What to Expect During Each Week of TMS Therapy

Transcranial Magnetic Stimulation (TMS) therapy is becoming an increasingly popular non-invasive treatment for depression and other mood disorders. The timeline for TMS varies for each patient. As you embark on the path toward recovery, it’s essential to understand what to expect during each phase of the treatment process.
The TMS timeline typically spans several weeks, during which patients will undergo daily sessions. These sessions last about 30-40 minutes and are conducted in an outpatient setting. In the following sections, we’ll break down each week’s milestones during the treatment period.
Week 1: Introduction to Treatment and Initial Adjustments
In the first week, the patient will have a comprehensive consultation with their healthcare provider to ensure TMS therapy is appropriate for their condition. During the initial session, a magnetic coil will be placed on the scalp to stimulate the brain regions responsible for mood regulation. At first, the stimulation may feel slightly uncomfortable, but most people report it as tolerable.
Throughout this week, the focus is on getting used to the stimulation and adjusting the machine’s settings to suit the patient’s needs. Some individuals may experience mild headaches or scalp discomfort after the session. By the end of the first week, many patients begin to feel more accustomed to the procedure.
Week 2: Building Tolerance and Monitoring Progress
During the second week, patients continue their daily TMS therapy sessions. The intensity of the magnetic pulses might be adjusted further to ensure the treatment is effective. Some early signs of progress typically mark this week for many patients.
In addition to monitoring progress, healthcare providers will check in with patients to track any side effects. Any discomfort or mild headaches experienced in the first week should be improving by now. By the end of week two, many individuals feel more comfortable with the treatment and begin to see some positive effects.
Weeks 3-4: Observing Initial Improvements
By the third and fourth weeks, patients typically begin to see more noticeable improvements in their mood. Many individuals report experiencing a reduction in symptoms of depression. These changes are normally gradual, but they can be encouraging for patients.
Side effects, if any, should continue to diminish during this period. As the magnetic pulses become more tailored, the intensity may be adjusted to ensure maximum effectiveness. The treatment sessions remain consistent, and by the end of this phase, patients may start to experience sustained relief.
Weeks 5-7: Continuing Improvement and Maintenance
The primary goal in the fifth and sixth weeks is to solidify the progress made so far. By this time, most patients experience significant improvements in mood and function. Some individuals may continue with treatment to maintain their progress. Providers will continue monitoring progress closely and adjusting the treatment plan as necessary.
After six weeks of daily sessions, some patients may undergo maintenance therapy to ensure continued improvements in mood. These maintenance sessions typically occur less frequently, but they play an essential role in sustaining the positive effects of the treatment. Over time, patients may need fewer sessions, depending on how they respond to the therapy.
The TMS timeline varies by individual, but most patients will experience noticeable improvements within the first few weeks. While each phase of treatment plays a crucial role, the overall goal is to enhance mood stability and reduce symptoms of depression. By understanding what to expect throughout this process, you can feel more confident as you move forward with your therapy. Always consult with your healthcare provider for personalized guidance to ensure the best possible outcomes from your treatment plan.