Considering TMS therapy but not quite sure what to expect? Don’t worry—you’re not alone. Transcranial magnetic stimulation (TMS) might sound complex, but the process is surprisingly straightforward. In this guide, we’ll break down everything you need to know about TMS therapy, step by step, so you can feel confident heading into your first session.

Understanding Transcranial Magnetic Stimulation

Transcranial magnetic stimulation (TMS) is a non-invasive treatment that uses magnetic fields to stimulate specific areas of the brain. It’s primarily used to treat depression, especially in patients who haven’t responded well to traditional treatments like medication or therapy.

How TMS Differs From Other Treatments

Unlike medication, which affects the entire body, TMS targets specific brain regions involved in mood regulation. There are no drugs involved, meaning fewer side effects compared to antidepressants. Plus, it’s performed in an outpatient setting, so there’s no need for hospital stays.

Conditions Treated by TMS

TMS therapy is widely known for treating depression, but it’s also being explored for conditions like anxiety, PTSD, OCD, and even chronic pain.

Ideal Candidates for TMS Therapy

If you’ve tried multiple antidepressants without success or experienced intolerable side effects, you might be a great candidate for TMS. It’s also an option for those looking for non-medication-based solutions.

Magnetic Fields and Brain Stimulation

TMS therapy uses electromagnetic pulses to stimulate nerve cells in the brain. These pulses help improve communication between neurons, particularly in the prefrontal cortex—the part of the brain associated with mood regulation.

Targeting Specific Brain Regions

The magnetic coil used in TMS focuses on specific brain areas to reduce depression symptoms. This precise targeting is what makes TMS so effective compared to generalized treatments.

Initial Consultation and Evaluation

Before starting TMS therapy, you’ll meet with a specialist for an initial evaluation. They’ll review your medical history, discuss your symptoms, and determine if TMS is right for you.

What to Expect Before the First Session

Once you’re cleared for treatment, your provider will explain how the sessions work and what you should do to prepare. No special prep is needed—just wear comfortable clothes and avoid caffeine on the day of treatment.

Step 1: Positioning and Preparation

When you arrive, you’ll be seated in a comfortable chair. A technician will position the magnetic coil on your head to target the right brain area.

Step 2: Calibration and First Pulse

The first session involves calibration to find your motor threshold—the minimum intensity needed to stimulate your brain. This ensures that the treatment is personalized to your needs.

Step 3: The Actual Treatment

Once calibration is done, the real treatment begins. You’ll feel a tapping sensation on your scalp and hear clicking sounds from the machine. Each session lasts about 20–40 minutes.

Common Misconceptions About TMS

Many people worry that TMS will be painful, but that’s far from the truth. While you may feel some discomfort at first, most patients describe it as a light tapping or tingling sensation.

What Patients Usually Feel During Treatment

Expect some scalp sensitivity during the first few sessions, but it typically fades as your body gets used to the stimulation.

Mild Side Effects

The most common side effects are mild headaches and scalp discomfort. These can usually be managed with over-the-counter pain relievers.

Rare but Serious Risks

Serious side effects are extremely rare. Your provider will monitor you closely to ensure your safety throughout the treatment process.

Short-Term vs. Long-Term Effects

Some patients notice improvements within a few weeks, while others may take longer. The effects are often cumulative, so it’s important to complete the full course of treatment.

Monitoring Progress

Regular check-ins with your provider help track your progress and adjust treatment if necessary.

Non-Invasive and Drug-Free

One of the biggest advantages of TMS is that it’s non-invasive and drug-free, making it an excellent option for those who can’t tolerate medication.

High Success Rate

Studies show that many patients experience significant symptom relief, especially those with treatment-resistant depression.

Post-Treatment Care

After completing TMS therapy, it’s important to continue working on your mental health. This might involve therapy, lifestyle changes, or follow-up sessions as needed.

Maintaining Mental Health

Focus on self-care, regular exercise, and staying connected with your support network to maintain the benefits of TMS.

Local Resources and Support

Orange County offers a wealth of mental health resources. Finding a local provider means easier access to follow-up care and support groups.

Choosing the Right TMS Provider

Look for experienced providers with a strong track record. Don’t be afraid to ask questions and make sure you feel comfortable with their approach.