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.

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