An initial no-charge consultation will be scheduled with the TMS treatment coordinator to discuss what is troubling you and whether TMS might be an appropriate treatment. Following that consultation, and if you wish to proceed for a complete and definitive workup neuropsychiatric intake will be performed by Dr. Cady. At that time, you and Dr. Cady will review your symptoms, treatment history, and possible treatment options.
If TMS is the right treatment for you, treatment sessions can be scheduled to begin nearly immediately. At the first appointment we will determine the optimal placement and strength of the magnetic field. This is a critical first step, and is personally performed by Dr. Cady with the treatment staff assisting. Following that, subsequent treatments will last at least 37 minutes during which you will be awake and alert. The magnetic pulses make a loud clicking sound and feel like a tapping on the scalp but do not result in more than mild discomfort. If you wish, you can or listen to music during the TMS session.
After the treatment you can drive and resume your normal activity. There is no “hangover” effect from the treatment. Indeed, many patients report feeling more mentally clear after each treatment. TMS is non-invasive, meaning it does not involve surgery, and has no systemic effects. Typical TMS side effects are transient and mild irritation or discomfort at the treatment site and headache.
A usual course of treatment for depression involves sessions 5 days a week for 4 to 6 weeks, although this can vary depending on your response. As you progress through your treatment, we will regularly assess with you your status and determine with you the eventual number of treatments.