TMS Clinic Perth - Transcranial Magnetic Stimulation



TMS treats Depression, OCD, PTSD & Pain
TMS stands for Transcranial Magnetic Stimulation. It is a breakthrough treatment that uses high strength magnetic fields to promote neuroplasticity.
Neuroplasticity allows for an increase in neural connections in regions of the brain that were previously underactive.
TMS is fast and can fit into your daily routine without the need for recovery time or hospital admissions.


TMS can free patients from a lifetime of drug treatment & side effects
TMS was first developed in 1985 and became FDA approved for Depression in 2008. In November 2021, TMS was listed under Medicare for Treatment Resistant Depression. It is evidence-based and backed by over 35 years of research.
How does TMS work?
TMS stimulates neural activity in brain regions that are underactive. This underactivity is often seen in regions associated with mental illness and chronic pain. The most common region we target is called the prefrontal cortex. The prefrontal cortex is strongly involved in the regulation of mood. When these nerves are activated repeatedly, lasting change in brain circuity can occur through the process of neuroplasticity.

How does TMS work?
TMS stimulates neural activity in brain regions that are underactive. This underactivity is often seen in regions associated with mental illness and chronic pain.
For example, in individuals with depression or anxiety, decreased activity in a region of the brain called the “prefrontal cortex” will typically be seen. This is represented in the image below which shows a PET (Positron Emission Tomography) scan of a person’s brain with depression and without depression. The prefrontal cortex plays an important role in mood regulation.
When these nerves are activated repeatedly, lasting change in brain circuity can occur through the process of neuroplasticity.
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Benefits of TMS
What does TMS look like?
During the first “Mapping” appointment our TMS psychiatrists and nurses will do the following:
1. Identify the coordinates of the target location for treatment. In the case of depression, the target location is the near the forehead at a place called the Prefrontal Cortex. This is the area where we would aim to promote neuroplasticity (strengthening the connections between the nerves).
2. Personalise the protocol based on your RMT (Resting Motor Threshold). This is the minimium magnetic field intensity required to cause a motor nerve in your brain to activate.
Following the mapping session, you can then begin your TMS Treatment sessions. During these 20 minute sessions, you may sit back and relax, chat to our TMS nurses or watch some Netflix.
- Please see our TMS patient journey for a more in-depth explanation of the process.
- To see Dr Wick explaining and receiving TMS, please click the following picture.
What TMS looks like?
1. Identify the coordinates of the target location for treatment.
During the first “Mapping” appointment our TMS psychiatrist will identify the coordinates of the treatment location. In the case of depression, the treatment location will be the near the forehead at a place called the Prefrontal Cortex. It is here where we would look to promote neuroplastic changes (strengthening the connections between the nerves).
2. Personalise the protocol based on your RMT (Resting Motor Threshold).
This is the minimium magnetic field intensity required to cause a nerve in your brain to activate. Following the mapping session, you can then begin your TMS Treatment sessions. During these 20 minute sessions, you may sit back and relax, chat to our TMS nurses or watch some Netflix.
TMS can free one from a lifetime of drug side effects
TMS Educational Videos
TMS Articles
Hear From Our Patients.
Madi
I can say without hesitation that Dr. Wick is the kindest, most thorough Doctor I’ve ever seen. Dr. Wick takes the time and effort to really see his patients and assist you in the friendliest, non judgemental manner. It’s rare to find a doctor you can trust but I’m here to tell you Shanek Wick is that doctor. The TMS staff are some of the kindest, warmest and most competent folks I’ve experienced too. You know you’re in a safe place here. No one will tell you that you just need to go for a walk…
Skyler
Dr Shanek Wicks is extremely caring and compassionate. His knowledge about this revolutionary new medical treatment option is a first for West Australians in treating depression. I can highly recommend him.
Cass
Dr Wick will change your view of psychiatry, I was very nervous about my first appointment due to previous experiences elsewhere and was put at ease straight away. Dr Wick and the staff are warm, friendly and professional. Dr Wick is clearly very passionate about his work. if you are looking for a clinic where you feel heard and understood, this is the one you want to attend.

References
1. Carpenter, L. L., Janicak, P. G., Aaronson, S. T., Boyadjis, T., Brock, D. G., Cook, I. A., … & Demitrack, M. A. (2012). Transcranial magnetic stimulation (TMS) for major depression: a multisite, naturalistic, observational study of acute treatment outcomes in clinical practice. Depression and anxiety, 29(7), 587-596.
2. Berlim, M. T., et al. “Response, remission and drop-out rates following high-frequency repetitive transcranial magnetic stimulation (rTMS) for treating major depression: a systematic review and meta-analysis of randomized, double-blind and sham-controlled trials.” Psychological medicine 44.2 (2014): 225-239.
Reviews
Punya Singh
“TMS Perth”
I had a remarkable experience at Neuralia TMS under the care of Dr. Wick and their dedicated team of staff. The staff here truly go above and beyond to make you feel comfortable and at ease throughout your journey.
Cindy Newall
“TMS Perth”
The treatment I recieved from Belmont Dental was outstanding and if I could also give the receptionists a separate 5 stars for the laughter, care and putting me at ease I would.
Booking an appointment online was easy, the cost of consult was fair. I highly recommend 😊
Vinura G
“TMS Perth”
I recently had the opportunity to visit Neuralia TMS, and I must say that my experience was nothing short of exceptional. From the moment I walked through the doors, I could sense a warm and welcoming atmosphere, which immediately put me at ease.
Sonya S
“TMS Perth”
I must say Dr Shanek is one of the kindest, most humble psychiatrist I have ever met. I am so grateful to have received TMS treatment and I am impressed by the changes I have had in my mood status. Highly recommend Dr Shanek to anyone looking for an excellent Psychiatrist.
James Mons
“TMS Perth”
Dr. Shanek Wick has been absolutely fantastic to work with and came highly recommended to me via my GP. I’ve been referring people to Neuralia TMS ever since. I definitely had some hesitations prior to commencing this journey, but I felt very reassured, and most importantly, I felt heard.