What to Expect During Your First TMS Therapy Session?

Starting a new treatment for your mental health can feel overwhelming. If you are considering Transcranial Magnetic Stimulation (TMS) for depression, it’s important to know what to expect before your first treatment to make you feel more prepared and at ease. In this article, we will break down what to expect with TMS, so you feel the most prepared for your first TMS therapy session. 

The Initial Consultation

Before you have your first treatment you will meet with a provider for an initial consultation. This is where you will:

• Review your medical and psychiatry history
• Ensure that TMS is a safe and appropriate option for you
• Explain the treatment process, including potential risks, side effects, and benefits
• Discuss your goals and answer any questions

Most patients are prescribed around 30 sessions, which are usually spread over 4 to 6 weeks. You will also check with your health insurance to see whether TMS is covered.

Preparing for Your First Session

There is very little prep required for TMS, here is what you should know:

• Eat and drink normally – No fasting or restrictions
• No sedation required – You will be fully awake and alert
• Wear comfortable clothes – Avoid any metal accessories near your head
• Session length – Most sessions last 20-40 minutes
• You do not need a driver – You can drive to and from sessions and resume daily activities right after treatment

During the Session

When you arrive, you will be taken to a treatment room. This is what to expect: 

• You will sit in a comfortable chair, wearing earplugs.
• A small magnetic coil will be placed gently on your scalp.
• The technician will perform the mapping process. This is to determine the best location for treatment and determine your motor threshold. They will send brief pulses to identify the correct stimulation level for your treatment.
• When the session begins, you will feel a light tapping sensation on your scalp. It is generally not painful; most describe the sensation as mild discomfort. You’ll hear clicking noises while each pulse is delivered.
• You will be awake and alert during the whole treatment. Many patients listen to music, relax, or chat with the technician during treatment.

After the Session: What to Expect

Most people can go right back to work, school, or other daily activities directly after treatment. There is no downtime needed, but you might experience:

• Mild scalp discomfort at the treatment site
• Mild headache
• Slight fatigue

These side effects are temporary and usually will fade over time, as your body adjusts to the sessions. It is important to remember that the results from TMS are gradual. Many patients begin to see improvements after two or three weeks of treatment.

Tips for a Better TMS Experience

• Stick to your schedule – Most people receive their treatments 5 days a week for 4-6 weeks
• Track your progress – Journaling can help you notice subtle changes
• Talk to your provider – Don’t be afraid to speak up and be sure to communicate any discomfort or side effects with your provider
• Be patient – Relief usually builds gradually over several weeks

Your first TMS session may feel unfamiliar, but it is a simple and low-stress process. TMS offers real hope for people dealing with treatment-resistant depression, and understanding what to expect with your first session will help you go in with confidence. Search for a TMS clinic near you at MDDCare.com, and start your healing journey today.