Transcranial Magnetic Stimulation Therapy

Headshot of Charles Maddix APRN, MSN, PMHNP-BC
Charles Maddix, APRN, MSN, PMHNP-BC
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October 13, 2022

TMS, or Transcranial Magnetic Stimulation, is a non-invasive and FDA-approved medical treatment that uses magnetic fields to stimulate nerve cells in the brain. TMS is primarily used to treat depression and other mental health conditions, including anxiety, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD).

One of the main advantages of TMS is that it is a non-invasive procedure that does not require anesthesia or surgical incisions. This makes it a much safer option than traditional invasive procedures such as electroconvulsive therapy (ECT). TMS is also more convenient for patients, as it does not require hospitalization or a long recovery period.

Another advantage of TMS is its high success rate. Many patients experience significant improvement in their symptoms after just a few weeks of treatment. Additionally, TMS has been shown to be effective in patients who have not responded to other forms of therapy, including medication.

However, TMS is not without its drawbacks. One of the main disadvantages is the cost of treatment, which can be quite high, particularly for patients without insurance coverage. For patients with insurance, as long as a patient has been on 2 or 3 antidepressants and seen less than satisfactory results, most insurance companies will pay for TMS treatments. Patients should check with their insurance provider to determine their coverage for TMS.

During TMS treatment, a patient sits in a comfortable chair while a specially designed magnetic coil is placed against the scalp, near the area of the brain that is thought to be involved in their specific condition. The magnetic coil delivers magnetic pulses, which pass through the skull and stimulate nerve cells in the brain.

The treatment lasts 19 minutes and is performed on an outpatient basis, meaning that the patient can go home after each session. Most patients receive TMS treatment once a day, five days a week, for 6 weeks.

The patient remains awake and alert during the entire procedure, and is free to read, listen to music, or engage in other quiet activities. Some patients may experience mild discomfort, such as a tapping sensation on the scalp, during the procedure, but this is generally well-tolerated.

Overall, TMS is a well-tolerated procedure with minimal side effects. Some patients may experience mild headaches, scalp discomfort, or dizziness after treatment, but these symptoms usually resolve on their own within a few days. TMS is considered to be a safe and effective treatment option for many mental health conditions, and is well worth considering for patients who have not responded to other forms of therapy.

Insurance coverage for TMS varies depending on the insurance company and the patient's specific policy. Some insurance companies will cover TMS for certain mental health conditions, while others may not cover it at all. Patients should check with their insurance provider to determine their coverage for TMS.

In conclusion, TMS is a highly effective medical treatment that offers many advantages, including a high success rate, non-invasive nature, and short recovery period. However, it can also be costly, particularly for patients without insurance coverage, and may not be covered by all insurance companies. Despite its drawbacks, TMS is a promising treatment option for many mental health conditions and is worth considering for patients who have not responded to other forms of therapy, contact us today at (904) 877-1100 to schedule your consultation!

Charles Maddix is the Owner & CEO of The Practice.  A private practice focused on the well-being of the individual as a whole, mind and body.

Among the unique modalities offered by The Practice are:

Ketamine Infusion therapy– Ketamine infusion therapy involves the administration of a series of infusions for the management of psychiatric disorders like major depressive disorder, post-traumatic stress disorder, and acute suicidality.  Working very quickly — in many, often within hours — to ease symptoms.

Bioidentical hormone replacement therapy - Bioidentical hormone replacement therapy (BHRT) uses hormones that are chemically identical to the hormones naturally produced in the human body. Derived from plant sources and formulated to match the molecular structure of hormones produced by the body. BHRT is used to treat symptoms of hormonal imbalances, in both men and women.

NeuroStar® TMS – NeuroStar® TMS delivers our advanced and unique form of TMS (transcranial magnetic stimulation), a non-invasive therapy that uses targeted magnetic pulses to stimulate areas of the brain that are underactive in people suffering from depression.

Opioid Replacement Therapy - Opioid replacement therapy (ORT) is an effective treatment for addiction to opioid drugs such as heroin, oxycodone, hydromorphone (Dilaudid), fentanyl and Percocet. The therapy involves taking the opioid agonists buprenorphine (Suboxone). This medication works to prevent withdrawal and reduce cravings for opioid drugs.

Invega Sustena – a once-monthly injection treatment approved by the FDA for bipolar 1 disorder maintenance. This eliminates the need for daily oral medications in appropriate patients.Allergy Immunotherapy -

Allergen immunotherapy, also known as allergy shots, is a long-term treatment that decreases symptoms for many people with allergies often leading to lasting relief of allergy symptoms even after treatment is stopped. This makes it a cost-effective, beneficial treatment approach for many people.

Please call 904.877.1100 if you are interested in any of our services or would like to schedule an appointment.  Visit us at to learn more!