ReACH Psychiatry & Wellness Centre

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How TMS Works?


TMS is a non-invasive treatment modality and so does not require anesthesia and can be done at ReACH. Prior to TMS, patients need a medical exam to ensure that the treatment is safe and good option for your health. The doctor will ask you a number of questions regarding your symptoms.

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Before the treatment begins, your therapist will determine the right area to place the magnets on your head and the best dose of the magnetic energy as per the patient’s motor threshold. You’ll be asked to sit in a reclining chair after which, your session can continue as usual.

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An electromagnetic coil will be placed on your head, which will start and stop with varying intervals to produce a stimulating pulse. This will result in a tapping and clicking sound that lasts for a few seconds and is followed by a pause. You’ll also feel a tapping sensation on your forehead and this process is called as mapping.

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Your doctor will determine the amount of magnetic energy needed, known as your motor threshold to identify the right dose for you. Depending upon the course of treatment, this amount of stimulation can be changed as per your symptoms and side effects. Once the location of coil and amount of magnetic energy is determined you are ready for undergoing the TMS procedure.

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TMS Procedure:

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  • The TMS treatment is performed in the doctor’s clinic and is very simple
  • The patient is asked to sit down in a comfortable seat
  • The TMS device is placed on the head
  • Pulses are delivered for 30-40 minutes
  • You will remain awake and alert during this entire procedure
  • Patients can then drive home or return to work as usual
  • Follow up sessions are scheduled and conducted as per the treatment plan.