Transcranial Magnetic Stimulation (“TMS”) Treatment

TMS Treatment for Depression

TMS offers individuals a safe, FDA-approved alternative to oral antidepressants for patients struggling with depression.

At Ahwatukee Behavioral Health & Wellness, we pride ourselves on providing our patients with effective, cutting-edge treatments for individuals struggling with their mental health. To that end, we proudly offer transcranial magnetic stimulation (“TMS”). TMS is a safe, effective, non-invasive treatment that is covered by all major insurance. It has offered renewed promise and hope for individuals that have not had success with oral antidepressants or have had negative side effects from oral depressants. If medication and therapy have not provided the relief that you need, TMS is an affordable option that has helped tens of thousands of individuals reclaim their lives from depression.

Mental Health

TMS Therapy for Depression

The FDA approved TMS in 2008 to treat major depression. Over the past twenty years, TMS treatments have helped treat severe depression in countless individuals, offering relief and even remission from depressive symptoms.

TMS has served as a lifeline for individuals who:

  • Experience depression
  • Have not had success with oral antidepressants, either because the medications were ineffective or because they caused negative side effects
  • Do not want to pursue invasive procedures that require general anesthesia and can have severe side effects, like ECT (electroconvulsive / electroshock therapy)
  • Seek an evidence-based, FDA-approved treatment with few, if any, side effects
  • Seek a treatment option that is covered by their insurance.

Understanding TMS Therapy

TMS works by providing electromagnetic pulses to the area of the brain known as the dorsolateral prefrontal cortex (DL-PFC), which controls cognition, decision-making, memory, mood regulation, and motivation. Brain scans show that the DL-PFC is weaker in individuals with depression. TMS treatments deliver magnetic pulses to the DL-PFC which trigger the brain to generate new neural pathways and connections, actively changing the limbic system and enhancing the brain’s ability to regulate mood, emotion, motivation, among other elements of cognition.

TMS treatments are short procedures. Each treatment session lasts approximately 20 to 30 minutes. Patients usually receive 36 treatment sessions over the course of 7-8 weeks. During their treatments, they sit comfortably in a chair and can choose to spend their time reading, listening to music, or speaking with the member of the Ahwatukee Behavioral Health & Wellness team performing their daily treatment sessions).

Another benefit of TMS – compared to dissociative treatments like ketamine and Spravato or more invasive treatments like ECT – is that patients are free to drive themselves to and from appointments. Individuals receiving TMS do not need a caregiver or chaperone, and can therefore more conveniently fit their brief TMS appointments into their daily routines.

Long-Term Benefits of Therapy in Psychiatric Treatment

TMS at Ahwatukee Behavioral Health & Wellness

Ahwatukee Behavioral Health & Wellness provides TMS treatment to patients in Ahwatukee, Arizona and the surrounding greater Phoenix area. Each TMS treatment session generally takes under 30 minutes, and individuals who are receiving TMS treatment often begin experiencing relief as early as the second week of treatment.

At Ahwatukee Behavioral Health & Wellness, each patient receives customized treatment plans and options that offer multi-disciplinary, integrated care. Therefore, patients who receive TMS may also receive psychiatric medication management, traditional therapy, family therapy, and/or group therapy.

Studies show that when TMS is combined with therapy and other forms of mental and behavioral health care, the benefits can exceed isolated forms of care. Indeed, studies show that TMS is most effective when it is administered simultaneous to psychotherapy, because they produce synergistic antidepressant effects.

Contact Us Today

If you or someone you love is struggling with depression, TMS may be able to help. Contact us today to learn more.

The Science Behind TMS

TMS was approved by the FDA in 2008 to treat major depressive disorder, based on clinical research establishing that it led to remission or relief from depressive symptoms for individuals with Treatment Resistant Depression (TRD).

TMS Improves Brain Neuroplasticity

TMS improves the neuroplasticity of the brain. “Neuroplasticity” refers to the brain’s ability to adapt and change by growing and reorganizing the neural connections between brain cells.

The magnetic pulses delivered during TMS sessions cause electrical activity within brain cells underneath the machine’s treatment coil. The pulses delivered by the TMS machine produce changes in neural networks and synaptic connections in the DL-PFC area of the brain, which controls emotional and mood regulation.

The effects that TMS has on brain activity depends on the type of stimulation delivered through the machine’s coil. TMS can either increase neuronal firing, which enhances activity in the targeted brain region, or it can decrease neuronal firing, which restricts activity.

Therapeutic Applications

There are many therapeutic applications for TMS. There are evidence-based, peer-reviewed clinical studies published in major medical journals indicating that TMS can offer treatment for many mental and behavioral health issues, including:

  • Depression
  • Postpartum Depression
  • Anxiety
  • Obsessive Compulsive Disorder
  • Smoking Cessation
  • Post Traumatic Stress Disorder (PTSD)
  • Eating Disorders
  • Bipolar Disorder (BPD)
  • ADHD
  • Parkinson’s Disease
  • Schizophrenia
  • Chronic Pain

By regulating the neural activity in specific regions of the brain, TMS can reduce or eliminate symptoms associated with myriad conditions that are themselves manifestations of the brain and its neuronal activity. Currently, however, most insurance companies only reimburse for TMS treatment to treat depression.

Contact Us Today

If you or someone you love is struggling with depression, TMS may be able to help. Contact us today to learn more.

What to Expect as a Patient

Scheduling Your TMS Consultation

At Ahwatukee Behavioral Health & Wellness, we prioritize making treatment options convenient, clear, and simple for our patients. For that reason, we offer all patients the…

Your Initial Evaluation with a Psychiatric Provider

If you decide to schedule an evaluation with an Ahwatukee Behavioral Health & Wellness psychiatric provider, you may do so during your initial consultation. At your…

Scheduling Your First TMS Treatment Session

If you decide to move forward with TMS treatment, we will contact your insurance company to ensure that the treatment is covered by your insurance, understand any…

Reclaim Your Life from Depression

Over the next 7-8 weeks, you will attend daily treatment sessions, which generally occur Mondays through Fridays. Each session typically lasts between 20 and 30 minutes…

Insurance Covers TMS

TMS is covered by all major commercial and government insurers, including:

Insurance providers and policies differ with respect to requirements and eligibility for TMS treatment. At Ahwatukee Behavioral Health & Wellness, our TMS coordinator will help you navigate your insurance benefits by calling your insurer and verifying your eligibility on your behalf. For many patients, there may be no cost for TMS treatment, or the cost may be a small copay. If your insurance plan does have higher costs, then our TMS coordinator will discuss payment plans and financing options with you.

Contact Us Today

If you or someone you love is struggling with depression, TMS may be able to help. Contact us today to learn more.

Safety, Efficacy, & Side Effects

Safety

TMS is a safe and non-invasive procedure that is FDA-approved for treating major depression. Studies also show that TMS is effective in treating other neurological conditions, including anxiety, OCD, bipolar disorder, ADHD, and addiction (e.g., nicotine addiction). TMS is the least invasive treatment option for severe depression without significant side effects, compared to other treatment options like oral medications and ECT.

TMS procedures are performed by trained psychiatric professionals and technicians. Treatment sessions last under 30 minutes and take place at Ahwatukee Behavioral Health & Wellness’s outpatient offices. Unlike dissociative treatments like ketamine and Spravato, patients are free to drive themselves home after a treatment session. There are few risks associated with TMS treatment and it is well-tolerated by patients.

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Spravato Treatment Sessions

Efficacy

After completing a course of TMS treatment, patients typically notice a significant reduction in depressive symptoms, lasting beyond the end of the treatment course.

Approximately two-thirds of people whose depressive symptoms have not responded well to oral antidepressants will experience clinically significant improvements and symptom reduction from TMS treatment. Of these individuals, about one-half of patients receive full symptom remission, meaning that their depressive symptoms disappear completely. The other half experience relief from depressive symptoms.

Although the relief from TMS treatment can last for many months or years after treatment, it is not always permanent. On average, patients who undergo the full TMS treatment course see their remission or relief last for over a year. Indeed, in one study measuring the long-term impact of TMS treatment, patients were tracked for the year following their treatment, and at the end of that year, 2 out of 3 patients who responded to TMS treatment reported the same levels of response and benefit as they did at the end of their treatment phase. Other patients, however, may need to return for subsequent “maintenance” treatments in order to sustain the benefit that they received from TMS.

Side Effects

There are few side effects associated with TMS. The most common side effects are mild discomfort at the location where the coil delivers its pulse, and possible headaches during the first week of treatment. Typically, this discomfort is milder than the common side effects associated with oral antidepressant medications, like dry mouth, upset stomach, sexual dysfunction, weight gain, or sedation. A rare side effect associated with TMS is seizures. The risk of seizures is approximately 0.003% (1 in 30,000), and at Ahwatukee Behavioral Health & Wellness, we perform a thorough assessment of each patient’s medical history to rule out risks of seizures.

Contact Us Today

If you or someone you love is struggling with depression, TMS may be able to help. Contact us today to learn more.

TMS Frequently Asked Questions (FAQs)

Individuals who are good candidates for TMS therapy include:

  • Individuals who have struggled with depression and have not had success with antidepressant medications (either because those medications were not effective or because they experienced negative side effects).
  • Individuals who have either commercial or government insurance.
  • Individuals seeking evidence-based, non-drug treatments for other mental health and cognitive conditions, including obsessive compulsive disorder, anxiety, addiction and smoking cessation, PTSD, BPD, ADHD, Parkinson’s Disease, schizophrenia, and chronic pain.

The following patients may be ineligible for TMS treatment, and should speak with their psychiatric professional in more detail before proceeding with TMS treatment:

  • Individuals with a history of seizures
  • Individuals who actively use drugs
  • Individuals with non-removable metal in or near their heads (other than braces or dental fillings), including:
    • Aneurysm clips or coils
    • Stents in the neck or brain
    • Deep brain stimulators
    • Electrodes to monitor brain activity
    • Cochlear implants in your ears
    • Shrapnel or bullet fragments in or near the head
    • Facial tattoos with metallic or magnetic-sensitive ink

Generally, if it is safe for a patient to receive an MRI, then it is safe for the patient to receive TMS.

Yes. TMS is safe, effective, and FDA-approved. That’s why all major insurance companies cover TMS treatment. It is not completely clear why TMS is not a more commonly treatment option, despite offering a lifeline for thousands of people who could not find relief from depression using traditional oral antidepressant medications and therapy. One reason is that insurance companies make coverage and reimbursement difficult (at Ahwatukee Behavioral Health & Wellness, we take care of speaking to your insurance company on your behalf). Another reason is that psychiatric professionals are accustomed to traditional modalities of psychotherapy and medication prescriptions. Many of them opt not to invest in expensive TMS machines and hire the administrative and clinical staff necessary to offer TMS to their patients.

Regardless of the reason, TMS is becoming more popular each year for two reasons. First, more and more people are discovering its benefits for treating depression and taking advantage of their insurance benefits to obtain coverage. Second, researchers are learning more about how TMS can be used to treat other mental health conditions like obsessive compulsive disorder, and addiction / smoking cessation, among others. As these treatments become more popular, insurance companies will likely reimburse for these treatments with more regularity as well.

TMS treatment are typically 36 treatment sessions, spaced over the course of 7-8 weeks. Patients usually attend Monday through Friday, and may decrease their frequency of treatment during the last couple of weeks, based on their treatment course and conversations with their psychiatric providers. Patients who have prior commitments and cannot participate in 5 treatment sessions per week should consult with their psychiatric provider to discuss the potential for arrangements that will accommodate their schedule while still insuring that they receive the benefit of their TMS treatment.

The first TMS appointment is the longest appointment (typically 45 minutes to 1 hour). During this appointment, your psychiatric professional will perform a brain mapping and motor threshold, which ensures that the magnetic pulses delivered during the rest of your treatment sessions target the correct area of the brain.

Your daily treatment sessions will take approximately 20 to 30 minutes. Your TMS Treater will greet you, ask you some questions regarding your treatment’s progress, and ask you to remove any magnetic sensitive objects (e.g., jewelry, hearing aids, hair pins).

Consistent with best practices, you will receive earplugs during treatment, although Ahwatukee Behavioral Health & Wellness’s machine is one of the quieter TMS machines that are available. The machine will then deliver intermittent pulses – typically on and off for approximately 19 minutes. During that full treatment session, you will be accompanied by your TMS Treater. Some patients enjoy speaking to their TMS Treater during their treatment sessions, while others enjoy reading, watching television, or listening to music.

Most patients report that TMS is a pain-free experience. Some patients report mild discomfort around the area of the scalp where the machine’s coil delivers its magnetic pulse. Also, during the first week or two of treatment, some patients report headaches. However, the majority of patients report that the experience of TMS feels like a “tapping” sensation against their head that is not painful and which they become accustomed to after a few treatment sessions.

TMS is covered by all major insurances for treatment of depression, and Ahwatukee Behavioral Health & Wellness is a proudly in-network with all major insurances. If you are interested in receiving TMS therapy for something other than depression, your insurance may not cover that treatment. If you’d like to learn more about insurance coverage, fill out this form and our TMS Coordinator will contact you to discuss your insurance coverage and, if necessary, reach out to your insurance provider on your behalf.

Yes. Please fill out this form and our TMS Coordinator will contact you shortly.

We offer TMS therapy at 16515 S. 40th St., Ste. 119, Phoenix, AZ 85048. We are continually expanding our service offerings, and will be opening locations in Surprise, AZ, and North Phoenix, AZ, in the coming months. If you are interested in receiving TMS therapy, but live too far from our office, please give us a call. We can either contact you in the future or provide a recommendation for another facility that is closer to you.

Scheduling Your TMS Consultation

At Ahwatukee Behavioral Health & Wellness, we prioritize making treatment options convenient, clear, and simple for our patients. For that reason, we offer all patients the opportunity to schedule a free initial consultation with our dedicated TMS Coordinator before you ever schedule a medical appointment. That consultation can take place via phone or via a Zoom video conference, depending on your preference.

During that consultation phone call or zoom video conference:

  • You may ask questions about TMS treatment and other psychiatric options that may be available to you.
  • You can discuss your treatment history in order to determine whether TMS may be appropriate for you.
  • Our TMS Coordinator will be able to discuss your insurance benefits and coverage for TMS treatment.
  • You will have the opportunity to schedule an appointment with one of Ahwatukee Behavioral Health & Wellness’s psychiatric professionals.

Your Initial Evaluation with a Psychiatric Provider

If you decide to schedule an evaluation with an Ahwatukee Behavioral Health & Wellness psychiatric provider, you may do so during your initial consultation. At your evaluation, a psychiatric provider will perform a full assessment, including medical and treatment history and presenting symptoms. Your psychiatric professional will discuss treatment options with you and provide a clinical recommendation on whether TMS treatment may be appropriate for you.

Scheduling Your First TMS Treatment Session

If you decide to move forward with TMS treatment, we will contact your insurance company to ensure that the treatment is covered by your insurance, understand any co-pays or coinsurance that you may owe in connection with care, and obtain prior authorization from your insurance company if it is required.

At Ahwatukee Behavioral Health & Wellness, we never want cost to be a barrier to receiving the treatment that you need, and for that reason, if your insurance plan does have high out-of-pocket costs, we can discuss payment plans and financing options to ensure that you can receive the mental health care that you need.

Your first TMS treatment session will be performed by your psychiatric provider. That initial treatment session focuses on positioning the machine’s coil to deliver its pulses to the correct area of the brain.

TMS

Reclaim Your Life from Depression

Over the next 7-8 weeks, you will attend daily treatment sessions, which generally occur Mondays through Fridays. Each session typically lasts between 20 and 30 minutes. Those sessions will be comfortable and most patients report no pain associated with the procedure (although a minority of patients do report discomfort at the treatment side during the first few appointments). You may choose to read, listen to music, or talk to the professional who performs your treatment sessions.

Your psychiatric provider will closely monitor your progress during your TMS treatment, and make interventions if necessary. Patients typically begin to feel improvement within 2 weeks of treatment, and most patients begin to feel relief or remission from the symptoms of depression before the end of their treatment cycle. However, clinical studies demonstrate that it is critical that patients complete their full course of treatment, regardless of the level of relief that they feel, because the sustained treatment is what ensures that symptom relief and remission are sustained and long-lasting. By contrast, patients who stop before completing their full course of treatment are more likely to experience relapse of depressive symptoms.