1.  Are TMS and ECT the same procedure?

TMS is not the same as electroconvulsive therapy (ECT, formerly called “electroshock therapy” or “shock treatment”). While both therapies are used to treat major depression, ECT is usually administered in a hospital with anesthesia, which adds to the risk and recovery time of the procedure. Most physicians recommend ECT as an emergency measure because it is invasive and can lead to serious side effects, like memory loss. TMS is a different form of brain stimulation. It’s a non-invasive outpatient procedure that has demonstrated few to no side effects.

2. What are the side effects of TMS?

Only a few (usually minor) side effects are reported by patients, and the majority of patients do not stop treatment due to them. The most common side effect is slight pain or discomfort in the treatment area, usually only reported in the first week. Learn more about the potential side effects of TMS.

3. What can I do and not do after a TMS session?

You can return to your normal daily activities immediately after each TMS session.

4. Can TMS be combined with other depression treatments, like my current medication?

TMS can be combined with most antidepressant medications, but Dr. Woo will evaluate all of your current medications and their compatibility during your pre-treatment evaluation appointment. You’re welcome to continue any psychotherapy you’re currently undergoing, or if you’re interested, we can offer you psychotherapy and medication management services.

5. When will I start to see results with TMS?

The time it takes to see results with TMS will vary from patient to patient. Some patients report an improvement in depression symptoms in as little as 2 weeks, while others don’t notice an improvement until week 4 or 5. Patients who take longer to notice symptom relief are still receiving effective treatment and can still experience long-lasting relief from their depression symptoms. Learn more about what can affect your time to results.

6. How long do TMS results last?

How long the effects of TMS last will vary from patient to patient. Studies show that patients who achieve remission from depression are more likely to continue to show signs of remission or response to treatment even one year after completing a round of treatment. In some cases, patients may need a maintenance session of TMS. Learn more about what influences how long TMS results can last.

7. Who will I interact with during treatment?

Throughout therapy at Madison Avenue TMS & Psychiatry, you will see a technician at each of your appointments who will guide you through each treatment. Dr. Woo will check in on your progress at least weekly, and he’s available for additional check-ins anytime you’d like.

8. Is TMS right for me?

TMS is considered when patients do not see improvement in depression symptoms after trying at least 2 types of antidepressants. TMS cannot be administered to patients with implanted metallic devices in or around the head (such as aneurysm clips or coils and electrodes that monitor brain activity) or electrical implants (such as pacemakers and ICDs).