TMS Education

A comprehensive research and education portal dedicated to understanding Transcranial Magnetic Stimulation (TMS).

TMS for PTSD – How it is Transforming Recovery

TMS for PTSD – How it is Transforming Recovery 474 316 Neuralia TMS


What is PTSD, and how can TMS treat it?

A traumatic experience or witnessing one can lead to the mental health condition known as post-traumatic stress disorder (often abbreviated to PTSD). Magnetic fields are used in Transcranial Magnetic Stimulation (TMS) to stimulate particular parts of the brain. During this minimally invasive treatment, a magnetic coil is applied to the scalp, producing magnetic pulses that cause electrical currents in the desired brain region. The prefrontal cortex, which is in charge of controlling mood, emotions, and cognitive processes, is the location of stimulation.

TMS offers a variety of modalities, such as intermittent theta burst stimulation (iTBS) and repetitive magnetic transcranial stimulation (rTMS). While iTBS delivers pulses in fast succession, rTMS delivers repetitive magnetic stimulation pulses over the course of several treatment sessions. Depending on the target area and stimulation parameters, both modalities seek to influence brain activity by either increasing or lowering cortical excitability.

The therapeutic advantages of TMS therapy come from its capacity to modify brain activity, fostering the growth of new neural connections and reestablishing balanced functioning in afflicted brain regions. When compared to pharmacological therapies, TMS has the advantage of being a safe and well-tolerated therapy option with few adverse effects. 

TMS has potential as an efficient non-invasive method for enhancing the quality of life for people with a range of neuropsychiatric illnesses, according to growing research.

Find out more information on how TMS for PTSD treatment works.


What are the symptoms of PTSD?

  1. Intrusive thoughts, a typical PTSD symptom. People could relive the terrible event in their brains as a result of upsetting memories or nightmares. Additionally, people could experience flashbacks where they seem to be reliving the incident.
  2. Avoidance behaviours, this may entail keeping away from individuals, locations, or pursuits that bring up the painful experience. Due to the upsetting feelings it evokes, they could also refrain from discussing or thinking about the incident.
  3. Unfavourable shifts in thought and mood, this can be seen as low self-esteem or dissatisfaction with the world, feelings of alienation, or a loss of interest in once-enjoyed hobbies. People may also experience concentration issues or memory issues.
  4. Alterations in one’s emotional and physical responses, where higher levels of arousal, might cause people to exhibit irritability, angry outbursts, and trouble falling asleep. They could also react with exaggerated astonishment or become overly alert.

Comprehending and identifying these indications is essential for accurately identifying and managing PTSD. It’s critical to get assistance from mental health specialists who can offer the right therapies and support to manage and reduce these symptoms.

When diagnosing PTSD, the length and intensity of symptoms are also important factors. For symptoms to be distinguished from acute stress reactions, they must last longer than a month. Furthermore, there is a range in the degree of symptoms, from mild to severe.

It’s critical to rule out other mental health issues like anxiety or depression that could present with similar symptoms. To properly diagnose PTSD and guarantee that the right treatment is given, proper diagnosis and assessment are essential.

In general, evaluating the criteria for PTSD diagnosis entails determining the duration and intensity of symptoms, as well as ruling out other mental health illnesses that may present with comparable symptoms.

Why target the Prefrontal Cortex with Transcranial Magnetic Stimulation?

One important part of the brain that is involved in both emotional control and cognitive processing is the prefrontal cortex (PFC). Transcranial magnetic stimulation (TMS) targeting the PFC has become a viable therapy option for depression and post-traumatic stress disorder (PTSD) in recent years. TMS therapy attempts to lessen the impact of traumatic memories on people with PTSD and refine depressive symptoms by adjusting PFC activity. Prefrontal cortex-targeted TMS has been shown in numerous trials to have positive impacts on quality of life and to reduce symptoms related to mental health disorders. For people who have not responded to conventional therapy, this focused method offers a fresh viewpoint on treating depression and PTSD.

Find out more information on TMS treatment.

Treating depressive symptoms with high-frequency repeated TMS (rTMS) administered to the left DLPFC (Dorsolateral Prefrontal Cortex) has demonstrated positive results. It lowers depression symptoms and enhances general quality of life by raising cortical excitability in the targeted region.

However, by lowering cortical excitability in the region, low-frequency rTMS given to the right DLPFC has demonstrated encouraging benefits in alleviating symptoms of PTSD. The DLPFC’s modulation, along with its connection to the amygdala (a part of the brain involved in fear response and memory formation), reduce anxiety and intrusive symptoms linked to post-traumatic stress disorder.

Our team alongside Dr Shanek Wick at Neuralia TMS are able to discuss your treatment options and history with mental health.

Clinical Research on TMS as PTSD treatment

Clinical research has demonstrated encouraging outcomes for TMS therapy in relation to PTSD. In one study, TMS treatment was shown to dramatically lessen intrusive symptoms in PTSD patients, such as upsetting memories. According to a different study, TMS treatment reduced the avoidance and arousal symptoms that are frequently linked to PTSD.

These recent studies have looked at the efficacy of TMS therapy in a number of populations, such as people with chronic PTSD and those who are depressed yet resistant to treatment. All things considered, the findings imply that TMS might be a helpful therapeutic choice for people with PTSD and depression, providing symptomatic relief and possibly enhancing their quality of life. 

In conclusion

Although TMS isn’t a miracle treatment for PTSD, it is unquestionably a big advancement in the search for better, more effective therapies. With the development of technology and our growing understanding of the brain, therapies such as TMS provide hope to individuals seeking recovery from PTSD.

Visit your GP or contact our team at Neuralia TMS, Palmyra to go over the possible advantages and disadvantages of TMS if you or a loved one is thinking about it for PTSD or any other mental health illness.


Is the use of psychedelics in therapy and TMS the future of mental health care?

Is the use of psychedelics in therapy and TMS the future of mental health care? 744 389 Neuralia TMS

A possible game-changer in the provision of mental health care is the use of psychedelic therapy and TMS treatment. This article will focus largely on psychedelic therapy as TMS has been covered in previous blog posts.

Treatment-resistant depression, post-traumatic stress disorder, treatment for anxiety, psychiatric disorders and other mental health conditions are being studied in clinical trials to determine how psychedelic substances like psilocybin for treatment (found in magic mushrooms) and MDMA can be used therapeutically.

In carefully supervised sessions, patients use psychedelic substances in a regulated setting as part of psychedelic-assisted psychotherapy. Deep shifts in awareness and insights that may be difficult for typical psychotherapy procedures to produce, can result from the psychedelic-assisted psychotherapy.

Dr. Shanek Wick and the team here at Neuralia TMS are following the continuous research and information that is being explored by organisations like the Multidisciplinary Association for Psychedelic Studies (MAPS), US.

Psychedelics-assisted therapy is showing promise in relieving symptoms and antidepressant effects for people who have not reacted well to conventional treatments, from treating post-traumatic stress disorder (PTSD) to treatment-resistant depression and obsessive-compulsive disorders. Research has demonstrated that psychedelic therapy can result in long-lasting reductions in sadness and anxiety in patients with life-threatening cancer, treatment-resistant PTSD and major depression. Additionally, it has been discovered to be effective in treating tobacco, substance and alcohol use disorders.

How are psychedelic experiences thought to work?

If we take MDMA as an example, it is thought that MDMA-assisted psychotherapy has 2 major actions. It inhibits the amygdala (where memories of emotions/events are stored) and primes the prefrontal cortex for neuroplasticity).

What is the common factor between TMS and Psychedelic Drugs?

  • So let’s say you had a depressive disorder, and you were placed through a PET scan. A PET scan is able to show the uptake of blood glucose (which is the fuel that brain nerves use), oxygen use and overall metabolism. As such, the scan of depressed brains will typically exhibit “decreased lighting up.” In other words there is decreased activity in this particular part of the brain, the “prefrontal cortex” which is just behind your forehead on the left and right sides.

  • What TMS does is target these locations and either inhibit or activate those nerves. This is seen in the first mapping session when your hand muscles contract involuntarily when we are trying to calibrate the machine to match your personal requirements.
  • In the case of depression, we logically want to activate these nerves in this region of decreased activity.
  • Now, when we activate those nerves tens of thousands of times, we can create neuroplasticity. Neuroplasticity then is the keyword to remember.

What is neuroplasticity and why is it important? 

  • The term is derived from Ancient Greek
    • Neuro = means nerve in Ancient Greek
    • Plastic = means to mould, also in Ancient Greek (like one can do with melted plastic)
    • Thus, Neuroplasticity refers to the ability of your brain and its nerves to change, adapt and grow more connections.
    • This is the same process that allows a toddler to learn many words a week. Unfortunately, one’s ability for neuroplasticity is largely downhill from the age onwards.
    • TMS and Psychedelics (when combined with psychotherapy) can create neuroplasticity but on a very localised level.
  • So, through Neuroplasticity, we can increase the connections between in the prefrontal cortex and effectively improve efficiency of transmission.

The significant benefits of psychedelics often don’t manifest during the days of drug administration. Instead, they unfold over the subsequent week, during the course of therapy. Psychedelic drugs have the ability to inhibit the amygdala and stimulate the prefrontal cortex. When the amygdala is inhibited, the defense mechanisms and the distressing memories or emotions linked with past trauma can be temporarily suppressed. This provides a skilled therapist with the opportunity to address these suppressed emotions or memories. 

Simultaneously, the activation of the prefrontal cortex hastens this process and facilitates the internalisation of personal psychological revelations. This dual action of psychedelics such as psilocybin-assisted psychotherapy could explain the frequently echoed sentiment that the use of these substances equates to experiencing several years of therapy in just a few sessions.

During these clinical trials, patients frequently describe having mystical-like encounters or a strong sense of oneness, which may aid in long-term healing and personal development. These psychedelic experiences might aid people in developing fresh perspectives, overcoming old cognitive habits, decreases in depression and understanding themselves better. The possibility for remarkable and life-changing experiences is one of the major benefits of psychedelic-assisted therapy.

It is crucial to remember that psychedelic-assisted psychotherapy has hazards, but these can be minimised with common sense clinical strategies.

Although they can happen, unfavourable outcomes are often uncommon and effectively managed in the carefully regulated clinical settings.

Thorough study and diligent patient monitoring is required, along with an understanding of the therapeutic potential and guarantee of the safety of these medications.

Although psychedelic drugs have only recently been used in therapy, their potential advantages cannot be overlooked. Psychedelics-assisted therapy may eventually play a significant role in the treatment of mental health conditions such as treatment-resistant depression as more clinical trials and studies explore its efficacy and safety. These compounds may provide those who have been afflicted by crippling illnesses hope by increasing the range of available treatments and offering relief where conventional approaches have failed.

In conclusion, psychedelic therapy has the potential to completely change the way that mental health services are provided. Disorders like treatment-resistant depression in patients and post-traumatic stress disorder have demonstrated encouraging results in clinical trials and research so far. Although safety measures and close observation are required, the life-changing experiences and therapeutic effects that patients have described point to psychedelics’ promise as a kind of treatment. It is crucial that current research and regulation concentrate on leveraging the advantages while ensuring patient safety as this type of psychedelic treatment develops.

“TMS and Psychedelic Therapy represent a new category of treatment. Treatments that work to modulate nerves through the process of neuroplasticity. In short, the process of increasing the connections between the nerves of brain (prefrontal cortex)”

– Dr. Shanek Wick, Neuralia TMS (Palmyra)

Overcoming Stigma: Perth Psychiatrist, Dr Wick weighs in on TMS as your Mental Health Treatment

Overcoming Stigma: Perth Psychiatrist, Dr Wick weighs in on TMS as your Mental Health Treatment 944 944 Neuralia TMS

Mental Health can be a daunting experience that can interfere with your daily life. Fortunately, there are numerous ways to manage it, and TMS treatment is one of the most effective. Perth Psychiatrist, Dr Shanek Wick and the team at Neuralia TMS, Palmyra recommends discussing TMS treatment with your GP as an option for managing Mental Health. Find out more information about how TMS works.

The fact that TMS treatment is non-invasive—that is, it doesn’t require any surgery or medication—is one of its main advantages. For those who are unable to take medication owing to side effects or other health issues, this makes it a safe and viable alternative. The majority of patients simply experience a slight tapping sensation on their scalp during TMS therapy, which is also completely painless.

The fact that TMS treatment is very individualised is another advantage. Based on your particular requirements and symptoms, Perth psychiatrist Dr. Shanek Wick will work with you and your treatment plan. The standard course of treatment entails daily sessions for a few weeks, but the frequency and duration of treatment may change based on your particular situation.

If you’re considering TMS treatment for your mental health, it’s essential to work with a qualified and an experienced Perth Psychiatrist who specialises in the TMS treatment option. Your GP can assist you in deciding whether TMS is the best option for you and recommend you to a psychiatrist who will create a specialised treatment plan that takes into account your unique needs.

Find out if you are a good candidate for TMS Treatment.

In conclusion, TMS treatment is a safe and effective option for managing mental health. If you’re struggling with anxiety, depression, OCD or PTSD and are looking for a non-invasive treatment option, TMS may be worth considering. Talk to our team at Neuralia TMS about whether TMS is the right choice for you, and take the first step towards regaining control over your mental health.

what medicare covers

TMS Treatment and Medicare: What You Need to Know

TMS Treatment and Medicare: What You Need to Know 3000 2000 Neuralia TMS
key points about medicare benefits schedule (mbs)
key points about medicare benefits schedule (mbs)

Medicare coverage for TMS is not automatic. Each case is assessed individually, and additional documentation from the treating physician may be required. Additionally, while out-of-pocket costs usually apply, depending on the specific provider and individual circumstances, this is not the case at Neuralia TMS. 

Neuralia TMS offers TMS therapy for depression at no additional cost to patients. This means that both standard TMS sessions and psychiatrist reviews are covered, effectively making the total cost of treatment $0 for eligible patients.

Book an Appointment at Neuralia TMS to get a better understanding of what costs may incur. 

TMS and Medicare Coverage

Transcranial magnetic stimulation (TMS) is a non-invasive treatment for major depressive disorder (MDD) that uses magnetic pulses to stimulate specific areas of the brain. According to a Harvard University study, TMS has shown promising results in individuals who haven’t responded adequately to traditional treatment methods like medication.

What is Medicare?

Medicare is the Australian government’s national health insurance program, designed to provide affordable and accessible healthcare to citizens and permanent residents. Here’s how it works:

What Medicare Covers

what medicare covers
what medicare covers
Treatment or Service Description
Subsidised doctor’s visits and consultations Medicare covers a portion of the cost for visits to general practitioners (GPs) and specialists.
Treatment in public hospitals Medicare covers costs associated with treatment as a public patient in a public hospital, including surgery and emergency care.
Essential tests and scans This includes services like x-rays, blood tests, and some pathology services.
Some allied health services Medicare may provide subsidies for services like physiotherapy and psychology under certain conditions.
Prescription medications Many prescription medicines are subsidised under the Pharmaceutical Benefits Scheme (PBS), which works in conjunction with Medicare.

Medicare is an important part of Australia’s healthcare system, providing peace of mind that essential health services are within reach for all Australians.

Is TMS Covered by Medicare?

Medicare may cover TMS for severe MDD under specific conditions. The Australian Government Department of Health outlines these criteria, which include:

  • Formal diagnosis of severe MDD by a qualified psychiatrist
  • Failure to respond adequately to at least two different medications at appropriate dosages

What Does Medicare Cover for TMS?

Medicare Benefits Schedule (MBS) item numbers 64100, 64101, 64102 Depending on treatment duration
Treatment duration Up to 30 sessions MBS currently reviewing extension requests
Out-of-pocket costs May apply Depending on individual circumstances and private health insurance coverage

What is Medicare Benefits Schedule (MBS)?

The Medicare Benefits Schedule (MBS) is a list of health professional services that the Australian Government subsidises. It essentially acts as a reference guide for what medical services are covered under Medicare and the associated fees.

Here’s a breakdown of the key points about the MBS:

Medicare Benefits Schedule (MBS)

Feature Description
Content A list of health professional services subsidised by the Australian Government. This includes consultations, diagnostic tests, and operations offered by various healthcare professionals like doctors, nurses, and allied health providers.
Benefits Provides financial assistance to patients by reducing the cost of covered services. Patients typically pay a reduced fee or nothing at all, depending on factors like bulk billing.
Management Managed by the Australian Government Department of Health and accessible through their website, MBS Online. This website allows searching for specific services and their associated information.

Medicare coverage doesn’t guarantee complete financial coverage. While the MBS outlines the government’s subsidy, there might be additional out-of-pocket costs depending on the specific service, chosen provider, and individual circumstances.

Insurance Companies that Cover TMS therapy

  • Aetna
  • Allianz
  • Bupa
  • Medibank
  • NIB

While Medicare coverage for TMS therapy in Australia is currently limited, many private health insurance companies do offer coverage for this treatment, but with varying degrees of accessibility and limitations.

Most major insurers like Aetna, Allianz, Bupa, Medibank, NIB may offer coverage for TMS, but often with strict criteria and limitations, such as requiring diagnosis of severe treatment-resistant depression and failed attempts at other treatment methods.

Coverage may also depend on your specific policy, the provider you choose, and out-of-pocket costs might still apply (e.g., co-pays, deductibles).

As of March 2023, Neuralia TMS is proud to be among the first multi-site TMS providers in Australia to offer a no out-of-pocket Medicare option for patients struggling with treatment-resistant depression. This means eligible patients will have full coverage for both TMS treatment sessions and TMS psychiatrist reviews through Medicare.

How Much Does TMS Cost in Australia?

So while Medicare may not cover the cost, there are several big insurance companies that can assist you. In Australia, typical TMS treatment costs range from $100 to $200 per session. Even with Medicare rebates, patients often incur out-of-pocket expenses between $20 and $100 per session. However, Neuralia TMS offers a unique depression treatment program in Perth where eligible patients can receive the entire treatment completely covered, eliminating any out-of-pocket costs. Visit our TMS costs page to find out more bout Medicare rebates. 

FAQs about TMS Treatment and Medicare

Who is not eligible for TMS therapy?

While TMS has shown promise, there are limitations. Individuals with implanted medical devices (pacemakers, cochlear implants), metal in the head (shrapnel, piercings), or a history of seizures are generally not eligible due to safety concerns. Additionally, pregnant or breastfeeding women, those with untreated substance abuse, or experiencing severe psychiatric symptoms (psychosis) might not be suitable candidates.

What are the requirements for TMS?

While specific requirements may vary, common criteria include being diagnosed with treatment-resistant depression (failing to respond to medication trials) and being at least 18 years old. A thorough medical and psychiatric evaluation is crucial to determine your suitability and identify any potential risks or contraindications.

Which TMS Therapy type is best?

There’s no single “best” type of TMS therapy, as each individual and their needs are unique. The two main types are repetitive TMS (rTMS) and theta-burst stimulation (TBS). rTMS offers more customization options but requires more sessions, while TBS is faster but has less flexibility. Choosing the right type involves consulting with a qualified healthcare professional who can assess your specific situation and recommend the most suitable approach.

TMS Treatment Strategies for Great Results

TMS Treatment Strategies for Great Results 474 316 Neuralia TMS

Get a good night’s sleep.

Make sure you give yourself time to rest after your session because TMS can have a lulling impact in the early stages of treatment. Additionally, more restful sleep prepares you for a better day in terms of mood, energy, and focus.

Before treatment, drink caffeine.

Caffeine, which is a stimulant, can assist maximise the advantages of your therapies’ stimulating pulses providing caffeine-containing beverages do not make you feel anxious.

Remain alert.

Don’t rest while receiving treatment. The pulses should be going while the brain is awake and vigilant.

Dialog throughout therapies.

Engaging in conversation while receiving treatment can help you achieve the best results because the brain is at its most capable of learning and processing while the stimulatory pulses are active.

Keep up a balanced, healthy diet.

During therapy, a healthy diet can help maintain your mental energy levels up. As a result, as you continue your sessions, your focus and stamina will increase.

Sip some water.

Drinking plenty of water will keep you feeling fresh and fight weariness.

Keep moving and work out.

In fact, wear workout attire to your TMS sessions and head straight to the gym afterwards. You’ll feel less stressed, have more energy, and get a better night’s sleep as a result of doing this.

Continue to take your meds as directed.

The advantages of TMS can be impacted by abruptly discontinuing, and missing doses can generally result in unpleasant sensations. Before quitting any medications, see your doctor.

Keep to the schedule.

Try your best to show up for each daily appointment five days a week. Try to plan your treatments in advance, at times you are aware of as being most effective for you. Keep in mind that since this is brain training, repetition with consistency is the key to learning.

Have compassion for yourself.

The advantages of TMS are felt differently by each person. People in your life will frequently notice the changes before you do, so periodically check in with them to see how you’ve changed in their eyes.



Finding the best treatment for you frequently involves researching various depression treatment alternatives. You’re sure to come across TMS therapy and antidepressants in your search, but which one should you take first? Are they successful? How long do the two procedures last? To assist you in choosing the course of therapy that might be the greatest fit for you, this guide will provide answers to these and other questions.

Antidepressants vs. TMS

Antidepressants and TMS therapy are both successful ways to treat depression. TMS therapy can, however, help those who either haven’t had good results with antidepressants or can’t handle them. This is one of its advantages. Examining the specifics of both is important in order to accurately compare TMS therapy and antidepressants. Your choice of treatment can be influenced by understanding how they operate, their adverse effects, and their success rates.

How They Operate

TMS Treatment:
Magnetic pulses are used in TMS therapy to target particular brain regions that control mood and emotion. The ability of the brain to control mood can be enhanced by stimulating the nerves in various areas of the brain.

The brain can receive information from the nervous system thanks to chemical messengers known as neurotransmitters. Increasing the amounts of particular neurotransmitters that influence mood and emotion is how antidepressants often operate. This outcome is attained by various antidepressant kinds by interacting with specific neurotransmitters.

Negative effects

TMS Treatment
The fact that TMS therapy has few adverse effects is one of its advantages. One in ten patients report mild to moderate headaches and/or discomfort during or after the treatment session, although the majority of patients report that these side effects lessen and finally go away as they get used to the medication. Seizures are a very uncommon side effect of TMS therapy, occurring in less than one out of every 60,000 TMS sessions.

Depending on the type of antidepressant being used, a person may suffer different adverse effects. Nausea, diarrhoea, headaches, trouble sleeping, and sexual issues are some of the side effects of SSRI and SNRI antidepressants that are frequently experienced. Side symptoms like blurred vision, constipation, dizziness, dry mouth, shaking, and problems urinating are more likely to occur when taking tricyclic antidepressants. Heart issues and liver damage are uncommon antidepressant adverse effects.

After the first few weeks of using antidepressants, side symptoms are often less frequent. However, some people find the adverse effects overwhelming and stop receiving therapy as a result.

Who shouldn’t get TMS therapy?

Who shouldn’t get TMS therapy? 474 316 Neuralia TMS

Find out exactly how TMS works.

For patients who are resistant to treatment, TMS can be extremely beneficial. TMS candidates often had taken two or more antidepressants with little to no success. Not everyone is a candidate for TMS therapy, despite the fact that it offers hope for many individuals with depression or OCD. 

A few things that can prevent you from getting TMS therapy for depression or OCD are, financial circumstances and Medicare coverage, or previous health conditions that clash with the magnetic coils.

TMS therapy may be more expensive than antidepressants, patients are typically required to try at least two before being considered for TMS Therapy. If you don’t wish to take medicine, you can try TMS without taking antidepressants, but further consideration and discussion is required. 

As TMS Therapy makes use of strong magnets, certain individuals may have medical conditions that should be thoroughly evaluated before beginning TMS Treatment with Neuralia TMS, Perth.

These conditions are known as potential clashes, and the following are some of the most typical ones:

  • Metal implants above the neckline: In particular, aneurysm clips from neurosurgery would be a concern. 
  • Implanted devices: TMS magnets have the potential to interfere with physiologic sensing devices, pacemakers, vagus nerve stimulators, or other devices that utilise battery packs.
  • Seizure history: A seizure during TMS therapy is more likely to occur in someone who has had seizures in the past. In this case, it is beneficial to have a skilled medical professional assess the risk and, if necessary, make particular arrangements to reduce the risk of seizures.

Does TMS Work Long Term?

Does TMS Work Long Term? 474 266 Neuralia TMS

The question of whether TMS works long-term and whether patients will need to return after some time remains as many patients experience improvements right away or after a few treatments.

The Findings of TMS Research

Understanding how we gauge achievement, both immediately and over the long term, may be made easier by taking a look at three significant TMS research.

One of the earliest TMS research used randomised, double-blinded, sham-controlled trials to investigate the treatment’s effectiveness and safety in the short-term management of MDD. In other words, study participants were unaware of whether they were receiving a genuine TMS treatment or a phoney one. Before the trial began, all study participants stopped taking their antidepressants, and the TMS technicians were instructed to be emotionally neutral, making the trial sterile and, as a result, not particularly spectacular. Studies soon showed it to be beneficial in treating MDD (Major Depression Disorder) with few side effects, but many participants who received the fake treatments showed no improvement.

Where participants knew they were getting a real TMS treatment, they encouraged participants from the initial study to take part. TMS was administered to study participants in a natural, non-sterile environment. Many patients discover that TMS therapy itself is beneficial, making time each day for themselves to be welcomed by kind individuals who are concerned about their well-being. Additionally, patients were permitted to resume using their antidepressants, indicating that TMS may offer even better results when combined with other proven treatments.

Two years later, a comparable second continuation study by Dunner et al (2014) that tracked participants for a year was carried out. After six weeks of TMS treatment, patients had a 62.3% response rate to TMS, and 41.2% of patients had achieved remission. At this point, the results were promising. 62.5% of those who responded were still doing better a year later, and 45.1% of those who were in remission were still doing so. Additionally, it was discovered that 84.2% of patients who benefited from TMS during their first course of treatment but did not experience remission did so again during their second round of treatment.

So, does TMS function over time? Yes is the common response. And for those who later develop symptoms after undergoing TMS therapy, a second session of TMS will effectively get them back on track.

More research is required to understand how to reap the full benefits of TMS therapy and on staying well after TMS treatment. Based on studies about depression and doctors’ and patients’ experiences, it is possible to encourage and prolong the therapeutic effects of TMS therapy with the help of other therapeutic modalities.

  1. Mood stabilisers

Antidepressants can maintain your state following TMS, lowering your likelihood of depressive symptoms resurfacing even if they didn’t work for you prior to the procedure. A safe, preventative measure to encourage your positive response to TMS may be to continue taking an antidepressant for a year following your course of treatment.

  1. Talk therapy

Even if counselling didn’t seem to be of much use prior to TMS, talk therapy is incredibly helpful in maintaining wellness. One form of therapy that has received a lot of support is cognitive behavioural therapy (CBT). CBT assists you in avoiding the cognitive traps that can result in a downward spiral of mood.

  1. Changes in Lifestyle

Maintaining a regular sleep-wake cycle, eating well, and exercising frequently will help you stay healthy if TMS therapy was effective for you. Exercise in particular should not be overdone; exercise can have positive effects on health even at low doses. You don’t need to follow a strict routine if your doctor gives you the all-clear. Walking your pets, gardening, or going for a short walk around the block all have great health advantages and can prolong the effects of TMS.

How to Respond If Depression Recurs

Even if you follow all the appropriate steps, depression has a way of returning even when you take all the necessary precautions. It’s critical to keep in mind that you are not to blame for your depression. The wellness pathways in your brain will be strengthened to keep you feeling well, though, the more you stay healthy.

Get back into treatment as soon as possible if you do discover that your depressed symptoms have returned after TMS therapy. Before contacting Neuralia TMS clinic, don’t allow your depression symptoms to persist for longer than a few weeks.

Read more for an overview of how TMS works.

Dunner et al – 2014- A multisite, naturalistic, observational study of transcranial magnetic stimulation for patients with pharmacoresistant major depressive disorder: durability of benefit over a 1-year follow-up period –

Which TMS Therapy type is best?

Which TMS Therapy type is best? 1600 1067 Neuralia TMS

Since transcranial magnetic stimulation (TMS) was shown to be successful in treating major depressive disorder in the 1980s, other therapy modifications have emerged. To have a thorough understanding of their treatment options, patients must comprehend these distinctions.

To identify the optimal treatment for their needs, patients should examine the various TMS options with their TMS psychiatrist.

Find out what happens during TMS sessions.

Are all TMS procedures equivalent?

The magnetic pulse rate or the type of equipment utilised may be different among the many forms of TMS.
A TMS provider will describe the kind of therapy performed and how it might benefit you.

In terms of pulse rate, the first group of TMS treatments varies:

Multipulse TMS:
Every few seconds, one pulse is delivered steadily.

TMS with paired pulses:
Two pulses are delivered simultaneously. Depending on the desired outcomes for each patient, these pulses can either target one cerebral hemisphere or both.
The most popular form of TMS therapy is probably repetitive TMS (rTMS). Multiple pulses are given simultaneously at various frequencies to achieve various goals. The brain is stimulated or inhibited when there are fewer pulses than when there are more pulses. The pulse rate is determined by the unique conditions of each patient. The lowest amount of magnetic energy necessary to activate muscle fibres and cause the thumb to twitch is used to measure the patient’s motor threshold in order to establish the ideal pace. There is no distinction between TMS and rTMS; the two acronyms are typically used synonymously.

Stimulation with theta waves TMS vs. TBS:
Time is the main factor that distinguishes TMS from TBS. TBS takes about one to three minutes as opposed to a regular TMS treatment session, which can last up to 45 minutes. That’s because TBS transmits magnetic pulses at a frequency similar to brainwaves, but at a considerably faster rate. This TMS variant, which was approved by the FDA in 2018, is frequently referred to as express or expedited TMS.

Then there are two additional TMS variations that employ technology that is distinct from normal TMS.

Deep TMS (dTMS):
Deep TMS treatment uses a particular kind of machine with a different coil than rTMS, hence the name. The dTMS device manufacturer asserts that the coil enables the magnetic pulses to penetrate deeper into the brain (about 4cm in, compared to about 1.5 with rTMS). But when it comes to pulse rate, dTMS and rTMS are comparable in that they send a number of pulses at once.

Functional MRI or Neuro-navigated TMS (fMRI TMS):
While TMS is being administered, a neuroimaging instrument such as an MRI monitors brain activity for a real-time evaluation of brain function. The ideal placement of the coils on the brain can also be determined using the MRI.

Read more on the science of TMS.

Who is a Good Candidate for TMS?

Who is a Good Candidate for TMS? 480 320 Neuralia TMS

For patients with specific mental health disorders, such as major depressive disorder, transcranial magnetic stimulation (TMS) can be very helpful. Once they learn about the therapy and how it can reduce symptoms, many patients are eager to give TMS a try. Who is a good candidate for TMS is ultimately decided on a case-by-case basis. This is a personalised form of care, and patients must first satisfy TMS requirements in order to be eligible for it.

To determine whether TMS will be a suitable fit for you, it is necessary to comprehend how it operates.

There are a few significant traits to consider:

  • There are little adverse consequences. The biggest one is when the scalp feels like it is being tapped during therapy. Additionally, some people get a minor headache following treatment. An over-the-counter pain reliever can be used to treat these headaches.
  • You can drive yourself to and from treatment with TMS because it is non-invasive and doesn’t require sedation, so there is no downtime.
  • An electromagnetic coil is applied to the scalp during treatment. The coil emits magnetic pulses, which the brain subsequently converts into mild electrical currents. Specific parts of the brain are stimulated by these currents.
  • The length of a treatment session is 18 to 40 minutes. TMS is typically administered once a week for the first several weeks, then less frequently as the treatment progresses.
  • Each patient receives a customised therapy with TMS. However, certain TMS prerequisites must be met before possible treatment candidates can begin.

TMS Important Criteria

To be authorised for treatment with TMS, you must fulfil the requirements listed below:

  • TMS has been approved for the treatment of major depressive disorder, obsessive compulsive disorder (OCD), quitting smoking, and depression-related anxiety symptoms (also called depressive anxiety). Other mental health issues cannot currently be treated with it due to regulatory restrictions.
  • History of treatment: TMS is typically utilised for patients who have tried medicine and/or talk therapy but are still not feeling well. While receiving TMS, however, people frequently continue taking their drugs and/or receiving counselling.
  • Age: TMS is currently not licensed for use in children or adolescents; it is typically reserved for individuals 18 years of age and above. Patients who are nearly 18 years old are in a “grey area” and may be suitable for TMS; the TMS provider can decide if they are.

Health History: Due to the nature of TMS treatment, individuals may not be eligible if they have pacemakers or vagus nerve stimulators installed in their bodies, with the exception of dental fillings, which are acceptable. People who have neurological issues, such as epilepsy risk or head trauma, may not be eligible for treatment. Even if you have one of these conditions, our Care Team will be able to provide you with advice based on your individual circumstances, so it doesn’t necessarily preclude you from treatment.

Neuralia TMS are the Transcranial Magnetic Stimulation (TMS) specialists in Perth, WA. TMS is non-invasive treatment for depression and several other conditions.

Phone: 6230 3996
Email: [email protected]
Fax: 6230 2231
Healthlink ID: neuralia

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