Richard A. Bermudes, MD - Blog

The Journey Begins

Written by Ian Vanek | Sep 10, 2024 10:33:43 PM

Imagine you’re stepping into a new phase of treatment for depression or another mental health condition. You’ve decided to give Accelerated Transcranial Magnetic Stimulation (aTMS) a try, but you’re unsure about what to expect. Here’s a walk-through of your first TMS experience, from the initial consultation to the end of your session.


1. The Journey Begins: Initial Consultation

Your initial consultation can be conducted in person or virtually via telehealth, depending on your preference and location. During this consultation, your provider will thoroughly review your medical history, current medications, and overall health. This step is essential in determining whether aTMS is the right treatment for you. The provider will also explain how aTMS works, answering any questions you may have about the process and what to expect during your sessions. By the end of the consultation, you will feel well-informed and prepared for the next steps.

 

2. Getting Ready: Preparing for Your First Session

Before your first session, you receive some helpful instructions. You might be advised to avoid alcohol or certain medications to ensure the best results. As you arrive at the clinic, you find yourself settling into a comfortable chair, where you’ll spend the next few minutes. The registered nurse takes the time to prepare the treatment area and ensures you’re comfortable and at ease. You choose comfortable clothing that allows easy access to your head and neck, and you make a mental note to relax and embrace the process.

 

3. The Assessment: Finding Your Motor Threshold

The next step is the motor threshold assessment, a crucial part of the aTMS process. The registered nurse applies magnetic pulses to your scalp to identify the optimal stimulation level. You feel a light tapping or clicking sensation as the nurse adjusts the intensity until they find the level that causes a slight twitch in your hand, arm, or foot. This helps tailor the treatment specifically to your needs. Despite some minor discomfort, the process is quick, and you’re encouraged to communicate any unusual sensations to the nurse.

 

4. The Session: What Happens During TMS

As your first official aTMS session begins, the registered nurse places a magnetic coil against your scalp. The exact placement depends on the area being targeted. You experience a rhythmic tapping sensation as the magnetic pulses stimulate your brain. Each session lasts about 3-10 minutes. During this time, you’re free to adjust your position in the chair, read a book, listen to a guided meditation, or even chat with the staff. The session feels manageable, and you’re able to remain relaxed and comfortable.

 

5. Post-Session: Moving Forward

Once the session is over, you’re surprised at how quickly you feel ready to return to your daily routine. Some minor headaches or scalp discomfort might occur, but these usually fade quickly, 28% of patients report mild transient headaches the first week of treatment. Your provider schedules follow-up appointments to monitor your progress and adjust the treatment as needed. You leave the clinic with a sense of accomplishment and a plan for continuing your journey.



Embarking on TMS treatment marks a new chapter in managing your mental health. By understanding the process and preparing for each step, you can approach your first TMS session with confidence and optimism. Remember, if you have any concerns or questions, your healthcare provider is there to guide you through every step of the way.

 

Why Accelerated TMS

Traditional TMS typically requires daily sessions over several weeks, usually totaling around 20-30 sessions to achieve therapeutic benefits. Accelerated TMS compresses the treatment into two weeks, with 3-5 sessions daily. Both approaches aim to stimulate brain activity, but Accelerated TMS offers a more rapid treatment schedule, making it an attractive option for those seeking faster results. This combination of therapeutic efficiency and convenience represents a significant advancement in mental health treatment.

 

To take the next step in your wellness journey with Empathy MindCare, reach out today.