Frequently Asked Questions
Does TMS Hurt?
TMS is generally well-tolerated. While some patients may experience minor discomfort at the treatment site, it usually subsides within the first week. There is no sedation, and patients can resume normal activities, including driving, immediately after treatment.
How Long Does TMS Take to Work?
TMS therapy typically begins to show noticeable changes in symptoms after a couple of weeks, although the timeline varies depending on the individual. Each treatment plan is customized based on the patient’s specific needs and symptoms. Some patients report improvements within two weeks, while others may take up to five weeks to experience significant relief. Like other mental health treatments, the timing and extent of results can differ. Our experienced TMS team works closely with patients to identify early signs of improvement. Combining TMS with medication or psychotherapy can further enhance symptom relief and lead to better outcomes.
How Many Sessions Are Needed for TMS?
A full TMS treatment plan generally consists of 36–37 sessions conducted multiple times a week over 8–12 weeks. Each session lasts about 20 minutes, and patients can resume daily activities immediately afterward. While many patients start to notice symptom relief after a few weeks, the best results are achieved by completing the full treatment course. Skipping sessions or not adhering to the plan may delay or reduce the potential benefits of TMS therapy. Our team ensures that every patient receives a tailored treatment plan to meet their unique needs.
What Are the Initial Signs That TMS Is Working?
The first signs of improvement during TMS therapy vary for each patient and may begin subtly. Common indicators include a returning sense of humor in daily life, improved ability to manage and complete daily tasks, a brighter and more hopeful mood, feeling more present and engaged in the moment, rediscovering enjoyment in hobbies or activities and exploring new interests, and increased energy levels in daily life. Some patients notice changes sooner than others, but delayed symptom relief does not mean the treatment is ineffective. Throughout the process, our psychiatrists closely monitor progress, adjust treatment as needed, and offer additional support through medication management and psychotherapy.
How Long Do TMS Results Last?
The duration of TMS results varies from patient to patient. Clinical studies indicate that among those who respond to TMS, two-thirds continue to experience symptom relief three months after treatment, and about half maintain improvement after a year. Many patients experience significant reductions in symptoms, with some achieving complete remission. To maintain progress, we encourage patients to stay connected with their primary psychiatrist after completing TMS therapy and discuss potential refreshment treatments if symptoms return.
Does TMS Have Side Effects?
TMS is non-systemic, meaning it does not circulate through the body, avoiding common antidepressant side effects such as weight gain, sexual dysfunction, nausea, and sedation. Fewer than 5% of patients discontinue TMS due to side effects.
Are There Risks with TMS?
TMS has been demonstrated to be safe, with no seizures reported in over 10,000 clinical trial treatments. However, patients should be monitored for worsening symptoms or unusual behaviors.
Is TMS Like ECT?
No. Unlike Electroconvulsive Therapy (ECT), TMS does not involve sedation, seizures, or memory impairment. Patients remain awake and alert during the 19-minute procedure, and there is no recovery time needed.
Can TMS Be Used with Antidepressants?
Yes. Clinical trials have shown TMS to be safe when used with or without antidepressant medications.
Is TMS Covered by Insurance?
Yes, most insurances cover TMS Therapy for Major Depressive Disorder (MDD) and Treatment Resistant Depression (TRD). Currently OCD is covered by a few insurance companies but PTSD and Anxiety disorders are not covered by insurance although these conditions show significant benefits from TMS.We do not charge any fees for add-on protocols, such as an additional anxiety or PTSD protocol for patients not responding to standard TMS or iTBS treatment for depression. At Doctor’s Best TMS & Psychiatry, we work closely with our insurance benefits and billing department to ensure patients are fully informed about any copay, coinsurance, or deductible associated with their treatment. Additionally, we establish single-case agreements for clients whose insurance plans we are not currently paneled with, providing a seamless and accessible experience for our patients.
What is the cost of TMS treatment without insurance?
The average cost of TMS treatment without insurance coverage in the South Florida is 8,500-$11,000. We at Doctor’s Best TMS strive to provide the best value to our patient’s along with the best technology, care and treatment in our area. We work with our patient’s both personally and financially to help them get the care they deserve. We accept most insurance plans and offer transparent and fair self-pay options for those without coverage.
Will my insurance approve my TMS treatment?
Most insurance providers require specific criteria to approve TMS therapy. These typically include a diagnosis of moderate to severe depression, a minimum of 2-4 unsuccessful trials with antidepressant medications, and a history of psychotherapy. Additionally, a PHQ-9 depression screening score of 18 or higher is often required to demonstrate the severity of the condition.
Who Should Avoid TMS Therapy?
TMS therapy is not suitable for individuals with certain medical conditions or circumstances. Patients with metal implants or medical devices in the head or neck, such as cochlear implants, aneurysm clips, or electrodes, should avoid TMS. Similarly, individuals with a history of epilepsy or seizures are not suitable candidates. Prior head trauma or specific surgical histories may also disqualify patients from undergoing TMS therapy. Additionally, TMS should not be used during periods of significant alcohol or drug abuse. These considerations ensure patient safety and the effectiveness of the treatment.