Transcranial Magnetic Stimulation (TMS)
Transcranial Magnetic Stimulation (TMS) Treatment is offered as part of a thoughtful, patient-centered approach to mental health care. Dr. Mark Feinstein views TMS as an option for individuals who continue to struggle despite medication and therapy, especially when symptoms remain severe or long-standing. Rather than simply adding or changing medications, TMS focuses on targeting specific brain areas involved in mood and emotional regulation.
Dr. Feinstein emphasizes careful evaluation, coordination with psychiatric care, and close follow-up throughout the treatment process. In his clinical experience, patients have shown meaningful improvements in mood, functioning, and overall quality of life including cases of chronic suicidal ideation that fully resolved after TMS, sometimes even reducing the need for ongoing medication.
TMS is not a shortcut, but when used appropriately, it can be a powerful step toward lasting relief.
What Is Transcranial Magnetic Stimulation or TMS?
Transcranial Magnetic Stimulation (TMS) is a non-invasive brain stimulation treatment that uses targeted magnetic pulses to activate nerve cells in the regions of the brain responsible for regulating mood, decision-making, and emotional balance. These areas are often underactive in people with severe depression or related symptoms.
TMS does not involve surgery, anesthesia, or sedation, and patients remain awake throughout their sessions. Over time, TMS helps improve brain activity and supports more balanced emotional functioning.
How Does TMS Work?
TMS therapy utilizes an electromagnetic coil, commonly called as TMS coil which generates magnetic fields similar to those used in MRI machines. These magnetic pulses stimulate nerve activity and help rebalance communication between different parts of the brain without damaging brain tissue. Each session is performed in an outpatient setting and does not interfere with daily activities.
With repeated sessions, this stimulation can strengthen healthy brain patterns, reduce symptom severity, and improve emotional regulation over time.
What Conditions Can TMS Help Treat?
Based on clinical evaluation, TMS may help individuals experiencing:
- Severe depression that continues to affect daily life and relationships
- Treatment-Resistant Depression, when medications & therapy have not provided adequate relief
- Depression linked to trauma or PTSD, where low mood is a major concern
- Ongoing suicidal thoughts related to severe depression, as part of a closely monitored treatment plan
- Anxiety-related symptoms, particularly when they occur alongside depression
- Obsessive-Compulsive Disorder (OCD), in cases where symptoms are persistent and have not responded well to standard treatments
When Is TMS Recommended?
TMS is considered after a careful clinical review, particularly when standard treatments have not been effective. It is used within a coordinated treatment plan involving both the psychiatrist and the TMS provider.
TMS is often recommended when:
- Depression remains severe or long-standing
- Medication trials have not provided sufficient relief
- Psychotherapy has not led to meaningful improvement
- Symptoms continue to interfere with daily life and functioning
- Patients want alternatives to additional medication changes
What Happens During a TMS Treatment Program?
- Treatment follows a structured schedule over several weeks
- Sessions are brief and performed in an outpatient setting
- No anesthesia or sedation is required
- Patients can return to normal daily activities after each session
- Sessions are delivered consistently for optimal results
- Treatment is closely monitored by the care team
- Adjustments may be made based on individual response
Next Steps After a TMS Diagnosis
- Patient is referred to a certified TMS clinic
- Psychiatrist and TMS provider coordinate treatment planning
- Session schedule and treatment parameters are aligned collaboratively
- Progress is monitored throughout the full TMS course
- Patients typically follow up with their psychiatrist within 1–2 weeks after completion
- Ongoing care helps maintain improvement and determine next steps if needed
Book An Appointment
We provide complimentary consultation. One of our experienced doctors will discuss your concerns and provide guidance.
Call Us on (480) 256-9322 or fill the form below to receive a call back.
Frequently Asked Questions (FAQs)
Is TMS Safe & Does It Have Side Effects?
TMS is a well-tolerated and safe treatment when provided by trained professionals. Most people experience little to no side effects, and any mild discomfort typically fades as treatment continues.
Is TMS Painful?
TMS is not painful, though some people feel light tapping or pressure on the scalp during sessions. This sensation typically becomes more comfortable over time.
Can TMS Cure Severe Depression or OCD?
TMS is not a cure, but it can significantly reduce severe depression, with some individuals experiencing full symptom resolution, reducing the need for ongoing medication.
Is TMS Used in Children?
TMS is primarily used in adults. Use in children or adolescents depends on clinical factors and specialist evaluation, and may not be appropriate in all cases.
How Long Does TMS Take to Work?
Some patients notice improvement within a few weeks, while others experience gradual changes over the full treatment course. Response timing varies by individual.
How Long Do the Benefits of TMS Last?
Benefits can last for months or longer. Many patients maintain improvement with ongoing psychiatric care, and some may benefit from maintenance or follow-up treatments.
Can TMS Be Used Alongside Therapy or Medication?
Yes. TMS is commonly used alongside therapy and medication as part of a comprehensive treatment plan, guided by a psychiatrist.
Is TMS Covered by Insurance?
Many insurance plans cover TMS for approved conditions, such as treatment-resistant depression. Coverage depends on your provider, diagnosis, and prior authorization requirements.
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