranial Magnetic Stimulation (TMS) can be a safe, effective nonpharmacological intervention that can treat older adults who suffer from geriatric depression even when they also have other chronic health conditions, such as dementia or Alzheimer's disease.

Can you work while doing TMS? ›

Many patients are able to go straight back to work or school. There is no need to worry about what to eat as TMS can be done on a full stomach. You will not be put to sleep (no anesthesia or even an IV), and you can take your medications all on your normal schedule.

Does TMS need maintenance? ›

Much like continued psychotherapy or extended use of antidepressants, TMS maintenance can be effectively used to prevent relapse of depressive symptoms and keep patients well. TMS maintenance typically involves regularly scheduled TMS sessions, usually on a weekly, biweekly, or monthly basis.

Does depression come back after TMS? ›

According to their findings, 80% of the patients relapsed after successful rTMS treatment [11]. In addition, some studies have found that after acute TMS therapy for MDD, the antidepressant effects gradually decreased, followed by a tendency of relapse [12].

What are long term side effects of TMS? ›

TMS therapy has been proven to help treat those with TRD successfully, and despite common misconception, there are no long-term side effects of TMS therapy.

How long does TMS remission last? ›

In many cases a 4-6 week treatment regimen will provide remission that lasts for about six months or longer. Occasional TMS maintenance sessions are sometimes needed to prolong remission. Some patients may be placed on a post-TMS schedule of one session per month for a specified period of time.

How common are seizures with TMS? ›

The risk of TMS-related seizures is <1% overall. TMS has successfully been used in patients with epilepsy, traumatic brain injuries, and those with a prior TMS-related seizure. The rate of TMS-related seizures is comparable to that of most psychotropic medications.

Can you do TMS 3 days a week? ›

A randomized clinical trial demonstrated that a TMS schedule of three sessions/week was not inferior to the standard five/week regimen on final treatment outcomes, though the group assigned to daily sessions achieved symptom reduction in a shorter period of time [4].

How can I make TMS more effective? ›

Optimizing TMS treatment
  1. Get adequate sleep. At the beginning of TMS treatment, patients may experience slight lightheadedness. ...
  2. Remain conscious. ...
  3. Consume caffeine. ...
  4. Eat healthy, nutritious meals. ...
  5. Stay hydrated. ...
  6. Talk during sessions. ...
  7. Engage in physical activities. ...
  8. Use medications according to prescription.

Does TMS have to be 5 days a week? ›

A typical course of TMS lasts 6-8 weeks and depends on a patient's response to therapy. TMS is delivered daily, 5 days per week (Monday – Friday) in 20- or 45-minute sessions. While completing the procedure 5 days per week achieves the fastest results, 3 to 4 days per week is the minimum time commitment required.

Can you get worse with TMS? ›

While TMS does not worsen symptoms for patients who are correctly diagnosed with a condition that TMS is known to treat (such as depression, anxiety, OCD, and PTSD), TMS may possibly worsen symptoms for patients with conditions that TMS are not know to treat, such as schizophrenia or bipolar disorder.

Does TMS give you energy? ›

As explained above, TMS electrically stimulates neurons in the brain. This stimulation causes a temporary disruption of the brain's normal pattern of activity (its “habits”). This disruption can affect patients in one of two ways: as a) increased alertness and/or energy, or b) as a worsening of depression symptoms.

What part of the brain does TMS treat? ›

This electromagnetic coil creates a magnetic field that is specifically targeted over the left dorsolateral prefrontal cortex (DLPFC) which is the area of the brain responsible for mood regulation.

What is the truth about TMS? ›

TMS technology is an effective standalone treatment for depression, but it's also safe to combine with medication. In fact, studies show that using TMS therapy with medication provides greater symptom relief than medication alone.

Can TMS trigger psychosis? ›

This case report implicates TMS as a possible cause of mania and psychosis symptoms.

Does TMS cause dementia? ›

The short answer is no! Transcranial Magnetic Stimulation (TMS) therapy has been systematically studied for its impact on cognition and memory. Multiple clinical trials and studies have proven that TMS therapy does not impact cognition, concentration, or memory negatively.

Does TMS affect sleep? ›

Antidepressants are well-known to affect sleep quality. (1) So it's natural for patients to wonder if TMS, an alternative depression treatment, can also cause insomnia or sleep disruption. The answer is not usually. In fact, TMS may actually improve sleep.

Can TMS cause neurological problems? ›

Can TMS Damage Your Brain? Many people wonder whether TMS will have any adverse effects on the brain. Prolonged exposure can be daunting, but many clinical studies have found no negative long-term effects after TMS. There is no evidence that TMS can cause brain tumors, memory loss, or a decline in concentration.

Can you get TMS twice? ›

In MDE, a second course of TMS is likely to help those who remitted to a first course and then relapsed, as well as those who did not achieve remission with a first course.

Does TMS get rid of depression? ›

Studies have shown that repetitive TMS is twice as effective at improving symptoms of major depression than antidepressant medications and talk therapy.

Is TMS an outpatient procedure? ›

Transcranial Magnetic Stimulation (TMS) is a minimally invasive outpatient procedure where a magnetic pulse stimulates nerve cells in a specific region of the brain associated with mood control and, specifically, depression.

How many times a week do you do TMS? ›

TMS takes multiple treatments — typically three to five per week — spread out over several weeks. For FDA-approved protocols for depression, a typical TMS course happens every weekday over six weeks for a total of 30 treatments.

How long does it take for TMS therapy to start working? ›

When does TMS start working? TMS therapy usually takes a few weeks before results are noticeable. This varies for each person, just as results vary with other treatment types. Some patients notice benefits sooner, after just a couple of weeks of treatment, while it takes four to five weeks for others to notice results.

Will I need to be on medication after TMS? ›

TMS eliminates the need for medication – Many people begin their TMS therapy treatment while still on antidepressant medications, and then slowly taper off. Often, the TMS is so effective that they are able to live symptom-free without medication.

Can you do TMS therapy twice a day? ›

Administration of two rTMS treatment sessions per day is tolerable for patients and does not seem to be inferior in efficacy to a OD protocol. TD administration has the benefit of producing symptom improvement over a shorter time span and requires fewer visits to the clinic.

How do you know TMS is working? ›

You will know if TMS is working if you start to notice small increases in your mood. It will happen gradually, and it won't feel monumental at the time. Slowly and surely, you may notice that your increased mood continues to improve over an extended period of time. You may also notice a lighter feeling.

Can TMS overstimulate the brain? ›

While most people receiving TMS therapy see positive effects from the treatment, there are a few that it does not help. In patients with underlying bipolar and anxiety, TMS may overstimulate the brain leading to insomnia, panic attacks, or worsening anxiety.

What if I miss a day of TMS? ›

Missing a session or sessions for trips or vacation do not affect the overall response to treatment. Insurance companies, however, often give a narrow window of time for treatment and taper to occur. If a person requires more time than the insurance company allows, they may not get the full 36 sessions we ask for.


1. How TMS Therapy Changed Emma's Life in Only 6 Weeks | Emma's TMS Journey
(NeuroSpa TMS)
2. Pam's story with TMS therapy for depression
(Active Path Mental Health)
3. #1 Depression Therapy in Tampa-Neurospa TMS: Revolutionary Medication Free Depression Treatment
(NeuroSpa TMS)
4. TMS Therapy - Dr. Zabaleta
(My TMS)
5. Anna-Maria's Story - TMS Therapy Review for Depression | Success TMS
(Success TMS)
6. Her Weight-Loss Video Went Viral On TikTok. Here's What She Learned.


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