What is Deep Transcranial Magnetic Stimulation (Deep TMS)?

 

Deep TMS (Deep Transcranial Magnetic Stimulation) Treatment

Deep transcranial magnetic stimulation, also known as Deep TMS, is a non-drug, non-invasive yet effective treatment for depression patients. It is a type of brain stimulation technique where pulsed magnetic fields are generated by a coil placed on the scalp. This current essentially activates the neuronal circuits at the stimulation site, resulting in symptom improvement.

Deep TMS uses special combinations of coils that are capable of reaching 4cm beneath the surface of the skull, called H coils. They are manufactured by Brainsway. Different H coils are designed to target different brain areas. Deep TMS with the H1 coil is FDA approved for the treatment of depression in patients who have not improved by using any number of medications. It is the safest treatment with the least side effects for patients with treatment resistant depression.

Deep TMS requires only 5 daily sessions of 20 minute each, over 4-6 weeks. The treatment integrates well into the patient’s routine, and the patient can drive home independently after each session to resume his/her daily activities. 

In Europe, Deep TMS is CE approved for the treatment of:

  • Alzheimer’s
  • Autism
  • Bipolar depression
  • Chronic pain
  • Major depression
  • Post Traumatic Stress Disorder (PTSD)
  • Smoking Cessation
  • Multiple sclerosis
  • Negative Symptoms of Schizophrenia
  • Parkinson’s Disease
  • Obsessive Compulsive Disorder
  • Stroke Rehabilitation

This technology was developed in 2001 and later patented in 2013 by the American National Institutes of Health (NIH).  In 2013, the Brainsway H1-coil received FDA approval for use in patients with Major Depression. Deep TMS also has been shown to be beneficial when used off-label for other psychiatric and neurocognitive disorders, such as Post-Traumatic Stress Disorder (PTSD), Schizophrenia, Parkinson’s Disease, Autism, Chronic Pain, Mild Cognitive Impairment (or Mild Neurocognitive Disorder), and Dementia.  Currently, the Brainsway Deep TMS system is being investigated in an FDA clinical trial for usage in patients with Bipolar Depression.

What are the side effects of TMS?

In order of frequency: Temporary scalp tenderness, temporary headache, temporary jaw pain, temporary tooth pain, rare incidence of seizure. Most side effects are temporary and appear only during the treatment session.

Why seek TMS treatment at Advanced Mental Health Care (AMHC)?

AMHC was one of the very first sites within the United States to deliver TMS and offer a cost-effective solution to patients who have treatment resistant illness. The TMS operators and the professional staff of AMHC have a strong desire to achieve patient results and are professionally trained and qualified to operate the Deep TMS machine.

Dr. Aron Tendler of AMHC was a Principal Investigator involved with the FDA clinical study investigating the effectiveness of Deep TMS in patients with Major Depression. Our complete staff includes 3 full-time psychiatrists, 1 full-time psychologist, 5 full-time support staff, and 4 trained technical operators. In addition to clinical trials, AMHC has extensive experience in treating other psychiatric disorders and medical conditions off-label with the TMS technology. Furthermore, AMHC will continue to remain active in research related to brain stimulation and stay up-to-date on the latest news in order to best help you as the patient.

 

What happens once I decide to seek treatment at AMHC?

Before you begin Deep TMS treatment, you’ll need a thorough evaluation performed by your psychiatrist who will help to determine if this procedure is right for you and for your treatment plan. Your psychiatrist will make this determination based upon your history, previous medications, and the risks of the procedure in regards to your personal health.  If your psychiatrist approves the treatment, the next step is determining treatment frequency, treatment duration, and treatment location.

During the actual Deep TMS procedure, you will be awake and alert. There is no need for any type of anesthesia or hospitalization due to the treatment’s noninvasive nature. You will also undergo weekly follow-up visits with your psychiatrist, as well as a daily assessment of side-effects by the technician, and complete weekly follow-up measures to assess symptom progress.

To learn more about Deep Transcranial Magnetic Stimulation therapy and how it can benefit you, contact our TMS Program Administrator today. Our offices that are equipped with the Brainsway Deep TMS machines are: Royal Palm, Juno Beach, and our Mobile TMS Suite. You may even be a candidate for an active clinical trial currently being held in which dTMS is used as a treatment for Bipolar Disorder, as well as upcoming trials involving Mild Cognitive Impairment (or Mild Neurocognitive Disorder), Smoking Cessation, and Obsessive-Compulsive Disorder.