TMS therapy is a non-invasive treatment option for patients with major depressive disorder (MDD), especially those who have not responded to traditional treatments such as medication or psychotherapy. While TMS is generally considered safe and effective, it does have associated risks and possible side effects, like any other medical procedure. Understanding the risks associated with TMS therapy as you consider this treatment is important.
Transcranial magnetic stimulation (TMS) therapy uses magnetic fields to stimulate parts of the brain, especially the prefrontal cortex, which is thought to be involved in controlling mood. TMS is widely applied in patients with treatment-resistant depression (TRD) who have not found relief from their symptoms with antidepressant medications. It is a noninvasive treatment that does not require surgery or anesthesia. After each short treatment session, patients can resume all activities.
Dr. Deirmenjian, who has practiced for over 14 years, was one of the first to adapt TMS therapy for the treatment of TRD. He has treated many patients with this technique and alleviated their symptoms. TMS has advantages, but it also has some associated risks.
The adverse effects associated with TMS therapy are mild and temporary in most cases.
Many patients experience mild to moderate headaches after their first TMS session. Most such headaches are transient and may be adequately treated with over-the-counter pain medication.
The magnetic pulses of TMS therapy may create a sensation of tingling or tapping on the scalp during treatment. Some patients find this uncomfortable, but it generally resolves by the end of the treatment session itself.
Some patients experience lightheadedness immediately following a TMS treatment. This symptom is also mild and temporary.
These side effects are generally minor and temporary, and most patients tolerate them very well. However, it is essential to speak up regarding any discomfort with the health provider so that adjustments in the treatment protocol may be made if necessary.
Though rare, serious side effects can arise in certain situations. The greatest risk related to TMS therapy is seizure.
Although the risk of seizures with TMS therapy is very low, this is a possible risk. Patients who have experienced previous seizures or are prone to epilepsy may be considered at higher risk. Prior to TMS treatment, Dr. Deirmenjian will perform a full assessment to ensure the patient is an appropriate candidate.
He carefully screens each patient for seizure risks and other complications before recommending TMS therapy. His experience with the procedure helps ensure that each patient will be provided with safe and effective care.
Not everyone is a good candidate for TMS therapy. You might be disqualified from receiving this treatment if you have any specific medical conditions or have implanted devices.
Individuals with implanted metals in or near the head, such as aneurysm clips, cochlear implants, or metal plates, cannot use TMS therapy due to the risk of magnetic interference.
People who have become psychotically depressed, meaning their depression is combined with psychotic symptoms, are not good candidates for TMS treatment.
TMS therapy holds great promise for patients with treatment-resistant depression. While there are risks associated with TMS therapy, including headaches, scalp discomfort, and seizures, most of these risks are minimal and generally well-managed in the clinic. Dr. Deirmenjian, who has treated patients with TMS therapy for over 14 years himself, individualizes each patient’s care in a way designed to minimize risk and ensure the highest treatment benefit.
If you have questions or concerns about TMS therapy, schedule your consultation today and learn more about whether this is the right course of treatment for you.