About DTMS

What is DTMS?

Deep transcranial magnetic stimulation, also known as Deep TMS (dTMS), is an in-office, FDA approved, non-drug, non-invasive treatment for people suffering from major depressive disorder (MDD) and Obsessive Compulsive Disorder (OCD). dTMS therapy is CE (Europe) to assist with Postpartum Depression, Post-Traumatic Stress Disorder, (PTSD), other anxiety disorders, tinnitus, smoking cessation, and other neurological disorders.

Unlike regular TMS, dTMS, utilizes H coils that can penetrate the 4 cm beneath the surface of the skull. Allowing for the wider efficacy when stimulating the neuronal circuits in the prefrontal cortex, which is under functioning in people with MDD.

This low-stress procedure administers electromagnetic pulses without any sedation or anesthesia. Completed on an outpatient basis, dTMS is completed in 18-20 minutes under the supervision of the TMS coordinator. After relaxing 18-20 minutes, people undergoing the treatment are free to leave without supervision and continue living their life.

How DTMS Works

dTMS requires 5 daily sessions that last only 20 minutes, over just 4-6 weeks depending on the response to treatment. The treatment integrates well into the patient’s routine, and the patient can drive home independently after each session to resume his/her daily activities. 

Benefits of dTMS

dTMS has been illuminating the path to freedom from treatment-resistant depression for many years now. Just becoming FDA approved for OCD treatment, dTMS is proving its versatility in assisting people get better and stay better.

BrainsWay Treatment vs. Antidepressants

BrainsWay Treatment

  • The most common side effect is temporary, mild pain or discomfort at or around the site of TMS application, which occurs during treatment. This typically occurs only during the first week of treatment. There is a rare risk of seizure.* 
  • Overall treatment: Limited to the depressive episode, with an option for maintenance, if required.
  • Results: 4-6 weeks

Antidepressants

  • The most common side effects include the following: Nausea, insomnia, anxiety, weight gain and sexual dysfunction, as well as diarrhea, dry mouth, and sweating.
  • Overall Treatment: Generally, antidepressants are prescribed for an indefinite or permanent period.
  • Results: 4-6 weeks

BrainsWay Treatment vs. ECT

BrainsWay Treatment

  • Anesthesia: Not Required
  • The most common side effect is temporary, mild pain or discomfort at or around the site of TMS application, which occurs during treatment. This typically occurs only during the first week of treatment. There is a rare risk of seizure.*
  • Session length: 20 minutes
  • Overall treatment term:  treatment term 20-30 sessions in the acute phase
  • Procedure: Non-invasive electromagnetic stimulation of brain regions
  • Hospitalization: None
  • Recovery time after each session: Minutes – patient can drive home independently

ECT

  • Anesthesia: Required
  • Common side effects: Cognitive and memory dysfunction, alterations in blood pressure, pain and discomfort. Rare side effects: Adverse reactions to anesthesia, cardiovascular complications, death.
  • Session length: Several hours, including anesthesia and recovery.
  • Overall treatment term: Typically 6-12 sessions, in the acute phase
  • Procedure: Electrically induced seizures
  • Hospitalization: Often requires partial hospitalization (day hospitalization)
  • Recovery time after each session: Hours to days

Rare risk of seizures*

*<0.1% of the population, which is significantly lower than antidepressants or ECT

What Can dTMS Treat?

Depression

At its worst, depression can be a frightening, debilitating condition. Millions of people around the world live with depression. Many of these individuals and their families are afraid to talk about their struggles, and don't know where to turn for help. However, depression is largely preventable and treatable. Recognizing depression and seeking help is the first and most critical towards recovery. 

In collaboration with WHO to mark World Mental Health Day, writer and illustrator Matthew Johnstone tells the story of overcoming the "black dog of depression". More information on the book can be found here.

For more information on mental health, Click here.

Strive TMS Centers Depression Information (Brainsway)

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Surya Psychiatric Clinic, PLLC specializes in a wide range of psychiatric services to get patients feeling healthier.