TMS/TMS therapy is a non-invasive, drug-free treatment method that has been proven to be effective in treating depression, obsessive-compulsive disorder, and many other psychiatric conditions.
TMS was approved by the FDA for the treatment of resistant depression in 2008 and Obsessive Compulsive Disorder in 2019.
HOW DOES TMS EFFECT?
Think about your brain from this perspective. Your brain consists of cells called “neurons” that communicate with each other. When several neurons work together, they are called a circuit or network. If you've ever taken apart a computer or other electronic device, you've probably seen a green plastic board covered in gold circuitry. Just as electricity passes through this circuit board to transmit information from one part of the computer to another, your brain uses these neural networks to transmit information from one part of the brain to another.
Science shows that the cause of Depression is the Dorsolateral Prefrontal Cortex (DLPFC). ) and the deeper anterior cingulate (AC). Repetitive Transcranial Magnetic Stimulation (rTMS) specifically focuses on this small area (DLPFC). Communication between these two structures is improved by repeated stimulation of this area. TMS does not affect the brain completely, it only targets the part of the brain that causes the psychiatric condition.
TMS Treatment causes the formation of new nerve networks in the brain (neuroplasticity) by sending stimulation to the relevant areas of the brain and ensuring the repair and reconnection of connections between the nerve cells of the brain. For example, in case of depression, the left prefrontal cortex is stimulated, and thanks to this stimulation, the connections between nerve cells return to normal, thus relieving the symptoms of depression.
What to Expect During TMS Treatment
TMS is a relatively short, non-invasive, outpatient procedure. This means it does not involve surgery, does not require anesthesia or sedation, and there is no need to rest afterwards. You will remain awake and alert throughout the treatment.
A typical TMS treatment course consists of daily sessions for 4 to 6 weeks. Includes sessions (5-6 times a week). However, some people find it helpful to have repeat TMS sessions from time to time for maintenance treatments following the initial treatment protocol. A TMS session usually lasts 15 to 20 minutes.
During TMS treatment
During your TMS treatment, the clinician will sit you in a comfortable chair, provide you with earplugs, and He or she will then place a magnetic coil on your head near the area of the brain thought to play a role in mood regulation. In the case of depression, this area is the prefrontal cortex below your forehead.
Short electromagnetic pulses are then delivered through the coil. Magnetic pulses easily pass through your skull and cause small electrical currents that stimulate nerve cells.
•You will hear clicking sounds and feel a knocking, tapping, or tingling sensation in your head.
•You will have a short period of time during and after treatment. You may feel some discomfort on the scalp for a while.
Who Should Not Do TMS?
In addition to those with epilepsy or a family history of seizures, TMS is not suitable for some other types of patients. Because TMS uses magnetic energy, people with metal in their head or neck cannot receive TMS other than braces or dental fillings.
Examples of metal objects that would interfere with TMS treatment include:
•Aneurysm clips in the brain
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•If there is a Stent in the brain vessels
•Deep brain stimulators
•Metallic ear / eye implants
• Shrapnel or bullet fragments in the brain
Other factors that may prevent you from receiving TMS treatment include:
•Brain damage from disease or injury, such as a brain tumor, traumatic brain injury, or stroke.
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