Deep Transcranial Magnetic Stimulation (dTMS)

How does dTMS work?

A helmet with a magnetic coil is placed on the client's head.  Magnetic pulses are sent across neural pathways to activate mood centers in the brain.  This helps restore brain function for lasting change and complete remission in some cases.

The most advanced treatment for depression.

Here at Sequoia Mind Health, we use the latest technology from Brainsway, called "deep" TMS.  Deep TMS penetrates deeper into the cortex than traditional repetitive TMS and is more effective.  This system has been widely tested over the years in numerous clinical trial performed worldwide.  Studies have shown that over 50% of those who have already failed 3 antidepressants achieved complete remission with dTMS.

The benefits of dTMS:

  • dTMS, as opposed to anti-depressants, has no long-term side-effects such as weight gain, nausea, dry mouth, sexual dysfunction, etc
  • Non-invasive and non-sedative
  • Can be used in conjunction with medications or as a stand-alone treatment
  • Covered by most insurance plans: insurance carriers will authorize TMS when a client has tried 4 antidepressants, 2 augmentation strategies and psychotherapy during the current episode of depression.  As TMS is FDA-approved for treatment-resistant depression only, insurance carriers will not pay for the treatment of other disorders (however, Sequoia Mind Health will beat anyone's out-of-pocket rates, and will work with you to find a price that makes this treatment accesible)
  • High long-lasting remission rates

In addition to FDA-approval for depression, TMS is CE approved (in Europe) for the following:

  • Addictions
  • Alzheimer's
  • Autism
  • Bipolar disorder
  • Chronic pain
  • Parkinson's
  • PTSD
  • Schizophrenia
  • Smoking cessation
  • Multiple sclerosis
  • OCD
  • Stroke rehab

What you can expect:

  • A free, informative phone consultation with our Nurse Navigator.  We also offer free TMS info sessions the first Monday of every month from 5-6pm--simply come to the office to learn more and see the dTMS device and we'll provide you with some light snacks and refreshments; no need to call ahead of time
  • We work with your psychiatrist and/or therapist to determine the best course of treatment
  • If TMS is deemed appropriate, you can begin therapy as soon as it's scheduled
  • TMS treatments last about 20 minutes and are administered 5 days a week for 4 to 6 weeks
  • You are seated in a comfortable chair where you can listen to music, watch TV, read a book or use your mobile device
  • When you're done with treatment, you can simply drive yourself home
Studies have shown dTMS to be effective for patients with depression, regardless of how many medications were tried in the current episode of depression. See “helpful links” tab for additional information.
dTMS has been proven safe and effective, and has no known systemic effects (effects deriving from medication entering the bloodstream and circulating throughout the body). The most common side effects are headaches and local discomfort, both usually temporary and mild. Other side effects may include muscle twitching and jaw pain. See “helpful links” tab for additional information.
ECT is a treatment based on electrically induced seizures, whereas dTMS treatment stimulates brain regions using brief magnetic pulses similar to those used in MRI systems, without inducing seizures. ECT requires anesthesia and has severe side effects, including memory loss. dTMS does not involve anesthesia, has no effects on memory and is generally well tolerated. See “helpful links” tab for additional information.
Typically, patients hear a tapping sound and feel a tapping sensation in the head area during the 20-minute treatment. To diminish the sound, the patient is provided with earplugs. See “helpful links” tab for additional information.