The patented coil design in BrainsWay dTMS for H1 and H7 helmet penetrates more deeply and has a broader impact compared to other TMS devices. As a result, it effectively stimulates the targeted brain areas while reducing the chance of missing the treatment location, an issue that is common with other devices. The figure-8 coil patented by Magstim is a coil designed in a figure-8 shape that stimulates the brain at a more focalized point, and at a reduced depth, to deliver regular rTMS right where it is placed. As a result, the figure-8 coil can be easily maneuvered to stimulate different areas of the brain and is often used for off-label treatments. In order to lower the chance of missing the location and to increase the effectiveness of treatment, we also have a neuronavigation system attached to Magstim, referred to as ‘StimGuide.’

TMS is very safe and has minimal side effects. You are safe to resume work or other daily activities after the session is over. You may get a headache for the first week of treatment as your head gets used to the stimulation. There is a risk of a seizure but the chance is less than 1% and can often be avoided by following our treatment guidelines. TMS is NOT like ECT and requires no anesthesia.

TMS is done everyday (5 days) for the first few weeks and your appointment time will range from 15-45 minutes, depending on which protocol you are prescribed. Theta-burst for depression and anxiety are quick and take less than 5 minutes. Deep TMS and regular rTMS may take 20-30 minutes. After several weeks of daily treatment, you will taper the amount of treatments per week for the next few weeks thereafter. The treatment course may take about 10+ weeks total, except for ADD & ADHD TMS which will only take 3 weeks. Accelerated TMS is the only protocol that can be completed in one week.

TMS is usually done everyday, from Monday to Friday, to increase the effectiveness of treatment. TMS is like an exercise for your brain and we are trying to build that muscle or connections. Your brain is not being stimulated enough or is overactive and we need to use TMS therapy to either help the neurons (brain cells) fire off more or fire less (such as in OCD). If you miss treatment and come less often during the week, your progress will be reduced and run the risk of not responding to TMS therapy. It is important to commit to 5 days a week to increase the chance of responding and reaching remission.

It may take about 2-5 weeks before you see a response from TMS treatment. TMS is best paired with antidepressants and DBT, or CBT, therapy with qualified professionals.