Most patients report increased energy, focus, and motivation to perform activities and hobbies in as little as 5-10 sessions. Many patients describe TMS therapy as life changing. Often times family
members will notice effects before the patient does. As functional MRI imaging has clearly demonstrated, TMS increases blood flow to the area of the brain being stimulated, and if done repetitively also increases gray matter density.
TMS therapy is applied by a TMS device with a stimulating coil. The patient sits reclined in a comfortable chair while the technician takes some measurements of the patient’s head. Once
appropriate measurements have been made to determine optimal location of the coil placement, the technician then places the stimulating coil on the patients head and starts treatment. This
treatment typically lasts from 20-30 minutes. This is conducted over a 4-6 week time frame of daily sessions. After each session the patient can drive home or back to work unassisted and can
immediately resume normal daily activities.
Most patients report feeling positive benefits of TMS therapy even some years after their initial treatment. In most cases effects can be felt up to a year. If needed, maintenance TMS therapy sessions can be done.
No. But it might be mildly to moderately uncomfortable for the first few sessions as the patient gets used to it. It depends on the individual. In the great majority of patients TMS is a well tolerated and very safe procedure. Most people describe TMS as a mild tapping sensation where the stimulator coil is being applied. The sensation of the pulse may feel similar to a TENS unit.
TMS therapy is new and novel type of brain stimulation that treats depression using brief electromagnetic pulses (significantly weaker than those used in an MRI machine). These pulses pass through the skull easily and stimulate neurons in underactive regions of the brain thought to be responsible for depression. First approved in 2008 it is an effective form of treatment against drug resistant depression. TMS therapy has been demonstrated to be safe, well tolerated, and effective in numerous clinical trials and double blind studies, with little to no side effects. Tens of millions of people around the world have received TMS therapy. Research shows it to be at least as effective as antidepressant medication. Close to 70% of patients receiving TMS therapy will feel some benefit and relief in depression symptoms – half of those patients will be in full remission after treatment.
Dr. Tanner’s medication management panel is currently full. He is only taking new TMS patients at this time.
Yes, most insurance companies require prior authorization for TMS treatment. Note: Medicare does not require prior authorization and is covered if criteria for treatment is met. The insurance companies will typically require the failure or inability to tolerate 4 medications (from 2 different classes) and the failure of psychotherapy.
Indications for being unable to participate in TMS treatment include:
1. If you have metal in your head (i.e. metal plates, aneurysm coils, cochlear implants, ocular implants, deep brain stimulation devices, stents, etc.)
2. If you are acutely suicidal and require emergency psychiatric help.
3. If you are pregnant or nursing
4. You have a seizure disorder
No, you can continue to take your medication during TMS treatment.
Yes, but the side effects are typically mild and easy to tolerate. The most common side effect is scalp pain or discomfort.
Other side effects include: Headache, eye pain, toothache, muscle twitch, facial pain, and skin pain.
There is a very rare chance (.01%) of having a seizure with TMS treatment.
It is $450 for the mapping diagnosis and treatment and $300 for each subsequent treatment.
Yes, we take the following insurance:
Anthem Blue Cross / Blue Shield of Colorado