TMS therapy is a noninvasive treatment that uses magnetic pulses to stimulate specific areas of the brain involved in mood regulation, and it can be an option when depression has not improved enough with medication or other treatments. TMS treatment may be considered as part of a broader mental health plan, including psychotherapy, medication management, and behavioral health services, depending on a person’s needs.
When Might TMS Therapy Be Considered for Depression?
Depression does not respond the same way to treatment for everyone. Some people experience meaningful improvement with medication, while others continue to have symptoms despite trying one or more antidepressants.
TMS therapy may be considered when depression remains persistent or when medication has not provided enough improvement or has caused difficult side effects. The National Institute of Mental Health identifies repetitive transcranial magnetic stimulation (rTMS) as an FDA-authorized brain stimulation treatment for depression and notes that it is commonly considered after other treatments have been tried.
That does not mean medication has to be abandoned. Depending on the individual’s treatment plan, TMS may be used alongside medication and psychotherapy rather than replacing them.
How Does TMS Treatment Work?
TMS treatment uses a magnetic coil positioned against the scalp to deliver repeated magnetic pulses. These pulses create small electrical currents that stimulate nerve cells and neural circuits in targeted areas of the brain.
Unlike medication, TMS does not require a drug to circulate throughout the body. It is also noninvasive, meaning there is no surgery or implanted device involved.
Treatment settings and protocols can vary depending on the condition being treated and the device being used. A qualified medical provider determines whether TMS is appropriate and develops the treatment approach based on the individual’s circumstances.
What Does a TMS Session Feel Like?
A typical TMS session takes place while the person is awake and seated. The treatment coil is positioned near the scalp, and the device delivers magnetic pulses to the targeted area.
Some people notice tapping or clicking sensations during stimulation, along with movement or tightening of nearby scalp muscles. A headache or scalp discomfort can occur, particularly during or shortly after treatment. Serious complications are uncommon, but patients should discuss their individual medical history, medications, and potential risks with their provider.
TMS is different from electroconvulsive therapy (ECT). ECT uses controlled electrical stimulation to produce a therapeutic seizure and generally involves anesthesia, while TMS uses magnetic pulses without inducing a seizure.
How Does Depression Connect With Addiction Treatment?
Depression and substance use can occur together, making it important to consider both when developing a treatment plan. Someone may use alcohol or drugs while attempting to cope with persistent sadness, anxiety, emotional distress, or other symptoms, while substance use can also make existing mental health symptoms more difficult to manage.
At Rainbow Hill Recovery, we recognize the importance of addressing these overlapping concerns rather than treating substance use and mental health symptoms as completely separate issues. Our LGBTQ addiction and depression treatment approach can incorporate mental health care and addiction services based on the individual’s needs.
For people experiencing both conditions, treatment may involve therapy, psychiatric care, medication management, addiction counseling, or other appropriate services. Learn more about our LGBTQ addiction and mental health programs to understand how these areas of care can work together.
Why Is LGBTQ-Affirming Mental Health Care Important?
Mental health treatment should account for the person’s individual experiences, identity, and circumstances. LGBTQ+ adults may encounter stressors related to discrimination, stigma, family experiences, relationships, or social environments that can affect mental health and access to care.
Our LGBTQ behavioral health services are designed to provide care in an environment where LGBTQ+ individuals can discuss mental health and substance use concerns without having to separate those concerns from their identity.
This can include therapy, addiction treatment, and other behavioral health services when clinically appropriate. Our broader addiction and mental health programs can address concerns that occur alongside depression and substance use.
How Common Is Depression in Los Angeles County?
Depression is a significant mental health concern across Los Angeles County. County health data reported that 16.4% of adults had ever been diagnosed with depression in 2023, highlighting the need for accessible and appropriate mental health care in the region.
This statistic represents the broader adult population and does not determine whether TMS is appropriate for any particular person. Treatment decisions should be based on an individual’s symptoms, history, previous treatments, medical considerations, and evaluation by an appropriate healthcare provider.
Is TMS Right for Everyone?
No. TMS is one treatment option, not a universal solution for depression.
A healthcare provider may consider factors such as the type and severity of depression, previous treatment response, current medications, medical history, and other mental health conditions. TMS also has specific safety considerations, so people should discuss their health history and any implanted metal or electronic devices with their provider before treatment.
For someone dealing with depression alongside substance use or other behavioral health concerns, a broader assessment may be appropriate before determining which combination of services makes sense.
What Should You Do If Depression Hasn’t Improved?
If depression continues despite treatment, it may be worth discussing additional options with a qualified healthcare provider rather than simply stopping medication or changing treatment independently.
At Rainbow Hill Recovery, we can help individuals explore mental health and addiction treatment options based on their circumstances. To learn more about TMS therapy and how mental health care may fit into a broader treatment plan, contact Rainbow Hill Recovery or call (310) 341-4887.
