Repetitive Transcranial Magnetic Stimulation (TMS)

Repetitive Transcranial Magnetic Stimulation (TMS)

  • Overview
  • Approach
  • Appointments
  • What to Expect

    • What is Repetitive Transcranial Magnetic Stimulation (TMS)?

    Repetitive Transcranial Magnetic Stimulation (TMS) is an FDA-approved treatment for depression, particularly effective for adults who have not benefited from traditional treatments like medication or psychotherapy. As a non-invasive procedure, TMS offers an alternative for those unable to tolerate or who choose not to take antidepressant medications.

    How does TMS work?

    TMS uses electromagnetic fields to stimulate brain activity without involving anesthesia or invasive methods. A magnetic field generator, placed over key head areas, induces targeted electrical currents in brain regions responsible for mood regulation. Treatments are conducted in an outpatient setting, with patients remaining awake and resuming daily activities immediately afterward. A full course typically consists of 20-30 sessions over 4 to 6 weeks.

    Our Approach

    At the University of Michigan, TMS is integrated into each patient's existing mental health care regimen, complementing treatments from psychiatrists, therapists, primary care physicians, and other mental health providers.

    Appointment Information

    Program on Pause

    The clinic providing TMS treatment is currently pausing this service.

    What to Expect

    TMS may be suitable if you experience mild to moderate treatment resistance or medication intolerance. It’s especially beneficial for patients who have not found relief after an “adequate” trial of antidepressants. TMS could prevent more severe treatment resistance and is approved for treating major depressive disorder, particularly after one failed antidepressant trial.

    To determine if TMS is appropriate for you, begin with a formal evaluation through our Ambulatory Psychiatry clinic. Discuss your treatment history with us or your psychiatrist, and be prepared to review medications, psychotherapy, and other treatments you've tried. You should also consult your insurance provider regarding coverage.

    Are there side effects to TMS?

    TMS is considered extremely safe, with rare side effects such as seizures, especially in those with epilepsy. Common side effects can include:

    • Pain at the stimulation site, manageable by adjusting device settings
    • Muscle twitching during sessions
    • Headache or toothache post-treatment

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