Most likely, during your first appointment: Your first appointment typically lasts about 60 minutes. Your first treatmentīefore treatment begins, your doctor will need to identify the best place to put the magnets on your head and the best dose of magnetic energy for you. Generally, sessions are carried out daily, five times a week for four to six weeks.
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It requires a series of treatment sessions to be effective. Repetitive TMS is usually done in a doctor's office or clinic.
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You don't need to arrange for someone to drive you home after treatment - unless, for the first treatment, you prefer a driver until you get a sense of how you'll feel afterward.īefore considering treatment, check with your health insurance company to see whether rTMS is covered. Repetitive TMS isn't invasive, doesn't require anesthesia and can be performed on an outpatient basis. You've had prior treatment with rTMS, and whether it was helpful in treating your depression.You have brain damage from illness or injury, such as a brain tumor, a stroke or a traumatic brain injury.You have other mental health disorders, such as substance misuse, bipolar disorder or psychosis.You have a history of seizures or a family history of epilepsy.You're taking any medications, including prescription or over-the-counter medications, herbal supplements, vitamins or other supplements, and the dosages.Any other metal device or object implanted in your body.Electrodes for monitoring brain activity.Implanted electrical devices, such as pacemakers or medication pumps.Implanted vagus nerve or deep brain stimulators.However, due to the strong magnetic field produced during rTMS, the procedure is not recommended for some people who have the following devices: In some cases, people with metal implants or devices can have rTMS. You have any metal or implanted medical devices in your body.You're pregnant or thinking of becoming pregnant.Tell your doctor or mental health provider if: These evaluations help make sure that rTMS is safe and a good option for you. Psychiatric evaluation to discuss your depression.Physical exam and possibly lab tests or other tests.More study is needed to determine whether rTMS may have any long-term side effects. Hearing loss if there is inadequate ear protection during treatment.Mania, particularly in people with bipolar disorder.Your doctor can adjust the level of stimulation to reduce symptoms or may recommend that you take an over-the-counter pain medication before the procedure. Tingling, spasms or twitching of facial muscles.Scalp discomfort at the site of stimulation.Side effects are generally mild to moderate and improve shortly after an individual session and decrease over time with additional sessions.
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Generally, rTMS is considered safe and well-tolerated. And, unlike electroconvulsive therapy (ECT), rTMS doesn't cause seizures or require sedation with anesthesia. Unlike vagus nerve stimulation or deep brain stimulation, rTMS does not require surgery or implantation of electrodes. Repetitive TMS is a noninvasive form of brain stimulation used for depression. Request an Appointment at Mayo Clinic Risks