Transcranial Magnetic Stimulation FAQs

TMS is FDA-cleared as as safe and effective treatment for depression, anxiety, OCD, and many other indications. Nearly all insurance companies are now covering TMS therapy including Medicare, Medicaid Advantage, Anthem, Blue Cross Blue Shield, MVP, Healthfirst, NYSHIP, Cigna, Aetna, United Healthcare (Optum), CDPHP, Emblem Health (GHI) . Our team at the Clearwave Mental Health has successfully secured substantial insurance reimbursement and coverage for its patients and many of our patients have had minimal out-of-pocket expense for treatment. 

TMS is non-systemic (does not circulate in the blood throughout the body), so it does not have side effects such as weight gain, sexual dysfunction, nausea, dry mouth, sedation, etc. The most common side effects reported during clinical trials were headache and scalp discomfort – generally mild to moderate – occurring less frequently after the first week of treatment.

No, the two procedures are very different. While both are effective in the treatment of depression, there are many differences in safety and tolerability.

During TMS Therapy, patients sit in a chair and are awake and alert throughout the entire 19-37 minute procedure – no sedation is used with TMS Therapy. Patients can transport themselves to and from treatment.

In over 10,000 active treatments with the TMS Therapy system in clinical trials, no seizures were observed. TMS Therapy was also shown to have no negative effects on memory function in these studies.

In contrast, “shock therapy,” or electroconvulsive therapy (ECT), intentionally causes a seizure. Patients receiving ECT must be sedated with general anesthesia and paralyzed with muscle relaxants. Recovery from an ECT treatment session occurs slowly, and patients are usually closely monitored for minutes or a even few hours after a treatment.

Short-term confusion and memory loss are common with ECT, and long-term disruptions in memory have been shown to occur and may persist indefinitely in some people. Because of the side effects associated with ECT, a significant amount of caregiver support is required.

Typically a recommended course of TMS treatment is 36 sessions, occurring initially 5 times per week for the first several weeks and then slowly decreasing the frequency of treatment. Our experienced psychiatrists may adjust your treatment schedule based on their clinical expertise and your treatment response.  At the Clearwave Mental Health, we work to accommodate your schedule to help you achieve optimal results.

TMS Therapy has been shown to be well tolerated and safe in clinical trials. Throughout over 10,000 active treatments performed in clinical trials, the most commonly reported side effect related to treatment was scalp discomfort during treatment sessions. This side effect was generally mild to moderate, and occurred less frequently after the first week of treatment. Less than 5% of patients treated with TMS Therapy discontinued treatment due to side effects.

In clinical trials, over 10,000 TMS treatments demonstrated its safety, with no occurrence of seizures. However, there is a small risk of a seizure occurring during treatment. This risk is no greater than what has been observed with oral antidepressant medications.

While TMS Therapy has been demonstrated to be effective, not all patients will benefit from it. Patients should be carefully monitored for worsening symptoms, signs or symptoms of suicidal behavior, and/or unusual behavior. Families and caregivers should also be aware of the need to observe patients and notify their treatment provider if symptoms worsen.

No, the most common side effect related to treatment was scalp discomfort during treatment sessions. This side effect was generally mild to moderate, and occurred less frequently after the first week of treatment.

If necessary, you can treat this discomfort with an over-the-counter analgesic. If these side effects persist, your doctor can temporarily reduce the strength of the magnetic field pulses being administered in order to make treatment more comfortable.

Less than 5% of patients treated with TMS Therapy discontinued treatment due to side effects.

In clinical trials, 2 out of 3 patients who had either responded to treatment or completely remitted their depression symptoms reported 12 months later that they remained at the level they were at the end of the trial. Additionally, after the trial, only 1 in 3 patients needed to return for ‘maintenance’ TMS sessions.

Yes. In clinical trials, TMS therapy was safely administered with and without other antidepressant medications.