Meah Blog

What to Expect at Your First TMS Therapy Session?

Introduction

Transcranial Magnetic Stimulation (TMS) therapy is an FDA-approved, non-invasive treatment for depression and other mental health conditions. If you’re considering TMS or have scheduled your first session, you may be wondering: What happens during treatment? Will it be painful? How can I prepare? This guide provides a clear, science-backed overview to help you feel confident and informed about your first TMS therapy session.

Understanding TMS: How It Works & Who It’s For

TMS uses magnetic pulses to stimulate the dorsolateral prefrontal cortex, a part of the brain involved in mood regulation. It is primarily used for individuals with treatment-resistant depression, anxiety, PTSD, and OCD. Unlike medication, TMS does not have systemic side effects like weight gain, drowsiness, or sexual dysfunction, making it an appealing alternative for many patients.

Before Your First Session: How to Prepare

What to Bring & Wear

  • Comfortable, non-restrictive clothing.
  • Minimal or no jewelry (metal can interfere with the magnetic field).
  • Optional: Books, music, or podcasts to listen to during the session.

Lifestyle Considerations

  • Eat a light meal beforehand to prevent discomfort.
  • Avoid excess caffeine or alcohol before your session.
  • Stay hydrated and well-rested for the best experience.

Medical & Medication Considerations

  • Inform your provider about any metal implants or medical conditions that may impact eligibility.
  • Let them know about any medications you are taking, especially stimulants or antidepressants.

What Happens During Your First TMS Session?​

Step 1: Brain Mapping (Personalized Treatment Calibration)

Your first session begins with brain mapping, where the Psychiatrist determines the correct treatment location and pulse intensity:

  • A magnetic coil is placed on your scalp, delivering test pulses.
  • You may experience a mild tapping sensation and slight muscle twitching as the provider finds the right spot.
  • This process ensures that the treatment is precisely tailored to you.
Step 2: The TMS Treatment Session​
  • You will sit in a comfortable, reclining chair.
  • The TMS coil will deliver short bursts of magnetic pulses to the target brain area.
  • A session lasts between 3 and 19 minutes, depending on your personalized treatment plan.
  • Common sensations:
    • A rhythmic tapping or clicking sound (earplugs can be provided for comfort).
    • Mild scalp discomfort, which usually diminishes over time.

After Your Session: What to Expect

Common Side Effects
  • Mild headache or scalp tenderness (temporary and treatable with over-the-counter pain relievers).
  • Some patients report feeling slightly tired or, conversely, more energized post-session.
No Downtime Required
  • You can resume normal activities immediately after your session.
  • Some patients notice subtle mood improvements early on, but full effects typically develop over several weeks.
Why Choose Us for Your TMS Treatment?
  • Expert, Board Certified Psychiatrists ensuring a personalized, evidence-based approach.
  • Integrated mental health services (therapy, medication management, lifestyle coaching).
  • Insurance-friendly, easy billing & flexible scheduling for a seamless experience.
  • Telehealth & in-person options available for follow-ups and consultations.

Final Thoughts: Is TMS Right for You?

If you’ve been struggling with depression or anxiety and haven’t found relief with traditional treatments, TMS may be the solution you’ve been looking for. Schedule a consultation today to see if TMS therapy is right for you.

Take the next step toward better mental health. Contact us now to learn more!

Common Questions About TMS Therapy

1. Does TMS Therapy Hurt?

TMS therapy is generally well-tolerated. You may feel a tapping sensation on your scalp during the session, but it is not painful. Any discomfort usually lessens over time.

2. How Long Does It Take to See Results?

Some patients start noticing mood improvements within a few weeks, but full benefits often take 4-6 weeks of consistent sessions.

3. Is TMS Safe?

Yes, TMS is FDA-approved and considered safe. It does not involve sedation or medication, and side effects are typically mild, such as headaches or temporary scalp discomfort.

4. Can I Drive After a TMS Session?

Yes, TMS does not impair cognitive function, so you can safely drive and continue your daily activities immediately after treatment.

5. How Many Sessions Will I Need?

A typical treatment course includes 20-36 sessions, spread over 6-9 weeks, with additional maintenance sessions if needed.

6. Does Insurance Cover TMS Therapy?

Many insurance plans cover TMS for treatment-resistant depression. Contact us to verify your coverage and discuss payment options.

7. What Should I Do If I Experience Side Effects?

Mild headaches or scalp discomfort can usually be managed with over-the-counter pain relievers. If side effects persist, consult your provider.