Transcranial Magnetic Stimulation (TMS) Therapy

When symptoms persist despite therapy or medication, some people look for a treatment that’s targeted, clinic-based, and doesn’t require daily oral medication. TMS therapy fits that next-step conversation: it’s delivered in a series of brief sessions, is generally well-tolerated, and is often used when depression or OCD hasn’t improved enough with standard care. 

What is TMS 

Transcranial Magnetic Stimulation (TMS) is an FDA-cleared, non-invasive neuromodulation treatment for individuals living with depression and other mood disorders. TMS uses magnetic pulses, similar in strength to an MRI, to activate brain regions that are underactive in depression. Unlike medications, TMS does not involve systemic side effects, and unlike electroconvulsive therapy (ECT), TMS does not require anesthesia or cause memory loss. 

Treatment time: Daily outpatient sessions over several weeks.


How does it work?

During TMS, a magnetic coil is placed gently on the scalp, delivering focused pulses that stimulate the prefrontal cortex, which is an area of the brain that is involved in mood regulation. This stimulation helps to “reset” neural pathways to promote healthier brain activity and connectivity. Research shows that TMS can relieve symptoms of depression.

Treatment

Step 1: Initial Assessment 
Patients begin with a consultation with a Salma Health psychiatrist to confirm whether TMS is the appropriate treatment. We’ll review your personal history, past treatments and current symptoms.


Step 2: Brain Mapping and Treatment Setup

On the first treatment day, we will identify the optimal target location and determine the correct stimulation intensity for your brain. This ensures the treatment is precise and tailored to you.


Day 3: Daily TMS Sessions

  • Schedule: Sessions typically occur 5 days a week and last 20-40 minutes each.
  • Course length: Most patients complete 6 weeks of daily treatments with an additional 6 sessions over 3 weeks..
  • Experience: You will sit comfortably in a chair while the TMS coil delivers magnetic pulses. You can return to normal activities following treatment. 


Step 4: Monitoring and Adjustment

Throughout your course of TMS treatment, our team will check in with you regularly to track your progress and adjust the treatment plan as needed.


Step 5: Post-Treatment Care

At the end of your course, we’ll meet for a final evaluation to discuss ongoing support options, which may include maintenance TMS sessions, therapy or medication as part of your long-term wellness plan.


Getting started

Taking the first step is easy. Schedule a free video call with our team to explore whether TMS is right for you. We will walk you through the process, answer your questions and help you decide the best next steps for your mental health.

Frequently asked questions

Is TMS painful?

Transcranial Magnetic Stimulation is not typically painful, but some people feel scalp tapping or mild discomfort at the treatment site during the first sessions. Temporary headache or facial muscle twitching can occur and usually lessens as your body adapts.

How long does a course of TMS last?

A standard TMS course usually runs 4–6 weeks of weekday sessions, with each visit lasting about 20–40 minutes depending on the protocol and device. Some patients receive taper sessions afterward to help maintain benefits.

Does insurance cover TMS?

Yes. Most major insurance plans cover TMS for conditions such as major depressive disorder once certain clinical criteria are met. Our team can help you confirm coverage and handle prior authorization.

How long do the side effects last?

TMS side effects are usually mild and short-lived—often resolving within minutes to hours after a session. Headaches and scalp tenderness typically decrease over the first week of treatment. If discomfort persists, clinicians can adjust coil position, intensity, or pre-medicate with standard analgesics as appropriate.

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